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Holistic health patterning in multiple sclerosis.

E E Gulick1, A Bugg

  • 1College of Nursing, Rutgers University, Newark, NJ 07102.

Research in Nursing & Health
|June 1, 1992
PubMed
Summary

This study tracked multiple sclerosis (MS) patients over five years. Early diagnosed patients showed better motor function and intimacy, but all experienced symptom increases and functional declines over time.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Sciences

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease impacting daily functioning.
  • Understanding the long-term health patterns and activities of daily living (ADL) in MS patients is crucial for effective care.
  • Previous research has not fully detailed the multidimensional health trajectories of MS patients across different disease durations.

Purpose of the Study:

  • To examine the multidimensional health patterning of individuals with multiple sclerosis (MS) across different timeframes since diagnosis.
  • To investigate changes in MS-related symptoms and ADL functioning over a 5-year period within distinct patient groups.
  • To identify specific patterns of symptom progression and functional decline in early-stage MS.

Main Methods:

  • A longitudinal study design was employed, analyzing data from three groups of MS patients categorized by years since diagnosis (0-5, >5-10, >10 years).
  • Serial self-assessments were collected via mail, documenting the prevalence of MS symptoms (motor, brainstem, sensory, elimination, mental-emotional) and ADL functioning levels.
  • Statistical analysis compared functioning and symptom levels across groups and over the 5-year study period.

Main Results:

  • Individuals diagnosed more recently (0-5 years) demonstrated significantly higher levels of fine and gross motor activity and intimacy compared to longer-diagnosed groups.
  • No significant differences were observed among groups regarding sensory/communication, recreation/socializing, and overall symptom prevalence.
  • Over the 5-year period, a notable increase in motor and brainstem symptoms, alongside a decline in fine/gross motor activities and intimacy, was particularly evident in the 0-5 year postdiagnosis group.

Conclusions:

  • Early-stage multiple sclerosis patients exhibit distinct functional advantages but are also susceptible to rapid symptom and functional decline.
  • Longitudinal monitoring of symptoms and ADL functioning is essential for tailoring interventions and support for MS patients.
  • Healthcare providers require knowledge of these health patterns to anticipate and address the evolving needs of individuals with MS and their families.

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