Impact of Fatigue to independence for persons with multiple sclerosis

Thesis subject: Impact of Fatigue independence for persons with multiple sclerosis Thesis aim: To evaluate impact of fatigue to independence for persons with multiple sclerosis Objects: To evaluate expression of the fatigue for persons with multiple sclerosis. To evaluate disorder of activity for persons with multiple sclerosis. Reveal relation between fatigue and disorder of activity for persons with multiple sclerosis. Thesis methods: The research participated 31 members of Kaunas county multiple sclerosis association „Oremus“. There were 21 woman (68 proc.) and 10 men (32 proc.). The aim of the testing was to detect a manifestation of fatigue and to evaluate it’s impact to independence for persons with multiple sclerosis. Patients were divided up into different categories: by age, education, length of the disease, by the type of multiple sclerosis, family status, marital status and profession, knowledge about program of fatigue management. Fatigue impact scale (FIS) was used for evaluation of fatigue manifestation. Canadian Occupational Performance Measure (COPM) was used for evaluation patients’ daily living, productive and leisure activities. Outcomes: Persons with multiple sclerosis have significantly biger fatigue than people in contro group. The scores of FIS was from 41 to 141 of 160 possible. Average was 85,65±29,1 of point. Acording to they COPM there were 175 problems of the activities. Patients' the most problematic area is self-care (49%) and the least problematic area is leisure (19%). There was finde corelation between fatigue manifestation and independence for persons with multiple sclerosis. Moderate corelation was found between fatigue manifestation and self-care (rs=0,5) also fatigue manifestation and leisure (rs=0,4). Significant reverse correlation was found between FIS and performance (rs=-0,5) and satisfaction (rs=-0,4) of COPM