Sadra Medical Journal

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

Peer Review Process

The Consequences of Hospitalization on Physical and Mental Dimensions of Quality of Life in Patients with Multiple Sclerosis: A Cross-Sectional Study

Document Type : Original Article

Authors

1 Ph.D. Candidates in Clinical Psychology, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

2 M.A. in Psychology, NIOC Health Organization, Shiraz, Iran

3 Ph.D. in Clinical Psychology, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

Abstract

Introduction: Hospitalization is one of the outcomes of multiple sclerosis (MS) that can have different effects on the quality of life of patients. Therefore, the aim of the present study was to evaluate the consequences of hospitalization on physical and mental dimensions of quality of life in patients with MS.
Methods: In a cross-sectional study, 162 patients with MS (in three groups: non- hospitalization, 1-2 times of hospitalization, and ≥ 3 times of hospitalization) were selected by consecutive sampling and they were examined using clinical and demographic variables inventory and the Health Survey questionnaire (SF-36). The data were analyzed by multivariate analysis of variance (MANOVA), and post hoc test of Fisher least significant difference (LSD).
Results: The analyses showed that the effects of hospitalization were significant in vitality, mental health, and mental component summary (P < 0.05). Following the difference between means in hospitalization groups showed that patients with ≥ 3 times of hospitalization in all identified significant variables have lower mean scores (P < 0.05). In the meantime, significant differences were not observed between different groups of hospitalization in terms of physical dimensions of quality of life (P > 0.05).
Conclusions: The consequences of hospitalization in MS patients leads to reduced psychological dimensions of quality of life in such patients and its effects in patients with high hospitalization rate is significant/noticeable.

Keywords

References
  1. Clarke CE, Howard R, Rosser M, Shorvon S. London: Wiley Blackwell; 2009. Neurology a queen square textbook.
  2. Jennum P, Wanscher B, Frederiksen J, Kjellberg J. The socioeconomic consequences of multiple sclerosis: A controlled national study. Eur Neuropsychopharmacol. 2012;22(1):36–43.
  3. Compston A, Coles A. Multiple Sclerosis. Lancet. 2008;372(9648):1502–17.
  4. Murray TJ. Diagnosis and treatment of multiple sclerosis. BMJ. 2006;332(7540):525–7
  5. Naci H, Fleurence R, Birt J, Duhig A. Economic burden of multiple sclerosis: A systematic review of literature. Pharmacoeconomics. 2010;28(5):363–
    79.
  6. Patwardhan MB, Matchar DB, Samsa GP, McCrory DC, Williams RG, Li TT. Cost of multiple sclerosis by level of disability: A review of the literature. Mult Scler. 2005;11(2):232–9.
  7. Thompson RH, Vernon DT. Research on children's behavior after hospitalization: a review and synthesis. J Dev Behav Pediatr. 1993; 1: 28–35.
  8. Hughes JW, Tomlinson A, Blumenthal JA, Davidson J, Sketch Jr MH, Watkins LL. Social support and religiosity as coping strategies for anxiety in hospitalized cardiac patients. Ann Behav Med. 2004;28(3):179-85.
  9. Meira D, Lavoura P, Ferreira D, Curiati JA, Lichtenstein A, Carvalho C, et al. Impact of hospitalization in the functionality and quality of life of adults and elderlies. ERJ. 2015; 46: PA3547.
  10. Hennessey A, Robertson NP, Swingler R, Compston DA. Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. J Neurol. 1999;246(11):1027-32.
  11. Marrie RA, Cutter G, Tyry T, Vollmer T, Campagnolo D. Disparities in the management of multiple sclerosis–related bladder symptoms. Neurology. 2007;68(23):1971-8.
  12. Carvalho TC, Valle AP, Jacinto AF, Mayoral VF, Boas PJ. Impact of hospitalization on the functional capacity of the elderly: A cohort study. Rev Bras Geriatr Gerontol.
     2018;21(2):134-42.
  13. Audi G, Korologou A, Koutelekos I, Vasilopoulos G, Karakostas K, Makrygianaki K, et al. Factors Affecting Health Related Quality of Life in Hospitalized Patients with Heart Failure. Cardiol Res Pract. 2017;2017.
  14. Reynolds MR, Morais E, Zimetbaum P. Impact of hospitalization on health-related quality of life in atrial fibrillation patients in Canada and the United States: results from an observational registry. Am Heart J. 2010; 160(4):752-8.
  15. Buecken R, Galushko M, Golla H, Strupp J, Hahn M, Ernstmann N, et al. Patients feeling severely affected by multiple sclerosis: How do patients want to communicate about end-of-life issues?. Patient Educ Couns. 2012; 88(2):318–24.
  16. McCrone P, Heslin M, Knapp M, Bull P, Thompson A. Multiple sclerosis in the UK: Service use, costs, quality of life and disability. Pharmacoeconomics. 2008;26(10):847–60.
  17. Koenig HG, George LK, Titus P. Religion, spirituality, and health in medically ill hospitalized older patients. J Am Geriatr Soc. 2004;52(4):554–62.
  18. Siemens VM. The experience of hospitalization for orthopedic surgery: Individuals with rheumatoid arthritis. J Orthop Nurs. 2001;5(3):142–8.
  19. Ekdahl WA, Andersson L, Friedrichsen M. “They do what they think is the best for me.” Frail elderly patients’ preferences for participation in their care during hospitalization. Patient Educ Couns. 2010;80(2):233–40.
  20. McDonald WI, Compston A, Edan G, Goodkin D, Hartung HP, Lublin FD, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the International Panel on the diagnosis of multiple sclerosis. Ann Neurol. 2001; 50(1): 121-7.
  21. Ware JE JR, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6): 473–83.
  22. Taillefer SS, Kirmayer LJ, Robbins JM, Lasry JC. Psychological correlates of functional status in chronic fatigue syndrome. J Psychosom Res. 2002; 53(6): 1097–106.
  23. Salehpoor Gh, Kafi SM, Salehi I, Rezaei S. Psychometric Characteristics of the Health Survey Questionnaire (SF-36) for Evaluation of Multiple Sclerosis: Psychometric Evaluation in Iranian Patients. Jundishapur Sci Med J. 2015; 14(4): 367-84 (Persian)
  24. Habibpoor K, Safari R. comprehensive manual for using SPSS in survey researches. Tehran: looyeh & motefakkeran publication; 2010. p. 565. (Persian)
  25. Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: Design and interpretation: Sage; 2006.
  26. Gall JP, Gall MD, Borg WR. Applying educational research: A practical guide (8th Edition). Pearson/Allyn & Bacon, 2007.
  27. Ghafari S, Fallahi-Khoshknab M, Norouzi K, Mohamadi E. Experiences of hospitalization in patients with multiple sclerosis: A qualitative study. Iran J Nurs Midwifery Res. 2014;19(3):255-61.
  28. Hägglöf B. Psychological reaction by children of various ages to hospital care and invasive procedures. Acta Paediatr Suppl. 1999; 88:72-8.
  29. Yap JN. The effects of hospitalization
     and surgery on children: A critical review. J Appl Dev Psychol. 1988; 9(3): 349-58.
  30. Whetten-Goldstein K, Sloan FA, Goldstein LB, Kulas ED. A comprehensive assessment of the cost of multiple sclerosis in the United States. Mult Scler. 1998; 4(5): 419–425.
  31. Green G, Todd J. ‘Restricting choices and limiting independence’: social and economic impact of multiple sclerosis upon households by level of disability. Chronic Illn. 2008; 4(3): 160–172.
Sadra Medical Journal
Volume 8, Issue 4
October 2020
Pages 335-346
Files
Share
How to cite
Statistics