The quality of life of people with multiple sclerosis in Portugal

Authors

  • Rosa Martins Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal. https://orcid.org/0000-0001-9850-9822
  • Sara Gomes Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.
  • Patrícia Vicente Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.
  • Nélia Carvalho Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.
  • Susana Batista Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

DOI:

https://doi.org/10.15649/cuidarte.2841

Keywords:

Multiple Sclerosis, Quality of Life, Patients, Demyelinating Diseases, Central Nervous System

Abstract

Highlights

  • The interest in the quality of life of people suffering from multiple sclerosis in Portugal is relatively recent, and the impact of this condition has been confined to the assessment of the disability it causes among patients.
  • Multiple sclerosis is considered the most frequent non-traumatic cause of disability among young adults aged between 20 and 40, and evidence shows that the highest incidence is observed among women.
  • The variables with the highest predictive weight are those that have a negative impact on the physical domain and the social domain, both explaining 59.00% and 53.00% of the variability, respectively.
  • Understanding the quality of life of people with multiple sclerosis and its associated variables enables the implementation of specific and effective nursing care programmes designed to promote patient well-being.

Introduction: Multiple sclerosis significantly affects the quality of life of those suffering from this specific condition. Objective: To assess the quality of life of people with multiple sclerosis and analyse the correlation between the disease and its associated effects and different sociodemographic, clinical, and functional variables. Materials and Methods: An observational, cross-sectional, descriptive-correlational and quantitative study conducted using a non-probabilistic convenience sample composed of 70 patients suffering from multiple sclerosis registered with the Multiple Sclerosis Association of the Central Region of Portugal. The data collection protocol included sociodemographic and clinical questions, the Family Apgar Scale, and the Barthel Index. Descriptive and inferential statistics were used to process the data. Data collection took place between April and July 2021. Results:  The majority of participants reported a moderate overall quality of life (M=51,78 ± 24,09). Higher scores were observed in the social relationships and environmental health domains, while lower scores were recorded for the physical domain. Better quality of life was found to be positively associated with being under 45 years old, having higher educational qualifications, living in functional families, and experiencing greater functional independence in activities of daily living. Discussion: The variables with the strongest association were those capable of influencing the physical and social domains. Those variables explained 59.00% and 53.00% of the variability.   Conclusions: These results indicate that people with multiple sclerosis have a compromised quality of life, highlighting the need for new strategies focusing on early diagnosis and effective preventive interventions meant to improve quality of life across all its domains.

How to cite this article: Martins Rosa, Gomes Sara, Vicente Patrícia, Carvalho Nélia, Batista Susana. The quality of life of people with multiple sclerosis in Portugal. Revista Cuidarte. 2024;15(2):e2841. https://doi.org/10.15649/cuidarte.2841

Author Biographies

Rosa Martins, Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Sara Gomes, Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Patrícia Vicente, Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Nélia Carvalho, Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Escola Superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Susana Batista, Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

Escola superior de Saúde do Instituto Politécnico de Viseu, Portugal.

References

Sociedade Portuguesa de Esclerose Múltipla. Arquivos sobre Esclerose múltipla. SPEM; 2021. Consulta: dezembro 12, 2021. Disponível em: https://spem.pt/esclerose-multipla/

Thompson AJ, Banwell BL, Barkhof F, Carrol WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis:2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17(2):162-73.https://doi.org/10.1016/S1474-4422(17)30470-2

World Health Organization. Atlas multiple sclerosis resources in the world. WHO 2008, Geneva, Switzerland. ISBN 978-92-4-156375-8. https://apps.who.int/iris/bitstream/handle/10665/43968/9789241563758_eng.pdf

Direção Geral de Saúde. Organização de Cuidados na Esclerose Múltipla. Portugal DGS; 2022. Consulta: janeiro 10, 2022. Disponível em: https://www.slideshare.net/carlosmartins20/orientao-dgs-organizacao-de-cuidados-na-esclerose-multipla

Rente CPS, Ferreira JAS, & Garrett ACM. Qualidade de vida da pessoa com esclerose múltipla e dos seus cuidadores. Revista de Enfermagem Referência,2017 Série IV - n.º 12, 85-95. Consulta: janeiro 13, 2022. Disponível em: http://www.scielo.mec.pt/pdf/ref/vserIVn12/serIVn12a10.pdf

Instituto Nacional de Estatística. Estimativas de população residente em Portugal. INE;2019. Consulta: Dezembro 11, 2021. Disponível em: https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=354227526&DESTAQUESmodo=2

Fernandez O. Is there a change of paradigm towards more effective treatment early in the course of apparent high-risk MS? Mult Scler Relat Disord. 2018;17:75-83. https://doi.org/10.1016/j.msard.2017.07.003

Gomes I, Ribeiro J, Palavra F. Monitoring and Managing Patients with Tuberous Sclerosis Complex: Current State of Knowledge. Journal of Multidisciplinary Healthcare. 2022;15:1469-1480. https://doi.org/10.2147/JMDH.S266990

Marques VD, Passos GR, Mendes MF, Callegaro D, Lana-Peixoto MA, Comini-Frota ER, et al. Brazilian consensus for the treatment of multiple sclerosis: Brazilian Academy of Neurology and Brazilian Committee on Treatment and Research in Multiple Sclerosis. Arq Neuropsiquiatr. 2018;76(8):539-54. https://doi.org/10.1590/0004-282x20180078

Baumstarck K, Pelletier J, Boucekine M, Auquier P, MusiQoL Study Group. Predictors of quality of life in patients with relapsing-remitting multiple sclerosis: a 2-year longitudinal study. Rev Neurol. 2015;171(2):173-80. https://doi.org/10.1016/j.neurol.2014.09.005

Brownlee WJ, Hardy TA, Fazekas F, Miller DH. Diagnosis of multiple sclerosis: progress and challenges. Lancet. 2017;389(10076):1336-46. https://doi.org/10.1016/S0140-6736(16)30959-X

Nogueira IC, Porto ACP, Silva EG, Melo PO, Belchior LD, Loiola LMCV, et al. Avaliação da ansiedade, depressão e qualidade de vida em pacientes com esclerose múltipla. Rev Inspirar Mov Saúde. 2017;14(3):6-10 https://www.inspirar.com.br/wp-content/uploads/2017/07/revista-inspirar-ms-43-475-2015.pdf

Morrow SA. Anxiety is more important than depression in MS - Yes. Mult Scler J. 2018;24(4):440-1. https://doi.org/10.1177/1352458517751652

Federação Internacional da Esclerose Múltipla. Dia Mundial da Esclerose Múltipla: entenda a doença e seus sintomas. FIEM; 2021. Consulta: fevereiro 10, 2022. Disponível em: https://www.terra.com.br/vida-e-estilo/saude/doencas-e-tratamentos/dia-mundial-da-esclerose-multipla-entenda-a-doenca-e-seus-sintomas,90ac3eb0ec1a1c65de305539e9c9537bq8pnnroc.html

Ysrraelit MC, Fiol MP, Gaitán MI, Correale J. Quality of life assessment in multiple sclerosis: different perception between patients and neurologists. Front Neurol.2018;8:729.https://doi.org/10.3389/fneur.2017.00729

Andrade A, Martins R. Funcionalidade Familiar e Qualidade de Vida dos Idosos. Rev. Mill 2016;40(16):185‐199 https://revistas.rcaap.pt/millenium/article/view/8227

Cid-Ruzafa J, Damián-Moreno J. Valoración de la discapacidad física: el índice de Barthel. Rev. Esp. Salud Publica. 1997;71(2):127-137. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57271997000200004&lng=es.

WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Social Science e Medicine, 2008;46(12):1569-1585.

Martins R, Gomes S, Vicente P, Carvalho N, Batista S. Conjunto de dados: A qualidade de vida de pessoas com esclerose múltipla em Portugal. Mendeley 2024, V1. https://doi.org/10.17632/855yzf274j.1

Martins R, Santos C. Capacitação do cuidador informal: O papel dos enfermeiros no processo de gestão da doença. Gestão e Desenvolvimento. 2020;(28):117-37. https://doi.org/10.34632/gestaoedesenvolvimento.2020.9468

Lysandropoulos AP, Havrdova E. 'Hidden' factors influencing quality of life in patients with multiple sclerosis. Eur J Neurol.; 2015;22(2):28-33. https://doi.org/10.1111/ene.12801

Manjaly ZM, Harrison NA, Critchley HD, Do CT, Stefanics G, Wenderoth N. et al. Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis. J NeurolNeurosurg Psychiatry. 2019;90(6):642-51. https://doi.org/10.1136/jnnp-2018-320050

Santos M, Sousa C, Pereira M, Pereira MG. Quality of life in patients with multiple sclerosis: A study with patients and caregivers. Disabil Health J. 2019;12(4):628-634 https://doi.org/10.1016/j.dhjo.2019.03.007

Casetta I, Riise T, Nortvedt MW, Economou NT, De Gennaro R, Fazio P et al. Gender differences in health-related quality of life in multiple sclerosis. Multiple Sclerosis; 2019;15(11):1339-1346 https://doi.org/10.1177/1352458509107016

Regulamento n.º 125/2011. Regulamento das competências específicas do enfermeiro especialista em enfermagem de reabilitação [Portugal]. Diário da República 2(35):8658-9. Consulta: janeiro 17, 2022. Disponível em: https://www.ordemenfermeiros.pt/arquivo/legislacao/Documents/LegislacaoOE/Regulamento%20125_2011_CompetenciasEspecifEnfreabilitacao.pdf

Pereira LD, Bellinati NVC, Kanan LA. Self-Efficacy for Managing Chronic Disease 6-Item Scale: avaliação da autoeficácia no gerenciamento da doença crônica. Rev Cuid. 2018;9(3):2435-45. http://dx.doi.org/10.15649/cuidarte.v9i3.561

Morales RR, Morales NMO, Rocha FCG, Fenelon SB, Pinto RMC, Silva CHM. Qualidade de vida em portadores de esclerose múltipla. Arq. Neuro-Psiquiatria 2007;65(2):454-460. https://www.semanticscholar.org/reader/f35268e21d31f6186dcc8aed16cf8b3894949ccc

Alhazzani AA, Alqahtani MS, Ogran H, Abuhawi OH, Asiri AY, Al-Hanash AM, et al. Depression severity and its predictors among multiple sclerosis patients in Saudi Arabia: a cross-sectional study. Neuroimmunol Neuroinflammation. 2018;5:8. https://doi.org/10.20517/2347-8659.2017.55

Páez Esteban, AN, Torres Contreras, CC, Campos de Aldana, MS, Solano Aguilar, S., Quintero Lozano, N., & Chaparro Díaz, OL. Custos diretos e indiretos do cuidado de pacientes com doenças crônicas não transmissíveis. Aquichan, 2020;20(2):e2022. https://doi.org/10.5294/aqui.2020.20.2.2

Almeida F, Martins R, & Martins C. Capacitação do cuidador Informal: estudo das dificuldades e das variáveis preditivas. Investigación en enfermeria: Imagen y Desarrollo. 2022;24:1-9. https://doi.org/10.11144/Javeriana.ie24.ccie

Tauil CB, Grippe TC, Dias RM, Dias-Carneiro RPC, Carneiro NM, Aguilar ACR, et al. Suicidal ideation, anxiety, and depression in patients with multiple sclerosis. Arq Neuropsiquiatr.2018;76(5):296-301 https://doi.org/10.1590/0004-282X20180036

Published

2024-08-08

How to Cite

1.
Martins R, Gomes S, Vicente P, Carvalho N, Batista S. The quality of life of people with multiple sclerosis in Portugal. Revista Cuidarte [Internet]. 2024 Aug. 8 [cited 2024 Oct. 31];15(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2841

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