Purpose This study aimed to examine the patients' perceived social support, mental health, and marital satisfaction. Design and Methods Data were collected via Patient Information Form, Barthel Index of Activities of Daily Living, Marital Life Scale, Multidimensional Scale of Perceived Social Support, and General Health Questionnaire for 72 patients. Findings Multiple sclerosis (MS) patients had a moderate level of marital satisfaction. The perceived social support showed positive correlation with marital satisfaction and negative correlation with mental health disorders in MS. Practice Implications These results will facilitate the perception of mental problems, marital satisfaction, and social support in MS patients by the nurses.
Multiple sclerosis patients face many physiological, psychological, and social problems depending on the type and course of the disease. One of the physiological problems is lower urinary tract symptoms (LUTS). Problems such as urinary incontinence, frequent urination, sudden urination, inability to urinate, inability to empty the bladder completely affect the daily life of the patients. These patients may avoid social interaction because of frequent urination and incontinence. Patients with multiple sclerosis refrain from shopping, meeting with friends, and other social activities due to urinary problems. In addition, they also restrict their fluid intake because they urinate frequently. Urinary tract infections associated with low fluid intake and inability to urinate are more common in multiple sclerosis patients than in the normal population. These problems restrict the patient’s life and negatively affect their quality of life. These complaints can be minimized by bladder training, pelvic floor muscle exercises, nerve stimulation, or use of urinary catheter in order to eliminate these problems and improve the quality of life of the patients. While bladder training prolongs the urination intervals of patients, pelvic floor muscle exercises reduce urinary incontinence by strengthening the muscles. Neuromodulation reduces these problems by suppressing nerve impulses. Catheters are important for patients who cannot urinate or have urinary incontinence. Urinary incontinence, retention, and urinary infection can be reduced by using catheters.
AmaçBu çalışma, yaygın nörolojik hastalıklara eşlik eden psikiyatrik hastalıkları belirlemek amacıyla yapılmıştır. Gereç ve YöntemÇalışma retrospektif bir çalışmadır. 26.12.2016 -26.12.2017 tarihleri arasında psikiyatri polikliniğinde ayaktan tedavi gören nörolojik hastalık tanısı olan 1125 hastanın dosyaları incelendi. BulgularPsikiyatri polikliniğinde ayaktan tedavi gören nöroloji hastalarında en sık depresyon (%59.9) ve anksiyete bozukluğu (%42.5) saptandı. Anksiyete bozukluğu (%63.3) migrende daha yaygındı ve depresyon en sık multiple sklerozda (%67.2) görüldü. Parkinson hastalığında kognitif bozukluk (%11,9), uyku bozuklukları (%10), Alzheimer hastalığı (%21,1) ve demans (%12,6) daha sıktı. SonuçBu çalışma, psikiyatrik bozuklukların nörolojik hasta-lıklara sık eşlik ettiğini desteklemektedir. Bu nedenle nörolojik hastalıklarda yaşam kalitesini artırmak için psikiyatrik değerlendirilmede gerekmektedir.
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