THE IMPACT OF SELF-CARE AGENCY ON QUALITY OF LIFE IN INDIVIDUALS WITH MULTIPLE SCLEROSIS ACCORDING TO FATIGUE LEVELS

Authors : Pınar Yeşil Demirci, Saliha Bozdoğan Yeşilot, Zehra Eskimez
Pages : 237-244
Doi:10.34108/eujhs.1590163
View : 77 | Download : 54
Publication Date : 2025-08-15
Article Type : Research Paper
Abstract :Multiple sclerosis is a neurological disorder characterized by inflammation, demyelination, and neurodegeneration in the central nervous system. This study aimed to examine the impact of self-care agency on the quality of life in individuals with Multiple sclerosis according to their fatigue levels. A cross-sectional study was conducted with 77 participants.The mean age of the participants was 41.48±9.59 years, and 66.2% were women. The average fatigue severity was 3.86±2.4, with 49.4% of participants experiencing significant fatigue (≥4). The mean self-care agency score was 80.01±16.45. The average scores on the subscales of the Multiple Sclerosis Quality of Life Scale were 42.15±18.57 for cognitive physical health and 44.25±19.44 for cognitive mental health. Multiple regression analyses showed that self-care agency had a significant effect on both cognitive physical, and mental health. However, fatigue severity did not have a significant effect on these outcomes. Self-care agency explained a more significant portion of the variance in cognitive mental health (24.9%) than in cognitive physical health (21.8%), highlighting its more substantial role than fatigue severity. As a result of the study, it was found that approximately half of the participants experienced significant fatigue, their self-care agency was at a moderate level, and their quality of life was moderate in both cognitive physical health and cognitive mental health domains. The study revealed that as self-care agency improves, there is a parallel improvement in cognitive physical health and cognitive mental health domains, and that self-care agency can play an essential role in shaping the quality of life.
Keywords : Yorgunluk, multipl skleroz, yaşam kalitesi, öz bakım gücü

ORIGINAL ARTICLE URL