Escala de movilidad de 12 ítems para esclerosis múltiple: análisis mediante diagnósticos de enfermería

Abstract

Introduction

Altered gait is one of the most common symptoms of multiple sclerosis. Fampridine is recommended to control this symptom. Its clinical benefits are assessed by timed and subjective tests, such as the 12-item MS walking scale (MSWS-12). Determining patients’ responses using the MSWS-12 enables nurses to identify, evaluate and monitor NANDA diagnoses relating to mobility.

Aim

To analyse the effectiveness of the MSWS-12 in relation to NANDA diagnoses in monitoring subjects with MS who are responders to fampridine.

Methods

Observational study, descriptive and retrospective study from October 2017 to September 2018 In Girona's Unitat de Neuroimmunologia i Esclerosi Múltiple Territorial. A total of 17 fampridine responders were included in the study. Variables: age, sex, EDSS and baseline MSWS-12 scores, at 15 days, and at 6 months.

Results

An increased total MSWS-12 score was observed between 15 days and 6 months of: impaired walking $\overline{\text{x}}$ = 1.9 (p=.076); impaired standing $\overline{\text{x}}$ = .2 (p=.637); fatigue $\overline{\text{x}}$ = .9 (p=.209); risk of falling $\overline{\text{x}}$ = .6 (p=.270).

Conclusion

Impaired walking and fatigue had a greater tendency to worsen over time. Risk of falling and impaired standing had a more stable score. The MSWS-12 in relation to NANDA diagnoses is a useful tool for nurses to monitor people with MS and altered gait.