Assessment of the Myasthenia Gravis Patients’ Quality of Life

Weronika Jung-Plath, M. Skrzypek-Czerko, Małgorzata Bilińska, Agata Zdun-Ryżewska
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Abstract

Introduction. Myasthenia gravis is an immune-mediated disease associated with a disorder of the neuromuscular junction. MG belongs to the group of chronic diseases with variable clinical courses. Patients struggling with this disease must remain under the constant care of a neurologist and take medications regularly. Talking about myasthenia gravis, we can divide it into two forms: ocular and generalized. In patients with the generalized form, a lower level of quality of life can be observed. As patients age, their quality of life increases. This may be due to the fact that younger people, leading a more active life, find it more difficult to accept disabilities resulting from the disease. Aim. The aim of the study is to present the specificity of the functioning of patients with myasthenia gravis. Material and Methods. To write the above work, an analysis of the literature and a diagnostic survey were used, an original questionnaire consisting of three parts and six ready-made scales was used. Results. The study showed that the quality of life of patients with myasthenia gravis is reduced. A lower level of quality of life can be observed among women, younger people and those suffering from the general form of this disease. Myasthenia gravis negatively affects the daily functioning of patients. The negative impact of physical, mental and general fatigue as well as the degree of everyday life difficulties due to fatigue on the quality of life of patients with MG was also demonstrated. In the case of myasthenia gravis, however, we must distinguish between fatigue and muscle fatigue. Conclusions. Myasthenia gravis and the problems faced by people with this disease is a topic rarely discussed in scientific works. The quality of life of this group of patients is significantly reduced, which contributes to the occurrence of anxiety and depression among this group of patients. The biggest problem among MG patients is fatigue, which has a significant impact on their quality of life. More attention should be paid to the problem of quality of life and more research related to this topic should be carried out in the future. (JNNN 2023;12(2):74–83)
评估肌无力患者的生活质量
简介重症肌无力是一种与神经肌肉接头紊乱有关的免疫介导疾病。肌萎缩症属于慢性疾病,临床病程多变。该病患者必须接受神经科医生的长期治疗,并定期服药。谈到重症肌无力,我们可以将其分为两种形式:眼型和全身型。全身型患者的生活质量较低。随着年龄的增长,患者的生活质量会有所提高。这可能是由于年轻人的生活更活跃,更难以接受疾病导致的残疾。 研究目的本研究旨在介绍重症肌无力患者功能的特殊性。 材料和方法。为了完成上述工作,采用了文献分析和诊断调查的方法,并使用了由三个部分和六个现成量表组成的原始问卷。 结果。研究表明,重症肌无力患者的生活质量有所下降。女性、年轻人和普通型肌无力患者的生活质量较低。重症肌无力会对患者的日常活动产生负面影响。研究还表明,肌无力患者的身体、精神和全身疲劳,以及因疲劳而导致的日常生活困难程度,都会对其生活质量产生负面影响。不过,对于重症肌无力患者,我们必须区分疲劳和肌肉疲劳。 结论重症肌无力和该病患者面临的问题是科学著作中很少讨论的话题。这类患者的生活质量明显下降,这也是这类患者出现焦虑和抑郁的原因之一。MG 患者最大的问题是疲劳,这对他们的生活质量有很大影响。今后应更加关注生活质量问题,并开展更多与此相关的研究。(JNNN 2023;12(2):74-83)
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