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Poorer QOL as a whole among those with MS was associated with unemployment,MS symptoms of moderate or worse,fatigue,mobility limitations on stairs,a disease course other than stable,and was most strongly related to interference by MS in social activities.Among caregivers,poorer QOL as a whole was associated with being a spouse,longer duration of caregiving, moderate or worse MS symptoms in the care recipient,and most strongly related to a care recipient's current MS disease course of other than stable.Through an understanding of the satisfaction with QOL of persons with MS and caregivers,and the relationships with other important factors, autonomy and home care may be supported and prolonged,while preventing unnecessary institutionalization. |
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