Kontakt 2010, 12(4):446-456 | DOI: 10.32725/kont.2010.058

Level of contribution to care in rehabilitated persons with multiple sclerosis (evaluated according to the International Classification of Functional Capacities, Disability and Health)Health and Social Sciences

Hana Matlasová

Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, katedra klinických oborů

Multiple sclerosis is a chronic autoimmune disease, in which the human immune system attacks the central and peripheral nervous system (i.e. the brain and medulla) thus causing demyelinization (i.e. disintegration of myelin sheaths). The disease particularly affects young adults aged 20 to 40 years. Its occurrence is more frequent in women: in a ratio of 2:1. Multiple sclerosis causes disability and brings severe physical, mental, social, working and economic consequences. The concept of disability is a topical problem of contemporary medicine. The disability is considered as a decrease in functional capacities of an individual at a level of an organ or of the whole organism.
The target of the examination was monitoring of the degree of the established contribution to care in rehabilitated persons with multiple sclerosis. A further target was subsequent consideration of the level of the recognized contribution to the care and disability of the rehabilitated person (evaluation according to the International Classification of Functional Capacities, Disability and Health; henceforth MCF.
The method of the research examination was a quantitative research; a questionnaire was chosen for the data accumulation technique, which consisted of statistically significant questions from the CORE SET. In 2009, a question was considered whether the measure of the disability (value of the qualifying parameters 3 and 4) in rehabilitated persons with multiple sclerosis (evaluated according to the MCF) corresponds to the appropriate degree of the level of the contribution to care. The discrimination analysis method was used for statistical processing. There were 213 rehabilitated persons in the sample group.
The result was a finding that the level of contributions to the care was correctly determined in 59.2% (i.e. in 128 rehabilitated persons). A higher degree of the contribution to the care compared to the actual condition was determined by the discrimination analysis in 14 subjects, i.e. 6.5%. A lower degree of the contribution to the care compared to the actual condition was determined by the discrimination analysis in 73 subjects, i. e. 34.3%.

Keywords: multiple sclerosis; contribution to care; MCF; rehabilitation

Received: July 26, 2010; Accepted: November 3, 2010; Published: December 22, 2010  Show citation