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024 7    |a RC377.P58 2010_PlummerMary |2 BU-Local
050    4 |a RC377.P58 2010
100 1    |a Plummer, Mary Hope.
245 10 |a The influences of a symptom cluster on the perception of pain severity and its influence on quality of life in adult women with multiple sclerosis |h [electronic resource].
260        |a Miami, Fla. : |b Barry University, |c 2010.
300        |a xv, 174 leaves : |b ill. ; |c 28 cm
490        |a Barry University Dissertations -- College of Nursing and Health Sciences.
502        |a Thesis (Ph.D.)--Barry University, 2010.
504        |a Includes bibliographical references (leaves 101-112).
506        |a Copyright Mary Hope Plummer. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
520 3    |a Background: Multiple sclerosis (MS) is a chronic disease of the central nervous system that leads to a variety of unpleasant symptoms. Pain is reported to be one of the worst symptoms, and it has negative consequences on quality of life (QOL). Purpose: The purpose of the study was to investigate the relationship of a Symptom Cluster (depression, fatigue, and sleep disturbance) on the perception of pain severity and its influence on quality of life in adult women with MS. Theoretical Framework: The theory of unpleasant symptoms provided the theoretical framework. The research questions included: (a) Will there be significant correlation between a Symptom Cluster (depression, fatigue, and sleep disturbance) and pain in adult women with MS? (b) Will there be a significant association between pain and performance (physical quality of life) in adult women with MS? Methods: Data were collected from a purposive convenience sample of 96 adult women with MS using six valid and reliable questionnaires and a demographic and clinical questionnaire. Data analysis included descriptive statistics. Results: The results show statistically significant correlation among the components of the Symptom Cluster. Additionally, the results show statistically significant correlation between the Symptom Cluster and pain. However, pain is not related to quality of life. Fatigue is statistically significant to all variables. Likewise, depression is statistically significant to level of disability, mental quality of life, sleep disturbance, and pain intensity. Finally, sleep is found to be strongly and positively related to fatigue and pain. Conclusions: The findings of the study suggest that nursing must focus on developing interventions that address multiple co-occurring symptoms in patients. Special attention should be given to the Symptom Cluster of depression, fatigue, and sleep disturbance in order to effect improved outcomes. Additional focus should be given to the Symptom Cluster and pain. Finally, the findings provide recommendations for future research in regard to instrument development specifically for individuals with MS.
533        |a Electronic reproduction. |c Barry University, |d 2020. |f (Barry University Digital Collections) |n Mode of access: World Wide Web. |n System requirements: Internet connectivity; Web browser software.
535 1    |a Barry University Archives and Special Collections.
650    0 |a Multiple sclerosis.
650    0 |a Women |x Diseases.
650    0 |a Chronic diseases |x Psychological aspects.
650    0 |a Quality of life.
655    0 |a Academic theses.
830    0 |a Barry University Digital Collections.
830    0 |a Theses and Dissertations.
852        |a BUDC |c Theses and Dissertations
856 40 |u http://sobekcmsrv.barrynet.barry.edu/AA00001779/00001 |y Click here for full text
992 04 |a https:/budc.barry.edu/content/AA/00/00/17/79/00001/RC377_P58 2010_PlummerMarythm.jpg
997        |a Theses and Dissertations


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