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The cooling-suit: case studies of its influence on fatigue among eight individuals with multiple sclerosis.
University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.ORCID iD: 0000-0001-8017-0998
The National Board of Health and Welfare, Stockholm.
2002 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, Vol. 37, no 6, 541-50 p.Article in journal (Refereed) Published
Abstract [en]

AIM OF THE STUDY: To study if the use of a cooling-suit by individuals with multiple sclerosis (MS) influenced their experience of fatigue and consequent restrictions in daily life. BACKGROUND: The majority of MS patients consider fatigue as one of their most disabling symptoms and as having a significant impact on their daily lives. Fatigue often increases in a warm environment. A cooling-suit has been reported as a practical method of cooling, but the effect on fatigue has not yet been studied. RESEARCH METHODS: Eight individuals used a cooling-suit in their own homes during a test-period. In a single case-control design, their experience of fatigue was studied before and after. Quantitative and qualitative methods were used: self-assessments using the Fatigue Impact Scale (FIS), open-ended interviews and semi-structured diaries. RESULTS: All study participants reported a reduction in fatigue during the test period. On the FIS, they scored reductions in the physical, cognitive and psycho-social dimensions of daily life. They experienced fatigue less often and for shorter periods. In their diaries and interviews they described decreased muscular strain, less sense of fatigue in relation to intake of food and positive effects on cognitive, social or affective problems related to fatigue. DISCUSSION: The cooling-suit is a practical method for cooling. It gives freedom and flexibility and can be used regardless of setting. Nurses who meet heat-sensitive individuals with MS have the opportunity to give information on cooling methods, including how to use a cooling-suit. In this pilot study we found that individuals with MS who suffered from fatigue reported a number of improvements in quality of daily life. CONCLUSIONS: The result indicates that use of a cooling-suit by individuals with MS may decrease their sense of fatigue. In this sample positive outcomes on daily life situations were reported. Further studies are needed to support these results.

Place, publisher, year, edition, pages
2002. Vol. 37, no 6, 541-50 p.
Keyword [en]
cooling, daily life, fatigue, multiple sclerosis, nursing, self-assessment, self-care
National Category
Nursing
Research subject
Nursing and public health science , Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-1771DOI: 10.1046/j.1365-2648.2002.02129.xPubMedID: 11879418OAI: oai:DiVA.org:hv-1771DiVA: diva2:242027
Available from: 2009-10-06 Created: 2009-10-02 Last updated: 2014-05-08Bibliographically approved
In thesis
1. Fatigue in individuals with multiple sclerosis: lived experiences and perceived impact in daily life
Open this publication in new window or tab >>Fatigue in individuals with multiple sclerosis: lived experiences and perceived impact in daily life
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Linköping: Linköpings Universitet, 2005. 63 p.
Keyword
Activities of daily living, multiple sclerosis, fatigue
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-2964 (URN)91-85299-31-6 (ISBN)
Available from: 2011-03-03 Created: 2010-12-28 Last updated: 2014-05-08Bibliographically approved

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