Socio-demographic determinants of the acceptance of systemic connective tissue diseases

Abstract

IntroductionSocio-demographic forecasts indicate a stable increase in the population of elderly people, which gives rise to the need to examine the relationship between the acceptance of chronic illness and socio-demographic variables not only in terms of subjective negative emotions but also because of possible social consequences. The acceptance of a chronic disease is determined by factors related to its character including its severity and the discomfort it brings about but also by factors connected with the patient that is socio-demographic determinants. Objective: The objective of the study was to examine the relationship between socio-demographic variables and the acceptance of a chronic disease of locomotive organs.Material and methodsThe study was conducted in the group of 150 patients diagnosed with a systemic connective tissue disease during its stable phase. A socio-demographic questionnaire as well as a standardised Acceptance of Illness Scale (AIS) adapted by Juszczyński were applied in the study. The study was conducted in accordance with the recommendations of the Declaration of Helsinki.ResultsIn the group of 150 patients suffering from a systemic connective tissue disease the percentage of women was higher than the percentage of men (60.7% vs. 39.3%). The indicator of the acceptance of illness in the group examined reached 24.5 ±7.5. The strongest correlation was found between the acceptance level and married probants (eta = 0.26; p = 0.01), high education (eta = 0.24; p = 0.04) and working activity (eta = 0.20; p = 0.01).ConclusionsSocio-demographic factors which determine the level of illness acceptance include age, marital status, education and the source of income. The acceptance of illness in the examined group of patients with systemic connective tissue diseases reached 24.5.

Factors determining acceptance of disease and its impact on satisfaction with life of patients with peripheral artery disease

“…An even higher level of disease acceptance was obtained for patients with prostate cancer (M = 30.39) (Czerw et al, 2017). A similar mean value of disease acceptance was observed for patients with non-malignant diseases, such as epilepsy (Staniszewska et al, 2017), systemic connective tissue diseases (Puto et al, 2018), musculoskeletal disorders (Denys et al, 2015), arterial hypertension (Jankowska-Polańska et al, 2014), diabetes mellitus (Kurpas et al, 2012), atrial fibrillation (Martynow et al, 2017), multiple sclerosis (Dymecka & Bidzan, 2018), migraine (Rolka, 2009), Graves' disease and Hashimoto's thyroiditis (Basińska et al, 2008).…”

Determinants of disease acceptance in renal transplantation patients assessed with the application of Acceptance Illness Scale (AIS)

“…The greater interest from medical staff and the potential participation of the pharmacist in posttransplantation care were other important issues for the surveyed patients. Patients over 50 years of age obtained significant lower scores of the AIS test, they showed worse acceptance of their health condition as compared to younger people, which was consistent with the observations of other authors in patients undergoing dialysis, with systemic connective tissue diseases or women with osteoporosis (11,18,19). Surprisingly, Kobylańska et al found worse effectiveness of rehabilitation in patients under 55 after stroke.…”

“…This was confirmed by our study which showed a significantly higher disease acceptance rate in working people compared to retired or disabled. Similar results were obtained in patients with type 2 diabetes or systemic connective tissue diseases (12,19). Jordakieva et al demonstrated that employed kidney transplant recipients more often stay in a relationship with a partner, have higher education and better quality of life (25).…”

“…Lower values on the AIS scale, and therefore the worse acceptance of the disease, were found in women with osteoporosis (22.2), patients on peritoneal dialysis (23.2), dialyzed patients (24), systemic connective tissue diseases (24.5), multiple sclerosis (24.2), epilepsy (25.1) and ulcerative colitis (29.7) (11,12,(18)(19)(20)(21)(22). Greater disability, also in mobility, is associated with a higher level of depression and poorer acceptance of the disease.…”

Acceptance of illness mediate the effects of health literacy on self-management behaviour

“…13 It is demonstrated that low level acceptance of illness could decrease patients' adherence to both pharmacological and non-pharmacological therapy. 14,15 In addition, acceptance of illness was strongly correlated to patients' educational status, 16 which was highly paralleled to health literacy among patients with chronic diseases.…”