Perception of Disease and Coping Attitudes in Patients with Celiac Disease

E. Yorulmaz, Pınar Neva Fındık, Meltem Aksoy, Rüya Akbayrak, G. Genç, H. Yorulmaz
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Abstract

The study was conducted to investigate the factors affecting the perception of disease and coping attitudes in patients with celiac disease. The study was conducted with 100 celiac patients in Istanbul. The data were collected by applying “Introductory Information Form”, “Illness Perception Questionnaire”, and “Coping Inventory”. In the statistical analysis, t-test, Tukey and Pearson Correlation Analysis were used. It was observed that 63% of the patients were female, 52% were single, 21% were overweight. It was determined that there was a significant difference in terms of gender, marital status and income level, diet list, difficulty in dietary compliance in coping inventory (p<0.05). It was observed that the patients were emotionally affected by their diseases and exhibited problem-focused coping behaviors from coping attitudes. It was determined that there was a negative correlation between the patients’ age and illness coherence and emotional representations and between diagnosis time and emotional representation, personal attribution, lifestyle and chance factor (p<0.01). It was determined that there was a negative correlation between the dieting duration and emotional representations, personal attribution, lifestyle and chance factor (p<0.01). It was seen that there was a positive correlation between the age and problem-focused coping method and a negative correlation between the age and the dysfunctional subscale (p<0.01). It was seen that there was a positive correlation between the timeline (acute/chronic) and emotional-focused coping subscales, between personal control and problem focused and emotional focused coping subscales and between the treatment control and emotional focused coping subscale (p<0.05). It was also observed that 88% of the patients experienced symptoms like constipation and diarrhea, perceived their diseases as chronic, and the disease affected their physical, social and psychological functions. It may be recommended to comprehensively examine especially the factors obstructing their dietary compliance and influencing perception of disease.
乳糜泻患者的疾病认知与应对态度
本研究旨在探讨影响乳糜泻患者疾病认知及应对态度的因素。这项研究是在伊斯坦布尔对100名乳糜泻患者进行的。采用“介绍信息表”、“疾病感知问卷”和“应对问卷”进行数据收集。统计分析采用t检验、Tukey和Pearson相关分析。其中女性占63%,单身占52%,超重占21%。在应对问卷中,性别、婚姻状况、收入水平、饮食清单、饮食依从难易程度存在显著差异(p<0.05)。从应对态度上观察到患者受疾病的情绪影响,表现出以问题为中心的应对行为。患者年龄与疾病一致性、情绪表征呈负相关,诊断时间与情绪表征、个人归因、生活方式、机会因素呈负相关(p<0.01)。节食持续时间与情绪表征、个人归因、生活方式、机会因素呈负相关(p<0.01)。结果显示,年龄与问题焦点应对方式呈正相关,年龄与功能障碍分量表呈负相关(p<0.01)。时间轴(急性/慢性)与情绪聚焦应对分量表、个人控制与问题聚焦应对分量表、情绪聚焦应对分量表、治疗控制与情绪聚焦应对分量表存在显著正相关(p<0.05)。还观察到,88%的患者出现便秘和腹泻等症状,认为自己的疾病是慢性的,疾病影响了他们的身体、社会和心理功能。建议综合检查特别是妨碍其饮食依从性和影响疾病认知的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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