心力衰竭患者对疾病的接受程度

Małgorzata Fraś, Kinga Płatek, Mária Sováriová Soósová, E. Bąk
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摘要

导言心力衰竭是当今最严重的健康问题之一。在波兰,约有一百万人与之抗争。这是由于人口统计学和流行病学的几种趋势造成的,其中包括医疗保健系统的改善和人口老龄化。心血管疾病被认为是波兰人死亡的主要原因,因此对医疗保健系统来说是一个巨大的挑战。治疗疾病的基本假设包括改善生活质量:研究目的:本研究旨在评估接受门诊治疗的心力衰竭患者对该疾病的接受程度。材料与方法:研究对象是来自 NZOZ "Vita "的 100 名患者。在研究过程中,使用了作者的问卷和标准化问卷:AIS 和 LOT-R,并获得了在工作中使用它们的适当同意。结果 在研究组中,根据 AIS,门诊治疗的心力衰竭患者对疾病的接受程度为中高水平(48%;n=48 vs. 48%;n=48)。在受访者中,最大的群体(46%;n=46)是根据 LOT-R 具有平均乐观水平的人。在心力衰竭患者中,最常见的合并症是糖尿病、高血压和支气管哮喘。其他疾病对受检患者对疾病的接受程度没有显著的统计学影响(P>0.05)。宗教信仰和精神发展在受访者生活中的重要性并不影响他们对疾病的接受程度(P>0.05)。根据 AIS,持乐观态度的受访者比持悲观态度的受访者对疾病的接受程度更高(p=0.005)。结论 对疾病的接受是适应疾病的最后阶段,它表现为认识到特定疾病实体的发生所带来的限制和损失。因此,接受疾病会带来很多好处,最终会改善病程和进一步的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acceptance of the disease by patients with heart failure
Introduction Nowadays, heart failure is one of the most serious health problems. In Poland, about a million people struggle with it. This is due to several demographic and epidemiological trends, m.in. the improvement of the health care system and the aging of the population. Cardiovascular diseases are a huge challenge for the healthcare system, as they are considered the main cause of death in Poland. The basic assumption of the treatment of the disease includes the improvement of the quality of life Aim of the study: The aim of the study was to assess acceptance of the disease in patients with heart failure receiving outpatient medical care.   Material and methods: The research was carried out on a group of 100 patients from NZOZ "Vita". To carry out the research, the author's questionnaire and the Standardized Questionnaire: AIS and LOT-R were used, and appropriate consents were obtained for their use in the work.   Results In the study group, the level of disease acceptance according to the AIS in patients with heart failure treated on an outpatient basis was medium and high (48%; n=48 vs. 48%; n=48). Among the respondents, the largest group (46%; n=46) were people with an average level of optimism according to LOT-R. In people with heart failure, the most common comorbidities were diabetes, hypertension and bronchial asthma. Additional diseases did not have a statistically significant impact on the acceptance of the disease among the examined patients (p>0.05). The importance of religion as well as spiritual development in the respondents' lives did not influence their acceptance of the disease (p>0.05). Respondents with an optimistic attitude more often represented a higher level of acceptance of the disease according to the AIS than those with a pessimistic attitude (p=0.005).   Conclusions Acceptance of the disease is the final stage of adaptation to the disease, it manifests itself in the recognition of limitations and losses that result from the occurrence of a given disease entity. Therefore, accepting the disease brings many benefits that ultimately improve the course of the disease and further prognosis.
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