RESEARCH PAPER
The impact of selected factors on acceptance of illness and life satisfaction among female residents of rural areas treated for osteoporosis
 
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1
Department of Informatics and Medical Statistics with E-learning Lab, Medical University, Lublin, Poland
2
Department of Foreign Languages, Medical University, Lublin, Poland
3
Chair of Public Health, Medical University, Lublin, Poland
4
Medical University, Lublin, Poland
CORRESPONDING AUTHOR
Mariola Janiszewska   

Department of Informatics and Medical Statistics with E-learning Lab, Medical University of Lublin, Jaczewskiego 4, 20-090, Lublin, Poland
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Osteoporosis is a chronic condition with serious sequela, including primarily bone fractures, and impacts on almost all spheres of human life. It is important for patients undergoing treatment to accept their health status and feel satisfied with life.

Objective:
The aim of the study was to determine the relationship between socio-demographic factors, duration of the illness, self-assessment of the patient’s knowledge of osteoporosis, and also between illness management support and acceptance of the illness and life satisfaction among females with chronic osteoporosis, resident in rural areas.

Material and methods:
The study, conducted from September 2016 – June 2017, involved 207 patients of the Clinic of Orthopaedics and Rehabilitation and the Clinic of Gynaecology at the Independent Public Teaching Hospital No. 4 in Lublin, eastern Poland. The study used the Acceptance of Illness Scale (AIS) and the Satisfaction With Life Scale (SWLS). Statistical analysis was performed with Student’s t-test, analysis of variance (ANOVA), Tukey’s range test, and chi-squared test. A p-value of <0.05 defined statistical significance of differences. The analysis was performed using commercial SPSS Statistics 19 software (IBM Corp., Armonk, NY, USA).

Results:
The respondents showed average acceptance of their illness (22.2±6.9) and relatively low satisfaction with life (14.7±5.6). Older age, low level of education, poor living conditions, prolonged illness, and frequent ailments are all associated with lower acceptance of the illness and poorer life satisfaction.

Conclusions:
As part of their treatment, chronically ill patients should be provided with appropriate support, in particular from healthcare personnel, health education and improved living conditions.

 
REFERENCES (41)
1.
Osteoporosis Prevention, Diagnosis and Therapy NIH Consensus Development Panel on Osteoporosis Prevention, Diagnisis and Therapy. Jama 2001; 285: 785–794.
 
2.
Siris E, Adler, Bilezikian J, et al. The clinical diagnosis of osteoporosis: a position statement from the National Bone Health Alliance Working Group. Osteoporos Int. 2014; 25 (5): 1439–1443.
 
3.
Pluskiewicz W. Wskazania do diagnostyki i leczenia osteoporozy pomenopauzalnej – wytyczne endokrynologów amerykańskich 2016.[Indications for postmenopausal osteoporosis diagnosis and treatment – the American endocrinologists’ guidelines 2016] Med. Dypl 2017; 2: 13–18. (in polish).
 
4.
Lorenc R, Głuszko P, Franek E, et al. Zalecenia postępowania diagnostycznego i leczniczego w osteoporozie w Polsce. Aktualizacja 2017. [The guidelines of osteoporosis diagnosis and treatment in Poland. Update 2017] Endokrynol. Pol. 2017; 68, supl. A:1–18 (in polish).
 
5.
Kanis JA, McCloskey E, Johansson H, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013; 24(1): 23–57.
 
6.
Svedbom A, Hernlund E, Ivergard M, et al. Osteoporosis in the European Union: a compendium of country-specific reports. Arch Osteoporos. 2013; 8: 137.
 
7.
Sewerynek E, Stuss M. Obowiązujące wskazania do prewencji i leczenia osteoporozy pomenopauzalnej – choroby miliona złamań. [The current recommendations of postmenopausal osteoporosis (the disease of million fractures) prevention and treatment] Ginekol Perinatol Prakt. 2016; 1(2): 45–55. (in polish).
 
8.
Czerwiński E, Rozpondek P, Synder M, et al. Problem złamań osteoporotycznych. In: Czerwiński E, editor. Osteoporoza problem interdyscyplinarny. [The problem of osteoporotic fractures. In: Czerwiński E, ed. Osteoporosis as an interdisciplinary problem] Warszawa: Wydaw. Lek. PZWL, 2015: 117–130. (in polish).
 
9.
Kanis JA. Diagnosis and Clinical Aspects of Osteoporosis. In: Ferrari SL, Roux Ch, editors. Pocket Reference to Osteoporosis. Geneva: Springer Nature Switzerland AG, 2019; 11–20. (eBook) https://doi.org/10.1007/978-3-....
 
10.
Papaioannou A, Kennedy C, Ioannidis G, et al. The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporos In. 2009; 20(5): 703–714.
 
11.
Heszen I, Sęk H. Psychologia zdrowia. [Health psychology] Warszawa: Wydaw. Nauk. PWN SA, 2007. (in polish).
 
12.
Jakubowska-Winecka A, Włodarczyk D. Psychologiczne aspekty choroby i chorowania. [Psychological aspects of illness and disease] In: Jakubowska-Winecka A, Włodarczyk D, editor. Psychologia w praktyce medycznej.[Psychology in medical practice] Warszawa: Wydaw. Lek. PZWL, 2007: 94–125. (in polish).
 
13.
Lazarus R, Folkman S. Stress, appraisal and coping. New York 1984.
 
14.
Chase B, Cornille T, English R. Life satisfaction among persons with spinal cord injuries. J Rehabil. 2000; 66: 14–20.
 
15.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. [Assessment and diagnostic instruments for health psychology promotion] Pracownia Testów Psychologicznych PTP, Warszawa 2001. (in polish).
 
16.
Sirgy MJ. Materialism and quality of life. Soc Indic Res. 1998; 43(3): 227–260.
 
17.
Poprawa R. Zasoby osobiste w radzeniu sobie ze stresem. [Personal resources in dealing with stress] In: Dolińska-Zygmunt G, editor. Podstawy psychologii zdrowia. [Basics of health psychology] Wrocław: Wydawnictwo Uniwersytetu Wrocławskiego, 2001: 103–141. (in polish).
 
18.
Bishop G.D. Psychologia zdrowia. Zintegrowany umysł i ciało. [Health psychology. Integrated mind and body.] Wrocław: Astrum 2000. (in polish).
 
19.
DeLongis A, Folkman S, Lazarus RS. The impact of daily stress on health and mood: Psychological and social resources as mediators. J Pers Soc Psychol. 1998; 54: 486–495.
 
20.
Felton B, Revenson T. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 1984; 52: 343–353.
 
21.
Chia-Huei W, Chin-Yu W. Life satisfaction in persons with schizophrenia living in the community. Validation of the satisfaction with life scale. Soc Indic Res. 2008; 85: 447–460.
 
22.
Diener E, Emmons RA, Larsen RJ, et al. The Satisfaction With Life Scale. J Pers Assess; 1985; 49(1): 71–75.
 
23.
Pavot W, Diener E. Review of the Satisfaction with Life Scale. Psychol Assess. 1993; 5(2): 164–172.
 
24.
Vassar M. A note on the score reliability for the Satisfaction with Life Scale: an RG study. Soc Indic Res. 2008; 86(1): 47–57.
 
25.
Kanis JA, Cooper C, Rizzoli R, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis International 2019; 30: 3–44. https://doi.org/10.1007/s00198....
 
26.
Fredrickson BI. The role of positive emotions in positive psychology: the broaden and build theory of positive emotions. Am Psychol. 2001; 56(3): 218–276.
 
27.
Painter P. Physical functioning in end-stage renal disease patients: Update 2005. Hemodial Int. 2005; 9: 218–235.
 
28.
Joly F, Espie M, Marty M, et al. Long-term quality of life in premenopausal women with node-negative localized breast cancer treated with or without adjuvant chemotherapy. Br J Cancer 2000; 83(5): 577–582.
 
29.
Pawlikowska-Łagód K, Janiszewska M, Firlej E, et al. Akceptacja choroby kobiet leczących się z powodu osteoporozy. [Acceptance of diseases of women treated for osteoporosis] J Educ Health Sport 2016; 6 (5): 139–148. (polish).
 
30.
Scholten C, Weinlander G, Krainer M, et al. Difference in patient’s acceptance of early versus late initiation of psychosocial support in breast cancer. Support Care Cancer 2001; 9: 459–464.
 
31.
Cooper M, Palmer A, Seibel M. Cost-effectiveness of the Concord Minimal Trauma Fracture Liaison service, a prospective, controlled fracture prevention study. Osteoporos Int. 2012; 23(1): 97–107.
 
32.
Evers A, Kraaimaat FW, van Lankveld W, et al. Unfavorable thinking: the illness cognition questionnaire for chronic disease. J Consult Clin Psychol. 2001; 69(6): 1026–1036.
 
33.
Drop B, Janiszewska M, Barańska A. Satisfaction with Life and Adaptive Reactions in People Treated for Chronic Obstructive Pulmonary Diseas. Adv Exp Med Biol. 2018; 1114: 41–47. doi: 10.1007/5584_2018_242.
 
34.
Hultell D, Gustavsson JP. A psychometric evaluation of the Satisfaction with Life Scale in a Swedish nationwide sample of university students. Pers Individ Dif. 2008; 44: 1070–1079.
 
35.
Chia-Huei W, Grace Y. Analysis of factorial invariance across gender in the Taiwan version of the Satisfaction with Life Scale. Pers Individ Dif. 2006; 40: 1259–1268.
 
36.
Lee H, Hwang S, Kim J, Daly B. Predictors of life satisfaction of Korean nurses. J Adv Nurs J. 2004; 48(6): 632–664.
 
37.
Arrindell WA, Heesink J, Feij JA. The Satisfaction with Life Scale (SWLS): appraisal with 1700 healthy young adults in The Netherlands. Pers Individ Dif. 1999; 26: 815–826.
 
38.
Lesińska-Sawicka M. Wybrane socjomedyczne aspekty jakości życia po 60. roku życia. [Selected sociomedical aspects of quality of life after the age of 60] Nowoczesne Pielęgniarstwo i Położnictwo 2007; 1(2). Portal Pielęgniarek i Położnych http://www.pielegniarki.info.p... (dostęp: 2019.02.06). (in polish).
 
39.
Byra S. Satysfakcja z życia osób z uszkodzeniem rdzenia kręgowego w pierwszym okresie nabycia niepełnosprawności – funkcje wsparcia otrzymywanego i oczekiwanego. [Life satisfaction among patients with spinal cord injury during the first period of acquiring disability – functions of received and expected support] Med Og Nauk Zdr. 2011; 2: 64–70. (in polish).
 
40.
Stepulak M. Problemy etyczno-zawodowe psychologa klinicznego pracującego z chorymi terminalnie. [Ethical and professional problems of a clinical psychologist working with terminally ill patients.] In: Makselon J, ed. Człowiek wobec śmierci. Kraków: WN PAT, 2005: 77–101. (in polish).
 
41.
Blazer DG. Social support and mortality in an elderly community population. Am J Epidemiol. 1982; 115(5): 684–694.
 
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