Quality of life, acceptance of illness and a sense of health control in patients with chronic musculoskeletal disorders during the rehabilitation process

• Published in: Polski merkuriusz lekarski Vol. 38; no. 225; p. 155
• Main Authors: Denys, Katarzyna, Denys, Paweł, Macander, Marian, Zboralski, Krzysztof
• Format: Journal Article
• Language: Polish
• Published: Poland 01.03.2015
• Subjects: Adaptation, Psychological; Chronic Disease; Female; Health Behavior; Health Knowledge, Attitudes, Practice; Humans; Internal-External Control; Male; Middle Aged; Osteoarthritis, Hip - psychology; Osteoarthritis, Hip - rehabilitation; Osteoarthritis, Knee - psychology; Osteoarthritis, Knee - rehabilitation; Quality of Life; Surveys and Questionnaires; location of health control; quality of life; osteoarthritis; acceptance of illness
• ISSN: 1426-9686

In medical science it is accepted that in order to determine the state of physical, mental as well as the progress of treatment, the concept of quality of life is applicable. However, the most popular use of the term is in the case of chronic diseases and particularly in the lives of those who are sick. Examples of such diseases are diseases of the musculoskeletal system and especially osteoarthritis of the knee and hip. The level of quality of life in chronic disease are also affected by psychological factors that can significantly help people in the healing process as well as acceptance of existing disease. The aim of study was to evaluate the association between quality of life, acceptance of illness and sense of control over own health in patients with chronic motor disability during the rehabilitation course. The study included 105 patients (76 women and 29 men) with osteoarthritis of the hip and knee, undergoing rehabilitation at the Municipal Clinic "Lecznica" in Lodz. The study used a questionnaire in the development of their own - specifying the basic socio-demographic data subjects, the SF-36 questionnaire - evaluating the quality of life of patients, Acceptance of Illness Scale (AIS BJ Felton, TA Revenson, Hinrichsen GA) in the adaptation of the Z. Juczyński and Multidimensional Scale Health Locus of Control MHLC (KA wallstone, BS wallstone, R. DeVellis) in adaptation of Z. Juczyński. The distribution of respondents by type of disease is as follows: diseases of the knee -63.81%, hip - 23.81% and knee and hip disorders - 12.38%. A similar breakdown occurs in women and men. The average level of quality of life in this population of patients was 88.63, which is not too high. Evaluation of the results of health locus of control scale laid the equal distribution of respondents, taking into account all the studied rocks. Thanks to the use of Pearson's correlation coefficient allowed the conclusion that the level of quality of life correlates positively with the acceptance of the disease and internal locus of control pain in patients. Quality of life of the patients in the general dimension is in significant correlation with the acceptance of the disease and with a sense of control over their own health internally. Patients who have a high sense of control health by others or by accident is characterized by a lower level of acceptance of his illness. Acceptance of the disease and a sense of control over their own health may be important factors for health behaviors.