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Problem of disease acceptance and quality of life in patients with heart failure

15 December 2022

Introduction. Chronic heart failure (HF, heart failure), is a serious health problem that is associated with reduced quality of life (QoL, quality of life) for patients. The health condition significantly affects a person's life and functioning, consequently affecting quality of life (QoL) assessment and acceptance (AI, acceptance of illness).

Objective. Assessing the impact of disease acceptance on quality of life in patients with chronic heart failure.

Material and methods. The study included 100 patients with chronic heart failure treated at the Cardiology Department of the Lower Silesian Specialist Hospital. The study was conducted using a diagnostic survey method with a questionnaire, an integral part of which was the SF-36 quality of life assessment scale and the AIS disease acceptance scale.

Results. A total of 64 men and 36 women participated in the study. Those living in rural areas and those not working were characterised by a significantly worse quality of life and significantly lower values of the illness acceptance scale. Family support had a significant impact on perceived quality of life among the study group. A higher level of acceptance of illness was associated with lower values of the physical dimension and the quality of life index, and thus a significantly better quality of life in these dimensions.

Conclusions. HF patients with lower levels of disease acceptance have a significantly lower quality of life.

Selected aspects of quality of life in atopic dermatitis, 2014

Joanna Kasznia-Kocot, Karolina Reichmann, Agata Wypych-Ślusarska

Introduction. Atopic dermatitis (AD) is an allergic disease with a chronic and relapsing course. The aim of this study is to assess selected aspects of quality of life in people with AD.

Material and methods. The impact of the disease on the patient's and his family's daily functioning, financial expenses related to treatment, as well as on self-esteem, emotional and social functioning and sexuality were analysed. Seventy-one adults, 48 (68%) women and 23 (32%) men treated in Allergy Clinics in Silesia, were enrolled in the survey.

Results. Itching of the skin was experienced by all, soreness of the skin by 69%, burning of the skin by 86% respondents. The vast majority of respondents were limited in their ability to fully perform household chores due to their skin complaints. The disease affected the ability to perform professional work and school achievements. Almost all respondents stated that the costs associated with the purchase of medication and skin care products affected their financial resources. AD affected social functioning, leisure activities and sporting activities in 75% respondents. The disease adversely affected self-esteem and self-confidence. Half of the subjects experienced problems in contact with their partner/partner because of their complaints, or felt stigmatised by the negative reaction of those around them because of the appearance of their skin. Often AD was accompanied by sleep disorders (65%), various emotional disorders, as well as sexual disorders (32%) One in four had depressive states and one in seven had suicidal thoughts.

Conclusions. AD is a disease that negatively affects many aspects of life and impairs quality of life, so its treatment should be supported by psychotherapy

https://rebus.us.edu.pl/bitstream/20.500.12128/9782/1/Bartoszek_Moralne_aspekty_jakosci_z life.pdf