The effect of acceptance of illness on the quality of life in patients with chronic heart failure

Obiegło, Monika; Uchmanowicz, Izabella; Wleklik, Marta; Jankowska‐Polańska, Beata; Kuśmierz, Mateusz

doi:10.1177/1474515114564929

Cited by 56 publications

(59 citation statements)

References 23 publications

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“…Moreover, improved knowledge of HT may affect patients’ acceptance of illness and their beliefs related to the illness and its treatment 2,29. However, few studies25 exist to confirm the correlation between acceptance of illness and adherence to pharmaceutical treatment,16 and the available articles mainly focus on AIS in the context of quality of life in chronic illness 30–32…”

Section: Discussionmentioning

confidence: 99%

Selected factors affecting adherence in the pharmacological treatment of arterial hypertension

Jankowska‐Polańska¹,

Chudiak²,

Uchmanowicz³

et al. 2017

PPA

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BackgroundLow adherence to hypertension (HT) management is one of the major contributors to poor blood pressure (BP) control. Approximately 40%–60% of patients with HT do not follow the prescribed treatment. The aim of the study was to analyze the relationship between selected variables and adherence to hypotensive pharmacological treatment. Besides socioclinical variables, the study focused on the role of illness acceptance.Participants and methodsThe study included 602 patients with HT. Adherence and acceptance of illness were assessed using the following validated instruments: the Acceptance of Illness Scale (AIS) and the Morisky Medication Adherence Scale (MMAS).ResultsThe high-adherence group comprised a significantly higher percentage of patients with high illness acceptance scale scores than that of patients with low-to-moderate scores (42.4 vs 31.8%; P=0.008<0.01). The odds ratio (OR) showed that high adherence to pharmacological treatment was >1.5 times as likely to occur in the high acceptance group as in the low-to-moderate acceptance group (OR =1.58, 95% CI 1.14–2.19). Spearman’s rank correlation coefficients showed statistically significant correlations between adherence and sex (men ρ=−0.101; P=0.012), age >45–66 years (ρ=0.098; P=0.015), higher education level (ρ=0.132; P=0.001), grade ESC of HT (ρ=−0.037; P=0.057), receiving one-tablet polytherapy (ρ=0.131; P=0.015), and illness acceptance (ρ=0.090; P=0.024).ConclusionAcceptance of illness is correlated with adherence to pharmacological treatment, and consideration should be given to more widespread assessment of illness acceptance in daily practice. Male sex, age >45–66 years, duration of illness grade ESC of HT, and receiving one-tablet polytherapy are significant determinants of adherence to pharmacological treatment in HT.

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Section: Discussionmentioning

confidence: 99%

Selected factors affecting adherence in the pharmacological treatment of arterial hypertension

Jankowska‐Polańska¹,

Chudiak²,

Uchmanowicz³

et al. 2017

PPA

Self Cite

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“…Several reports previously showed that individual coping was substantially influenced by self‐management (Klein, Turvey, & Pies, ; Riegel & Carlson, ). Indeed, a high level of acceptance of illness resulted in better medication compliance and self‐management (Obiegło, Uchmanowicz, Wleklik, Jankowska‐Polańska, & Kuśmierz, ). Besides, the active coping strategies are more likely to facilitate self‐management and the decision‐making process that determine the actions aimed at maintaining a stable health.…”

Section: Discussionmentioning

confidence: 99%

“…| 3331 Ku smierz, 2015). Besides, the active coping strategies are more likely to facilitate self-management and the decision-making process that determine the actions aimed at maintaining a stable health.…”

Section: Self-management and Coping Strategymentioning

confidence: 99%

Factors associated with adoption of coping strategies among Chinese patients with heart failure in ethnic minority regions

Rong

Peng

et al. 2018

Journal of Clinical Nursing

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“…Acceptance originated as a concept in psychology and has since been operationalized in healthcare to enhance the quality of life in patients due to its therapeutic implications. In adults with chronic illness, acceptance of illness has been associated with better disease management and improved quality of life, while lack of acceptance has been associated with negative outcomes, such as treatment nonadherence and psychological distress . The benefits of acceptance have also been showcased from applications in various healthcare interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Adolescents with chronic illness are doubly disadvantaged, being more likely to exhibit symptoms of depression and anxiety when compared to healthy peers . As illness acceptance is often associated with positive psychosocial outcomes, helping adolescents come to accept their illness may be an important step towards alleviating these issues. Among adolescents, chronic illness currently accounts for over a quarter of all disability‐adjusted life years across countries where chronic illness is a predominant public health issue .…”

Section: Introductionmentioning

confidence: 99%

Illness acceptance in adolescents: A concept analysis

2019

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Aim To strengthen the theoretical understanding of illness acceptance in adolescents and to inform healthcare strategies geared toward supporting adolescents with chronic illness. Background Illness acceptance is associated with positive health outcomes. Though well understood in adults with chronic illness, less is known about how this phenomenon ensues in adolescents. Adolescents may have a difficult time accepting an illness due to their unique developmental needs. Consequently, they are vulnerable to poor health outcomes. Design Concept analysis. Data Sources A literature search through 2 databases (PubMed and PsycINFO) and a hand‐search through Google were conducted to identify uses of the concept. Review Methods The Walker and Avant method of concept analysis. Results Four attributes of illness acceptance were identified: understanding of illness, overcoming limitations, normalization, and readiness for responsibility. Antecedents that predisposed illness acceptance included peer and family support, disease management education, and developmental readiness. Positive consequences of illness acceptance included high self‐esteem, improved quality of life, resilience, identity formation, and better disease control. Conclusions Establishing a standardized conceptual understanding of how illness acceptance ensues in adolescents can enable nurses and other health professionals to tailor developmentally appropriate care strategies and optimize the overall quality of life for this unique patient population.

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The effect of acceptance of illness on the quality of life in patients with chronic heart failure

Abstract: The extent a patient accepts their chronic heart failure diagnosis has been shown to impact on their quality of life.

Cited by 56 publications

References 23 publications

Selected factors affecting adherence in the pharmacological treatment of arterial hypertension

Selected factors affecting adherence in the pharmacological treatment of arterial hypertension

Factors associated with adoption of coping strategies among Chinese patients with heart failure in ethnic minority regions

Illness acceptance in adolescents: A concept analysis

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