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Factors determining acceptance of illness in patients with arterial hypertension and comorbidities
Magdalena Bijak1, Agnieszka Olszanecka1, Ewa Pałczyńska1
11st Department of Cardiology, Interventional Electrocardiology and Arterial Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland
Insights
Illness acceptance in patients with arterial hypertension (AH) is linked to fewer comorbidities and shorter disease duration. Higher acceptance correlates with better health outcomes, impacting treatment and patient well-being.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Arterial hypertension (AH) is a prevalent chronic disease with significant patient burden.
- AH often presents with comorbidities like metabolic disorders and complications from polypharmacy.
- Managing hypertension requires indefinite treatment, increasing risks of adverse drug events.
Purpose of the Study:
- To investigate factors influencing illness acceptance in patients with arterial hypertension.
- To understand the relationship between illness acceptance and disease characteristics.
Main Methods:
- A study involving 532 patients diagnosed with AH.
- Utilized the Acceptance of Illness Scale and a custom questionnaire.
- Classified illness acceptance into high (30-40), average (19-29), or low (8-18) levels.
Main Results:
- High illness acceptance was observed in 45% of participants; average acceptance in 46%.
- Disparities noted in AH duration, disease count, mental disorders, and medication use.
- Patients with high acceptance had fewer cardiovascular diseases and shorter AH duration.
Conclusions:
- Illness acceptance levels correlate with disease duration, number of comorbidities, and medication count.
- Higher illness acceptance is associated with a reduced number of cardiovascular diseases.
- Disease duration was shorter in patients with higher illness acceptance.
Background:
Hypertension is one of the most common chronic diseases. The need to undergo indefinite treatment combined with the risk of complications affecting the cardiovascular system impose significant psychological and somatic burden on the patient. Arterial hypertension (AH) is rarely an isolated disease and the most commonly observed comorbidities include metabolic disorders as well as clinically apparent complications associated with polypharmacy, which increases the risk of drug‑induced adverse events.
Aims:
The aim of the study was to determine factors that have an impact on illness acceptance in patients with AH.
Methods:
The study included 532 patients diagnosed with AH. A standardized Acceptance of Illness Scale questionnaire and a questionnaire prepared by the authors were used. The Acceptance of Illness Scale allows to classify the illness acceptance as high (30-40 points), average (19-29 points), or low (8-18 points).
Results:
A high level of illness acceptance was noted in 45% of participants and an average level in 46%. Patients with different levels of illness acceptance showed disparities in: duration of AH, number of cardiovascular and all diseases, frequency of mental disorders, and number of drugs taken. The number of cardiovascular diseases was significantly lower in patients with high levels of illness acceptance than in those with poor acceptance. Disease duration in patients with a high level of illness acceptance was significantly shorter than in patients with average acceptance.
Conclusions:
The level of illness acceptance is correlated with disease duration, number of diseases, and number of medications taken.
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