Akceptacja choroby i jej związek z jakością życia pacjentów z łuszczycą

Abstract

Introduction. Psoriasis, as a condition easily noticeable by the immediate environment, causes embarrassment and psychological problems, and lowers the quality of life in the sufferers. Aim. The study aimed at determining the level of acceptance of illness and quality of life as well as their correlations in the light of sociodemographic factors. Material and methods. The study involved 120 patients with psoriasis, but statistical analysis eventually included 101 patients aged over 18 (59 women and 42 men). The study was based on a literature review and a diagnostic survey using both standardized tools, including the Acceptance of Illness Scale (AIS) and the WHOQOL-Bref quality of life assessment questionnaire, as well as a questionnaire of own design addressing possible limitations on the everyday functioning of individuals with psoriasis. Results. The mean score for acceptance of illness was 30.37 points. Lower results in the AIS scale were obtained by women. Mean scores pertaining to individual domains of quality of life were as follows: physical 64.02, psychological 57.28, social relations 64.56, and environmental 63.10. Educational attainment of the participants correlated significantly with quality of life in the environmental (r = 0.333; p = 0.001) and psychological (r = 0.254; p = 0.012) domains. The level of acceptance of illness correlated with the psychological (r = 0.356; p = 0.000), physical (r = 0.326; p = 0.001) and environmental (r = 0.212; p = 0.033) domains. Conclusions. Patients with psoriasis demonstrated a high level of acceptance of illness, which affected their functioning mostly in the psychological and physical domain. Continuous development of an individual contributes to their better functioning in the environment and in the psychological domain.