Acceptance Of Disability Scale Research Articles

The predictive role of hope and social relational quality in disability acceptance among Iranian patients under hemodialysis

BackgroundPatients undergoing hemodialysis face disabilities that its acceptance may influenced by several factors. This study aimed to determine the predictive role of hope and quality of social relationship on accepting disability amongst patients undergoing hemodialysis.MethodsThis cross-sectional study was conducted on 120 hemodialysis patients referred to hemodialysis centers in Nemazi and Shahid Faghihi hospitals and Imam Reza Clinic in Shiraz. Snyder Hope Scale, Acceptance of Disability Scale (ADS), and Social Relational Quality Scale (SRQS) were used for data collection. The data were analyzed through the Smart PLS-3 and SPSS software using Pearson’s correlation and multiple linear regression analysis tests, and confirmatory factor analysis.ResultsFace, content, and construct validities and internal consistency of the Persian version of ADS and SRQS were confirmed. The patients’ mean score of hope was 38.83 (SD = 4.35), which was not desirable. Their mean score of SRQS was 45.45 (SD = 3.87), which was at the moderate level. Nonetheless, the mean score of disability acceptance (66.01 (SD = 7.15)) was lower than expected. The results showed disability acceptance was associated with having good level of hope (β = 0.44, p = 0.002) and social relationship (β = 0.31, p = 0.04).ConclusionsHope and social relational quality predicted the acceptance of disabilities. Therefore, designing interventions to promote hope and social relationship in hemodialysis patients may increase their disability acceptance.

The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study.

The stoma can cause serious physical and psychological distress to the patient, leading to an inability to live a normal life; although it effectively improves the 5-year survival rate of patients. The purpose of this study is to explore the status of stigma and disability acceptance of patients with stoma and their influences on psychosocial adaptation. A multicenter cross-sectional study. A total of 259 patients with stoma in 6 hospitals from southeast China were enrolled. And this research adhered to the STROBE guideline and approved by the Ethics Committee of Fu Jian Provincial Hospital. The ostomy adjustment inventory-20、acceptance of disability scale and social impact scale were used to collect data. The hypothetical path model was tested using the SPSS version 22.0 software and AMOS version 26.0 software. Stigma, disability acceptance and psychosocial adaptation was associated. The sense of stigma was severe (72.76 ± 12.73), the acceptance of disability was medium (179.24 ± 32.29) and the psychosocial adaptation was poor (38.06 ± 8.76). Also, the hypothesis model of this study fitted the data well (AGFI = 0.967>0.08; χ 2/df = 1.723, p = 0.08 > 0.05), and the results showed that disability acceptance positively affected psychosocial adaptation; while stigma negatively affected psychosocial adaptation, and disability acceptance mediated between stigma and psychosocial adaptation (p < 0.01). The stigma and disability acceptance of patients with stoma are serious problems that are closely related to their psychosocial adaptation. Medical staff should take some interventions based on different paths to reduce stoma patients' stigma and guide them to improve disability acceptance, thus to improve the level of psychosocial adaptation of patients with stoma.

Effects of resilience and cognitive evaluation on quality of life of burn patients

Objective To understand the status of life quality, resilience and disability acceptance of burn patients, and to explore the impact of mental resilience and disability acceptance on the quality of life. Methods Connor-Davidson Resilience Scale (CD-RISC), Acceptance of Disability Scale (ADS) and Burn Specific Health Scale-Brief (BSHS-B) were used to carry out questionnaire survey for a total of 315 burned patients who were in rehabilitation phase. Results For burned patients, the total score of resilience was 57.12±14.34, the total score of disability acceptance was 78.20 ±9.99, and the total score of quality of life was 128.29 ±37.26. The correlation analysis showed that the total score of resilience was positively correlated with quality of life for burned patients (r value was 0.646, P<0.01); the total score of disability acceptance was positively correlated with the total score of quality of life for burned patients (r value was 0.846, P < 0.01). Multiple stepwise regression showed that the total score of disability acceptance, severity of burn, sleep state, ability and endurance of negative emotions were the main predictors of the quality of life for burned patients. Conclusions Great attention should be paid to the quality of life of burned patients, and psychological problems of high-risk patients should be found as soon as possible and reasonable intervention should be given to improve the resilience and disability acceptance of patients, so as to improve their quality of life. Key words: Burns; Quality of life; Resilience; Cognitive evaluation

Path analysis on influence of disability acceptance and resilience on stigma in laryngeal carcinoma patients with permanent tracheostomy

Objective To explore the influence of disability acceptance and resilience on stigma in laryngeal carcinoma patients with permanent tracheostomy and analyze the impact path. Methods From June 2016 to August 2018, this study selected 264 laryngeal carcinoma patients with permanent tracheostomy of Inpatient and Outpatient Department in Guangxi Medical University Affiliated Tumor Hospital as subjects by convenience sampling. All patients were investigated with the Social Impact Scale (SIS) , Acceptance of Disability Scale (AODS) and the 10-item Connor-Davidson Resilience Scale (CD-RISC10) . The correlations were analyzed and structure equation model was used to path analysis. A total of 264 questionnaire were sent out and 256 valid questionnaires were collected. Results Among those patients with permanent tracheostomy, the total scores of stigma, disability acceptance and resilience were (61.50±9.27) , (76.88±9.34) and (26.49±4.05) respectively. Correlation analysis showed that the scores of disability acceptance and resilience had negative correlations with stigma with statistical differences (P<0.01) . Structure equation model analysis showed that disability acceptance and resilience of laryngeal carcinoma patients with permanenttracheostomy had direct effect on stigma (β=-0.43, -0.28) , the indirect effect of disability acceptance on stigma by resilience was -0.06. Conclusions Laryngeal carcinoma patients with permanenttracheostomy have a high level of stigma, the disability acceptance and resilience has significant roles on stigma. Key words: Laryngeal carcinoma; Tracheal cannula; Stigma; Acceptance of disability; Resilience, psychological

Correlation between acceptance of disability and posttraumatic growth among patients with permanent colostomy

Objective To investigate the status of acceptance of disability and posttraumatic growth among patients with permanent colostomy and to analyze the correlation between them. Methods From October 2016 to October 2017, we selected 189 patients with permanent colostomy at three ClassⅢ Grade A hospitals in Harbin City as subjects by convenience sampling. All of the patients were investigated with the general information questionnaire, Acceptance of Disability Scale (AODS) and Posttraumatic Growth Inventory (PTGI) . 189 questionnaires were distributed and 172 valid questionnaires were returned. Results The total scores of acceptance of disability and posttraumatic growth of 172 patients with permanent colostomy were (78.46±9.66) and (66.74±11.22) respectively. The correlation analysis showed the acceptance of disability had a positive correlation with post-traumatic growth among patients with permanent colostomy (r=0.448, P<0.01) . Conclusions Patients with permanent colostomy have an intermediate level of posttraumatic growth closely related with acceptance of disability. Health care providers should explore effective intervention to improve patients' acceptance of disability so as to promote the post-traumatic growth. Key words: Colostomy; Acceptance of disability; Posttraumatic growth; Correlation analysis; Investigation

Correlations among disability acceptance, coping style and social support in rectal cancer patients with permanent enterostomy

Objective To understand the situation of disability acceptance, coping style and social support in rectal cancer patients with permanent enterostomy and to explore the correlations among them. Methods From March 2017 to December 2017, we selected 110 rectal cancer patients with permanent enterostomy in Heilongjiang Provincial Hospital as subjects by convenience sampling. All of the patients were investigated with the Acceptance of Disability Scale (ADS) , Simplified Coping Style Questionnaire (SCSQ) , Social Support Rating Scale (SSRS) . Results A total of 110 questionnaires were sent out and 101 valid questionnaires were collected. The total score of ADS, the scores of positive coping and negative coping of SCSQ as well as the total score of SSRS, were (79.55±7.42) , (1.69±0.37) , (1.74±0.24) and (41.35±10.24) respectively among rectal cancer patients with permanent enterostomy. The total score of ADS was positively correlated with the positive coping (P<0.05) , was negatively correlated with the negative coping (P<0.05) , and it also had a positive correlation with the total score of SSRS (P<0.05) . Conclusions The disability acceptance of rectal cancer patients with permanent enterostomy needs to be improved. Health care providers should take targeted intervention based on social support system so as to help patients take positive coping style to improve their disability acceptance. Key words: Rectal neoplasms; Enterostomy; Social support; Disability acceptance; Coping style

The Importance of Educational Level and Occupation to Adjustment to Disability Among Mobility Impaired People

Every disability results in array of reactions ranging from negative affectivity to successful acceptance of disability among mobility impaired people. Previous studies suggest that educational level and occupation are potential variables affecting adjustment to disability but there is a lack of research analysing how these variables are related to individual’s reactions to disability.&#x0D; The aim of the study was to assess the importance of educational level and occupation to adjustment to disability among mobility impaired people.&#x0D; The study sample included 275 mobility impaired individuals, aged between 18 and 79. Their adjustment to disability was assessed using two questionnaires: 1) Reactions to Impairment and Disability Inventory (Livneh &amp; Antonak, 1990), measuring six emotional reactions to disability: denial, depression, internalized anger, externalized hostility, acknowledgement and adjustment; 2) Acceptance of disability scale (Linkowski, 1971).&#x0D; The results revealed that individuals with higher educational level reported less internalized anger and externalized hostility compared to individuals with lower educational level. In addition, employed individuals expressed less depression and internalized anger and greater adjustment than unemployed individuals. Individuals who were students at the time reported less depression and greater denial, acknowledgement and adjustment to disability compared to those who were unemployed. Students also perceived greater externalized hostility than employed individuals. The results of linear regression indicated that employment and student status but not disability related variables significantly explained the variance of acceptance of disability.

Effects of sense of coherence and family function on acceptance of disability for cerebral trauma patients with hemiplegic

Objective To explore the effects of sense of coherence and family function on acceptance of disability (AOD) for cerebral trauma patients with hemiplegic. Methods A total of 96 cerebral trauma patients with hemiplegic were investigated by a self-designed demographic questionnaire, Acceptance of Disability Scale, Sense of Coherence-13 and Family APGAR Index. Results The total score of AOD was (72.85±13.46), and 85.42% of the patients showed a medium or low level.Pearson correlation analysis showed that sense of coherence and family function were positively correlated to AOD.Hierarchical regression analysis showed that sense of coherence and family function were the influencing factors of AOD. Conclusions The AOD of most cerebral trauma patients with hemiplegic must be improved, nursing staffs should formulate measures to improve AOD from the aspects of enhancing the sense of coherence and family function. Key words: Cerebral trauma; Hemiplegic; Acceptance of disability; Sense of coherence; Family function

Analysis on risk factors of after-stroke disability and patients' acceptance

Objective To discuss risk factors of after-stroke disability, and to analyze the patients' acceptance of this disability and influencing factors. Methods By random sampling, 650 cases of cerebral apoplexy patients, treated in Daqing Oilfield General Hospital from February 2014 to August 2016, were selected, with their general data and scores of disability degree collected by a self-designed questionnaire. The acceptance of disability scale (AODS) was used for scaling the patients' acceptance of this disease. Risk factors for after-stroke disability and influencing factors of the patients' acceptance of the disability were analyzed by single factor analysis and multiple stepwise regression analysis. Results There was no statistical difference of incidence of disability among patients with different gender, family history, or whether with hyperlipidemia (χ2=0.729, 1.900, 0.007; P>0.05) ; there were statistical difference of incidence of disability among patients with different ages, educational degree, whether with diabetes, or whether with high blood pressure (χ2=7.350, 10.321, 8.365, 7.694; P<0.01) . Age, diabetes and educational degree were independent risk factors of after-stroke disability. In this study, total AODS scores of the 104 patients with disability were (76.65±14.32) points, with a moderate accept percentage 85.6%. There was statistical difference of AODS scores of patients with different ages, educational degree, whether with diabetes or whether with high blood pressure (t/F=4.153, 4.478, 7.893, 8.015; P<0.05) . Age, educational degree, whether with high blood pressure or whether with diabetes were factors influencing AODS of disabled patients after stroke. Conclusions Age, diabetes, educational degree are independent risk factors of disability after stroke, according to which, targeted positive prevention should be taken. Patients with different circumstances should be intervened psychologically according to their AODS scores, which helps to improve their acceptance of disability after stroke. Key words: Stroke; Risk factors; Disability; Acceptance of disability

Investigation of current status and influencing factors of disability acceptance in patients with cerebral trauma

Objective To explore the influencing factors of disability acceptance in patients with cerebral trauma, and provide evidence to improve the level of disability acceptance and guide them to evaluate themselves rational. Methods A total of 208 patients with cerebral trauma were questionnaired by the acceptance of disability scale. The level of disability acceptance was compared among the patients with different clinical features, and the single factor analysis and multiple regression analysis were used to explore the influencing factors of disability acceptance. Results The total score of disability acceptance was (165.18±30.54) in patients with cerebral trauma, and 27.88% of them was in the low level, 55.77% of them in the medium level, 16.35% of them in the high level. There were significant differences of disability acceptance in the patients with different gender, family income, MBI, FMA, course of disease, nursing time (P<0.05). The multiple regression analysis indicated that FMA, MBI, course of disease, gender were influencing factors of disability acceptance (P<0.05). Conclusions The level of disability acceptance is in the medium level in patients with cerebral trauma, which is affected by many factors. It requires the use of targeted interventions by medical staffs in order to improve the level of disability acceptance. Key words: Cerebral trauma; Disability acceptance; Influencing factor

The relationship between acceptance of disability and hope level in patients with total laryngectomy

Objective To explore the relationship between acceptance of disability and hope level in patients with total laryngectomy.Methods Totally 84 patients with total laryngectomy were recruited and investigated with the general information questionnaire,Acceptance of Disability Scale (ADS)and Herth Hope Index (HHI).Results The total score of ADS was (85.82±12.64),which showed medium level acceptance of disability.The total score of Herth Hope Index (HHI) was (35.50±8.12),which showed high level HHI.Significantly positive correlation was found between acceptance of disability and HHI.Conclusions Nurses should pay more attention to the acceptance of disability in patients with total laryngectomy,and provide effective psychological intervention to improve the patients' menial health and quality of life. Key words: Total laryngectomy; Acceptance of disability; Hope level; Nursing

The impact of acceptance of disability and psychological resilience on post-traumatic stress disorders in burn patients

ObjectiveTo investigate the impact of acceptance of disability and psychological resilience on post-traumatic stress disorders (PTSD) in patients with burns. MethodsA total of 127 patients with burns were asked to complete PTSD Checklist-Civilian Version, Acceptance of Disability Scale and Connor–Davidson Resilience Scale questionnaires. Results were evaluated using correlational and regression analyses. ResultsThe incidence of PTSD in burn patients was 37.80% (48/127), with an overall average checklist score of 45.78 ± 15.29 points. PTSD was negatively correlated with the level of disability acceptance and psychological resilience (p < 0.05). Multiple regression analysis showed that the depth of burn, marital status, degree of subordination, self-value and self-improvement were factors influencing the incidence PTSD. ConclusionNurses should screen and identify patients with PTSD as early as possible and provide proper psychological interventions to help them accept the reality of disability and improve the level of psychological resilience.

Correlation study among social avoidance and acceptance of disability in burn patients

Objeetive To investigate the relationship among social avoidance and acceptance of disability in burn patients.Methods Totally 127 patients were investigated using Social Avoidance and Distress Scale (SADS),Acceptance of Disability Scale (AODS),demographic information questionnaire and disease related information sheet.Results The points of burn patients' SADS was (21.38±6.75),One-way ANOVA showed that gender,marital status,special parts burns,amputation affected social avoidance significantly.The total score and factors scores of acceptance of disability were all negatively related to the score of social avoidance.Regression analysis showed that acceptance of disability,head burns,gender were the independent risk factors of depression.Conclusions Acceptance of disability were negatively related to social avoidance; Nurse can help them accept the reality of disability,develop the confidence to partici-pate in social communication,and improve the social adaptability. Key words: Burns; Social avoidance and distress; Acceptance of disability

Study on the correlation between the acceptance of disability and the social support in patients with permanent colostomy

Objective To explore the correlation between the acceptance of disability and the social support in patients with permanent colostomy. Methods One hundred and twenty-four patients with colostomy were surveyed by the acceptance of disability scale （AODS） and social support rating scale （SSRS）. Results The total score of AODS in patients with permanent colostomy was （82.10 ±8.86）, and was overall in the middle level; the total score of SSRS was （41.80 ± 2. 87）, and was higher than （34.56 ± 3.73） in the national norm, and the difference was statistically significant （t = 28.11, P 〈 0.01 ）. The total score of AODS was positively correlated with the total score of SSRS （ r = 0.332, P 〈 0.01 ）, and the score of tolerance dimension in the AODS was positively correlated with subjective support （r =0. 327, P 〈0.01 ）. Conclusions The acceptance of disability in patients with permanent colostomy is needed to improve, and the nurses should explore the effective psychological intervention mode according to its related factors in order to improve the level of psychological health in patients with colostomy. Key words: Permanent colostomy; Acceptance of disability; Social support; Correlation

When They Return From Afghanistan/Iraq: Acceptance of Loss Due to War Injury

Background: Returning service members who are disabled due to war injury has risen substantially over the last decade due to increased use of body armor, extraordinary medical care and rapid return to the United Sates for medical care. This has resulted in a huge cohort of returning service members who need protracted care. Acceptance of disabling conditions requires that health care professionals have an understanding of the factors that impact injury acceptance. Objectives: This study aimed to explicate the demographic and war-related factors that impact acceptance of war related disability. Patients and Methods: The Acceptance of disability scale was used to assess factors related to acceptance of a war-related injury. Members of the Warrior Transition Brigade in two Department of Defense hospitals were surveyed (n = 157). Results: Finding showed that the majority of participants accepted their disabling condition at the ‘medium’ level with nuances regarding demographic factors. There was no impact for age, deployment length and deployment frequencies on the findings. Additional findings highlight specific subscale areas impacting disability acceptance. Conclusions: Health care professionals engaged in working with the combat related war injured need to be sensitive to the factors that impact adjustment to their disability. Findings point in specific directions to enable this level of care.

Patients after colostomy: relationship between quality of life and acceptance of disability and social support

Background The aim of this research was to explore quality of life (QOL) and acceptance of disability and social support of colostomy patients as well as the relationship between these factors. Methods A descriptive, correlational study was conducted using four scales: the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer Colorectal Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-CR38) scales, the Acceptance of Disability Scale (ADS), and the Social Relational Quality Scale (SRQS). A convenience sample of 111 colostomy patients from four hospitals in Guangzhou who underwent colostomy operation at least one month prior to the study and who visited the stoma clinic or association from August 2011 to February 2012 was evaluated for inclusion in the study. All statistical analyses were performed using SPSS 17.0 software (SPSS Inc., Chicago, IL, USA). Results The patients' general health status was better than the reference level recommended by European Organization for Research and Treatment of Cancer, and the overall ADS score was average. The SRQS score was similar to that found in a Hong Kong study. The general health status and dimensions of QOL were significantly correlated with ADS and all of its dimensions (P &lt;0.05). The general health status and dimensions of QOL were also significantly correlated with SRQS and all of its dimensions (P &lt;0.05). Conclusions QOL, acceptance of disability, and social relational quality of colostomy patients were closely related. Our results emphasize that patients should work to form rational values and close bonds with families and friends to achieve a better QOL.

Research in correlation between quality of life and acceptance of disability of colostomy patients

Objective To explore the relationship between quality of life and acceptance of disability of colostomy patients.Methods Using convenience sampling method to investigate 111 colostomy patients.General information questionnaire,QLQ-C30 scale,QLQ-CR38 scale and Acceptance of Disability Scale were used to investigate patients' general condition,quality of life and acceptance of disability.Data was analyzed by SPSS 17.0.Results The general health condition of colostomy patients was better than reference value and the score of ADS was at an average level.There was a relationship between general health condition,functioning dimensions,symptom dimensions and acceptance of disability.Conclusions There was a close relationship between quality of life and acceptance of disability.The acceptance of disability should be improved to help patients to obtain better quality of life. Key words: Colostomy; Quality of life; Acceptance of disability

Acceptance of Disability among Chinese Individuals with Spinal Cord Injuries: The Effects of Social Support and Depression

This study explored the roles of perceived social support and depression in acceptance of disability among Chinese individuals with spinal cord injuries (SCI). Design: An exploratory and cross-sectional study was conducted in an outpatient rehabilitation center in Guangzhou, China. One hundred Chinese individuals with SCI completed the Multidimensional Scale of Perceived Social Support, Center for Epidemiological Studies Short Depression Scale, and Acceptance of Disability Scale. Results: In general, there was low acceptance of disability and a high prevalence of depression among Chinese individuals with SCI. Higher acceptance of disability was associated with less depressive symptoms and higher level of perceived social support. Furthermore, depression was shown to mediate the relationship between perceived social support and acceptance of disability. Conclusion: Depression is an essential factor in the process of acceptance of disability. Cross-cultural studies are needed to facilitate a better understanding of the adjustment process following disabilities and apply culturally sensitive interventions to promote acceptance of disability.

Factors influencing acceptance of disability in individuals with spinal cord injury in Neiva, Colombia, South America

Purpose: The aim of the present study was to determine the level of acceptance of disability as measured by the Acceptance of Disability Scale (ADS) within a sample of individuals with spinal cord injury (SCI) from Neiva, Colombia and to examine the influence of sociodemographic variables, injury characteristics, and level of depression on ADS score. Methods: The ADS was administered to 40 adults with SCI from Nieva, Colombia who were recruited from an organization that connects individuals with disabilities to resources. Most (92.5%) participants were men, with a mean age of 34.75 years and approximately 12 years since injury. Fifty-five percent of subjects were diagnosed with paraplegia and the remainder with tetraplegia. Descriptive, linear model and multiple regression analyses were used to describe the relationship between the independent and dependent variables. Results: The mean total ADS score of this sample was 171.5, indicating overall low disability acceptance. After controlling for level of depression and time since injury, gender was significantly related to ADS score such that women reported higher acceptance of disability. After controlling for gender and time since injury, level of depression was significantly related to ADS score. Conclusion: Acceptance of disability is a serious problem in this group of SCI survivors in Neiva, Colombia, especially among women and individuals with higher levels of depression. Because acceptance of disability is likely a problem for many individuals living with disability in the developing world, future researchers should investigate what interventions (e.g. counseling, pharmacological intervention, social service programs) can be implemented to improve acceptance of disability in this population.Implications for RehabilitationSpinal cord injury (SCI) is a disabling condition with high prevalence rates in developing countries where treatment and rehabilitative resources are scarce.In this group of individuals with SCI from Neiva, Colombia, women and persons with lower levels of depression reported higher acceptance of disability than males and more depressed individuals. The sample as a whole reported substantially lower acceptance of disability on the ADS than previous samples of individuals with SCI from the US.Relatively poorer acceptance of disability scores among this group of Colombians with SCI underscores the need for more comprehensive rehabilitative resources in Colombia, especially among men and depressed individuals.

Patients with colorectal cancer: relationship between demographic and disease characteristics and acceptance of disability

This article is a report of a study conducted to examine acceptance of disability among patients with colorectal cancer and its relationships to other disease-related factors. Colorectal cancer had become the third leading cause of cancer death worldwide. Recently, the topic of acceptance of disability in patients with chronic disease, especially cancer, has attracted enormous attention because the higher acceptance, the better coping with disease and the better quality of life after therapy. A cross-sectional study was carried out with 110 patients with colorectal cancer recruited from a medical centre in northern Taiwan in 2008. Data were collected using the Acceptance of Disability Scale. Descriptive statistics, Pearson correlations and multiple linear regression analysis were used for analysis. Participants reported moderate levels of acceptance of disability. The regression model showed that those with shorter disease duration, stoma, lower educational level (below 9th grade), or in Duke C1 stage or above reported lower levels of acceptance, and these variables accounted for 25% of the total variance. The results suggest that acceptance of disability (i) is a useful construct to examine in future studies on psychosocial adaptation to cancer, and (ii) can be integrated into a clinical intervention programme of providing holistic care to patients with colorectal cancer.