Abstract
Chronic nonmalignant pulmonary diseases impose a heavy burden on patients, generate health-care costs, and contribute to poor health-related quality of life. It has been found that a wide range of factors negatively affects quality of life, but the role of acceptance of illness needs to be further investigated. The aim of the study was to evaluate the relationship between acceptance of illness and quality of life in patients with chronic nonmalignant pulmonary diseases. The study encompassed 200 patients of the mean age 58 ± 16 years who were mainly diagnosed with asthma (n = 72; 36%), COPD (n = 52; 26%), and obstructive sleep apnea (n = 38; 19%). The patients answered the Acceptance of Illness Scale (AIS) and the St. George’s Respiratory Questionnaire (SGRQ). Sociodemographical and clinical data were collected. The level of acceptance of illness significantly associated with each of the SGRQ domains. The greater the acceptance of illness, the lowest was the SGRQ score. The mean total score of SGRQ was 44.6 ± 24.9 and that of AIS was 26.1 ± 8.2. Higher AIS scores significantly associated with lower SGRQ scores, i.e., with better quality of life (p < 0.001 for each domain). We conclude that in patients with chronic nonmalignant pulmonary diseases, acceptance of illness plays an important role and is closely related to the general level of quality of life. Interventions aimed at improving acceptance of illness may be considered to improve quality of life.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bahadori K, Doyle-Waters MM, Marra C, Lynd L, Alasaly K, Swiston J, FitzGerald JM (2009) Economic burden of asthma: a systematic review. BMC Pulm Med 9:24
Denys K, Denys P, Macander M, Zboralski K (2015) Quality of life, acceptance of illness and a sense of health control in patients with chronic musculoskeletal disorders during the rehabilitation process. Pol Merkur Lekarski 38(225):155–158. (Article in Polish)
Domingo-Salvany A, Lamarca R, Ferrer M, Garcia-Aymerich J, Alonso J, Felez M, Khalaf A, Marrades RM, Monso E, Serra-Batles J, Anto JM (2002) Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 166(5):680–685
Felton BJ, Revenson TA (1984) Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol 52(3):343–353
Felton BJ, Revenson TA, Hinrichsen GA (2001) AIS-acceptance of illness scale. In: Jurczyński Z (ed) Measurement tools in promotion and health psychology. Laboratory of Psychological Tests of the Polish Psychological Association, Warsaw, pp 158–167
Gonzalez-Barcala FJ, de la Fuente-Cid R, Tafalla M, Nuevo J, Caamano-Isorna F (2012) Factors associated with health-related quality of life in adults with asthma. A cross-sectional study. Multidiscip Respir Med 7(1):32
Jankowska-Polanska B, Kasprzyk M, Chudiak A, Uchmanowicz I (2016) Effect of disease acceptance on quality of life in patients with chronic obstructive pulmonary disease (COPD). Pneumonol Alergol Pol 84(1):3–10
Jansson SA, Backman H, Stenling A, Lindberg A, Ronmark E, Lundback B (2013) Health economic costs of COPD in Sweden by disease severity – has it changed during a ten years period? Respir Med 107(12):1931–1938
Jones PW, Quirk FH, Baveystock CM (1991) The St George’s respiratory questionnaire. Respir Med 85(Suppl B):25–31
Jones PW, Quirk FH, Baveystock CM, Littlejohns P (1992) A self-complete measure of health status for chronic airflow limitation. The St. George’s respiratory questionnaire. Am Rev Respir Dis 145(6):1321–1327
Jurczyński Z (2009) Measurement tools in the promotion and psychoobcology of health. Laboratory of Psychological Tests of the Polish Psychological Association, Warsaw
Kupcewicz E, Abramowicz A (2015) Influence of selected socio-demographic factors on degree of illness acceptance and on level of satisfaction with life in patients with chronic obstructive pulmonary disease. Hygeia Public Health 50(1):142–148
Kuzniar T, Patkowski J, Liebhart J, Wytrychowski K, Dobek R, Slusarz R, Liebhart E, Małolepszy J (1999) Validation of the Polish version of St. George’s respiratory questionnaire in patients with bronchial asthma. Pneumonol Alergol Pol 67(11–12):497–503. (Article in Polish)
Lewis A, Torvinen S, Dekhuijzen PN, Chrystyn H, Watson AT, Blackney M, Pilch A (2016) The economic burden of asthma and chronic obstructive pulmonary disease and the impact of poor inhalation technique with commonly prescribed dry powder inhalers in three European countries. BMC Health Serv Res 16:251
Nakao M, Ishihara Y, Kim CH, Hyun IG (2018) The impact of air pollution, including Asian sand dust, on respiratory symptoms and health-related quality of life in outpatients with chronic respiratory disease in Korea: a panel study. J Prev Med Public Health 51(3):130–139
Obieglo M, Uchmanowicz I, Wleklik M, Jankowska-Polanska B, Kusmierz M (2016) The effect of acceptance of illness on the quality of life in patients with chronic heart failure. Eur J Cardiovasc Nurs 15(4):241–247
Polanski J, Chabowski M, Jankowska-Polanska B, Janczak D, Rosinczuk J (2018) Histological subtype of lung cancer affects acceptance of illness, severity of pain, and quality of life. J Pain Res 11:727–733
Riedl D, Rumpold G, Schmidt A, Zorowka PG, Bliem HR, Moschen R (2015) The influence of tinnitus acceptance on the quality of life and psychological distress in patients with chronic tinnitus. Noise Health 17(78):374–381
Rogon I, Kasprzak Z, Szczesniak L (2017) Perceived quality of life and acceptance of illness in people with type 2 diabetes mellitus. Prz Menopauzalny 16(3):79–85
Srivastava K, Thakur D, Sharma S, Punekar YS (2015) Systematic review of humanistic and economic burden of symptomatic chronic obstructive pulmonary disease. PharmacoEconomics 33(5):467–488
Sundh J, Wireklint P, Hasselgren M, Montgomery S, Stallberg B, Lisspers K, Janson C (2017) Health-related quality of life in asthma patients – a comparison of two cohorts from 2005 and 2015. Respir Med 132:154–160
Tarasiuk A, Reuveni H (2013) The economic impact of obstructive sleep apnea. Curr Opin Pulm Med 19(6):639–644
Uchmanowicz B, Panaszek B, Uchmanowicz I, Rosinczuk J (2016) Clinical factors affecting quality of life of patients with asthma. Patient Prefer Adherence 10:579–589
Virchow JC, Akdis CA, Darba J, Dekhuijzen R, Hartl S, Kobelt G, Roger A, Simoens S, Toumi M, Woodhouse B, Plich A, Torvinen S (2015) A review of the value of innovation in inhalers for COPD and asthma. J Mark Access Health Policy 16:3. https://doi.org/10.3402/jmahp.v3.28760
Wang Q, Bourbeau J (2005) Outcomes and health-related quality of life following hospitalization for an acute exacerbation of COPD. Respirology 10(3):334–340
Wilson CB, Jones PW, O’Leary CJ, Cole PJ, Wilson R (1997) Validation of the St. George’s respiratory questionnaire in bronchiectasis. Am J Respir Crit Care Med 156(2 Pt 1):536–541
Yoo JY, Kim YS, Kim SS, Lee HK, Park CG, Oh EG, Oh YM (2016) Factors affecting the trajectory of health-related quality of life in COPD patients. Int J Tuberc Lung Dis 20(6):738–746
Zhang TL, Hu AL, Xu HL, Zheng MC, Liang MJ (2013) Patients after colostomy: relationship between quality of life and acceptance of disability and social support. Chin Med J 126(21):4124–4131
Conflicts of Interests
The authors declared no conflicts of interest in relation to this article.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of Wroclaw Medical University in Poland (permit 32/2017).
Informed Consent
Written informed consent was obtained from all individual participants included in the study.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Chabowski, M., Juzwiszyn, J., Bolanowska, Z., Brzecka, A., Jankowska-Polańska, B. (2019). Acceptance of Illness Associates with Better Quality of Life in Patients with Nonmalignant Pulmonary Diseases. In: Pokorski, M. (eds) Advances in Biomedicine. Advances in Experimental Medicine and Biology(), vol 1176. Springer, Cham. https://doi.org/10.1007/5584_2019_386
Download citation
DOI: https://doi.org/10.1007/5584_2019_386
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-25372-1
Online ISBN: 978-3-030-25373-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)