用疾病接受度量表评估社会经济因素对接受癌症的影响

A. Czerw, M. Bilińska, A. Deptała
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The acceptance of illness in patients diagnosed with metastases differed from the acceptance of illness by patients diagnosed with metastatic cancer. Females obtained the average of 29.59 in the AIS test, whereas the average in male patients was 26.17. The patients’ age did not impact the AIS test. There were no differences in the AIS test results between a group of people with secondary education and a group of people with higher education. There were no differences in the AIS test results between employed individuals versus pensioners. The inhabitants of cities were characterized by the highest degree of acceptance of their health condition. The lowest degree of acceptance of illness was observed in the group with the lowest average incomes. In the group of married individuals the average degree of acceptance of illness amounted to 27.37 points. The average degree of acceptance of illness in patients that declared themselves as single amounted to 25.75. 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引用次数: 13

摘要

本文介绍了用疾病接受度量表(AIS)检测癌症患者对疾病的接受程度的结果。材料和方法该研究涉及2014年在华沙内政部中央临床医院接受治疗的癌症患者。问卷包括基本的人口学问题(社会经济因素)和估计患者疾病接受程度的AIS测试。结果研究组患者的算术平均值为27.56分。从第一次癌症诊断到研究开始的这段时间对接受疾病的得分没有影响。诊断为转移性癌症的患者对疾病的接受程度不同于诊断为转移性癌症的患者对疾病的接受程度。在AIS测试中,女性患者的平均值为29.59,而男性患者的平均值为26.17。患者的年龄对AIS测试结果没有影响。受过中等教育的人和受过高等教育的人在AIS测试结果上没有差异。在职人员和退休人员在AIS测试结果上没有差异。城市居民的特点是对其健康状况的接受程度最高。在平均收入最低的人群中,对疾病的接受程度最低。在已婚人群中,对疾病的平均接受度为27.37分。自称单身的患者对疾病的平均接受度为25.75。结论研究组患者对疾病的平均接受度为27.56分,对癌症的接受度较高。影响AIS检测结果的主要社会经济因素是是否诊断出转移。从第一次诊断出癌症的时间不同,两组患者之间没有差异。男女患者及不同年龄患者间无统计学差异。此外,受教育程度和患者的专业地位对AIS测试结果没有影响。
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The assessment of the impact of socio-economic factors in accepting cancer using the Acceptance of Illness Scale (AIS)
Aim of the study The paper presents the results of examining the level of acceptance of the illness in cancer patients using the Acceptance of Illness Scale (AIS). Material and methods The study involved cancer patients treated at the Central Clinical Hospital of the Ministry the Interior in Warsaw in 2014. The questionnaire comprised basic demographic questions (socio-economic factors) and the AIS test estimating the level of illness acceptance in patients. Results For the group of patients in the research group, the arithmetic mean amounted to 27.56 points. The period of time that elapsed between the first cancer diagnosis and the start of the study did not influence the score of accepting illness. The acceptance of illness in patients diagnosed with metastases differed from the acceptance of illness by patients diagnosed with metastatic cancer. Females obtained the average of 29.59 in the AIS test, whereas the average in male patients was 26.17. The patients’ age did not impact the AIS test. There were no differences in the AIS test results between a group of people with secondary education and a group of people with higher education. There were no differences in the AIS test results between employed individuals versus pensioners. The inhabitants of cities were characterized by the highest degree of acceptance of their health condition. The lowest degree of acceptance of illness was observed in the group with the lowest average incomes. In the group of married individuals the average degree of acceptance of illness amounted to 27.37 points. The average degree of acceptance of illness in patients that declared themselves as single amounted to 25.75. Conclusions The average degree of acceptance of illness in the study group was 27.56 points, which is a relatively high level of acceptance of cancer. The main socio-economic factor, which influenced the AIS test results was whether metastases were diagnosed or not. There were no differences between patients in groups where the time that elapsed from the first diagnosis of cancer varied. There were no statistical differences between female and male patients as well as patients of different age. Additionally, the level of education and patients’ professional status did not impact in the AIS test results.
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