Clinical Interventions in Aging (May 2019)
Analysis of the degree of acceptance of illness among older adults living in a nursing home undergoing rehabilitation – an observational study
Abstract
Joanna Kowalska,1 Justyna Mazurek,2 Joanna Rymaszewska31Department of Physiotherapy, University School of Physical Education in Wroclaw, Wroclaw, Poland; 2Department and Division of Medical Rehabilitation, Wroclaw Medical University, Wroclaw, Poland; 3Department of Psychiatry, Wroclaw Medical University, Wroclaw, PolandIntroduction: The factors that influence the rehabilitation process among older adults remain unclear. The aim of the study was to assess the acceptance of illness and related factors (socio-demographic data, cognitive status, depression symptoms and functional status) among patients living in a nursing home who are undergoing rehabilitation.Sample and methods: A total of 119 elderly patients were examined, of whom 96 were included in the research project. All participants were assessed using the following tests: Mini Mental State Examination, Acceptance of Illness Scale, Geriatric Depression Scale and Barthel Index. Tests were conducted at two time points, the first upon admission to the ward and the second after 3 months of regular rehabilitation.Results: The study group showed relatively low scores for illness acceptance. After 3 months of rehabilitation, the acceptance of illness had significantly improved, but still remained at a low level. The results showed a relationship between acceptance of illness and patients’ depression symptoms, functional status and cognitive status.Conclusions: The results suggest that assessment of the acceptance of illness among patients living in Nursing Home is important during treatment and rehabilitation process; however, further studies are necessary.Keywords: older adults, nursing home, rehabilitation, acceptance of illness, depression symptoms, cognitive status
