Akceptacja choroby i satysfakcja z opieki pielęgniarskiej wśród pacjentów dializowanych objętych długoterminową opieką domową

Aim
This study examined the relationship between illness acceptance, satisfaction with nursing care and overall quality of life in dialysis patients receiving long-term home care.

Material and methods
A survey was conducted among 110 dialysis patients with chronic kidney disease. A diagnostic survey methodology was employed, utilizing a custom-designed questionnaire and the Acceptance of Illness Scale (AIS). Statistical analysis included the χ² independence test and the structural index test, with hypotheses verified at a significance level of α=0.05.

Results
The majority of respondents (62.7%) demonstrated a moderate level of disease acceptance, while 27.3% showed no acceptance, and 10.0% fully came to terms with their condition. The subjective health assessments of dialysis patients were statistically correlated with their level of disease acceptance (p=0.011). As disease acceptance increased, a higher proportion of patients rated their health as good or very good. Regarding nursing care, 50.9% of participants rated the quality as average, 45.5% as high, and only 3.6% as low.

Conclusions
Chronic dialysis significantly impacts patients' daily lives, restricting their activities and diminishing their quality of life. Chronic illness also affects self-esteem and self-worth. However, greater acceptance of the disease and confidence in medical care foster better collaboration between patients and healthcare providers, ultimately improving treatment outcomes and quality of life for chronically ill individuals.