Department of Family Medicine, University College Hospital, Ibadan, Oyo State.
Afr J Prim Health Care Fam Med. 2021 Aug 12;13(1):e1-e8. doi: 10.4102/phcfm.v13i1.2738.
Although shreds of evidence are emerging to show the role of illness perceptions in the health outcomes of patients, most of the previous studies have been on single chronic conditions.
To assess the illness perceptions and the associated factors amongst adults with multimorbidity.
General outpatient clinics of the University College Hospital, Ibadan, Nigeria.
A cross-sectional study was conducted amongst a systematic sample of 403 adults with multimorbidity. Data on illness perception and other variables were collected using interviewer-administered questionnaires. Descriptive statistics, chi-square test, t-test and analysis of variance were employed for analyses.
The age of the participants ranged from 18 to 97 years, with a mean of 60.9 years (standard deviation [s.d.] ± 14.3 years). The majority of participants (57.3%) were women. Ninety-four (23.3%) respondents had only two morbid conditions, whilst 31.2% had at least four morbid conditions. Prioritisation sub-domain of illness perception recorded the highest score (mean = 2.0, s.d. ± 0.8), whilst the treatment burden sub-domain was the lowest (mean = 0.8, s.d. ± 0.7). A significant bivariate relationship was observed between emotional representation (p = 0.001), prioritisation (p = 0.013) and causal relationship (p = 0.013) sub-domains and age group of study participants. Emotional burden associated with illnesses declined as educational level increased (p = 0.039).
Patient's characteristics such as age, education and the number of morbidities are associated with illness perception. Healthcare providers should pay attention to these factors whilst addressing illness perception as a way to achieve better clinical outcomes.
尽管有一些证据表明疾病认知在患者的健康结果中起着作用，但以前的大多数研究都集中在单一的慢性疾病上。
评估患有多种疾病的成年人的疾病认知及其相关因素。
尼日利亚伊巴丹大学教学医院的普通门诊诊所。
对系统抽取的 403 名患有多种疾病的成年人进行横断面研究。使用访谈者管理的问卷收集疾病认知和其他变量的数据。采用描述性统计、卡方检验、t 检验和方差分析进行分析。
参与者的年龄范围为 18 至 97 岁，平均年龄为 60.9 岁（标准差[SD]±14.3 岁）。大多数参与者（57.3%）为女性。94（23.3%）名受访者仅有两种合并疾病，而 31.2%至少有四种合并疾病。疾病认知的优先排序子域得分最高（平均=2.0，SD±0.8），而治疗负担子域得分最低（平均=0.8，SD±0.7）。疾病认知的情绪表现（p=0.001）、优先排序（p=0.013）和因果关系（p=0.013）子域与研究参与者的年龄组之间存在显著的双变量关系。与疾病相关的情绪负担随着教育水平的提高而降低（p=0.039）。
患者的特征，如年龄、教育程度和合并疾病的数量，与疾病认知有关。医疗保健提供者在处理疾病认知时应注意这些因素，以实现更好的临床结果。
