Department of Informatics and Medical Statistics with E-learning Lab, Medical University, Lublin, Poland.
Department of Language, Rhetoric and Media Law, Institute of Journalism and Management, John Paul II Catholic University, Lublin, Poland.
Ann Agric Environ Med. 2022 Mar 21;29(1):80-85. doi: 10.26444/aaem/133369. Epub 2021 Mar 5.
The favourable or unfavourable process of a patient's adaptation to a challenging medical condition may indicate that certain adjustment reactions, which can be either constructive or undesirable, tend to prevail.
The aim of the study was to examine the adjustment reactions of patients, and to define the correlation between the reactions and socio-demographic factors, health self-assessment, satisfaction with medical care, duration of treatment, and limitations in women treated for rheumatoid arthritis.
The study was conducted at the Department of Rheumatology and Connective Tissue Diseases and the Specialist Outpatient Clinic of the Independent Public Teaching Hospital No. 4 in Lublin, Poland. The Polish adaptation of the Reactions to Impairment and Disability Inventory RIDI (H. Livneh, R. Antonak, 1990) was used in the study, together with an Original Questionnaire. A p-value of <0.05 was set to define statistical differences. Analysis was performed using commercial SPSS Statistics software (IBM Corp., Armonk, NY).
Adjustment reactions, adaptive reactions, i.e. adjustment (3±0.5) and acknowledgement (2.6±0.4) were found to markedly prevail, while the lowest mean value was observed for denial (1.9±0.4), which was considered a negative reaction. Longer duration of the disease was associated with a lower level of external hostility. Low health self-assessment and significant limitations impairing everyday activities, caused by pain, deformity and impaired joint mobility, were mostly related to unfavourable early and intermediate non-adaptive reactions.
Knowledge of the adjustment reactions and their moderating factors appears to be crucial in the planning of measures aimed at the rehabilitation of RA patients.
患者对具有挑战性的医疗状况的适应过程的有利或不利可能表明，某些调整反应，无论是建设性的还是不良的，往往占主导地位。
本研究旨在检查患者的调整反应，并定义反应与社会人口因素、健康自我评估、对医疗保健的满意度、治疗持续时间以及接受类风湿关节炎治疗的女性的限制之间的相关性。
该研究在波兰卢布林的第 4 独立公立教学医院的风湿病和结缔组织疾病系以及专科门诊进行。本研究使用了波兰语版的反应障碍和残疾量表 RIDI（H. Livneh、R. Antonak，1990）以及原始问卷。设定 p 值<0.05 以定义统计学差异。分析使用商业 SPSS Statistics 软件（IBM Corp.，Armonk，NY）进行。
调整反应，即适应性反应，即调整（3±0.5）和承认（2.6±0.4）明显占主导地位，而否认（1.9±0.4）的平均值最低，被认为是一种负面反应。疾病持续时间较长与外部敌意程度较低有关。健康自我评估低和因疼痛、畸形和关节活动受限而导致的日常生活严重受限，主要与早期和中期非适应性反应不良有关。
了解调整反应及其调节因素对于计划针对类风湿关节炎患者的康复措施至关重要。
