{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:01:49Z","timestamp":1789189309196,"version":"build-2803163510"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"Introduction<\/jats:title>Long-term home nursing care is care for patients who do not qualify for inpatient treatment, and for various reasons are unable or unwilling to receive care in long-term facilities. Patients receiving such care are of various ages, with varying degrees of disabilities that limit their independent functioning. Their condition is caused by chronic diseases, traffic accidents or genetic diseases. In many cases, in a short period of time they turn from being professionally, socially active people to becoming dependent on third parties. Acceptance of one\u2019s own illness can reduce the negative feelings associated with it, allows one to maintain self-esteem and is of great importance for the subjective feeling of life satisfaction.<\/jats:p><\/jats:sec>Aim<\/jats:title>The aim of this study was to demonstrate whether a relationship exists among respondents receiving long-term home nursing care between the level of functional capacity, acceptance of illness and subjective assessment of life satisfaction.<\/jats:p><\/jats:sec>Materials and methods<\/jats:title>The authors conducted a study among 240 patients under long-term home nursing care in Subcarpathian Voivodeship in Poland. The study used a diagnostic survey as a survey technique. The research tool was a survey questionnaire containing questions on sociodemographic data and standardized research tools: Barthel Scale, Acceptance of Illness Scale (AIS) and Satisfaction with Life Scale (SWLS). Mann\u2013Whitney U test and Spearman\u2019s rho coefficient were used in the statistical analysis. Statistical significance of p<\/jats:italic>\u202f\u2264\u202f0.05 was assumed.<\/jats:p><\/jats:sec>Results<\/jats:title>The average illness acceptance score determined by respondents according to the AIS scale was 16.11 \u00b1 6.57. The minimum level of illness acceptance in the study group was 8 pts., while the maximum was 40 pts. In the course of the analyses, it turned out that only in the group of patients over 65\u202fyears of age, life satisfaction increased as the level of illness acceptance increased. The correlation coefficient was statistically significant (p<\/jats:italic>\u202f&lt;\u202f0.001) and showed a clear strength of association (Spearman\u2019s rho<\/jats:italic>\u202f=\u202f0.450). In addition, with greater functional capacity, greater life satisfaction can be observed, but in this case, although the correlation was statistically significant (p<\/jats:italic>\u202f&lt;\u202f0.05) it is characterized by a weak strength of the relationship (Spearman\u2019s rho<\/jats:italic>\u202f=\u202f0.178).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The age of respondents has an impact on life satisfaction of the respondents under long-term home care. The younger the patients, the lower the acceptance of the illness and the worse the evaluation of subjective quality of life. The respondents\u2019 level of independence and the duration of long-term care coverage have a positive effect on the acceptance of the illness and the respondents\u2019 subjective assessment of life satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1505164","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T04:17:44Z","timestamp":1743394664000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Acceptance of illness and quality of life of patients under long-term home nursing care"],"prefix":"10.3389","volume":"13","author":[{"given":"Bo\u017cena","family":"Majchrowicz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystyna","family":"Kowalczuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Tomaszewska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"131","DOI":"10.19251\/pwod\/2020.2(4)","article-title":"Range and frequency of nursing interventions undertaken in patients with functional performance deficits in home care","volume":"5","author":"Bartoszek","year":"2020","journal-title":"Long Term Care Nurs"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"20552076231218144","DOI":"10.1177\/20552076231218144","article-title":"Smart home healthcare for chronic disease management: a scoping review","volume":"9","author":"Dhamanti","year":"2023","journal-title":"Digit Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1111\/jocn.16255","article-title":"Evaluation of the functioning of long-term at-home nursing care in Poland from the perspective of care providers: mixed methods study","volume":"32","author":"Ziembicka","year":"2023","journal-title":"J Clin Nurs"},{"key":"ref4","first-page":"113","article-title":"System d\u0142ugoterminowej opieki domowej nad osobami starszymi w Polsce i wybranych krajach europejskich","volume":"4","author":"Kilian","year":"2018","journal-title":"Niepe\u0142nosprawno\u015b\u0107 zagadnienia problemy rozwi\u0105zania"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1186\/s12875-021-01578-7","article-title":"Living with a chronic disease: insights from patients with a low socioeconomic status","volume":"22","author":"Van Wilder","year":"2021","journal-title":"BMC Fam Pract"},{"key":"ref6","first-page":"3","article-title":"Acceptance of illness and life satisfaction in mechanically ventilated patients depending on the type of disease, type of ventilation and demographic factors","volume":"8","author":"Tomaszewska","year":"2023","journal-title":"Long Term Care Nurs"},{"key":"ref7","first-page":"3","article-title":"The degree of acceptance of illness and functional status among elderly people staying in the rehabilitation Centre","volume":"9","author":"Kowalska","year":"2015","journal-title":"Geriatria"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.avsg.2021.07.023","article-title":"Acceptance of illness, quality of life and nutritional status of patients after lower limb amputation due to diabetes mellitus","volume":"79","author":"Juzwiszyn","year":"2022","journal-title":"Ann Vasc Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"525560","DOI":"10.3389\/fpsyg.2020.525560","article-title":"Disease acceptance and eudemonic well-being among adults with physical disabilities: the mediator effect of meaning in life","volume":"11","author":"Szcze\u015bniak","year":"2020","journal-title":"Front Psychol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1177\/1474515119885240","article-title":"Akceptacja choroby po\u015bredniczy w efektach umiej\u0119tno\u015bci czytania i pisania w zakresie zdrowia w zachowaniach samokontroli","volume":"19","author":"Qiu","year":"2020","journal-title":"Eur J Cardiovasc Nurs"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"969","DOI":"10.12688\/f1000research.154937.1","article-title":"Factors influencing patient satisfaction in home care services: A systematic review","volume":"13","author":"Syah","year":"2024","journal-title":"F1000Res"},{"key":"ref12","first-page":"42","article-title":"Akceptacja choroby i satysfakcja z \u017cycia doros\u0142ych os\u00f3b z chorobami rzadkimi. 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