Analysis of the degree of acceptance of illness among older adults living in a nursing home undergoing rehabilitation - an observational study

Clin Interv Aging. 2019 May 16;14:925-933. doi: 10.2147/CIA.S199975. eCollection 2019.


Introduction: 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: acceptance of illness; cognitive status; depression symptoms; nursing home; older adults; rehabilitation.

Publication types

  • Observational Study

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • Cognition Disorders / epidemiology*
  • Depression / epidemiology*
  • Female
  • Geriatric Assessment
  • Health Status*
  • Humans
  • Male
  • Mental Status and Dementia Tests
  • Nursing Homes / statistics & numerical data*
  • Socioeconomic Factors