The attitude to disease and compliance in patients with bone tumors
The article is devoted to study attitude to disease and compliance in 120 inpatients of N.N. Blokhin Russian Cancer Research Center with bone tumors. The diagnosis are: osteosarcoma (n = 41), chondrosarcoma (n = 30), giant cell tumor (n = 31), bone metastases after primary diagnosed carcinoma (n = 18). The methods were: author's clinical and psychological interview, medical and sociological scale "Level of social frustration", psychometric methods "The ways of coping" and questionnaire of relation to disease "TOBOL". Two-factor analysis of variance and frequency analysis (criterion x2) were used for mathematical and statistical data processing. The indicators directly reflected the attitude to disease and treatment in patients, behavioral characteristics of cope stress due to disease, as well as psychological characteristics potentially associated with treatment adherence (compliance) were analyzed. Statistically significant differences between nosological groups were revealed according to the following indicators: "Subjective assessment of treatment prospects"; "Changes in quality of life due to illness"; "Satisfaction" with social and professional status, material and economic situation, health and working ability; 6 out of 12 indicators of the integrative "attitude to disease"; 4 out of 8 indicators of coping strategies. The most unfavorable results were obtained in the group of patients with bone metastases, included patients mainly older than 50 years. Based on the results of the study concluded that psychological support in patients with bone tumors and formation of complementary behavior may include work on acceptance of disease and need for treatment, overcoming non-constructive coping stratagies (for example, strategy of "escape-avoidance" in the group of patients with osteosarcoma), correction of ergopathic and sensitive types of attitude to disease (in all nosological groups).