Self-esteem and evaluation of the quality of life in patients with a knee joint injury
Keywords:
knee instability, anterior cruciate ligament, meniscus injury, functional knee insufficiency, anterior knee pain, patellofemoral disorders, self-esteemAbstract
Self-esteem is an organized set of characteristics that an individual has learnt to consider his or her own, the function of which is to integrate and stabilize personality.
The aim of the study was to answer the following research problems:
- whether and what kind of relations occur between self-esteem characteristics and disease duration in patients with a knee joint injury;
- whether and what kind of relations occur between self-esteem vs. evaluation of quality of life and the degree of activity limitation with regard to work and social relations in patients with a knee joint injury.
Participants. The participants were 32 in-patients (15 women and 17 men) of ARTHROS Non-Public Health Care Institution in Nałęczów, hospitalized for a knee joint injury. Mean age of the participants was 31 years. Seventeen patients had been diagnosed with knee instability due to cruciate ligament injury, 3 with the excessive lateral pressure syndrome, 2 with luxating patella, 8 with meniscus injury, and with intra-articular knee fracture. Mean disease duration was 5 years. Preoperative treatment in the form of rehabilitation and physio-therapy had been given to 7 persons.
Methods. The study was conducted using the “What are you like?” version of Gough and Heilbrun’s Adjective Check List and an Inquiry Form designed by the authors for recording socio-demographic data plus information on disease duration and patients’ evaluation of the effect of the disease on their quality of life, professional work, social relations, and hobbies. The patients completed the above-mentioned questionnaires within the first two days after operation.
Results and conclusions.
Longer disease duration in patients with a knee joint injury co-occurs with an increased need for stabilization and safety, conflict avoidance, increased self-control, deterioration of social relations, and lack of self-trust and trust in others.
The more the patients with a knee joint injury believe that the disease has deteriorated their quality of life and limited their work and social relations, the more they are characterized by dependence, the need to seek safety, lack of spontaneity, increased pessimism, excessive self-control, escape from reality into daydreaming, and a tendency to show themselves in a better light.
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