Functioning of chronically ill patients receiving long-term care in Poland

The mean score obtained during the last assessment was 19.38 (SD = 13.51), with a median of 15.00 points, indicating a low level of independence among the respondents. The overall functioning in chronic illness (FCIS) reached an average score of 59.02 (SD = 10.12). The mean severity of depressive symptoms in the study group was 19.2 ± 6.9 points on the Beck Depression Inventory, corresponding to moderate symptom severity. The study demonstrated significant associations between the level of patient independence, the occurrence of depressive symptoms, and functioning in the course of chronic disease. Most respondents presented a low level of independence, which translated into limited coping abilities, reduced functioning, and a considerable impact of illness on their daily lives and attitudes. Moreover, a substantial proportion of respondents exhibited moderate depressive symptoms, which may further worsen prognosis. The findings confirm the need for comprehensive, multidimensional care for patients with chronic diseases.