I'm in as good shape this year as I was last year.
この場合、次のような言い方ができますよ。
ーI've had a chronic illness for the last ten years, but last year I was able to sit up. I'm in as good shape this year as I was last year.
「10年以上慢性疾患を患っているが、昨年は体を起こしていられた。今年も昨年と同じくらい調子が良い」
I'm in as good shape this year as I was last year. で「今年は昨年と同じくらい調子が良い」と言えます。
ご参考まで！
I've been living with a serious chronic illness for over ten years. Last year, I was finally able to spend more time out of bed, and this year, my health has been about as good as last year.
こんにちは！
ご質問ありがとうございます。
ご質問について、いくつか言い方が考えられますが、例えば、
I've been living with a serious chronic illness for over ten years. Last year, I was finally able to spend more time out of bed, and this year, my health has been about as good as last year.
とすると、「10年以上も重い慢性疾患にかかっています。去年だいぶ[身体を起こしていられる](https://eikaiwa.dmm.com/uknow/questions/100543/)ようになりました。今年も同じくらい体調がいいです。」となります。
役に立ちそうな単語とフレーズ
chronic illness 慢性的な疾患、慢性疾患
参考になれば幸いです。
カナダ 
日本 
