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1

Comparison of cardiac rehabilitation programmes including patients’ education in selected institutions in Portugal and Poland.

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Sarna I., Smolis-Bąk E.

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2018

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vol. 32

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issue 2

23-32

EN

Introduction Despite huge progress in the field of medicine and prevention, cardiovascular diseases remain the second most common cause of death in the European Union countries. One of the reasons for this not very optimistic (though decreasing) tendency seems to be ineffective education of patients. Material and methods The study sought to compare cardiac rehabilitation programmes in Poland and Portugal and to assess education of coronary patients who took part in the second phase of cardiac rehabilitation in institutions located in these two countries. A cardiac rehabilitation programme information card completed by a doctor or a physiotherapist as well as the authors’ own questionnaire that included questions regarding medical history and rehabilitation of patients, their knowledge about risk factor control and their opinions about education in the process of rehabilitation were employed in the study. Results Patients from both groups demonstrated the same low levels of knowledge about risk factor control. It was noted that cardiac rehabilitation programmes in the two countries under investigation were based on similar standards but differed in such aspects as specialists participating in these programmes, patients referred to them, particular risk factor control or methods of education. Conclusions 1. Cardiac rehabilitation programmes implemented in the examined institutions are based on the same standards but differ, inter alia, in terms of interventions applied to control particular risk factors. 2. The patients’ level of knowledge about modifiable risk factor control is the same in the Polish and Portuguese group and it differs considerably from the level described in the guidelines. 3. In both countries, doctors play the most significant role in educating patients.

2

The impact of physical activity and obedience of ergonomic rules on level of pain intensity reported by office staff

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Smolis-Bąk E., Kwakowicz M., Kowalik I., Majda W., Kazimierska B.

Advances in Rehabilitation

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2015

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vol. 29

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issue 2

5-11

EN

Introduction: This paper examines office staff’s knowledge and obedience of rules of computer workstation ergonomics and assesses how physical activity and obedience of ergonomic rules affect the level of pain intensity reported by office staff included in the study. Material and methods: The study group consisted of 136 persons (94 female and 42 male) aged between 20 and 46 (average 44,5±12,6 years) working on computer workstations. Results. Approximately 50% of the study group were spending their free time actively (72 persons, 52,9%). Preferred forms of activity were as follows: walking (72,1%), cycling (58,1%) and physical exercise (26,5%). Results: It was found that higher rates of physical activity significantly reduced the intensity of the pain resulting from computer work. On the contrary, a statistically significant number of people occasionally involved in physical activity more often suffered the following symptoms: pain in the shoulders (p=0,0224), hips (p=0,0036) and feet (p=0,0458), and tingling and sensory loss in lower extremities (p<0,0001). It was found that study group members regularly involved in physical activity less often suffered from the pain in the shoulders (22,9% vs 50,0%,), hips (14,3% vs 44,7%,) and feet (17,1% vs 31,6%), and tingling and sensory loss in lower extremities (2,9% vs 36,8%) when compared to the group with occasional physical activity. Statistically significant lower incidence of pain was observed in the study group members conforming to the rules of ergonomics at work as exemplified through the following symptoms: increased muscle tension in the shoulder areas (38,5% vs 61,8%, p=0,0303), pain in the upper parts of the spine (26,9% vs 50,9%, p=0,0274), eye pain, tearing and burning sensation (57,7% vs 80,0%, p=0,0170). Conclusions: 1. Only a small number of study group members complied with ergonomic rules at work. 2 It was observed that physical activity has a positive effect on pain reduction. 3. Adherence to ergonomic rules at work has a significant influence on reduction of pain intensity in examined groups.

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Wpływ wystąpienia incydentów „burzy elektrycznej” na jakość życia i aktywność fizyczną u pacjentów po implantacji kardiowertera- defibrylatora / The influence “electrical storm” incidents on the quality of life and physical activity in patients after cardioverter defibrillator implantation

71%

Kazimierska B., Suska-Bąk N., Kowalik I., Maciąg A., Smolis-Bąk E.

Advances in Rehabilitation

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2014

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vol. 28

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issue 4

35-41

EN

Introduction: The aim of this study was to evaluate the level of physical activity, quality of life, anxiety, stress and depression in patients after implantation of cardioverterdefibrillator (ICD) who have experienced or not the incident electrical storm with multiple ICD interventions. Material and methods: There was 36 patients with ICD in aged from 39 to 83 years. Patients were divided into two groups: those who had a Storm (+) or no Storm (-) incident electrical storm. In the group Storm (+) significantly more often occurred loss of consciousness before ICD implantation and after discharge, than in the Storm (-). Results: Also frequently found problems with life energy and vigor, which may limit the opportunities gainful employment and doing housework. Other parameters of quality of life were not different between groups. The level of stress and week-long physical activity was similar in both groups. Conclusions: 1. The incidence of electrical storm in ICD patients significantly increases the level of anxiety and influences the occurrence of mild depressive symptoms. 2. Electrical storm does not affect the increase in the level of stress and the week-long physical activity. 3. Electrical Storms limits the opportunities gainful employment and doing housework. 4. Frequent loss of consciousness in patients prior to ICD may indicate an increase in the frequency of electrical storms occurring after implantation of the device.

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Evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT)

52%

Smolis-Bąk E., Chwyczko T., Wójcicka M., Kowalik I., Kazimierska B., Dąbrowski R., Sterliński M., Maciąg A., Szwed H.

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2009

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vol. 17

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issue 4

3-9

PL

Wprowadzenie: komorowa stymulacja resynchronizująca (CRT) ma zastosowanie w leczeniu chorych z ciężką niewydolnością serca. Cel: ocena wydolności fizycznej i jakości życia oraz zależności występujących pomiędzy badanymi parametrami u pacjentów po wszczepieniu CRT. Materiał i metody: do badań włączono 23 chorych (16 mężczyzn) w wieku 52-77 lat. Przed i po 6 miesiącach od wszczepienia wykonywano próbę spiroergometryczną 6-minutowy test korytarzowy oraz badano parametry jakości życia kwestionariuszem NHP. Analizowano korelacje pomiędzy wydolnością fizyczną a jakością życia. Wyniki: uzyskano istotne korelacje pomiędzy: VO2 a zaburzeniami snu r = 0,62 (p < 0,01) i ograniczeniami ruchowymi r = -0,54 (p < 0,05) przed zabiegiem, VO2 a bólem r = -0,82 (p < 0,02) i wyobcowaniem społecznym r = -0,90 (p < 0,005) po wszczepieniu CRT, dystansem marszu a poziomem energii r = -0,50 (p < 0,05) przed, a ból r = -0,87 (p < 0,05) po wszczepieniu CRT. Wnioski: 1. Zastosowanie komorowej stymulacji resynchronizującej poprawia istotnie wydolność fizyczną oraz niektóre aspekty jakości życia. 2. Pacjenci z wyższą wydolnością fizyczną lepiej oceniali niektóre aspekty jakości życia przed (poziom energii, ograniczenia ruchowe) i po (dolegliwości bólowe i wyobcowanie społeczne) implantacji CRT.

EN

Introduction: cardiac resynchronization therapy (CRT) is widely used in treatment of patients with congestive heart failure (CHF). Aim: evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT). Materials and methods: 23 patients (16 men, mean age 63.0 ± 9.0 years) with CHF were included in the study. Cardiopulmonary exercise test, 6-minute corridor test were performed before CRT and after 6 months. All patients were examined by means of NHP QoL questionnaire. Results: statistically significant correlations between peak oxygen uptake (VO2) and sleep disorders (r = 0.62, p < 0.01) and physical exercise limitations before CRT (r = -0.54, p < 0.05) were observed. After CRT peak VO2 correlated negatively with pain (r = -0.82, p < 0.02) and social alienation (r = -0.90, p < 0.005). 6-minute walking test distance correlated significantly with energy level (r = -0.50, p < 0.05) before CRT and with pain after CRT (r = -0.87, p < 0.05). Conclusions: 1. CRT in CHF patients improves effort tolerance and some QoL aspects. 2. Patients with better physical exercise tolerance assessed some aspects of their QoL as better before CRT (energy level, physical limitations), and better after CRT (pain, social alienation).

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3 Advances in Rehabilitation

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1 Chwyczko T.

1 Dąbrowski R.

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1 Majda W.

1 Sarna I.

1 Sterliński M.

1 Suska-Bąk N.

1 Szwed H.

1 Wójcicka M.

Comparison of cardiac rehabilitation programmes including patients’ education in selected institutions in Portugal and Poland.

The impact of physical activity and obedience of ergonomic rules on level of pain intensity reported by office staff

Evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT)