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OncoReview
|
2017
|
vol. 7
|
issue 4
184-191
EN
The incidence of malignancies, including haematological malignancies, is increasing among the world population. The most important issue is the fact that as a result of these malignancies, a patient involuntarily losses body weight which is caused by improper manner of nutrition and connected with it: postoperative complications, decreased response to treatment, increased risk of collapses, hospital-acquired infection and the increased risk of demise. Thus, one should strive to identify the nutrition disorders and that will enable to introduce a proper nutrition intervention and improve the clinic and therapeutic results. At the same time, it is crucial to arrange a diet therapy on the basis of the patient’s current state of health, deficiencies and disorders, planned nutrition period and the possibility of preparation and consumption of specific meals.
EN
The aim of research is to study the role of physical activity for rehabilitation of patients suffered from mild persistent asthma during their treatment at hospital. The study involved 30 patients being in hospital due to the exacerbation of asthmatic disease. The program of physical rehabilitation is based on the survey results of patients, paying attention to their functional state, rapid assessment of health and physical features of the disease. The use of dosed physical activity while physical rehabilitation of patients suffered from mild persistent asthma has improved functional status of their cardiovascular and respiratory systems, physical performance, quality of life, helped to control the disease.
EN
Introduction. Patient satisfaction surveys are still popular tools for obtaining feedback on the quality of health care. Nonetheless, there is a paucity of data to indicate whether health care providers even want patients to assess the quality of care delivered. Neither it is certain whether patients are interested in participating in such surveys. Aim. To present and compare the perspectives of doctors, nurses, and patients on the validity of health care customer satisfaction surveys. Material and methods. A cross-sectional survey design was used. The questionnaires were administered to doctors, nurses and patients in three hospitals of different sizes (small, medium, and large), all in the north-east of Poland. Each sample group was given 200 questionnaires; responses were received from 95 doctors (47.5%), 190 nurses (95%), and 182 patients (91%), and included in the final analyses. Results. Most respondents (doctors - 64.2%; nurses - 61.6%; patients - 87.4%) answered ‘Yes’ to the question ‘Do you think that patients should evaluate the quality of health care?’ Analysis of data allowed to identify the following main reasons why patients should evaluate the quality of health care: 1. to enhance the quality of care; 2. to recognise patients as evaluators; 3. to motivate providers to work more efficiently; and 4. to emphasise the impact of evaluation on a core value, i.e. health. Doctors and nurses outlined reasons why they did not advocate conducting patient satisfaction surveys: satisfaction surveys are redundant; negative evaluations; unwillingness to be evaluated by patients; satisfaction surveys hamper effective work with patients; surveys are not objective; survey results are not communicated to providers. Conclusions. Patient satisfaction surveys are desirable tools for evaluating the quality of health care delivery despite the fact that they frequently raise concerns amongst providers and patients. There is, therefore, a definite need for providers to experience the benefits of measuring patient satisfaction. Another important practical implication is that patients need to be convinced that their opinions do matter and contribute to improving the quality of services.
EN
Background: Quality of life is a subject of research by representatives of various fields of science, including psychology, sociology, economics, and medicine. The results of some previous studies show that the quality of life of elderly people is related to their health behaviors. The aim of the study was to assess the relationships between the quality of life, considered in general and in detail, and health behaviors of healthy and ill elderly people from the Opolskie Voivodeship (Poland). Methods: 105 people (81 women and 24 men) participated in the study, including 61 patients and 44 healthy people, aged from 60 to 89 years. The average age of respondents was 71.2 ± 6.4 years. The main research method was the diagnostic questionnaire survey. The Health Behavior Inventory and R. Cummins's Comprehensive Quality of Life Scale were used. Results: The study results showed that the average value of the health behavior index in healthy respondents was significantly higher than in patients. The analysis of particular categories of health behaviors revealed that healthy persons declared normal eating habits more often than patients. The mean value of the general quality of life index was significantly higher in healthy respondents than in patients. Health status also significantly differentiated the quality of life in favor of healthy individuals in the domains of health and intimacy. In the analyzed group of respondents, health behaviors significantly determined the quality of life of patients only. The odds that the quality of life of patients are above average were greater in patients with average and higher health behavior indices than in patients with low health behavior indices. Conclusion: Measures of quality of life improvement should also be aimed at increasing the prevalence of health behaviors in the elderly.
EN
INTRODUCTION The cognisance of viral hepatitis is bound to have vast social, both health and legal, ramifi cations. The broadly implied medical staff , as well as the health service patients should constitute the groups most interested in this issue. AIMS AND METHODS Bearing in mind the benefi ts resulting from the cognisance of this problem, an opinion poll has been held. Its aim was to obtain answers, from both of the above mentioned groups, to several vital questions concerning viral hepatitis. The questions served to assess the level of knowledge of viral hepatitis, they also related to broadening this cognisance by participating in supplementary courses and training. Another aim of the opinion poll was to verify whether the knowledge of viral hepatitis is dependent on such factors as age, education, type of work, prior contact with the illness in question or the type of ward where the respondents work or stay. RESULTS Following results have been obtained: a) insuffi cient level of knowledge was shown by 122 (30,9%) persons in which there were 117 (65,7%) patients and 4 (1,8%) members of personnel b) suffi cient level of knowledge was shown by 92 (23,3%) persons in which there were 54 (30,3%) patients and 38 (17,5%) members of personnel c) good level of knowledge was shown by 71 (18%) persons in which there were 6 (3,4%) patients and 65 (30%) members of personnel d) very good level of knowledge was shown by 111 (28,1%) persons in which there were 1 (0,6%) patient and 110 (50,7%) members of personnel CONCLUSIONS The results indicate that the knowledge of viral hepatitis among medical staff is broad and continously updated. The knowledge of patients is, on the contrary, insuffi cient. Moreover, patients do not seek additional information on this subject. A relationship between knowledge of viral hepatitis, the type of ward where patients stay and their education has been established and demonstrated.
PL
WSTĘP Wiedza na temat wirusowego zapalenia wątroby (WZW) może mieć szerokie implikacje w społeczeństwie zarówno zdrowotne jak i prawne. Grupami najbardziej zainteresowanymi tym zagadnieniem powinien być szeroko rozumiany personel medyczny, jak również pacjenci placówek służby zdrowia. CELE I METODY Mając na uwadze korzyści wynikające z rozpowszechniania znajomości tego problemu przeprowadzony został sondaż. Miał on na celu udzielenie odpowiedzi na kilka kluczowych pytań poruszających tematykę WZW w wyżej wymienionych grupach. Pytania służyły ocenie poziomu wiedzy na temat WZW, dotyczyły zagadnienia poszerzania tej wiedzy na dodatkowych kursach i szkoleniach. Celem sondażu było również sprawdzenie czy wiedza na temat WZW jest zależna od takich czynników jak wiek, wykształcenie, rodzaj wykonywanej pracy, wcześniejsze zatkniecie się z ta chorobą, jak również charakter oddziału, w którym przebywają, bądź pracują respondenci. WYNIKI Uzyskano następujące wyniki: a) niedostateczny poziom wiedzy wykazało 122 (30,9%) ankietowanych z których 117 (65,7%) osób to pacjenci a 4 (1,8%) personel b) wystarczający poziom wiedzy wykazało 92 (23,3%) respondentów, z czego 54 (30,3%) pacjentów oraz 38 (17,5%) pracowników medycznych c) dobry poziom wiedzy wykazało 71 (18%) ankietowanych, przy czym 6 (3,4%) to pacjenci a 65 (30%) to personel d) bardzo dobry poziom wiedzy wykazało 111 (28,1%) osób, w tym 1 (0,6%) osoba jest pacjentem a 110 (50,7%) członkami personelu WNIOSKI Wyniki wskazują, że wiedza personelu medycznego w zakresie WZW jest wysoka oraz, że jest ona aktualizowana. Wiedza pacjentów jest niedostateczna. Nie poszukują oni również informacji na ten temat. Wykazano również związek między znajomością zagadnienia WZW a charakterem oddziału, na którym przebywają pacjenci oraz między ich wiedzą a wykształceniem.
EN
The aim of this study was to assess the relationship between the level of insight and a sense of the impact on the course of the disease, and its impact on the level of social functioning of patients with schizophrenia. The study group consisted of 152 patients with schizophrenia, 91 women (59.9%) and 61 men (40.1%) hospitalized in the St. Hedwig Provincial Specialist Complex of Neuropsychiatry in Opole and in the Józef Babiński Specialist Hospital SPZOZ in Cracow. The study was conducted by a method of diagnostic poll with the use of questionnaire technique and the applied research tools were three standardized inquiry forms: A Questionnaire of Insight into Schizophrenia – “My Thoughts and Feelings,” Brief Measure to Assess Perception of Self-Influence on the Disease Course – Version for Schizophrenia and The Social Functioning Scale created by Max Birchwood. Based on the obtained results it was found out that the level of insight into illness and a sense of the impact on its course in patients with schizophrenia are averages, and the level of social functioning in each of its components is different – the patients show the highest level of functioning in the area of leaving the isolation, communication and interpersonal relationships and possible independence (potential). In terms of recreation and entertainment, and self-realized they show a moderate level of functioning but low in social interactions, labour and employment. It was also found out that with increasing levels of insight into the disease the sense of the impact on its course increases, determining thereby an increase in the level of social functioning in all areas.
PL
Celem pracy była ocena związku pomiędzy poziomem wglądu i poczuciem wpływu na przebieg choroby a poziomem funkcjonowania społecznego pacjentów ze schizofrenią. Grupę badaną stanowiło 152 pacjentów z rozpoznaniem schizofrenii, 91 kobiet (59,9%) i 61 mężczyzn (40,1%) hospitalizowanych w Wojewódzkim Specjalistycznym Zespole Neuropsychiatrycznym im. św. Jadwigi w Opolu oraz w Szpitalu Specjalistycznym im. Józefa Babińskiego SPZOZ w Krakowie. Badania zostały przeprowadzone metodą sondażu diagnostycznego, techniką ankiety, a wykorzystanymi narzędziami badawczymi były trzy wystandaryzowane kwestionariusze – Kwestionariusz Wglądu w Schizofrenię „Moje Myśli i Odczucia”, Krótka Skala Poczucia Wpływu na Przebieg Choroby – Wersja dla Schizofrenii oraz Skala Funkcjonowania Społecznego autorstwa Maxa Birchwooda. Na podstawie uzyskanych wyników stwierdzono, że poziom wglądu w chorobę oraz poczucie wpływu na jej przebieg u pacjentów ze schizofrenią są przeciętne, a poziom funkcjonowania społecznego w zakresie poszczególnych jego składowych bywa różny – pacjenci wykazują najwyższy poziom funkcjonowania w obszarze wychodzenia z izolacji, komunikacji i więzi interpersonalnych, a także samodzielności możliwej (potencjalnej). W zakresie rekreacji i rozrywki oraz samodzielności realizowanej wykazują umiarkowany poziom funkcjonowania, natomiast w zakresie kontaktów społecznych oraz zatrudnienia – niski poziom. Stwierdzono również, że wraz ze wzrostem poziomu wglądu w chorobę wzrasta poczucie wpływu na jej przebieg, determinując tym samym wzrost poziomu funkcjonowania społecznego we wszystkich jego zakresach.
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