Search results - PSJD

1

A One-Year Follow-Up of the Quality of Life After Stapled Hemorrhoidopexy

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Czarzasty W., Kruszewski W., Zieliński J., Niżnik M.

Polish Journal of Surgery

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2011

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vol. 83

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issue 4

204-211

EN

Articles presenting treatment outcomes of stapled hemorrhoidopexy are rarely based on detailed analyses of the quality of life.The aim of the study was the assessment of changes within one year of treatment in the quality of life of patients who underwent stapled hemorrhoidopexy using QLQ-C30 form (version 3).Material and methods. 120 patients with grade III and IV internal hemorrhoidal disease treated with stapled hemorrhoidopexy were enrolled in the study. They answered questions from QLQ-C30 form and were subjected to examination a day before surgery and 1 day, 7 days, 4 weeks, 6 and 12 months after surgery. Assessment included operation site inspection, pain intensity measurement in VAS scale and parameters incorporated in QLQ-C30 form evaluation.Results. The overall quality of life decreased immediately after surgery (a day after 50% vs. 60% before surgery), but rapidly improved in one week and in one month periods (60% and 80% consecutively) reaching a plateau one month after surgery. Early complications occurred in 6 patients (5%). Recurrence of the disease was not observed. Bleeding from anastomosis site and severe pain in anal area immediately post surgery as a result of improper purse-string suture placement were the main complications.Conclusions. In patients with grade III or IV hemorrhoidal disease, stapled hemorrhoidopexy ensures a rapid improvement in the quality of life after surgery to the level experienced prior to the operation. 7-day convalescence period is sufficient. After one month, the overall quality of life improves significantly and reaches a plateau.

2

Quality of Life and Sleep Disorders Among Patients Treated with Hemodialysis in Relation to Dialysis Adequacy

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Dryl-Rydzyńska T., Sak J., Książek A.

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2015

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vol. 124

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issue 3

111-114

EN

Introduction. Recent studies in this field are insufficient to determine the relationship between life quality and hemodialy-sis adequacy. The problem, which requires further analysis is the issue of verification of these relationships and the problem of the relationship between sleep disorders and hemodialysis indicators. Aim. The aim of this study is to determine the relationship between quality of life and sleep disorders occurring among patients with end stage renal disease (ESRD) treated with hemodialysis and the dialysis adequacy parameters. Material and methods. The survey was based on two standardized international scales: the Quality of Life Scale (SF-36) and the Pittsburg Sleep Quality Index (PSQI). The study was conducted among 150 patients (67 women and 83 men) treated with hemodialysis at the Fresenius center. All patients participating in the study were undergoing dialysis three times a week. The average value of Kt/V was 1.45 (SD=0.22) and URR ration 71.78 (SD=5.95). Results. The urea level prior to hemodialysis moderately strongly correlates with life energy deficit (r=-0.34, p=-0.049) and that the values of urea reduction ratio URR weakly correlates with the patient's conviction on restricting life's activity (SF-36) (r=0.18, p=0.046). The level of urea prior to dialysis correlates positively with the time of falling asleep in PSQI scale (r=-0.39, p=0.023). Conclusions. Patients with lower urea level before hemodialysis have a significantly higher vitality level. Higher fluctuations of urea concentrations before and after hemodialysis (higher urea reduction ratio URR) are associated with restrictions of physical activity in hemodialysis patients.

3

Acceptance of the illness and the quality of life of patients with breast cancer

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Kamińska M., Ciszewski T., Bronikowska A., Ferańska M., Pawlak-Warszawska A., Paśnik E.

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2015

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vol. 124

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issue 1

5-9

EN

Introduction. Breast cancer is the most frequent cancer diagnosed in women. Its treatment is a combined therapy and the sequence and time are established according to the accepted standards in Poland. Consequences posed by this disease include disorder in the physical, mental and social spheres in women. Adapting to cancer is very important for the process of treatment, and the acceptance of the disease is the determinant. Aim. The aim of the study was to determine and compare the degree of acceptance of the illness and the assessment of quality of life among breast cancer patients during cancer treatment. Material and methods. The survey included 85 ill people treated in a conserving way and 94 ill people treated by breast amputation. Patients after the surgical procedure were subjected to adjuvant treatment involving chemotherapy (90 women) and/or endocrine therapy (87 women). The study used standardized questionnaires EORTC (European Organisation for Research and Treatment of Cancer): QLQC-30 and the scale (AIS Approval IIIness Scale). Results. The highest level of acceptance of the disease, so the best ability to adapt to cancer have those women who have undergone radical mastectomy and adjuvant hormone therapy during the treatment. The lowest level of acceptance of the illness, expressed as a negative assessment was observed in women after BCT and during chemotherapy treatment. The use of the EORTC QLQC-30 to assess the overall health and quality of life of patients allowed us to capture statistically significant differences in the percentages stating good health, with the relatively highest negative response rates which were observed in the subgroups treated with chemotherapy and hormone therapy. With regard to the highest quality of life, the percentage of negative responses was observed in subgroups treated with the use of hormone therapy and after mastectomy. Conclusions. Good acceptance of the disease was obtained by women treated for breast cancer who have undergone mastectomy in the course of adjuvant endocrine therapy. The assessment of general health and quality of life was influenced by oncological treatment. Patients during chemotherapy and hormone therapy showed a negative impact of this form of treatment on overall well-being and functioning.Patients after mastectomy and during hormone therapy treatment showed a comparatively lower quality of life compared to a group of patients after BCT and during treatment with chemotherapy

4

The quality of life in patients with at least moderate ischemic mitral regurgitation qualified to cardiosurgery treatment

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Piątkowski R., Kucharz J., Gawałko M., Budnik M., Wołosiewicz K., Kozub B., Kochanowski J., Grabowski M., Opolski G., Piątkowski R., Kucharz J., Gawałko M., Budnik M., Wołosiewicz K., Kozub B., Kochanowski J., Grabowski M., Opolski G.

Folia Medica Cracoviensia

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2021

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vol. 61

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issue 3

5

THE EVALUATION OF CHANGES IN THE LEVEL OF POSITIVE AND NEGATIVE EMOTIONS IN SENIORS AFTER THE ACTIVATION PROGRAM

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Cabak A.

Acta Neuropsychologica

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2020

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vol. 18(2)

195-206

EN

The emotional functioning of older people depends on many factors. Diverse and rich activity every day seems to be very important. Undertaking a large number of activities at an elderly age and fulfilling oneself in social roles (also ones newly started) is a condition for efficient functioning, life satisfaction, well-being and health. Older people are at risk of social exclusion, being unnecessary for others or even being a burden on one’s surroundings. Hence, support and inclusion programs for various tasks and activities become extremely important. The aim of the presented research was to present proposals and evaluate the effects of a program dedicated to seniors, which was to improve their quality of life, psychophysical and social health. The program involved 50 seniors from 2 different support centers, including 43 women and 7 men, average age 77.51 ± 9.51. The assessment used the SUPIN questionnaire (Positive and Negative Feelings Scale), MMSE (Mini-Mental State Examination) and the VAS pain scale. The obtained results confirmed the beneficial effect of the proposed activation program on the psychophysical health of the respondents. All subjects increased their level of positive emotions, while the level of negative ones decreased (p <0.05), hand functionality and general well-being improved, back and pain significantly decreased.

6

How to identify osteoporotic patients’ attitudes towards pharmaceutical practice?

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Veszelyné Kotán E., Vincze Z., Mészáros Á.

Acta Poloniae Pharmaceutica - Drug Research

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2019

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vol. 76

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issue 3

569-579

EN

In aging populations osteoporosis is a serious problem. Low adherence to osteoporotic therapies is a well-known fact. There is a crisis in the therapy of osteoporosis: even with a diagnosis of osteoporosis or after an osteoporotic fracture there are patients without adequate therapy. The aim of the study was to analyze the association between the patients’ subjective importance of osteoporosis and medication adherence, quality of life, depression status and self-reported socio-economic factors, and find the risk groups which can be identified in the community pharmacy setting to improve the quality of care of osteoporotic patients. A cross-sectional study was conducted in four public hospitals in Hungary. Medication adherence was measured by the Morisky Medication Adherence Scale, quality of life was measured by the EQ5D-3L, depression status was checked by the Beck Depression Scale. Patients were asked to what extent their life was affected by osteoporosis compared to their chronic co-morbidities. Three patient groups were analyzed: High, Low and No osteoporosis importance groups. Statistical analyzes were carried out by SPSS program. Significant differences were found between the groups of osteoporosis importance in age, T-score, working status, type of the medication, existing fracture, frequency of pain and number of chronic diseases. The main target of pharmaceutical therapy management is to maintain a therapy-length lasting, periodic contact with the osteoporotic patient to improve the patients’ subjective perception of quality of life. Improving the importance of the disease in patients with low osteoporosis importance could help to improve the patients’ quality of life.

7

Intervention Effect of Supportive Group Therapy and Physical Exercise on the Quality of Life of Cancer Patients

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Papastergiou D., Kokaridas D., Bonotis K., Digelidis N., Patsiaouras A.

Central European Journal of Sport Sciences and Medicine

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2019

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vol. 25

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issue 1

5-13

EN

Psychological distress is a multidimensional concern affecting patients’ ability to cope with cancer, its physical symptoms, and treatments. This study examined the effect of an exercise program and a group psychotherapy program on the quality of life of Greek cancer patients. The sample consisted of 39 cancer patients (10 males and 29 females), assigned randomly in three groups of 13 patients each group, that is, a control, an exercise and a psychotherapy group. The duration of the training program for the individuals of the exercise group was 10 weeks at a frequency of two sessions per week, 60 minutes each session. The patients of the psychotherapy group received a 10 weeks’ supportive–expressive group therapy, at a frequency of one time per week, of 90 minutes each meeting. The quality of life SF-36 questionnaire was administered to examine the short-term effect of both programs prior and after intervention on quality of life. Control group individuals did not participate in any program and they just filled in the SF-36 questionnaire prior and after intervention. Improvement in “vitality” (p = .006) and mental health subscale (p = .011) was statistically significant between pre and post measures in the supportive therapy group. All other domains exhibit no significant changes. In the exercise group, physical functioning, role functioning and emotional role values were also improved but not to the point to generate statistically significant results. The findings of the present study support the positive impact of psychotherapy intervention on vitality and mental health component of patients with cancer, followed in less extent by the beneficial effect of the exercise program.

8

Wealth and the Quality of Life for Physical Education Teachers

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Demuth A.

Human Movement

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2012

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vol. 13

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issue 1

65-69

EN

Purpose. The purpose of the study was to assess the perceived quality of life of physical education teachers depending on their standard of living. Methods. The study included 287 graduates of the University Schools of Physical Education in Poznań and Wrocław, of whom 165 were men and 122 were women aged 40 to 60 years. The perceived quality of life was assessed on the basis of Kowalik's Quality of Life Questionnaire. The relationship between the perceived quality of life and the standard of living was then established, with statistical analysis performed using two stratum weights (k), the Mann-Whitney U-test and Spearman's rank correlation (r). Results. The majority of the studied participants positively assessed their lives, with no significant differentiation found between genders in their satisfaction in various spheres of life. However, only half of the respondents were satisfied by their level of income. A higher standard of life was found to be linked to higher life satisfaction, where the level of wealth significantly differentiated only in the perceived quality of life in the studied women. Conclusions. The surveyed graduates were found to be a very homogenous group of professionals in terms of their quality of life level. Only financial status was found to significantly differentiate in the level of satisfaction of the surveyed women.

9

Quality of life and functional status in patients with end-stage renal disease

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Strugała M., Talarska D., Niewiadomski T., Dziechciaż M., Wojewoda K.

Long-Term Care Nursing

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2020

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vol. 5

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issue 2

105-118

EN

Aim The specifics of progressive course of the disease leads to the development of functional dependence which contributes to later disability, significantly influences quality of life. The goal of the research described here was to determine the relationship between the functioning of patients treated with hemodialysis and selected socio-demographic factors and quality of life. Material and methods The research included 100 patients in the range 20-90 years of age who were being treated with hemodialysis in a renal replacement facility in the area of western Poland. The average age for the entire group was 59.5±14.4 years of age. The average time spent on dialysis for the group was 44.7 ± 48.6 months. In order to evaluate patients’ functional status the Barthel Index, Lawton’s IADL and the Karnofsky Performance Status Scale were used. In order to evaluate QOL, the multidimensional instrument – the Health Questionnaire Specific for ESRD was used. Results Using the Spearman coefficient correlation moderate and strong correlations were found between particular sub-scales Health Questionnaire Specific for ESRD and functional capacity. There was no statistically significant dependence between the length of renal-replacement therapy and particular scales on the Parfrey et al Health Questionnaire as well as the functional capacity of patients. Conclusions Demographic variables, especially sex and age, and to a lesser degree educational level and marital status have an influence on the results of the Health Questionnaire Specific for ESRD. Activity levels had a signficant influence on the results in the area of QOL

10

Comparison of the quality of life of geriatric patients staying in care and greatment institutions with elderly people living with their families or alone

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Kuś J., Grochowska A., Kołpa M., Łabuzek M., Kubik B.

Long-Term Care Nursing

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2020

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vol. 5

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issue 2

87-103

EN

Aim Ageing is a natural and unavoidable phenomenon of a global nature. With age, the phenomenon of multiple disease and occurrence of various disabilities increases. Without a doubt, it is one of numerous factors influencing the quality of life, which is a highly complex term. Comparison of the quality of life of geriatric patients staying in care and treatment institutions with elderly people living with their families or alone was the aim of the study. Material and methods The study was conducted in a group of 102 persons for the period of three months. For the purpose of the study the following tools were used: WHOQOL-BREF scale, Katz scale, Norton scale and Geriatric Depression Scale. Verification of the differences between the variables was performed with the χ2 independence test and with Mann-Whitney test. Significance level of p<0.05 was assumed. Results Persons remaining in institution (47.1%) and living in a house/apartment (49.9%) rated their quality of life at a similar level. Among the persons remaining in the long-term care institution, these were more commonly the individuals with considerable level of disability (60.4%). Persons with moderate disability (42.6%) and fully fit (44.4%) more frequently live with a family or alone. In CTI patients, a higher risk of pressure ulcers occurred and it was 64.6%. The occurrence of depression among seniors is not significantly influenced by the method and location of their residence. Conclusions The quality of life of persons remaining in long-term care facilities is very similar to the quality of life of seniors who reside with family or alone.

11

Association of breathing patterns and quality of life in patients with nasal obstruction

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Gałązka A., Migacz E., Kukwa A., Czarnecka A., Krzeski A., Kukwa W.

Otolaryngologia Polska

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2018

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vol. 72(1)

11-15

EN

Introduction: In the general population, nasal obstruction is a common complaint. However, an objective evaluation of nasal obstruction is difficult. Nose examination, computed tomography (CT), acoustic rhinometry, and anterior rhinomanometry do not accurately reflect the discomfort reported by patients with nasal obstruction. In patients with nasal obstruction, this study evaluated nasal breathing with a unique device for continuous nasal-oral spirometry – a nasal-oral flow analyzer (NOFA); moreover, quality of life was compared between patients with normal nasal breathing on NOFA and of those with impaired nasal breathing on NOFA.Methods: Of 181 adult patients admitted to an ENT department due to nasal obstruction that were enrolled in the study, 97 (53.6%) completed all per-protocol assessments, including the SF-36 questionnaire and 3-hour, continuous nasal-oral spirometry with NOFA. Based on the presence of normal nasal breathing defined as ≥95% of nasal flow, the 97 patients were divided into those with normal nasal breathing (n=31) and impaired nasal breathing (n=66).Results: Patients with normal nasal breathing differed from those with impaired nasal breathing with respect to all SF-36 subscales (physical functioning, p=0.004; role-physical, p=0.009; bodily pain, p<0.001; general health, p=0.007; vitality, p=0.002; social functioning, p=0.008; mental health, p=0.009; physical component summary, p<0.001; mental component summary, p=0.02), except for the role-emotional subscale (p=0.1).Conclusions: Among patients with symptoms of nasal obstruction, compared to patients with normal nasal breathing, those with impaired nasal breathing had significantly lower quality of life in the physical and mental domains. Further research needs to determine whether NOFA can be used to diagnose nasal obstruction.

12

Analysis of selected factors determining quality of life in patients after lower limb amputation- a review article

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Grzebień A., Chabowski M., Malinowski M., Uchmanowicz I., Milan M., Janczak D.

Polish Journal of Surgery

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2017

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vol. 89(2)

57-61

EN

The amputation of the lower limb is a crippling procedure, which impairs both physical and mental aspect of the patient’s life and therefore, it is important to provide these patients with comprehensive health care. Patients and their families must change their lives and reorganize them, which is undoubtedly associated with a decrease in the quality of life. The aim of this study was to analyze various determinants of quality of life in patients after lower limb amputation and their impact on the physical, mental and social aspect of life. Based on the available literature, this paper discusses certain factors determining quality of life, including the presence of phantom pain and stump pain, the way patients move, independence in daily activity, occupational activity, and access to rehabilitation. Analysis of the impact of particular factors on quality of life in people after lower limb amputation may contribute to the improvement and introduction of new paradigms regarding care provided for amputees.

13

Zasoby w relacji stresory – jakość życia strażaków

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Derbis R.

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vol. XVII

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issue 1

119-136

EN

The aim of this paper is the description of direct relationships between selected work stressors and the sense of firefighters’ quality of life, as well as the analysis of the role of two variables mediating in this relationship. One is social support – the moderator, the other is sense of locus of control – the mediator. Czapiński’s “onion” theory of happiness and JD-R model were the theoretical base to generate research problems and hypotheses. The received results confirm a direct negative relationship of stressors (interpersonal conflicts, quantitative workload and organizational constraints) and a positive relationship of perceived support and the sense of quality of life. As expected, in the relationship stressors – sense of quality of life, the support turned out to be the moderator and the sense of locus of control the mediator. This paper discusses the circumstances of the moderator and mediator effect.

14

Analysis of factors affecting the quality of life of those suffering from Crohn’s disease

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Chrobak-Bień J., Gawor A., Paplaczyk M., Małecka-Panas E., Gąsiorowska A.

Polish Journal of Surgery

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2017

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vol. 89(4)

16-22

EN

Introduction. Crohn’s disease is an inflammatory bowel disease of unknown etiology. Its chronic nature, as well as symptoms of intestinal and overall significantly impedes the daily functioning of patients. Alternately occurring periods of exacerbation and remission are the cause of reduced quality of life of patients. Understanding the factors that caused the decrease in the quality of life, it allows us to understand the behavior and the situation of the patient and the ability to cope with stress caused by the disease. Aim of the study. The aim of the study was to analyze the factors affecting the quality of life of people with Crohn’s disease. Material and methods. The study group consisted of 50 people diagnosed with Crohn’s disease. Respondents were treated at the Department of General Surgery and Colorectal Medical University of Lodz and Gastroenterological Clinic at the University Clinical Hospital No. 1 in Lodz. Quality of Life Survey was carried out by a diagnostic survey using a research tool SF-36v2 and surveys of its own design. Results. Analysis of the results demonstrated that the quality of life of patients with Crohn’s disease was reduced, especially during exacerbations. Evaluation of the quality of life of respondents in physical terms was slightly higher than in the mental aspect. Higher education subjects and the lack of need for surgical treatment significantly improves the quality of life. Conclusions. The occurrence of chronic disease reduces the quality of life of respondents. Elderly patients are better able to adapt to the difficult situation caused by the disease. The quality of life of women and men is at a similar level and patients in remission of the disease have a better quality of life of patients during exacerbations.

15

Evaluation of quality of life in patients after cochlear implantation surgery in 2014-2017

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Czerniejewska-Wolska H., Kałos M., Gawłowska M., Sekula A., Mickiewicz P., Wiskirska-Woźnica B., Karlik M.

Otolaryngologia Polska

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2019

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vol. 73(2)

11-17

EN

Introduction: Profound hearing loss significantly affects the quality of life of deaf people as well as their families. Observation of the benefit from the use of cochlear implants in deaf patients allows to assess the success of treatment with this method and its impact on the quality of life of these patients. The aim of this study was to determine the quality of life in patient after the cochlear implantation in the material of Department of Phoniatrics and Audiology of the Medical University in Poznań. Material and methods: The study involved implanted patients who voluntarily joined to the project entitled "Observational study of the implanted patient (Cochlear-IROS)". It has a prospective character, it is an international and long-term study, covering the observation of patients up to three years after implantation. Standardized HUI and SSQ questionnaires were used. 70 patients were included in the analysis, the mean age at the time of the cochlear implantation was 47.6 years. In the research group there were 33 men and 37 women. In the whole group, the patients' age at implantation was at least 18 years, max. 80 years. Results: The results of the SSQ questionnaire, which deals with the self-assessment of hearing ability in everyday situations, indicate that in the subjective assessment of patients one year after surgery the speech hearing improved by 77%, spatial hearing by 84%, and the quality of hearing by 49%. The general quality of life before the first connection of the sound processor according to the HUI questionnaire, the patients rated at 0.49 (0-1 scale, where 0 - corresponds to the death condition and 1 - full health). After one year from the implantation, this rating increased to 0.56. Conclusions: The implantation of the cochlear implant significantly increases the patient's quality of life, its physical and emotional functioning. Statistically significant better self-assessment of patients mainly concerned hearing speech and spatial hearing - especially after 1 year of connecting the speech processor.

16

The Usefulness of the Original Questionnaire in the Evaluation of Quality of life in Patients with Gastroesophageal Reflux Disease

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Huk J., Wiktor W., Pedowski T., Masiak W., Wallner G.

Polish Journal of Surgery

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2011

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vol. 83

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issue 7

377-385

EN

Gastroesophageal reflux disease (GERD) constitutes a significant health problem in societies of high socioeconomic status. The notion of quality of life is broader than the definition of health and encompasses two aspects: the subjective and objective one. The tools used for the evaluation of quality of life are questionnaires.The aim of the study was the evaluation of the original quality of life questionnaire in patients with gastroesophageal reflux disease treated for 4 weeks with a single dose of omeprazole at 20 mg daily.Material and methods. The original quality of life questionnaire was formulated based on the Likert method. Four time levels of complaint persistence were introduced. The patients were asked 10 questions with earlier prepared answers marked by the respondents. Each of the questions corresponded to a certain time level of complaint persistence. The data obtained from the questionnaires were subject to statistical analysis. The studies were conducted on a group of 10,623 patients. Adequate methods were used in the statistical analysis of data from obtained answers. The significance threshold for each of the studies was p < 0.01, which means that the obtained conclusions are true with the probability of at least 99%. The majority of statistical calculations were performed with the use of STATISTICA 7.0 and Excel software.Results. Improvement of quality of life was found in all the studied aspects: physical (questions 1, 3, 4, 5, 7), functional (question 6), emotional (questions 2, 10) and social (questions 8, 9). No correlation with age or gender was found. The analysis of test correctness was conducted, revealing reliability, validity, sensitivity, appropriateness and practicality of the questionnaire.Conclusions. 1. The original quality of life questionnaire meets the requirements for the tools evaluating quality of life in gastroesophageal reflux disease. 2. The usefulness of questionnaire was confirmed in a group of 10,623 patients with gastroesophageal reflux disease in the Polish population. 3. The questionnaire equals the international tests, while its advantages are the ease of completion and high level of perception.

17

Same quality of life for polish breast cancer patients treated with mastectomy and breast reconstruction or breast-conserving therapy

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Szutowicz-Wydra B., Wydra J., Ciesielski M., Kruszewski W. J., Szajewski M., Walczak J., Hansdorfer-Korzon R.

Polish Journal of Surgery

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2016

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vol. 88(5)

464-474

EN

Breast cancer often requires combined oncologic treatments, the base of which is surgery. Quality of life (QoL) after each surgical procedure may influence the process of decision making among women, who qualify for multiple oncological strategies. Our knowledge about QoL in breast cancer patients is derived from comparative studies. Results may differ, depending on country, culture, and societal relations. The aim of the study was to investigate the quality of life of Polish patients treated with breastconserving therapy (BCT) or mastectomy with breast reconstruction. Material and methods. The study involved women who underwent surgery for breast cancer in the Department of Surgical Oncology of the Gdynia Oncology Center from September 2010 to November 2013. Eighty-two breast reconstructions (in 79 patients) and 226 BCT procedures were performed. QoL was measured with the use of EORTC QLQ-C30 and QLQ-BR23 questionnaires. Results. Global QoL was high in both groups and did not differ significantly. Body image was slightly better after BCT than after mastectomy with breast reconstruction, but sexual QoL was lower. Future perspective was quite low in both groups. Disease symptoms were not bothering. Conclusions. The global QoL among Polish breast cancer patients treated with BCT or mastectomy with breast reconstruction is high and does not differ between groups. There is a need for anxiety and disease-related fear prophylaxis and for the improvement of sex life of breast cancer survivors.

18

Quality of life aspects determining the‑bio‑psycho‑social functioning of patients in the‑perspective of a planned extensive sphincter’s repair procedur

80%

Żelazny D., Romaniszyn M., Wałęga P.

Polish Journal of Surgery

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2015

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vol. 87(11)

573-578

EN

Damage to the sphincter, regardless of its pathogenesis, consists in the impossibility to control the physiology, or the so-called faecal incontinence. This implies changes in the whole bio-psycho-social functioning of the patients, and thus affects the satisfaction with their quality of life, conditioned by their health status. The problem affects around 5 to 7% of the population. Often enough, the only hope for those patients are repair procedures of the sphincter mechanism. The aim of the study was to evaluate key aspects of quality of life which determine the psycho-social status of patients with endogenous or iatrogenic sphincter damage in the perspective of a planned extensive sphincter’s repair procedure. Material and methods. The study group consisted of 52 people, 26 women and 26 men, aged 19–72. The scale by Rockwood – Fecal Incontinency Quality of Life – was used as the basic research tool which evaluates the quality of life in four aspects: 1/behavioral (Lifestyle) 2/cognitive (Coping) 3/emotional (Depression) 4/overall self-assessment (Embarrasment). The degree of incontinence was determined based on point scales of Jorge Wexner (JW scale) and the Fecal Incontinenece Severity Index (FISI scale). Structured diagnostic interview was also used in the study. Results. The results show that lack of control over the basic physiological functions disintegrates the quality of life in all evaluated aspects related to somatic, psychological and social functioning. FIQL: Lifestyle (LS) – 1.96 pts Coping (C) – 1.67 pts Depression (D) – 2.1 pts Embarrasment (E) – 1.79 pts Conclusions. The FIQL results presented explain the fact that among 52 patients followed, 50 decided to conduct extensive reconstructive procedures, although the results are not statistically optimistic and the risk of complications is relatively high

19

Assessment of the quality of life and the relationship between its level and sociodemographic factors and physical activity in the group of patients with Parkinson’s disease

80%

Szmul G., Kowal J., Sozański B., Wiśniowska-Szurlej A., Ćwirlej-Sozańska A.

Advances in Rehabilitation

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2019

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vol. 33

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issue 4

43-50

EN

Introduction Parkinson’s disease is a chronic condition that has a significant impact on one’s quality of life (QOL). There is a growing interest in the QOL of people with chronic illnesses. An individuals’ QOL is an important element of the overall assessment of health status and the effectiveness of treatment regimens. Material and method The study group consisted of 44 people with diagnosed Parkinson’s disease from the Krakow Association of People Affected by Parkinson’s Disease and the Association of People Affected by Parkinson’s Disease Ostoja in Krakow. The WHOQOL-Bref Questionnaire was used to assess QOL, while the IPAQ Questionnaire was used to evaluate the level of physical activity. Sociodemographic data were collected by means of a questionnaire. Results The lowest domain of QOL observed in the study group was psychological area (44.6 points), and the highest in the environmental area (60.5 points). The physical domain score was significantly related to age, marital status and duration of disease, whereas the psychological domain score was correlated with hypertension. The social domain score was associated with the level of education and their place of residence. The environmental domain score was associated with their material status and level of education. Greater levels of physical activity correlated with better QOL in the physical (p=0.005), psychological (p=0.001) and social domains (p=0.0001). Conclusions The study demonstrates the relationship between the QOL and various sociodemographic factors (age, education, marital status, place of residence, material status, duration of the disease and coexistence of hypertension) and the level of physical activity in individuals with Parkinson’s disease.

20

Sytuacja materialna rodziny a jakość życia oraz odczuwane emocje u dzieci w wieku szkolnym

80%

Koralewska-Samko J., Sadowska K.

|

EN

Previous studies indicated that poverty was linked to lower quality of life. The aim of this study is to answer on the following question: do children from families with low financial status differ in quality of life, emotions and mood from children living in families with average income? We also tested differences between children living in the city and in the countryside. 129 children aged 12-14 participated in the study. Children from families with low financial status evaluated their quality of life higher, and felt more happiness and love, as well as more positive in mood. Children from the city felt more fear than children living in the country. There were no statistically significant differences between children living in the city and country areas in quality of life and mood.

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