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EN
Introduction. Self-efficacy is one of the most important determinants of behavior of adults and adolescents. The degree of self confidence attributable to oneself in order to overcome the difficulties of life and to achieve one's goals, both in healthy subjects and patients, determines the size of the effort and perseverance in taking action. According to The World Health Organization till 2020, chronic diseases will be the major cause of disability, and can be one of the most costly health problems. Therapy of chronic illness on the threshold of adult life requires, in addition to a comprehensive medical approach, the patient's active participation in the implementation of the treatment process. Therefore, the potential of young people entering adult life with the burden of diagnosed disease may indicate the direction of education of the chronically ill adolescents. Aim. The aim of this study was to assess the potential of young people, both healthy and diagnosed with a chronic disease, to overcome difficulties of life. Material and methods. The study used a questionnaire and KompOs scale (Personal Competence Scale), a standardized test in the field of Health Psychology. The study included 80 subjects aged 15-18 years, 40 patients with inflammatory bowel disease treated in the IP-CZD in Warsaw and 40 healthy students from Rzeszow. The study used a questionnaire and KompOs scale (Personal Competence Scale), a standardized test in the field of Health Psychology. It allows the evaluation of such features in subjects such as strength and endurance needed to take action and then to continue it. Results. For young people despite of their health state the age of majority is mainly associated with a sense of autonomy, pursuing the job and the sense of responsibility for themselves and their families, without arousing fear in any of those groups. Parents of adolescents with IBD, however, still show too excessive protectiveness, and only 32.5% of children has a different view on that in comparison with 82.5% a group of healthy children. The sum of the results obtained on a scale KompOs, in both studied groups is at the same level of average values, (6 sten). The differences can be seen in correlation with sociodemographic characteristics such as: place of residence, financial situation or fertility families. Youth without chronic disease burden had the average level of self-efficacy (sten 6), whereas young patients diagnosed with IBD had a higher sense of efficacy (sten 7). Children with IBD, residing in large cities, have a higher average number of points in both the overall scale and subscales KompOs like (strength, endurance) than their healthy peers. Conclusions. Young people with non-specific inflammatory bowel disease have a greater sense of strength and perseverance than their peers. The statistical significance between the number of points was obtained in the KompOs scale in the city of <100 thousand. The financial situation of families is different in both groups, especially in the persistence subscale.
EN
Maintaining high levels of well-being in the face of a chronic disease requires utilization of many psychosocial resources in the coping process. The efficacy of this process depends on using coping strategies that fit to the specificity of a particular chronic disease. The aim of this study was to show the relationships between well-being and coping strategies, and less studied constructs such as resiliency and personal empowerment among people with diabetes and rheumatoid arthritis. The study comprised 100 participants (59 with type I diabetes and 41 with rheumatoid arthritis) who completed a set of questionnaires measuring wellbeing, strategies of coping with stress, resiliency and personal empowerment. As expected, there was a significant indirect effect of resiliency on well-being through mediators such as personal empowerment and disease-specific coping strategies. The results support the significant determinants of well-being among people with chronic diseases. They also indicated a more complex structure of the variables in which resiliency plays a major role for the well-being by the means of coping strategies and personal empowerment.
EN
Introduction. Health education is the process of shaping the habit of caring for your health. The nurse's task is to prepare a chronically ill patient and his family to self-care at every stage of the disease, also during the terminal period. It is necessary to develop skills in coping with illness and disability and providing mental support. Aim. The aim of the research was to analyze the respondents' opinions on selected aspects of health education conducted by a nurse in relation to a chronically ill patient. Material and methods. The research was conducted among professionally active nurses. The method of diagnostic survey, questionnaire technique and author's questionnaire was used. Results. Most respondents emphasize the necessity of systematic actions of nurses taken by a nurse in the framework of health education of a chronically ill patient. Conclusion. The vast majority of nurses confirm that health education of a chronically ill patient is necessary. However, it is necessary to increase the emphasis on professional preparation of nurses for the role of an educator in undergraduate and postgraduate education.
PL
Wstęp. Edukacja zdrowotna to proces kształtowania u ludzi nawyku dbania o swoje zdrowie. Zadaniem pielęgniarki jest przygotowanie pacjenta przewlekle chorego i jego rodziny do samoopieki i samopielęgnacji na każdym etapie choroby, również w okresie terminalnym. Niezbędne jest kształtowanie umiejętności radzenia sobie z chorobą i niepełnosprawnością oraz udzielanie wsparcia psychicznego. Cel. Celem badań była analiza opinii respondentów na temat wybranych aspektów edukacji zdrowotnej prowadzonej przez pielęgniarkę w odniesieniu do pacjenta przewlekle chorego. Materiał i metody. Badania przeprowadzono wśród czynnych zawodowo pielęgniarek i pielęgniarzy. Wykorzystano metodę sondażu diagnostycznego, technikę ankietowania oraz autorski kwestionariusz ankiety. Wyniki. Większość respondentów podkreśla konieczność systematycznych działań pielęgniarek podejmowanych przez pielęgniarkę w ramach edukacji zdrowotnej pacjenta przewlekle chorego. Wnioski. Zdecydowana większość pielęgniarek potwierdza, że edukacja zdrowotna pacjenta przewlekle chorego jest konieczna. Niezbędne jest jednak zwiększenie nacisku na profesjonalne przygotowanie pielęgniarek do roli edukatora w ramach kształcenia przeddyplomowego i podyplomowego.
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