Most of the pathological changes in the spine begin with the physiological loss of intervertebral disc function. Discopathy of the lumbar spine leads to a significant deterioration in the quality of life, which is why the therapeutic team strives is to improve patients quality of life through actions aimed at reducing spinal dysfunction to an extent that allows for human functioning. The research aim was to determine the quality of life of patients who had been treat- ed as a result of discopathy of the lumbar spine and to establish the relationship between the experience of negative feelings and a subjective assessment of the quality of life with factors resulting frompatient socio-demographics. The study included 110 patients treated for lumbar discopathy. A diagnostic survey method was employed as a research technique, with the use of a proprietary survey questionnaire. Statistic analysis of the results was performedusing the statistical package PQStat v1.6.6. Subjective evaluation of patients quality of life in 66 persons (60%) was at an average level, only 6 (5.45%) respondents rated the quality of their lives as being higher. Those living in towns of up to 50,000 residents rated their quality of life higher (6.21), with the lowest level being reported by those living in the countryside (4.95). Age did not influence significantly the quality of life, but older people most often experienced pain (p=0.4). Analysis of variance did not show statistically significant differences between marital status and respondent quality of life (p = 0.53) but did show significant differences between education levels and the incidence of negative feelings such as fear, anxiety or depression. Socio-demographic variables: such as gender, age and marital status do not significantly differentiate the quality of life of the respondents. There is a relationship between experiencing negative feel ings and educational levels. The lower the education level obtained, the more often negative feelings are experienced. The experiencing of negative feelings and disease duration are variables that reduce the quality of life of respondents. ------------------------------------------------------------------------------------------------------------------------------------
Introduction: General quality of life, health, and sensation of pain caused by cancer are connected with the physical, mental and social state of a human being. Aim of the study: The aim of the study is self-assessment of life quality, general health, and pain sensations in breast cancer patients after adjuvant therapy with chemo- and radiotherapy. Material and methods: The study was carried out in 2016 at the Professor Franciszek Łukaszczyk Oncology Clinic in Bydgoszcz. 56 women with breast cancer were qualified for the study, upon completion of treatment. Socio-demographic and clinical data was used, questions 29 and 30 from the QLQ C30 questionnaire, and the Memorial Pain Assessment Card. Results: Generally, the average self-assessment of health and life quality was 4.98 and 5.18 points, respectively. Age, education, marital status and the place of residence did not have any influence on the self-assessment of health and life quality (p > 0.05). 46 women (82.1%) did not take analgesics. Those patients who did not take analgesics assessed their health and life quality better, with the average scores of 5.3 and 5.63 points, respectively. The average for pain intensity was 2.05 on a 0–11 scale. Most women – 14 (25%) – assessed their mood as very good. The mood average was 2.91 points. Only the administration of analgesics influenced the mood score (p = 0.001). Conclusions: Women with breast cancer after radical treatment assess their health and life quality as good. Those not taking analgesics assess their health and life quality better and are decidedly in a better mood than those taking such medications. Socio-demographic factors do not influence self-assessment of health, life quality, or pain intensity.
Chronic nicotinism has negative effects, both local and systemic. Its local effects are related to both the immediate thermal influence, as well as the toxic action of the substances contained in the smoke. In addition, the microflora colonizing dental plague is changed. The damage and the inflammatory processes that are incurred, affect the bone tissue of the alveolar processes, the mucosa, gums, and the tooth enamel. In this study, the tobacco smoking-related profile of patients being treated by way of implants was determined. Moreover, the relationship between cigarette smoking and pain sensation was assessed in patients undergoing surgical and prosthetic procedures in the oral cavity. The questionnaire survey covered 464 patients receiving prosthetic treatment at the “Dental” Non-Public Health Care Centre in Tomaszow Mazowiecki. The patients answered questions concerning their sex, age, the period of smoking, number of cigarettes smoked per day and the sensation of pain during bone reconstruction, implant placement and prosthetic procedures. The most numerous group of patients treated with implants were women: either non-smoking or smoking for less than 20 years at a level of less than 20 cigarettes a day, and men aged 40-60 years who have been smoking for over 20 years, at more than 20 cigarettes a day. The results of the survey reveal that non-smoking patients felt pain during bone reconstruction, implant placement and prosthetic procedures more frequently.
Chronic pain syndrome (CPS), accompanying pancreatic diseases, especially chronic pancreatitis and pancreatic cancer requires the strongest analgesic agents and is considered difficult to manage. Conservative methods are unsatisfactory and their side effects lead to serious somatic and mental comorbidities.The aim of the study was to perform an initial evaluation of videothoracoscopic bilateral splanchnicectomy using the posterior approach, as the method of treatment in cases of advanced pancreatic cancer.Material and methods. During the period between May and July 2005 there were 10 simultaneous bilateral videothoracoscopic splanchnicectomies (BVSPL) performed in patients with chronic pain syndrome, due to advanced pancreatic cancer, at the Department of General, Endocrinological and Transplant Surgery, Medical University of Gdańsk.Results. All patients were discharged from the hospital on the second postoperative day. Subjective pain measured by the VAS scale changed from 84.3±7.6% before the operation to 25.3±5.3% during the first and second postoperative days. The median follow-up of patients was approximately 4 months (ranging between 2 and 6 months). The intensity of pain 2, 6, and 12 weeks after the procedure was 28.7±4.7%, 30.3±5.4% and 36.2±4.7%, respectively.Conclusions. This is the first description of this safe and feasible method in the Polish surgical literature. The surgical procedure can be safely performed in most surgical departments equipped with videoscopic instruments. Moreover, the short learning curve enables surgeons to perform this procedure well after a short training period. In combination with good results concerning subjective pain reduction, it can be concluded that BVSPL should be incorporated into the spectrum of surgical procedures in most surgical departments in Poland.
INTRODUCTION: A pain response is an inevitable symptom in trauma patients and requires to undertake a medical intervention in pre-hospital conditions. In the Polish system of medical rescue, there are teams including a doctor or without one where a paramedic is the main person to make decisions. Due to lack of standard procedures and a pain rating scale attached to the documents of medical rescue teams, the authors of the research attempted to analyse the administration of analgesics in trauma patients. MATERIAL AND METHODS: The research was conducted on 266 trauma patients selected from 2307 interventions of Emergency Medical Service in Łęczyca in 2016. ANOVA, one-way analysis of variance, and T-tests for unpaired samples were applied. All the results were found significant at p < 0,05. RESULTS: The study was carried out on 150 males and 100 females. The average age of the the trauma patients was 77 (SD ± 38). Rescue teams were sent to trauma patients at 71-80 and 51-60 age groups. In 64,7 % (n=172) of the cases, help was provided in rural areas, whereas in 35,3 % (n=94) cases - urban areas. Most frequently, the patients were injured as a result of traffic accidents, activities while carrying out farm work as well as cut wounds and self-mutilation. Anaesthesia was applied in 120 cases (45,11%), mostly in patients between the age of 81 and 90 and most rarely in children. A total number of painkiller administration was higher in basic Emergency Medical Services (BEMS) than in specialized ones (S-EMS) (84 vs. 55). No statistically significant relation between the choice of the medicine and the injury type was discovered (Kruskal-Wallis; p=0,82). The drug used most often was Ketoprofenum (n=87) and Fentanylum (n=35). There was significant difference in the administration of analgesic drugs between BEMS and S-EMS teams (χ2; p=0,042). CONCLUSIONS: Over half of the trauma patients was not secured by administering analgesic drugs in pre-hospital conditions. The number of analgesic drugs used in B-EMS and S-EMS teams was diverse. Patients were given nonsteroidal anti-inflammatory drugs (NSAIDs) more often than opioids.
PL
WSTĘP: Reakacja bólowa jest nieodłącznym objawem u pacjentów urazowych i wymaga podjęcia interwencji medycznej już w warunkach przedszpitalnych. W polskim systemie ratownictwa medycznego funkcjonują zarówno zespoły z lekarzem, jak i bez lekarza, gdzie kierownikiem jest najczęściej ratownik medyczny. W obliczu braku standardów postępowania, ani skal oceny bólu dołączonych do dokumentacji pogotowia ratunkowego, autorzy badania podjęli próbę analizy zastosowań leków analgetycznych u pacjentów urazowych. MATERIAŁ I METODY: Badaniem objęto 2307 interwencji pogotowia ratunkowego w Łęczycy w roku 2016, z czego wyselekcjonowano 266 wezwań do pacjentów urazowych. Zastosowano jednoczynnikową analizę wariancji ANOVA oraz T-testy dla zmiennych niepowiązanych. Wszystkie wyniki uznano za istotne przy wartości p < 0,05. WYNIKI: Badaniem objęło 150 mężczyzn i 110 kobiet. Średnia wieku poszkodowanych urazowych wyniosła 77 lat (SD ± 38). Zespoły najczęściej były dysponowane do pacjentów urazowych w przedziale wiekowym 71-80 lat oraz 51-60 lat. W 64,7 % (n=172) przypadków udzielano pomocy na terenach wiejskich, zaś w 35,3 % (n=94) były to tereny miejskie. Pacjenci ulegali najczęściej urazom w wyniku wypadku komunikacyjnego, czynności wykonywanych podczas prac rolniczych, a także ran i samookaleczeń. Znieczulenie zastosowano w 120 przypadkach (45,11%), najczęściej u pecjentów w wieku 81-90 lat (n=18), a najrzadziej u dzieci. Łączna liczba zastosowań leków przeciwbólowych jest wyższa w zespołach podstawowych niż specjalistycznych (84 vs. 55). Nie wykazano istotnej statystycznie zależności doboru leku w stosunku do rodzaju urazu (Kruskal-Wallis; p=0,82). Najczęściej stosowanym lekiem był Ketonal (n=87) oraz Fentanyl (n=35). Wykazano istotną statystycznie zależność w liczbie zastosowań anelgetyków pomiędzy grupami "B-EMS" i "S-EMS" (χ2; p=0,042). WNIOSKI: Ponad połowa pacjentów urazowych nie jest zabezpieczana przez podanie środków anelgetycznych w warunkach przedszpitalnych. Ilość stosowanych analgetyków w zespołach podstawowych i specjalistycznych jest zróżnicowana. Najczęściej podawano leki z grupy NLPZ.
Background: The aim of this research is to evaluate analgesic effectiveness of infrared radiation and interference currents in degenerative diseases of joints. On the grounds of current practical and theoretical experience, the following hypothesis was formed: Application of interference currents and infrared radiation constitutes effective analgesic therapy in degenerative diseases, and in the case of the applied treatment, its effectiveness is long-term. Material/Methods: Tests were conducted on a group consisting of 32 women and men in the age range of 65-87 years of age suffering from a degenerative disease of the knee joint. The patients were applied a series of 10 treatments with application of the Sollux lamp for 15 minutes and interference currents of 50-100 HZ frequency for 5 minutes and 90- 100 Hz for 10 minutes during treatment. Evaluation of the efficiency of therapy was checked by means of the VAS scale and the Laitinen scale. Results: The results indicate an efficient analgesic effect according to the VAS scale immediately after treatment p = 0.002 and a month after treatment p = 0.000 as well as according to the Laitinen scale immediately after treatment p = 0.004 and a month after treatment p = 0.004. Conclusions: Application of infrared radiation and interference currents indicates an analgesic effect. These treatments may be alternative or supportive to pharmacological treatment in the case of degenerative changes in people who are over 65 years of age. Results of the research suggest continuation of further research on the effectiveness of the above-mentioned therapy and the length of preserving analgesic results in people with degenerative diseases of joints
Introduction: Chest pain is one of the symptoms of lung cancer. Chest pain disrupts patient’s functioning in somatic and psychic area. Purpose: Whether the existence of chest pain affects the level of perioperative anxiety in lung cancer patients. Is there a relationship between everyday functioning due to the chest pain and the level of perioperative anxiety? Is there a relation between anxiety associated with pain and gender? What is the cause of anxiety in this group of the patiens? Methodology: The study was conducted among 150 patients with lung cancer before the scheduled surgery. Data was collected with the use of questionnaire assessment of perioperative anxiety level in patients with lung cancer. Results: The chest pain before the surgery was confirmed by 63 (42%) patients, in case of 87 (58%) patients it was not identified. Chest pain was in case of 48% women and 36% men. 50 (33,3%) research participants who experienced chest pain and 35 patients (23,3%) without this symptom declared experiencing perioperative anxiety. In patients with lung cancer, the correlation: between chest pain and perioperative anxiety was (Z = -4.67; p< .001); between the difficult daily functioning of pain and perioperative anxiety was (Z = -4.72; p< .001); between gender and perioperative anxiety associated with pain was (Z = -3.24; p = 001). Patients afraid of: pain (37,3%), breathing problems (24,0%), physical disability (16,0%), eating problems (12,0%) sleep disorders (9,3%), nothing (1,3%). Conclusions: Patients with chest pain exhibited significantly higher of perioperative anxiety levels than non-symptomatic patients, as well as higher anxiety levels due to deteriorated daily functioning caused by the disorder. Women had a higher level of anxiety associated with pain than men before the surgery. Patients with lung cancer were most afraid of pain in the perioperative period.
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.
It is generally believed that athletes experience pain in a different way than normally active individuals. Many scientists have confirmed the hypothesis that long-term physical activity can alter the perception of pain, i.e. athletes have a higher pain sensation and pain tolerance thresholds. The measurement of pain intensity is carried out using subjective methods based on verbal and non-verbal information, describing the clinical characteristics of pain. These psychological methods include the use of scales and questionnaires. Objective methods (thermal, mechanical and electrical) are used only to determine the pain sensation and pain tolerance thresholds. The specificity and prevalence of chronic pain syndromes have resulted in the increased number of studies on healthy and physically active individuals. It seems that determination of the effects of exercise on the perception of pain might help in the understanding of mechanisms of pain generation.
One of our study direction is research in the group of compounds affecting the TRPA1 ion channel which can perform an important function in pain (including neuropathic pain) and inflammation for example in asthma and other chronic respiratory diseases. The aim of this study was to evaluate the analgesic and anti-inflammatory activity of two analogues of HC-030031 analogues belonging to nitrogen derivatives of heterocyclic system: xanthine (cmpd 1) and benzimidazole (cmpd 2) with hydrazide and amide moieties respectively In this paper, for two derivatives (cmpd 1 and cmpd 2) potential analgesic and anti-inflammatory/anti-edematous activities were evaluated in animal models of pain in mice (writhing response test, formalin test) and inflammation in rats (carrageenan-induced paw edema test). Both the tested compounds 1 and 2 showed a significant analgesic and anti-inflammatory activity.
Rehabilitation of patients with a diagnosed cancer poses a major challenge for physiotherapists (PT) due to the limited number of methods which may be used on every stage of cancer treatment (including convalescence). Kinesiology Taping (KT) is one of the few available options that enable pain and oedema reduction. Limited number of studies with significantly varied study methods makes it difficult to draw clear conclusions on the legitimacy of KT use. Aim of the review was to analyse available studies on the KT use in pain management and associated discomfort reported by cancer patients. Six papers met the criteria for the review and were included in the detailed pooled analysis (2 clinical studies and 4 case studies). Analysis emphasized papers describing analgesic effect of KT. On the basis of available studies, it proved to be beneficial for oncology patients (breast cancer, lung cancer, multiple myeloma). Additionally, studies reported an increased ability to carry out daily activities, decreased ‘psychological suffering’ and lower fatigue which directly resulted in the improvement of the quality of life (QoL) – a main goal of palliative care. The number of studies that evaluate the effectiveness of KT in pain reduction in oncology patients is scarce. Since KT has minor adverse effects it is recommended to be used as an adjunct analgesic therapy. Review supports the effectiveness of KT for pain management in oncologic patients. In order to confirm the efficacy of KT use in cancer patients, a greater number of randomized clinical trials, covering larger study groups, is required with special emphasis on malignant neoplasms.
Introduction Hypermobility is diagnosed by detecting asymptomatic and increased mobility of the joints over accepted standards. It might be inborn or practiced. The second one is a result of regular exercising e.g. dance career which generates loads in excess of tissues’ capacity of repairing which is leading to many chronic injuries. Main purpose of the research was to detect a correlation between the joint hypermobility presence and the injury occurrence in jazz dancers group. Material and methods The research have been conducted among 30 jazz dancers and 30 non-dancers. There has been used a survey with the following questions related with the physical activity, treatment of the occurred injuries, type of the stabilizing exercises, pain’s frequency and intensity (VAS Pain). In order to examine a hypermobility Beighton Score was used. Results In 27 dancers the joint hypermobility was detected and 23 of them suffered an injury in their life. The most common type of injury was a biceps femoris muscle strain (12 people). An average number of points from Beighton Score was 5.53. In the control group the hypermobility was detected in 9 people. An average number of points was 2.13. Mostly dancers were complaining about the pain in the knee joint (15 people, avg. 2.07 VAS points). In the control group the pain was related with the lumbar spine column (12 people, avg. 1.33 VAS points). The points from Beighton Score reached by the dancers was correlated with the injuries occurrence. The time of doing stabilizing exercises had no impact on the prevalent contusions but there was a correlation between the time and the frequency and intensity of the pain. Conclusions Benign hypermobility joint syndrome was more common among the dancers than non-dancers and was related with pain occurrence.
Laparoscopic ventral hernia repair has become popular technique. Every year, companies are introducing new products Thus, every mesh prior to introduction in clinical settings should be tested with a dedicated tacker to discover the proper fixation algorithm. The aim of the study was to assess the safety and efficacy of the Ventralight ST implant with an ECHO positioning system and a dedicated fixation device, the SorbaFix stapler, in a prospective cohort of patients. Material and methods. The study was a prospective single centre cohort study with a one-year followup period. Fifty-two patients received operations for a ventral hernia using a laparoscopic IPOM mesh – Ventralight ST ECHO PS. The size of the mesh and the fixation method were based on mathematical considerations. A recurrence of the hernia and pain after 1, 2 and 12 months were assessed as the primary endpoints. Results. Two recurrences were noted, one in parastomal and one in a large incisional hernia. Pain was observed in 22 patients (41%) and mostly disappeared after 3 months (7%). The intensity of pain was low (VAS <2). However, 2 patients still experienced severe pain (VAS>6) until the end of the study. Conclusion. The Ventralight ST Echo PS implant fixed with a Sorbafix stapler is a valuable and safe option for a laparoscopic ventral hernia repair. In our opinion, the implant could be used in all patients due to the hernia ring diameter. According to the mathematical models and clinical practice, we do not recommend this implant in orifices with a width larger than 10 cm.
Introduction The aim of this study was to investigate the functional changes in the upper extremity of the intact side of hemiplegic patients within 0-12 months after stroke. Material and methods The study included 32 individuals with Stage 3 and Stage 4 progression according to Brunnstrom stages, whose right side was dominant. The age range of the individuals in the study was 45-80 years. This research was a prospective study planned according to the single group pretest-post test pattern. There was no control group. Results As a result of the study, it was determined that pain increased in the shoulder region of the non-affected side during the one-month follow-up period and therefore, upper extremity functionality decreased. After one month, strength values of grip, shoulder flexion (left intact), shoulder extension, shoulder abduction (right intact), shoulder internal rotation, shoulder external rotation (left intact), elbow flexion, elbow extension, and wrist extension increased. Furthermore, during this follow-up period upper extremity functionality decreased, pain values increased in the shoulder area, and hand grip strength values increased in individuals whose disease duration was 0-6 months and 7-12 months. Conclusions The non-affected upper extremity of a stroke patient plays an important role in helping them throughout the activities of their daily life. This study concluded that, upper extremities of the non-affected side of hemiplegic patients are also affected in terms of muscle strength, pain and functionality.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are used by millions of people worldwide to neutralize pain that is of different origin, as well as to treat fever and inflammation. However, NSAIDs misuse/overuse can induce many adverse effects and some potentially serious complications. The aim of the our study was to ascertain young people’s knowledge about non-steroidal anti-inflammatory drugs. The research tool was a questionnaire. This study was carried out among students of the Medical University in Lublin, and it involved 236 persons of an average age of 20 years. The questions were intended to assess the frequency of NSAIDs use and the general knowledge that is held with respect to them. The results of this work show that more than 77% of the respondents confirmed that they use NSAIDs. Our results revealed no statistical correlation between the place of living or origin and the use of this drug. Hence, it can be said that while young adults quite often use NSAIDs, their knowledge about the dangers associated with the use of NSAIDs is low. Therefore, it is necessary to more intensively disseminate knowledge on the potential adverse effects of NSAID utilization.
The aim of the present study was to investigate the effect of warm-up and cool-down exercise on delayed onset of muscle soreness at the distal and central parts of rectus femoris following leg resistance exercise. Thirty-six volunteers (21 women, 15 men) were randomly assigned to the warm-up (20 min ergometer cycling prior to the resistance exercise), cool-down (20 min cycling after the resistance exercise), or control group performing resistance exercise only. The resistance exercise consisted of front lunges (10x5 repetitions/sets) with external loading of 40% (women) and 50% (men) of body mass. Primary outcomes were pressure pain threshold along rectus femoris and maximal isometric knee extension force. Data were recorded before the resistance exercise and on the two consecutive days. Pressure pain threshold at the central muscle belly was significantly reduced for the control group on both day 2 and 3 (p≤0.003) but not for the warm-up group (p≥0.21). For the cool-down group, pressure pain threshold at the central muscle belly was significantly reduced on day 2 (p≤0.005) and was also lower compared to the warm-up group (p=0.025). Force was significantly reduced on day 2 and 3 for all groups (p<0.001). This study indicates that aerobic warm-up exercise performed prior to resistance exercise may prevent muscle soreness at the central but not distal muscle regions, but it does not prevent loss of muscle force.
Introduction and objective: Pain is the most common and universal symptom among all patients with the oncological disease. Pain significantly reduces the quality of life, hinders decent functioning, and plays a significant role in the deterioration of the mental health of the patient and his close relatives. The study aimed to discuss the mainstreaming of effective pain treatment and to review various assessments and scales (including Brief Pain Inventory, Illness Perception Questionnaire and Numeric Rating Scale) concerning the psychological aspect of pain in selected neoplastic diseases.State of knowledge: We can distinguish various treatments for pain that can be divided into pharmacological and non-pharmacological methods. Latest studies revealed that pain treatment appears to be more and more meaningful. Various factors might influence pain perception and response to the applied treatment. Among all malignancies, special attention is paid to the pain issue in following cancers: colon cancer, gastric cancer, pancreatic cancer, ovarian cancer, breast cancer and lung cancer, that were described in this paper. Conclusions: Effective pain relief presents a positive effect, both on the physical and mental state of the patient. It also helps to maintain calm mental health among relatives. Nowadays, integration of the best methods for pain relief that are characterized as humanitarian, easily accessible and effective, seems to be one of the biggest challenges for both oncological and palliative health workers.
Pain is an authentic part of humanity. This text deals with the topic of pain within the context of sports. It compares the agon of war to the agon of sports. Here, pain is considered as a physical phenomenon, as a cultural and social construct as well as a meaningful phenomenon. Another issue addressed in this paper is how pain is presented as an authentic component of performing sports. A loss of authenticity in sports is mentioned in connection with the prevalence of injuries. Special attention is paid to the topic of death, which is understood as being a part of the horizon of pain. The last part of the article focuses on crises in professional sports and asks about the meaning of pain and suffering in sports.
Rheumatoid arthritis (RA) is an autoimmune disease present among close to 0.3 – 1.5% of the population, mainly women. The disease usually starts in the hand joints, which are gradually deformed, quickly impairing the normal functioning of the patients. The pain, loss of the smooth movements and the deformation of hands influence the impairment of everyday activities and decrease the quality of the patients’ lives. The goal of this work is the assessment of the effectiveness of manual therapy in alleviating the symptoms of the developing RA in the area of the hand joints, especially verifying whether the manual therapy decreases the experienced pain, improves the manual dexterity, as well as verifying how the therapy influences the everyday activities and the quality of life of the examined patients in the emotional as well as in the social and professional aspects. There were 25 women with diagnosed RA taking part in the study, which underwent a 2-week manual therapy. The effectiveness of the therapy was assessed with help of hand movement tests and questionnaires, including the modified Laitinen’s scale and the FRI test. The results showed, that the use of the manual therapy significantly improved the quality of the examined women’s lives. Manual therapy may be an effective therapeutic method for RA patients.
Introduction. Pain in cancer diseases is a significant factor increasing suffering, anxiety and sufferer's dependence on other people. The stronger the pain, the more dependent the patients are. They require more help in everyday activities. Nurses play the key role in recognition and controlling the pain since they spend a considerable amount of time with patients in hospice. Aim. The aim of this study was to assess the knowledge of nurses on pain treatment delivered in training on methods of pain treatment. Material and method. The study used questionnaire carried out among 50 nurses working in Nursing Home facility in Kraszewo Czubaki. The study was conducted with the use of diagnostic survey. Results. More than 84% of respondents participating in training claim that they are familiar with the methods of pain treatment. However, 83% of respondents, who have not participated in any post-graduate training on methods of pain treatment, do not have sufficient knowledge about methods of pain treatment. Conclusions. The study showed that training has significant influence on the knowledge about methods of pain treatment used by nurses working in hospice.
PL
Wstęp. Ból w chorobie nowotworowej jest znaczącym czynnikiem zwiększającym cierpienie, niepokój i zależność chorego od innych osób. Im dolegliwości bólowe są silniejsze, tym pacjent jest mniej samodzielny i wymaga większego wsparcia w prostych czynnościach dnia codziennego. Zasadniczą rolę w procesie rozpoznawania i kontrolowania bólu odgrywa pielęgniarka, która spędza w hospicjum z pacjentem najwięcej czasu. Cel. Celem pracy była ocena wiedzy pielęgniarek uzyskanej w czasie szkoleń w zakresie metod leczenia bólu. Materiały i metody. Materiał do analizy stanowiły ankiety przeprowadzone wśród 50 pielęgniarek pracujących w Zakładzie Opiekuńczo Leczniczym Kraszewo Czubaki. Badanie zostało przeprowadzone z wykorzystaniem metody sondażu diagnostycznego. Wyniki. Ponad 84% osób uczestniczących w szkoleniach twierdzi, że zna metody leczenia bólu. Natomiast ponad 83% badanych, które nie brały udziału w formach kształcenia podyplomowego przyznaje, że nie posiada wiedzy w zakresie terapii bólu. Wnioski. W wyniku przeprowadzonych badań ustalono istotny wpływ szkoleń na znajomość metod leczenia bólu przez pielęgniarki pracujące w hospicjum.
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