Anxiety and depression intensity and the quality of life of patients with an implanted pacemaker

Introduction. The consequences of anxiety and depression in various forms affect the course of cardiovascular diseases - including patients with an implanted pacemaker. To improve the quality of care for such patients, it is important to understand the scale of the problem, as well as to determine the impact of the above-mentioned symptoms on the patients' quality of life.Aim of research. The aim of the study was to assess the relationship between the quality of life and the anxiety and depression intensity on patients with implanted pacemakers.Material and methods. The study involved 100 patients hospitalized at the SPSK 4 cardiology clinic in Lublin with an implanted pacemaker. The method of diagnostic survey and research tools were used - the WHOQOL - Bref questionnaire to assess the quality of life and the Hospital Anxiety and Depression Scale (HADS-M). The results of the research are summarized in the statistical analysis.Results. The average score obtained by the respondents on the depression scale was 6.05 points with a standard deviation of 4.47. On the anxiety scale, this result was 7.99 points with a standard deviation of 4.54. The results indicating disorders in both scales concern values higher than or equal to 11 points. On the depression scale they were obtained by 16% of the respondents, while on the anxiety scale 26%. The conducted analyses showed a statistically significant relationship between the level of anxiety and depression and the quality of life of the respondents in all domains. The overall declared quality of life of the respondents and the self-esteem of the health condition were the lower, the higher the anxiety and depression severity coefficient in the study group.Conclusions.1. Most of the studied patients with pacemakers do not have high levels of anxiety and depression. 2. The occurrence of anxiety and depression affects the quality of life of respondents after pacemaker implantation in all domains. 3. Patients with high levels of anxiety and depression have a lower assessment of their quality of life and health

Nutritional status and quality of life of patients after pacemaker implantation

Introduction. Nutritional status is one of the factors determining the quality of life of patients. However, there are few reports on the correlation between nutritional status and quality of life in the group of patients with implanted cardiac pacing system.Purpose of research. The aim of the study was to assess the impact of nutritional status on the quality of life of patients with implanted pacemakers.Material and methods. 100 patients after pacemaker implantation, hospitalized at the cardiology clinic and treated at the SPSK 4 cardiology clinic in Lublin were examined. Standardized research tools were used - the WHOQOL-Bref questionnaire to assess the quality of life and the shortened scale to assess the nutritional status (MNA-SF). The results of the obtained research are summarized in the statistical analysis.Results. The average result of the respondents obtained in the MNA scale was 11.86 points with a standard deviation of 2.26. The nutritional status of the most of respondents (61%) was normal. In the studied group 35% were at risk of malnutrition, while 4% were malnourished. Statistically significant relationships between the nutritional status and quality of life were demonstrated in all domains. If the nutritional status of the respondents was better, their overall quality of life was higher, as well as their self-assessment of health.Conclusions. The overall assessment of the nutritional status of the studied patients is within the normal ranges. Nutritional status has an impact on the quality of life of respondents after pacemaker implantation in all QoL domains. High quality of life conform to the correct assessment of the nutritional status in the most of the studied patients

Quality of life of patients after a myocardial infarction

IntroductionA Latin adage says that "good health is better than the greatest wealth." [3] It has been known for a long time that the heart is the most important organ that works continuously throughout life to properly nourish all tissues, and thus determines the proper functioning and health of the entire human body. Meanwhile, despite the development of science, the advancement of diagnosis and treatment techniques, cardiovascular diseases, often leading to a heart attack, are the leading cause of death in most developed countries. [4]. Estimates of the National Centre For Heart Statistic say that 143 million people worldwide suffer from ischemic heart disease. [6]. A past of myocardial infarction, despite the high mortality, also affects the quality of life of patients. According to the definition of the World Health Organization (WHO), quality of life is an individual way in which an individual perceives his or her position in life in relation to the culture and value system in which he or she functions, as well as in the context of expectations, tasks and standards set by environmental determinants. [5]. The medical approach to the quality of life consists in identifying the patient's problems related to his physical, mental and social activity resulting from the disease and the treatment used, as well as describing his views on health and subjective well-being

Stress level and ways of coping with stress in a group of patients with unstable coronary heart disease

Introduction. Cardiovascular diseases still remain at the forefront of society's most important health problem and are one of the leading causes of death.Purpose of research. The aim of this study is to assess the degree of coping with stress in a group of patients treated for unstable angina.Material and methods. The research was conducted on 01.09.2019 - 01.03.2020. The size of the study group was 100 people, 45% of whom were women, 55% were men. People with diagnosed unstable angina took part in the study. The following research tools were used in this work to gather the necessary information: • Self-study report - contains 12 questions in the area of sociodemographic information, current disease and available support. • Mini-COPE - Inventory for Measuring Coping With Stress. • PSS-10 - Perceived Stress Scale. The above research tools made it possible to collect information on the sociodemographic data of the respondents, the degree of coping with stress and the scale of perceived stress.Conclusions. Younger people more often than older people focused on actively coping with stress. People in relationships coped with stress to a greater extent than single people and focused on development. Patients who remain professionally active cope better with a stressful situation than those on disability or retirement. People after surgical procedures were more planning-oriented than those treated with pharmacological treatment. The support of family and friends has a positive effect on coping with stress in patients with unstable angina.

Quality of life of patients after implantation of a pacemaker

Introduction. According to data from 2017 provided by the National Health Fund, nearly 30,000 pacemakers and 10,000 cardioverter-defibrillators have been implanted in Poland so far. Pacemaker implantation alone results in an improvement in the quality of life in approximately 35% of patients. Interest in the subject of quality of life can be seen in researchers from various fields since the middle of the last century. Despite the passing years, the demand for comprehensive research on the quality of life in the group of patients with an implanted pacemaker does not decrease.Purpose of research. The aim of the study was to assess the quality of life of patients after implantation of a pacemaker.Material and methods. The study included 100 patients after implantation of a pacemaker, treated at the SPSK 4 cardiology ward and outpatient clinic in Lublin from January to May 2020. The diagnostic survey method was used, and the WHOQOL-BREF standardized tool was used to collect the research material. The obtained results were compiled in a statistical analysis.Results. It was shown that 64% of patients with implanted pacemakers rated their quality of life as at least good. The result of the self-assessment of health was lower, 41% of respondents scored above the average criterion. The highest results were observed in the domain of the functioning environment, and the lowest in the physical domain.Conclusions. The quality of life of most subjects with an implanted pacemaker is at least at a good level. Self-assessment of patients' health is lower than the overall assessment of the quality of life. In patients with an implanted pacemaker, the quality of life was rated the lowest in the physical domain, and the highest in the aspect of the functioning environment

The level of knowledge of the rural population on risk factors and prophylaxis of hypertension

Abstract The aim of the study: The aim of the work was to determine the level of knowledge of the rural population on the subject of prevention and risk factors for hypertension. Material and method: The research covered a group of 200 people living in rural areas. The research was carried out from May to June 2017. A questionnaire of one's own authorship was used in the work, consisting of 19 closed one-choice questions. Results: The research shows that people living in rural areas have a high level of knowledge regarding the norms of normal blood pressure. 92% of the respondents correctly indicated the upper values of systolic pressure, and 98% of the respondents were able to determine the correct values of diastolic pressure. The knowledge of the subjects regarding dietary recommendations, physical activity and stimulants such as coffee and cigarettes was at low and medium Conclusions: : The low level of knowledge about risk factors and prophylaxis of hypertension was possessed by 48.5% of respondents, the remaining 51.5% of respondents had knowledge at the secondary level Key words: hypertension, risk factors, prophylaxi

Hypothyroidism being caused by chronic autoimmune inflammation of the thyroid gland

Disorders of the endocrine system are extremely important problems in Poland and around the world. According to the data presented by the Central Statistical Office in Poland in 2006, 22 % of the population suffered from thyroid disorders.  Hypothyroidism is usually caused by chronic autoimmune inflammation of the thyroid gland. It is one of the most common disorders of the thyroid concerning approximately 2% of the adult population. This disorder is related to higher risk of overweight and obesity due to decreased total body metabolism. Furthermore, it predisposes to dyslipidaemia thus increases the risk of cardiovascular disease

Nadwaga i otyłość a niedoczynność tarczycy = Overweight and obesity in hypothyroidism

Szwajkosz Katarzyna, Zwolak Agnieszka, Dudzińska Marta, Świrska Joanna, Oszywa-Chabros Anna, Wawryniuk Agnieszka, Łuczyk Robert, Daniluk Jadwiga. Nadwaga i otyłość a niedoczynność tarczycy = Overweight and obesity in hypothyroidism. Journal of Education, Health and Sport. 2016;6(7):419-428. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.58447 http://ojs.ukw.edu.pl/index.php/johs/article/view/3707 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.06.2016. Revised 09.07.2016. Accepted: 21.07.2016. Nadwaga i otyłość a niedoczynność tarczycy Overweight and obesity in hypothyroidism Katarzyna Szwajkosz1, Agnieszka Zwolak1,2, Marta Dudzińska1, Joanna Świrska1,2, Anna Oszywa-Chabros1, Agnieszka Wawryniuk1, Robert Łuczyk1, Jadwiga Daniluk1,3 1Katedra Interny z Zakładem Pielęgniarstwa Internistycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie 1Department of Internal Medicine with the Department of Internal Nursing, Faculty of Sciences Health, Medical University of Lublin 2Katedra i Klinika Endokrynologii, Uniwersytet Medyczny w Lublinie 2Department of Endocrinology, Medical University of Lublin 3Katedra Zdrowia, Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej 3Department of Health, the National School of the name of Pope John Paul II of Biala Podlaska Korespondencja: Katarzyna Szwajkosz Katedra Interny z Zakładem Pielęgniarstwa Internistycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie ul. Jaczewskiego 8, 20-954 Lublin tel. 81 742 58 25 [email protected] Streszczenie Wstęp. Niedoczynność tarczycy, najczęściej będąca skutkiem przewlekłego autoimmunologicznego zapalenia, jest jedną z najczęstszych patologii gruczołu tarczowego i dotyczy około 2% populacji. Niedobór hormonów tarczycy manifestuje się zwykle zmniejszeniem napędu życiowego, stanami depresyjnymi, pogorszeniem sprawności intelektualnej, nietolerancją niższych temperatur. Patologia ta wiąże się ze zwiększonym ryzykiem nadwagi lub otyłości, wtórnie do zwolnionego metabolizmu, a także jest czynnikiem sprzyjającym hiperlipidemii, co wiąże się ze wzrostem ryzyka sercowo-naczyniowego. Celem pracy była ocena występowania nadwagi i otyłości w grupie pacjentów z niedoczynnością tarczycy. Materiał i metody. W badaniu wzięło udział 101 pacjentów (77K, 24M, w wieku średnio 43 lat) z rozpoznaną niedoczynnością tarczycy. W toku badań zastosowano metodę sondażu diagnostycznego z wykorzystaniem autorskiego kwestionariusza ankiety oraz metodę pomiaru parametrów antropometrycznych, w tym BMI, obwodu talii i bioder. Wyniki. Wśród badanych pacjentów nadwagę (BMI 25-29,9) miało 39,6% badanych, otyłość I stopnia (BMI 30-34,9) 26,7% pacjentów, otyłość II stopnia (BMI 35-29,9)- 10,9%. Wartości BMI≥40 cechujące otyłość III stopnia stwierdzono u 2% badanych. Średnia wartość BMI wyniosła 28,9, przy czym pacjenci w wieku 18-25 lat istotnie częściej cechowali się prawidłową masą ciała niż badani w grupie wiekowej ≥65 lat (p=0,0003), podobnie pacjenci wieku 26-40 lat w porównaniu z badanymi ≥65 lat (p=0,001). Wnioski. Nadwaga i otyłość dotyczą większości pacjentów z niedoczynnością tarczycy, a ryzyko to rośnie wraz z wiekiem. Wartym rozważenia jest aktywna diagnostyka w kierunku chorób tarczycy wśród pacjentów z nadwagą i otyłością, także w warunkach podstawowej opieki zdrowotnej. Podjęcie prób aktywnego edukowania pacjentów z już zdiagnozowaną niedoczynnością tarczycy z towarzysząca nadwagą i otyłością do zmiany zachowań behawioralnych stanowi wyraz profilaktyki chorób sercowo-naczyniowych. Słowa kluczowe: otyłość, nadwaga, niedoczynność tarczycy, ryzyko sercowo-naczyniowe. Summary Introduction: Hypothyroidism is usually caused by chronic autoimmune inflammation of the thyroid gland. It is one of the most common disorders of the thyroid concerning approximately 2% of the adult population. This disorder is related to higher risk of overweight and obesity due to decreased total body metabolism. Furthermore, it predisposes to dyslipidaemia thus increases the risk of cardiovascular disease. Aim: The aim of the study was to evaluate the prevalence of overweight and obesity in patients with hypothyroidism. Material and methods: 101 patients (77F, 24M, with an average age 43years) with diagnosed hypothyroidism were enrolled into the study. A method of proprietary questionnaire was used with measurement of anthropometric parameters. Results: In the examined group of patients, 39,6% were overweight (BMI 25,0-29,9), first degree obesity (BMI: 30,0-34,9) was present in 26,7%; 10,9% of the patients had 2 nd degree obesity. 2% of the examined patients had third degree obesity with BMI ≥40 kg/m2. Mean BMI value was 28,9, whereas patients aged 18-25 years and patients aged 26-40 years had significantly more often normal body mass than patients aged 65 years and older (p=0,0003 and p<0,0001 respectively). Conclusion: Overweight and obesity concern the majority of patients with hypothyroidism and this risk is increasing with patients’ age. Therefore, it is worth considering evaluating routinely, also in General Practitioner’s office, thyroid function particularly in patients who are overweight or obese. Recognition and treatment of hypothyroidism combined with non-pharmacological actions in overweight and obese patients will be a form of cardiovascular diseases prophylaxis. Key words: overweight, obesity, hypothyroidism, cardiovascular risk

Awareness of risk factors for coronary heart disease in patients after myocardial infarction

Admission. Cardiovascular diseases are the leading cause of morbidity and mortality both in Poland and in the world. According to the World Health Organization (WHO) mortality due to coronary heart disease will increase in 2020 to 11.1 million. These statistics show that this is an important health problem. The aim of the study is to determine the level of awareness of the risk factors for coronary heart disease in patients after myocardial infarction. Materials and methods of research. The survey was conducted from February to April 2016. The study group consisted of persons after myocardial infarction, from 42 - 87 years of age. Respondents wishing to participate in the study were given a battery of tests consisting of a questionnaire author. The survey contained 30 questions and imprint (gender, age, height, weight, place of residence, education, duration of ischemic heart disease, the time elapsed since the last attack). The results were statistically analyzed. The values of the analyzed parameters measurable shown by the mean, median, minimum and maximum values and standard deviation, and the immeasurable using the frequencies and percentage. Conclusions. 1. Patients after myocardial infarction have little knowledge about the risk factors for coronary heart disease. 2. Respondents not able to identify modifiable and non-modifiable risk factors for coronary heart disease. 3. Education has an impact on the level of awareness of risk factors for coronary heart disease. People with higher and secondary education have a greater awareness of the risk factors of coronary heart disease than those with primary education. Sex, age, place of residence, disease duration, the time elapsed since the last attack did not affect the level of awareness of the risk factors for coronary heart disease. 4. The level of awareness of risk factors for coronary heart disease does not affect the everyday behavior of patients

Influence of atmospheric conditions on the incidence of atrial fibrillation

Admission. Atrial fibrillation is the most commonly encountered arrhythmia today. The risk of her occurrence increases with age. Atrial fibrillation is associated with serious complications, mainly thromboembolic disease, which is therefore a significant clinical problem. Changing weather conditions have a major impact on the well-being of people, especially the circulatory system. Poland is located in the place where wet and dry air masses are abrasive, which causes sudden changes in weather.Material and method. The study was conducted by the diagnostic survey method. The information needed to carry out the study was obtained using the author's questionnaire. The questionnaire consisted of a metric section containing questions about age, sex, place of residence and education. The study was conducted among patients in the Intensive Care Unit of the Independent Public Clinical Hospital No 4 in Lublin. The exclusion factor from further research was the diagnosis of a patient with hyperthyroidism.Conclusions. Atrial fibrillation is more common among male patients. With age, the number of patients with supraventricular arrhythmias is increasing. The most common method of restoring sinus rhythm is electrical cardioversion. Changes in atmospheric pressure ≥8 hPa have a significant effect on atrial fibrillation (p = 0.000506). Atmospheric conditions such as air humidity, wind speed, type and amount of precipitation, changes in air temperature, haze, presence of lightning did not have a statistically significant effect on the incidence of atrial fibrillation. The purpose of the study is to determine whether and how atmospheric conditions affect the occurrence of atrial fibrillation