Evaluation of health behaviour of patients with arterial hypertension and its selected predispositions

Introduction. Arterial hypertension is a valid modifiable risk factor of the circulatory system diseases. The aim of this study was to evaluate the health behaviour of patients with arterial hypertension and its selected predispositions. Material and methods. The study was conducted in the Cardiology Department of the Clinical Hospital no. 4 in Lublin, the Cardiology Department of no. 1 Military Hospital in Lublin and Cardiology Department of Public Clinical Hospital no. 1 in Lublin. In the study the diagnostic survey of the Inventory of Health Behaviour (Inwentarz Zachowań Zdrowotnych, IZZ) by Juczynski Z. was used. The patients’ body mass and height BMI (Body Mass Index) for each of them was calculated. Results of the study. The patients with arterial hypertension most often declare a high level of health behaviour. The research subjects show more beneficial health behaviour in the areas of preventative actions, health practices and positive mental attitude than in the healthy eating habits domain. Conclusions. BMI index does not differentiate the level of healthy eating practices and preventative actions. However, the level of health practices is significantly higher among people diagnosed with excess weight and obesity. It is an optimistic attitude to life that influences health behaviour positively rather than realistic and pessimistic attitude. The placement of the health assessment responsibility is linked to the mental attitude of the studied patients

Hope in hospitalized patients with terminal cancer

Hope is of great importance for patients diagnosed with cancer, especially those that are terminally ill. The diagnosis often puts an end to the realization of personal, social, and professional goals. The aim of this study was to characterize the hope of hospitalized patients diagnosed with cancer in the terminal phase of the disease. The research tool used in the study was Block’s hope test (NCN-36; NCN- Nadzieja Chorych Nowotworowych—Hope of Cancer Patients), designed for patients with life-threatening diseases. The results showed that the patients were characterized by a moderate level of global hope. The highest levels of hope were noted in the spiritual-religious area and the lowest levels of hope concerned curing the disease. Patients exhibited varied levels of hope and varied internal structures of hope. They presented four different types of hope: optimistic, moderate, religious, and weak. Optimistic hope was found most frequently in patients diagnosed with a terminal phase of cancer, while weak hope was represented by the smallest group of these patients

Research concepts use in the diagnosis and treatment of urinary incontinence

Olszak Cecylia, Nowicka Elżbieta, Baczewska Bożena, Łuczyk Robert Jan, Kropornicka Beata, Krzyżanowska Ewa, Daniluk Jadwiga. Research concepts use in the diagnosis and treatment of urinary incontinence. Journal of Education, Health and Sport. 2017;7(12):248-261. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1127709 http://ojs.ukw.edu.pl/index.php/johs/article/view/5158 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; 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: 01.12.2017. Revised: 15.12.2017. Accepted: 22.12.2017. Attitude of patients with type 2 diabetes towards the disease versus chosen sociodemographic and medical factors – psychometric properties of the DAS-3 scale in the Polish version Postawa wobec choroby osób chorych na cukrzycę typu 2 a wybrane czynniki socjodemograficzne i medyczne –właściwości psychometryczne skali DAS-3 w wersji polskiej Cecylia Olszak1, Elżbieta Nowicka1, Bożena Baczewska1, Robert Jan Łuczyk1, Beata Kropornicka1, Ewa Krzyżanowska1, Jadwiga Daniluk1 1Katedra Interny z Zakładem Pielęgniarstwa Internistycznego Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie 1Department of Internal Medicine and Department of Internal Medicine in Nursing, Faculty of Nursing and Health Sciences, Medical University of Lublin Abstrakt Wstęp: Celem badania była wstępna ocena właściwości psychometrycznych skali Badania Postawy wobec Cukrzycy (DAS-3P) w wersji polskiej w grupie osób chorych na cukrzycę typu 2 oraz określenie wpływu wybranych czynników socjodemograficznych i medycznych na postawę wobec choroby. Materiał and Metody: Badania przeprowadzono w grupie 227 osób chorych na cukrzycę typu 2, które były leczone w Poradni Diabetologicznej i w Klinice Endokrynologii w Samodzielnym Publicznym Szpitalu nr 4 w Lublinie. Oceniono trafność teoretyczną za pomocą konfirmacyjnej i eksploracyjnej analizy czynnikowej metodą osi głównych skali DAS-3. Rzetelność skali DAS-3 określono poprzez zbadanie wewnętrznej spójności testu i analizę wartości współczynnika alpha Cronbacha. Do oceny różnic między średnimi wykorzystano test t i jednoczynnikową analizę wariancji. Wyniki: Po weryfikacji współczynnik zgodności wewnętrznej alfa Cronbacha, dla całej skali DAS-3P osiągnął  = 0,79. Normalność rozkładu skali DAS-3P nie odbiega znacząco od rozkładu symetrycznego. Wykazano różnicę statystycznie istotną (p < 0,05) pomiędzy płcią, miejscem zamieszkania, poziomem wykształcenia, zapotrzebowaniem na wsparcie rzeczowe oraz udziałem w szkoleniach a wynikiem średniej skali DAS-3P. Natomiast wiek, obecność partnera życiowego, aktywność zawodowa, BMI, czas trwania choroby metoda leczenia, poziom stężenia HbA1C nie różnicowały statystycznie istotnie (p > 0,05) wyników skali DAS-3P. Wnioski: 1.Występuje konieczność kontynuowania prac nad właściwościami psychometrycznymi skali DAS-3 w wersji polskiej na dużej próbie osób chorych na cukrzycę typu 2; 2. Badaną grupę chorych na cukrzycę typu 2 ogólnie cechuje pozytywna postawa wobec choroby oceniana skalą DAS-3P; 3.Wyższe wartości na skali Badania Postawy wobec Cukrzycy (DAS-3P) osiągnęły osoby płci męskiej, mieszkające w mieście, legitymujące się wykształceniem wyższym, oczekujące wsparcia rzeczowego oraz biorące udział w szkoleniach na temat cukrzycy. Słowa kluczowe: cukrzyca typu 2, postawa, czynniki socjodemograficzne, czynniki kliniczne, właściwości psychometryczne Abstract Background: The objective of the study was to develop the initial assessment of psychometric properties in the Polish version of the Diabetes Attitude Scale (DAS-3P) for a group of people with type 2 diabetes and to determine the impact of the selected sociodemographic and medical factors on the patients’ attitude towards the disease. Materials and Methods: The study was conducted on a group of 227 people with type 2 diabetes who were treated at the Diabetes Outpatient Clinic and the Endocrinology Clinic of the Independent Public Clinical Hospital No 4 in Lublin. The theoretical accuracy was assessed by means of confirmatory and exploratory factor analysis and the method of scale DAS- 3 major axis. The accuracy of the DAS-3 scale was determined by examining the internal test congruity and analysing the value of Cronbach’s alpha coefficient. The differences between the mean values was determined by the t test and the single factor analysis of variance. Results: Following the revision, Cronbach’s alpha internal congruence coefficient reached a = 0.79 for the whole DAS-3P and the normality of the DAS-3P distribution does not deviate significantly from the symmetrical distribution. However, the study showed a statistically important difference (p < 0.05) between gender, place of residence, level of education, need for material support, participation in training and the mean DAS-3P score. The age, the presence of a domestic partner, job activity, BMI, duration of the disease, the treatment method, the concentration level of HbA1C were not of statistical importance (p > 0.05) for the DAS-3P scores. Conclusions: 1.There is a need to continue with the study into the psychometric properties of the DAS-3 scale in the Polish version on a large study population with type 2 diabetes, 2. The survey group of patients with type 2 diabetes shows a positive attitude towards their disease assessed by the DAS-3P, 3. Higher scores in the Diabetes Attitude Scale (DAS-3P) were obtained by males living in the city, with higher education background, in need of material support and participating in training on diabetes. Keywords: type 2 diabetes, attitude, sociodemographic factors, clinical factors, psychometric properties

Life quality of patients with chronic obstructive pulmonary disease

Introduction and the aim: Chronic obstructive pulmonary disease (COPD) belongs to the group of the most frequent chronic diseases. The major, and at the same time the most crucial goal of the actions undertaken for patients with COPD, is increase in early detection of this disease which will contribute to the decrease in morbidity and mortality. The aim of the study was to assess the quality of life of patients with chronic obstructive pulmonary disease.Material and methods: The survey was conducted among 100 patients with recognized chronic obstructive pulmonary disease, treated in the Department of Pneumology, Oncology and Allergology, as well as in the Clinic of Pulmonary Diseases and Tuberculosis of the Independent Public Clinical Hospital no. 4 in Lublin as well as in ambulatory way. The research material was collected with help of the questionnaire - St George's Respiratory Questionnaire (SGRQ) for patients with respiratory system diseases.Results: Data analysis shows that in the range of 50% to 100% there were 72 persons, which indicates low level of life quality. Among 96 respondents, the quality of life in the category "symptoms" fit in the range 50% to 100% while no one fit in the range 0% to 10% which means that none of the respondents has reached the best quality of life in this category. The category of the impact of the disease on daily life obtained the best assessment as 69 respondents fit in the range 50% to 100%.Conclusions: Majority of respondents assess their quality of life on rather low level. The lowest quality of life was obtained in the category "symptoms". The dyspnoea was the disease symptom that occurred most often among the respondents. Longer duration of the chronic obstructive pulmonary disease was related to the deterioration of patients' quality of life

Evaluation of the need for education of a patient with ischemic heart disease

Zajdel Maciej, Baczewska Bożena, Kropornicka Beata, Olszak Cecylia, Muraczyńska Bożena, Dzirba Alina, Łuczyk Robert Jan. Evaluation of the need for education of a patient with ischemic heart disease. Journal of Education, Health and Sport. 2018;8(9):1165-1174 eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1422395 http://ojs.ukw.edu.pl/index.php/johs/article/view/6034 https://pbn.nauka.gov.pl/sedno-webapp/works/878324 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 02.08.2018. Revised: 18.08.2018. Accepted: 20.09.2018. Evaluation of the need for education of a patient with ischemic heart disease Maciej Zajdel1, Bożena Baczewska1, Beata Kropornicka1, Cecylia Olszak1, Bożena Muraczyńska2, Alina Dzirba3, Robert Jan Łuczyk1 1Chair of Internal Medicine and Department of Internal Medicine in Nursing, Medical University of Lublin 2Department of Surgery and Nursing 3Medical Rescue Center, Medical University of Lublin ABSTRACT Cardiovascular diseases are still a serious problem both in the world and in Polish society. It is estimated that in Poland they are responsible for almost half of deaths. The basis for counteracting this trend is first and foremost prevention of primary as well as secondary prevention. It seems that the main activity in this area is to conduct extensive educational activities aimed at both risk factors, prevention principles and the need to make changes in lifestyle. The study was conducted using the case-by-case study method, using the proprietary questionnaire for studying the level of knowledge about ischemic heart disease. In addition, for the purpose of a more complete assessment, techniques for observation, intelligence and document analysis were also used. Based on the analysis of the results, a number of knowledge deficits were found in the patient both in terms of basic risk factors as well as the principles of prophylaxis of ischemic heart disease. The study also shows that it is important to conduct education in the scope of the disease and the characteristic symptoms of myocardial ischemia, as well as the symptoms of myocardial infarction. Correct knowledge of these symptoms will allow for a faster diagnosis of life-threatening conditions and to take prompt and effective treatment. The obtained results of own research coincide with the research carried out by other Polish researchers. Key words: ischemic heart disease, level of knowledge, prophylaxis, risk factors, atherosclerosis, health behaviors, educatio

Life orientation and chosen sociomedical indicators of women suffering from type 2 diabetes

The aim of the study: In the process of dealing with diabetes every day the sense of coherence plays an important role. This construct in the salutogenesis theory determines the ability ofan individual to skilfully utilize the available resources for their own wellbeing. In many works the influence of demographic, social and clinical factors on the sense of coherence of people suffering from diabetes was analysed. However, little attention was paid to the detailed description of this issue among women suffering from diabetes. The aim of the study was to determine the relationship between the sense of coherence and the chosen sociomedical variables among women suffering from type 2 diabetes. Material and methods: In total 131 women suffering from type 2 diabetes treated at the Endocrinology Hospital and the Diabetes Outpatient Clinic were the subject of this research. The women who were selected for this research were 40 years old, had suffered from diabetes for over one year and gave permission to take part in the study.The study was conducted based on the original questionnaire comprising the data concerning: age, educational background, place of residence, marital status and professional activity. The questionnaire allowed gathering medical data like: duration of the disease, BMI index, HbA1c value or the method of diabetes treatment.Life Orientation Questionnaire (SOC-29) by A. Antonovski [4] in a Polish language version was used to determine the rating of the sense of coherence. Results. The level of the sense of coherence of the surveyed women suffering from diabetes was between 47 and 197 points. Statistically significant differences were not observed (p > 0.05) in the ratings of the sense of coherence versus the place of residence, education or marital status. There were no significant relationships (p > 0.05) between the sense of coherence, its components and the method of treatment, HbA1c value and the disease duration time. A statistically relevant difference (p < 0.05) between the sense of coherence, its components and the age of respondents was demonstrated. Moreover, a statistically relevant difference was proven (p < 0.05) between the sense of coherence and Body Mass Index. Furthermore, a statistically significant difference (p < 0.05) between the sense of coherence, its components and the professional activity of the research subjects was found. Conclusions: 1.The level of sense of coherence was lower than the standard average norms as applied by A. Antonovsky (133-160 points) among women suffering from type 2 diabetes. 2. Women who were professionally active and mature stood out with a high level of the sense of coherence and its components. 3. Women suffering from type 2 diabetes with normal body weight had high a level of the sense of coherence

Hope of recovery in patients in the terminal phase of cancer under palliative and hospice care in Poland

Introduction. The objective of the presented research is to characterize hope in the situational dimension, i.e., health, in the patients with cancer in the terminal phase of the disease, being treated in hospices and palliative care centers. Hope is very important for all the patients, especially for patients with cancer in various phases of the disease. Giving up on oncologic therapy and causal treatment is often associated with a transition into palliative care. When death and a loss of values become a threat, the individual has got hope to rely on. Material and Methods. The study relies on the Test to Measure Hope in the Health Context (NCN-36) by B.L. Block. 246 patients in the terminal phase of cancer participated in the study. Results. The internal structure of hope of recovery in the patients’ group was varied. The patients showed low levels of hope of recovery since they do not believe in the effectiveness of treatment. They were also not convinced of the effectiveness of modifications in dieting, lifestyle, or the use of nonconventional medicine. They trusted the doctor in charge and were moderately satisfied with the therapy in use. The intensity of hope of recovery was on the low level in the patients in the terminal phase of cancer. Age, sex, place of living, and marital status had a significant influence on the level of hope of recovery. Variables such as living on one’s own or living with one’s family, socioeconomic status, education, or profession did not affect the level of hope of recovery. Conclusions. The presented results allowed as to conclude that the assessment of hope in terminally ill cancer patients can be considered as one of the important tools enabling the personalization and the improvement of palliative care

Wiedza kobiet, studentek pielęgniarstwa, na temat profilaktyki raka piersi = Knowledge of women, female students of nursing, on prevention of breast cancer

Szadowska-Szlachetka Zdzisława, Baczewska Bożena, Kulbaka Zuzanna, Muraczyńska Bożena, Kropornicka Beata, Dzirba Alina, Łuczyk Robert. Wiedza kobiet, studentek pielęgniarstwa, na temat profilaktyki raka piersi = Knowledge of women, female students of nursing, on prevention of breast cancer. Journal of Education, Health and Sport. 2016;6(12):504-519. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.209525 http://ojs.ukw.edu.pl/index.php/johs/article/view/4080 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016). 754 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: 01.12.2016. Revised 12.12.2016. Accepted: 19.12.2016. Wiedza kobiet, studentek pielęgniarstwa, na temat profilaktyki raka piersi Knowledge of women, female students of nursing, on prevention of breast cancer Zdzisława Szadowska-Szlachetka1, Bożena Baczewska2, Zuzanna Kulbaka, Bożena Muraczyńska3, Beata Kropornicka2, Alina Dzirba4, Robert Łuczyk2 1Zakład Onkologii - Katedra Onkologii i Środowiskowej Opieki Zdrowotnej. Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie 2Katedra Interny z Zakładem Pielęgniarstwa Internistycznego. Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie 3Katedra Chirurgii i Pielęgniarstwa Chirurgicznego. Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie 4Zakład Ratownictwa Medycznego. Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie Streszczenie Wstęp: Choroby nowotworowe – zarówno w Polsce, jak i na świecie stanowią poważny problem ze względu na ich rozpowszechnienie. Co roku na nowotwór złośliwy piersi w Polsce choruje coraz większa liczba kobiet i zgodnie z danymi Krajowego Rejestru Nowotworów w ciągu ostatnich trzech dekad zachorowalność na ten rodzaj nowotworu wzrosła ponad dwukrotnie. Pierwotna profilaktyka raka piersi opiera się przede wszystkim na podnoszeniu świadomości prozdrowotnej dotyczącej udowodnionych naukowo czynników ryzyka zachorowania na raka piersi. Celem pracy była ocena stanu wiedzy kobiet, studentek pielęgniarstwa, na temat profilaktyki raka piersi. Materiał i metoda: Badania przeprowadzono na Wydziale Nauk o Zdrowiu UM w Lublinie. Łącznie objęto 147 kobiet, studentek kierunku pielęgniarstwo, I i II stopnia. W badaniach posłużono się metodą sondażu diagnostycznego. Materiał badawczy zebrano za pomocą techniki wywiadu, przy użyciu kwestionariusza ankiety własnego autorstwa, skonstruowany w oparciu o przegląd aktualnego piśmiennictwa. Analizę statystyczną zebranego materiału przeprowadzono w pakiecie Statistica 10.0. StatSoft. Wnioski: Znajomość czynników ryzyka i objawów raka piersi wśród kobiet, studentek pielęgniarstwa, jest zadowalająca. Kobiety, studentki pielęgniarstwa, mają świadomość zasad przeprowadzania badań profilaktycznych piersi, jednak nie zawsze te zasady stosują u siebie. Słowa kluczowe: profilaktyka, rak piersi Abstract Introduction: Cancer - both in Poland and in the world as a serious concern because of their prevalence. Every year breast cancer in Poland suffers from a growing number of women and according to the National Cancer Registry over the past three decades, the incidence of this type of cancer has more than doubled. Primary prevention of breast cancer is based primarily on raising health awareness on scientifically proven risk factors for breast cancer. The aim of the study was to assess the state of knowledge of women, nursing students, on the prevention of breast cancer. Material and methods: The study was conducted at the Faculty of Health Sciences University of Lublin. A total included 147 women students toward nursing, first and second degree. The research method was used diagnostic survey. The research material was collected using interview techniques, using a questionnaire by their own constructed based on a review of current literature. The statistical analysis of the collected material was performed in the package Statistica 10.0. StatSoft. Conclusion: Knowledge of the risk factors and symptoms of breast cancer among women, nursing students, is satisfactory. Women, nursing students, are aware of the principles of testing preventive breast, but not always, these rules apply at home. Key words: prevention, breast cance

Evaluation of the need for education of a patient with ischemic heart disease

SUMMARY Cardiovascular diseases are still a serious problem both in the world and in Polish society. It is estimated that in Poland they are responsible for almost half of deaths. The basis for counteracting this trend is first and foremost prevention of primary as well as secondary prevention. It seems that the main activity in this area is to conduct extensive educational activities aimed at both risk factors, prevention principles and the need to make changes in lifestyle.The study was conducted using the case-by-case study method, using the proprietary questionnaire for studying the level of knowledge about ischemic heart disease. In addition, for the purpose of a more complete assessment, techniques for observation, intelligence and document analysis were also used. Based on the analysis of the results, a number of knowledge deficits were found in the patient both in terms of basic risk factors as well as the principles of prophylaxis of ischemic heart disease. The study also shows that it is important to conduct education in the scope of the disease and the characteristic symptoms of myocardial ischemia, as well as the symptoms of myocardial infarction. Correct knowledge of these symptoms will allow for a faster diagnosis of life-threatening conditions and to take prompt and effective treatment. The obtained results of own research coincide with the research carried out by other Polish researchers