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

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 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

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

Evaluating the risk of malnutrition in the group of patients being prepared for surgery

Introduction. Malnutrition is defined as an eating disorder or a nutritional state in which micro- and macronutrient deficiencies, as well as caloric deficiency, have a negative effect on the human body, its tissues and the well-being of the organism and the results of treatment [3].Aim of the job. Assess the risk of malnutrition in patients being prepared for surgery.Results. When assessing the risk of malnutrition using the NRS 2002 Scaleit was found that 89,93% (n = 92) patients required careful observation and repeated nutrition assessment in 7 days, while in 10,68% (n = 11) it was necessary to introduce nutritional treatment before surgery.Conclusions.1.      Most of them had normal nutrition and if they were malnourished, it was mostly mild.2.      Among demographic factors, variables such as male and over 40 years of age were slightly more likely to be predisposed to the use of nutritional treatment.3.      Pre-operative feeding support requires patients with oncological diagnosis, who stay in the ward for more than 4 days, and also those who have been taken on an emergency basis

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

Influence of the acquaintance of risk factors of breast cancer amongst women in the age of 50-69 years as for performing prophylactic examinations by them

Szadowska-Szlachetka Zdzisława, Łuczyk Marta, Pietraszek Agata, Łuczyk Robert, Stanisławek Andrzej, Charzyńska‑Gula Marianna. Influence of the acquaintance of risk factors of breast cancer amongst women in the age of 50-69 years as for performing prophylactic examinations by them. Journal of Education, Health and Sport. 2016;6(3):21-34. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.47237 http://ojs.ukw.edu.pl/index.php/johs/article/view/3416 https://pbn.nauka.gov.pl/works/718846 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: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016. Influence of the acquaintance of risk factors of breast cancer amongst women in the age of 50-69 years as for performing prophylactic examinations by them Zdzisława Szadowska-Szlachetka1, Marta Łuczyk1, Agata Pietraszek1, Robert Łuczyk2, Andrzej Stanisławek1, Marianna Charzyńska-Gula3 1 Chair of Oncology and Environmental Care of Medical University of Lublin 2 Chair of Internal Medicine with Department of Internal Nursing of Medical University of Lublin 3 State Higher Vocational School Memorial of Prof. Stanislaw Tarnowski in Tarnobrzeg Keywords: breast cancer, risk factors, prophylactic studies, mammography. Abstract Breast cancer is the most frequent as well as, at the same time, most dangerous of cancers affecting women with regard to diagnosing it in the advanced stage being also characterised with the top degree of mortality of female patients worldwide. At present, it is the most frequent malignant tumour affecting Polish women [9]. Awareness of women about risk factors and the early diagnostic testing consisting in self-examination of breasts and also regular performance of mammographic examinations in the appropriate age may reduce, in the significant way, mortality amongst women affected with this illness by its early detecting and curing. This study is aimed at presenting the state of knowledge of women in the age of 50 - 69 concerned with risk factors of breast cancer and the frequency of performing prophylactic examinations by them

Platelet distribution width (PDW) and platecrit (PCT) as the new biomarkers of the myocardial infarction

Introduction Despite the advancement of medicine in the field of diagnostics and treatment of myocardial infarction, the annual mortality rate exceeds 40%, which is why it is still being strived to develop better and more specific markers of myocardial damage, which would allow for faster diagnosis and thus would improve the prognosis in this group of patients. Objective The objective of the study was to assess the relationship between the platelet with distribution (PDW) and plateletcrit (PCT) and the occurrence of myocardial infarction. Results People who suffered from a heart attack had higher PLT and PCT values than those who did not. Conclusions Author study research has not confirmed the relationship between PDW and PCT and the occurrence of myocardial infarction. Keywords: myocardial infarctio

Popular co-occurrence of thyroid autoimmune disorders and specific gastrointestinal tract diseases

Introduction: Thyroid gland, despite of its small average size, is a crucial organ of human body. Hormones produced by the thyroid i.e. thyroxine (T4) and triiodothyronine (T3) are necessary for proper functioning the whole organism. Excess or deficiency of these hormones manifest as multiple symptoms of different organs or systems. In this review we focused on special complaints of gastrointestinal tract. Worth to notice is that some thyroid disorders are present in particular gastrointestinal disorders more frequently. Purpose: The aim of this review is to indicate co-occurrence disorders of the thyroid gland, especially autoimmune thyroiditis with disorders of some organs of gastrointestinal tract. State of knowledge: By this time we can enumerate series of thyroid diseases, i.e. hypothyroidism, hyperthyroidism, thyroid nodular goiter, neoplasms or multiple forms of thyroiditis. Generally chronic autoimmune thyroiditis is the most frequent disorders of the gland. That’s the reason why we focused on coexisting this state with gastritis, chronic inflammatory bowel diseases, steatosis of the liver or with neoplasms of gastrointestinal tract. We aim to prove the necessary of constitute diagnosis towards other autoimmune diseases, when the one has bed diagnosed. Thyroid disorders may result in abnormalities of functioning particular organs of the human body. This fact may have an impact on blood tests results – for example elevation of transaminases evaluating function of the liver is often noted in thyroid diseases, what should sensitize clinicians towards performing diagnostics of thyroid function during treatment of liver or intestines or stomach dysfunction. Summary: Diseases of the thyroid gland may coexist with particular diseases of gastrointestinal tract. They may alter the course of these disorders and constitute unfavorable factor of the treatment

Nutritional support in sepsis and septic shock

Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Its incidence is increasing worldwide. Sepsis and septic shock are associated with changes in metabolism. So far, research into nutrition and metabolism in sepsis has shown inconsistent results. Inadequate nutrition (both malnutrition and overfeeding) is detrimental for the patient. According to current recommendations, the treatment of choice in patients with sepsis is enteral nutrition, which is associated with many benefits. In the absence of enteral nutrition or the inability to provide the patient's energy requirements, total or partial parenteral nutrition is indicated. ESPEN guideline on clinical nutrition in the intensive care unit recommends for critically ill mechanically ventilated patients to assess energy expenditure by indirect calorimetry - in this case, hypocaloric nutrition is recommended in the early acute phase, and gradual introduction of isocaloric nutrition at a later stage. For critically ill patients, a progressive supply of 1.3 g/kg BW protein equivalents per day is recommended. The amount of carbohydrates should not exceed 5 mg/kg BW/ min. Intravenous lipid emulsions in parenteral nutrition should not exceed 1.5 g lipids/kg BW/day and should be adequate to the patient's tolerance. There is no clear evidence of the effect of supplementation with fish oil, antioxidants and glutamine on the results of treatment in patients with sepsis, none of these substances is indicated for routine use. More research is needed into the metabolism and nutrition of patients with sepsis