Występowanie zjawiska pracoholizmu wśród pielęgniarek. Badania wstępne

Workaholism is the most socially accepted addiction in modern society. The aim of study was to investigate the workaholism among professional nurses, depending on age, education, work experience, number of children, and place of employment. The study was conducted in 2012. Robinson's WART scale in its polish adaptation by Wojdyło was used in the study to measure the addiction percentage. The study results showed that 18.69% of nurses are workaholics. High absorption with work is most common between people between 35-45 years of age, displaying the need of achieving an appropriate professional position and its prestige. Nurses with work experience of 20 or more years represent higher commitment to their profession. Persons with children have are more susceptible to becoming workaholic. Nurses working on preservative branches are more susceptible to the appearance of workaholism than those working on children and treatment wards. Above dissertations are inducing more distant exploration of the workaholism phenomenom in the occupational group of nurses through the prism of other variables.Pracoholizm jest najbardziej akceptowanym społecznie uzależnieniem współczesnego społeczeństwa. Celem badań było określenie wystąpienia zjawiska pracoholizmu w grupie zawodowej pielęgniarek w zależności od wieku, wykształcenia, stażu pracy, liczby posiadanych dzieci i miejsca zatrudnienia. W badaniach przeprowadzonych w 2012 roku zastosowano skalę WART Robinsona w polskiej adaptacji dokonanej przez Wojdyło. Z badań wynika że 18,69% pielęgniarek to pracoholicy. Wysokie zaabsorbowanie pracą dotyczy grupy wiekowej pomiędzy 35-45 rokiem życia, przejawiającej potrzebę zdobycia odpowiedniej pozycji zawodowej i prestiżu. Badane z ponad 20-letnim stażem pracy w zawodzie wykazują większe zaangażowanie w pracę. Osoby, które mają dzieci, są bardziej narażone na wystąpienie tego zjawiska. Pielęgniarki pracujące na oddziałach zachowawczych są częściej uzależnione od pracy niż osoby pracujące na oddziałach dziecięcych i zabiegowych. Powyższe rozważania skłaniają do dalszej eksploracji zjawiska pracoholizmu w grupie zawodowej pielęgniarek przez pryzmat innych zmiennych

Noninvasive assessment of liver status in adult patients after the Fontan procedure

A hemodynamic derangement in Fontan circulation causes liver pathology known as Fontan‑associated liver disease. Although liver biopsy is a standard for diagnosis of liver fibrosis, noninvasive methods are being developed, including shear wave elastography (SWE). We aimed to evaluate the degree of liver stiffness (LS) using SWE in patients with Fontan circulation in a long‑term follow‑up and to investigate a relationship between patient characteristics and LS. The study included 59 patients after the Fontan procedure. Clinical examinations and laboratory tests were performed. According to the stage of LS, patients were divided into 2 subgroups: group 1 (METAVIR stages F1 and F2) and group 2 (METAVIR stages F3 and F4). The ratio of aspartate transaminase to alanine transaminase, aspartate transaminase‑to‑platelet ratio index (APRI), fibrosis‑4 (FIB‑4) score, and Forns index were assessed. The median LS was 9.1 kPa (interquartile range, 3.9–18.5 kPa). Five patients (9%) demonstrated LS in stage F1; 14 (26%), F2; 28 (52%), F3; and 7 (13%), F4. Group 2 had significantly higher aspartate transaminase and γ‑glutamyltranspeptidase levels, APRI, FIB‑4, and Forns index, and lower platelet count than group 1. A canonical correlation analysis indicated that LS and thrombocytopenia were related to time from the Fontan procedure, age at procedure, and single ventricular ejection fraction. We showed that adult patients after the Fontan procedure develop liver dysfunction. Time from surgery, age at procedure, and single ventricular ejection fraction are related to the degree of LS assessed by SWE. Finally, SWE, APRI, Forns index, and FIB‑4 score may help assess the degree of liver fibrosis

What determines the quality of life of adult patients after Fontan procedure?

  Background: Despite the low early mortality of Fontan procedures, Fontan patients are prone to vari­ous cardiac and extra-cardiac complications in the long term. This may influence patient perception of their health and outcome. The aim of the study was to assess the relationship of multi-organ compli­cations and physical efficiency with self-reported health-related quality of life (QOL) in adult Fontan patients. Methods: Quality of life was assessed with the Short Form-36 questionnaire. Laboratory tests were done together with echocardiography, plethysmography, and cardiopulmonary exercise test. Results: The QOL was poorer in patients than in control subjects. The physical characteristics of patients correlated with dynamic ventilatory parameters, heart rate at the peak of exercise, alanine aminotransferase and albumin level. Conclusions: Liver impairment and chronotropic incompetence during exercise are associated with poor QOL in patients after Fontan procedure. In these patient, hepatic, pulmonary and cardiac functions should be carefully monitored. (Cardiol J 2018; 25, 1: 72–80