J. Szafrański, M. Szafrańska, Marcin Gierach, A. Skowrońska, W. Sinkiewicz
W pracy chcielibyśmy dokladnie przedstawic wskazania, przeciwwskazania oraz korzyści ze stosowania hipotermii terapeutycznej w leczeniu pacjentow po zatrzymaniu krązenia z przyczyn kardiologicznych. Hipotermia terapeutyczna to obnizenie wewnetrznej temperatury ciala do 32-34 stopni Celcjusza. Jest to bezpieczna i efektywna metoda zwiekszająca szanse na przezycie oraz poprawiająca prognozy neurologiczne. Skutecznośc tej metody jest potwierdzona przez Amerykan-skie Towarzystwo Kardiologiczne oraz Europejską Komisje Resustytacyjną i zostala ona wprowadzona do wytycznych resustytacji dla doroslych. Przedstawiamy rowniez miejsce hipotermii terapeu-tycznej w świetle aktualnych wytycznych dotyczących resuscytacji, a takze wskazujemy nowe, nieuwzglednione jeszcze potencjalne mozliwości oraz nieliczne wątpliwości towarzyszące stosowaniu tej metody leczenia.
{"title":"Therapeutic hypothermia after a cardiac arrest – Benefits, limitations, controversy","authors":"J. Szafrański, M. Szafrańska, Marcin Gierach, A. Skowrońska, W. Sinkiewicz","doi":"10.12775/MBS.2015.033","DOIUrl":"https://doi.org/10.12775/MBS.2015.033","url":null,"abstract":"W pracy chcielibyśmy dokladnie przedstawic wskazania, przeciwwskazania oraz korzyści ze stosowania hipotermii terapeutycznej w leczeniu pacjentow po zatrzymaniu krązenia z przyczyn kardiologicznych. Hipotermia terapeutyczna to obnizenie wewnetrznej temperatury ciala do 32-34 stopni Celcjusza. Jest to bezpieczna i efektywna metoda zwiekszająca szanse na przezycie oraz poprawiająca prognozy neurologiczne. Skutecznośc tej metody jest potwierdzona przez Amerykan-skie Towarzystwo Kardiologiczne oraz Europejską Komisje Resustytacyjną i zostala ona wprowadzona do wytycznych resustytacji dla doroslych. Przedstawiamy rowniez miejsce hipotermii terapeu-tycznej w świetle aktualnych wytycznych dotyczących resuscytacji, a takze wskazujemy nowe, nieuwzglednione jeszcze potencjalne mozliwości oraz nieliczne wątpliwości towarzyszące stosowaniu tej metody leczenia.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"18 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2018-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75444942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The analysis of the epidemiology of breast cancer in Kujawsko-Pomorskie voivodship in 2006 – 2010 in terms of the number of cases and deaths, and selected epidemiological indicators. Kujawsko-Pomorskie is the region with a great epidemiology risk in Poland. The number of cancers detected in this period was 4402, majority among the people between the ages of 50 and 69. 20% of cases were detected in cancer screening. The number of breast cancers detected in the pre-invasive stage is growing. The 5 year cure rate in the cases of breast cancer has risen.
{"title":"The epidemiology of breast cancer in Kujawsko-Pomorskie Voivodship in 2006-2010","authors":"T. Mierzwa","doi":"10.12775/MBS.2016.035","DOIUrl":"https://doi.org/10.12775/MBS.2016.035","url":null,"abstract":"The analysis of the epidemiology of breast cancer in Kujawsko-Pomorskie voivodship in 2006 – 2010 in terms of the number of cases and deaths, and selected epidemiological indicators. Kujawsko-Pomorskie is the region with a great epidemiology risk in Poland. The number of cancers detected in this period was 4402, majority among the people between the ages of 50 and 69. 20% of cases were detected in cancer screening. The number of breast cancers detected in the pre-invasive stage is growing. The 5 year cure rate in the cases of breast cancer has risen.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"20 1","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73800528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wheelchair plays two important roles from the physical point of view: increased mobility and body support. Two main areas of children’ development: motor and cognitive are interrelated. Thus, wheelchair supported mobility in children may also prevent many severe problems in the area of social and cognitive development. This paper aims at presentation of current state of the art and own concept concerning the role of the wheelchair-based mobility in cognitive development of children with motor deficit.
{"title":"Role of mobility in cognitive development of children with motor deficyt – own observations of wheelchairs users","authors":"E. Mikołajewska, B. Augustyńska, D. Mikołajewski","doi":"10.12775/MBS.2016.036","DOIUrl":"https://doi.org/10.12775/MBS.2016.036","url":null,"abstract":"Wheelchair plays two important roles from the physical point of view: increased mobility and body support. Two main areas of children’ development: motor and cognitive are interrelated. Thus, wheelchair supported mobility in children may also prevent many severe problems in the area of social and cognitive development. This paper aims at presentation of current state of the art and own concept concerning the role of the wheelchair-based mobility in cognitive development of children with motor deficit.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"31 4 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77082269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this thesis was to evaluate if the students of universities of Bydgoszcz know the principles of proper nutrition and whether or not they follow them. The study was conducted on a group of 100 students of the universities of Bydgoszcz, 77 women and 23 men between the ages of 19 and 25. The study was carried out in the first half of 2014 using a survey method. Conclusions. Knowledge of rational nutrition and the principles of healthy eating among students of Bydgoszcz universities is quite varied and depends on the field of study. The best eating habits are characterized by technical and art faculties. Students of medical faculties and health sciences are not leaders in this field. More irregularities relating to the quality of diet is observed among students of humanities and social sciences.
{"title":"Realization of the principles of rational nutrition by the universities of Bydgoszcz","authors":"G. Mierzwa, K. Wawrzyniak","doi":"10.12775/MBS.2016.034","DOIUrl":"https://doi.org/10.12775/MBS.2016.034","url":null,"abstract":"The aim of this thesis was to evaluate if the students of universities of Bydgoszcz know the principles of proper nutrition and whether or not they follow them. The study was conducted on a group of 100 students of the universities of Bydgoszcz, 77 women and 23 men between the ages of 19 and 25. The study was carried out in the first half of 2014 using a survey method. Conclusions. Knowledge of rational nutrition and the principles of healthy eating among students of Bydgoszcz universities is quite varied and depends on the field of study. The best eating habits are characterized by technical and art faculties. Students of medical faculties and health sciences are not leaders in this field. More irregularities relating to the quality of diet is observed among students of humanities and social sciences.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"35 1","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77328683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Styczyński, R. Dębski, Anna Krenska, K. Czyżewski, M. Wysocki
Background. High-dose therapy (HDT) with autologous stem cell rescue has been recently applied in very-poor-risk pediatric solid tumors. Promising data have become available with the use of high-dose busulfan in neuroblastoma (NBL) and Ewing sarcoma (ES), and with high-dose treosulfan in ES. HDT approach resulted in an encouraging outcome without toxic mortality for high-risk patients. Objective. The objective of this study is to present transplant outcomes, that is disease-free-survival and overall survival in children with high-risk NBL and ES undergoing auto-HSCT. Patients and methods. A total number of 47 NBL and 20 ES auto-HSCT performed between 2004 and 2016 in a single transplant center were included in this analysis. Results. Probability of 3-years pOS was 0.79±0.06 and 0.46±0.14 for NBL and ES patients, respectively. Relapse incidence at 3 years after HSCT was 0.37±0.08 and 0.26±0.11 for NBL and ES patients, respectively. The number of relapses at 3 years after HSCT was 15/47 in NBL and 6/20 in ES. Busulfan-based vs treosulfan-based conditioning in ES patients resulted in lower relapse and death rates. NBL and ES patients transplanted in complete remission (CR1) had lower relapse rates and lower death rates than patients at CR>1. Conclusion. Obtained results of auto-HSCT confirm the therapeutic benefit for children with NBL and ES. Recent reports on current practice of HSCT in Europe indicate HDT with auto-HSCT as a standard of care in pediatric patients with high risk or relapsed NBL and ES.
{"title":"High-dose therapy and autologous hematopoietic cel transplantation rescue in children with neuroblastoma and Ewing sarcoma","authors":"J. Styczyński, R. Dębski, Anna Krenska, K. Czyżewski, M. Wysocki","doi":"10.12775/MBS.2016.037","DOIUrl":"https://doi.org/10.12775/MBS.2016.037","url":null,"abstract":"Background. High-dose therapy (HDT) with autologous stem cell rescue has been recently applied in very-poor-risk pediatric solid tumors. Promising data have become available with the use of high-dose busulfan in neuroblastoma (NBL) and Ewing sarcoma (ES), and with high-dose treosulfan in ES. HDT approach resulted in an encouraging outcome without toxic mortality for high-risk patients. Objective. The objective of this study is to present transplant outcomes, that is disease-free-survival and overall survival in children with high-risk NBL and ES undergoing auto-HSCT. Patients and methods. A total number of 47 NBL and 20 ES auto-HSCT performed between 2004 and 2016 in a single transplant center were included in this analysis. Results. Probability of 3-years pOS was 0.79±0.06 and 0.46±0.14 for NBL and ES patients, respectively. Relapse incidence at 3 years after HSCT was 0.37±0.08 and 0.26±0.11 for NBL and ES patients, respectively. The number of relapses at 3 years after HSCT was 15/47 in NBL and 6/20 in ES. Busulfan-based vs treosulfan-based conditioning in ES patients resulted in lower relapse and death rates. NBL and ES patients transplanted in complete remission (CR1) had lower relapse rates and lower death rates than patients at CR>1. Conclusion. Obtained results of auto-HSCT confirm the therapeutic benefit for children with NBL and ES. Recent reports on current practice of HSCT in Europe indicate HDT with auto-HSCT as a standard of care in pediatric patients with high risk or relapsed NBL and ES.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"88 1","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79447363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malfunctioning of environmental, immunologic or genetic mechanisms brings about a disorder of system homeostasis, which results in the development of diseases of arduous course. Inflammatory bowel diseases are a group of disorders which house a pathological inflammation of the wall of the gastrointestinal tract. It is postulated that one reason for the resulting changes may be free radical reactions. As a result of the ongoing inflammation under the course of the disease an influx of neutrophils into the lumen begins. Although endoscopic examination constitutes an irreplaceable method in the evaluation of the resulting changes, laboratory tests are an essential tool in the diagnostic process. In recent years it has been proven that the role of faecal calprotectin as a non-invasive test can be used to differentiate organic and functional gastrointestinal diseases, and evaluate remission or exacerbation of inflammatory bowel disease [6,28]. It has also been noted that there is a need to seek other new markers that would facilitate the diagnosis.
{"title":"Share of reactive oxygen species (ROS) in inflammatory bowel disease. The diagnostic usefulness of selected markers. Part 1","authors":"D. Kupczyk, B. Augustyńska, G. Mierzwa","doi":"10.12775/MBS.2016.033","DOIUrl":"https://doi.org/10.12775/MBS.2016.033","url":null,"abstract":"Malfunctioning of environmental, immunologic or genetic mechanisms brings about a disorder of system homeostasis, which results in the development of diseases of arduous course. Inflammatory bowel diseases are a group of disorders which house a pathological inflammation of the wall of the gastrointestinal tract. It is postulated that one reason for the resulting changes may be free radical reactions. As a result of the ongoing inflammation under the course of the disease an influx of neutrophils into the lumen begins. Although endoscopic examination constitutes an irreplaceable method in the evaluation of the resulting changes, laboratory tests are an essential tool in the diagnostic process. In recent years it has been proven that the role of faecal calprotectin as a non-invasive test can be used to differentiate organic and functional gastrointestinal diseases, and evaluate remission or exacerbation of inflammatory bowel disease [6,28]. It has also been noted that there is a need to seek other new markers that would facilitate the diagnosis.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"8 1","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89657885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Managers willingly use performance as the key element in the motivation of employees, evaluation of their work, as well as an important indicator in the bonus system. The measurement of performance allows not only the explanation of the cause of the occurrence of a deviation in the efficiency of nurses’ work, but also facilitates the implementation of actions improving the quality of performance of occupational activities. The objective of the study was analysis of literature concerning the structure and principles of the application of instruments used for the assessment of performance of nurses. The review of literature pertaining to the tools for the evaluation of efficiency of performance of nurses showed a large number of international reports; however, there is a total lack in the Polish literature. Analysis of literature allowed the formulation of the following conclusions: in Poland, there is a lack of studies concerning the measurement of performance of nurses. The performance of nurses should be measured by the tool which enables its evaluation in a multi-aspect context, and possesses a high reliability and validity.
{"title":"Review of research tools for assessment of performance of nursing staff","authors":"Marta Szara, A. Ksykiewicz-Dorota, J. Klukow","doi":"10.12775/MBS.2016.038","DOIUrl":"https://doi.org/10.12775/MBS.2016.038","url":null,"abstract":"Managers willingly use performance as the key element in the motivation of employees, evaluation of their work, as well as an important indicator in the bonus system. The measurement of performance allows not only the explanation of the cause of the occurrence of a deviation in the efficiency of nurses’ work, but also facilitates the implementation of actions improving the quality of performance of occupational activities. The objective of the study was analysis of literature concerning the structure and principles of the application of instruments used for the assessment of performance of nurses. The review of literature pertaining to the tools for the evaluation of efficiency of performance of nurses showed a large number of international reports; however, there is a total lack in the Polish literature. Analysis of literature allowed the formulation of the following conclusions: in Poland, there is a lack of studies concerning the measurement of performance of nurses. The performance of nurses should be measured by the tool which enables its evaluation in a multi-aspect context, and possesses a high reliability and validity.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"30 1","pages":"77-85"},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75399640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Komendziński, E. Mikołajewska, D. Mikołajewski, B. Augustyńska
Thanks to recent advances in health care an increased number of patients may recover from severe brain injuries, but some of them are still assessed as non-responsive. Reliance on behavioural measures in communication with DoC patients seems be too prone to errors. There is need for solutions providing more objective attempts of bidirectional communication (intentional questions/commands and adequate related responses) in patients with DoC using significant processed by the patient stimuli and novel technologies (EEG-, fMRI-, BCI-based, etc.) based on recent scientific and clinical evidences. Such communication may be fulfilled even in the absence of behavior. This article aims at assessment the extent to which current possibilities in the area of devices for extended communication has been exploited, including own experiences within InteRDoCTor project.
{"title":"Communication in patients with disorders of consciousness – lessons learned From InteRDoCTor project","authors":"J. Komendziński, E. Mikołajewska, D. Mikołajewski, B. Augustyńska","doi":"10.12775/MBS.2016.032","DOIUrl":"https://doi.org/10.12775/MBS.2016.032","url":null,"abstract":"Thanks to recent advances in health care an increased number of patients may recover from severe brain injuries, but some of them are still assessed as non-responsive. Reliance on behavioural measures in communication with DoC patients seems be too prone to errors. There is need for solutions providing more objective attempts of bidirectional communication (intentional questions/commands and adequate related responses) in patients with DoC using significant processed by the patient stimuli and novel technologies (EEG-, fMRI-, BCI-based, etc.) based on recent scientific and clinical evidences. Such communication may be fulfilled even in the absence of behavior. This article aims at assessment the extent to which current possibilities in the area of devices for extended communication has been exploited, including own experiences within InteRDoCTor project.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"10 1","pages":"33-42"},"PeriodicalIF":0.0,"publicationDate":"2017-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78099594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Budzyński, Liliana Wnęk, Wioletta Banaś, Beata Czerniak
Background. Currently, the average amputation free survival in patients with critical limb ischemia (CLI) amounts to 76% after one year of follow-up. Such poor prognosis raises the question: is revascularization in patients with CLI cost-effective? The aim of this study was to conduct a cost analysis of vascular care in patients with CLI. The aim of this study was to conduct a cost analysis of vascular care in patients with CLI. Patients and methods. A retrospective cost analysis of in-hospital endovascular treatment in 37 patients with CLI who underwent secondary leg amputation between January 2012 and June 2015. Results. The average length of time between the first endovascular procedure due to CLI and leg amputation amounted to 214 days (range 8-1088 days). The total cost of hospitalizations before leg amputation amounted to 687 603.13 PLN, which is, on average, 18 583.87 PLN per patient, and 86.84 PLN per person per day for living with the preserved lower limb. The total costs associated with the patients who had undergone leg amputation amounted to 404 883.24 PLN, which is an average of 10 942.79 PLN per patient. Previous endovascular procedures accounted for 58.9% of this sum and 37.1% to total management costs for the patients. Conclusions. The cost per day of endovascular treatment that makes it possible to live with two lower limbs did not exceed the established cost-effectiveness threshold. Lower limb amputation increases the costs of in-hospital patient care by 59%, represents financial wastage for the hospital, and incurs other costs not easily measured.
{"title":"The costs of endovascular in-hospital treatment of critical limb ischemia in patients who finally inderwent leg amputation. A one-center experience","authors":"J. Budzyński, Liliana Wnęk, Wioletta Banaś, Beata Czerniak","doi":"10.12775/MBS.2016.029","DOIUrl":"https://doi.org/10.12775/MBS.2016.029","url":null,"abstract":"Background. Currently, the average amputation free survival in patients with critical limb ischemia (CLI) amounts to 76% after one year of follow-up. Such poor prognosis raises the question: is revascularization in patients with CLI cost-effective? The aim of this study was to conduct a cost analysis of vascular care in patients with CLI. The aim of this study was to conduct a cost analysis of vascular care in patients with CLI. Patients and methods. A retrospective cost analysis of in-hospital endovascular treatment in 37 patients with CLI who underwent secondary leg amputation between January 2012 and June 2015. Results. The average length of time between the first endovascular procedure due to CLI and leg amputation amounted to 214 days (range 8-1088 days). The total cost of hospitalizations before leg amputation amounted to 687 603.13 PLN, which is, on average, 18 583.87 PLN per patient, and 86.84 PLN per person per day for living with the preserved lower limb. The total costs associated with the patients who had undergone leg amputation amounted to 404 883.24 PLN, which is an average of 10 942.79 PLN per patient. Previous endovascular procedures accounted for 58.9% of this sum and 37.1% to total management costs for the patients. Conclusions. The cost per day of endovascular treatment that makes it possible to live with two lower limbs did not exceed the established cost-effectiveness threshold. Lower limb amputation increases the costs of in-hospital patient care by 59%, represents financial wastage for the hospital, and incurs other costs not easily measured.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"11 1","pages":"13-17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72882272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. Emotional status of a patient who underwent a surgery is an important element in the recovery process. The aim of the study was to assess changes in positive and negative emotions in patients subjected to endovascular procedure due to chronic ischemia of the lower limbs and the determination of the factors affecting that process. Materials and methods. 63 patients subjected to endovascular surgery due to chronic ischemia participated in the study. The study group included persons aged 46 to 87 (median 65 years). The following tools were used: a questionnaire on demographic and medical data, Larsen & Diener Affect Intensity Measure Scale, modified Charles Carver's MiniCOPE (situational version) Inventory of coping with stress measurement, Berlin social support scale and Multidimensional Health Locus of Control Scale. Medical data on the hospitalization time, type of anesthesia and the type of a surgery procedure was also used in the study. Results. Statistically significant increase of the positive emotions intensity was observed in the studied group of patients Me=9 (min. 0, max. 23) before the surgery and Me=13 (min. 4, max. 27) after surgery and reduced level of negative emotions from Me=10 (min. 1, max. 24) to Me=3 (min. 0, max. 15). Conclusions. In patients treated for chronic ischemia of the lower limbs an endovascular intervention (revascularization of lower limbs) decreased the negative emotions level and increased the positive ones. Health locus of control does not influence the emotional status change in the studied subjects. Patients with higher levels of perceived social, emotional and instrumental support are characterized by smaller increase of positive emotions intensity after endovascular surgery. Patients with lower levels of perceived instrumental support are characterized by smaller decrease of negative emotions intensity after endovascular surgery. Strategies used to cope with stress related to surgery do not affect the emotional condition change in persons subjected to endovascular surgery. Number of symptoms following endovascular surgery is a predictor of the level of negative emotions.
介绍。手术患者的情绪状态是恢复过程中的一个重要因素。本研究的目的是评估由于下肢慢性缺血而接受血管内手术的患者的积极和消极情绪的变化，并确定影响这一过程的因素。材料和方法。63例因慢性缺血行血管内手术的患者参与了研究。研究组包括46 - 87岁(中位65岁)的人。使用的工具有:人口统计和医学数据问卷、Larsen & Diener影响强度测量量表、修正的Charles Carver应对压力量表(情境版)、柏林社会支持量表和多维健康控制源量表。研究还使用了住院时间、麻醉类型和手术程序类型的医疗数据。结果。实验组患者的积极情绪强度有统计学意义的提高(Me=9, min = 0, max = 0)。23)术前，Me=13(最小4，最大13)。27)手术后，Me的负面情绪水平降低=10(最小1，最大1)。24)到Me=3(最小0，最大0)。15)。结论。在下肢慢性缺血患者中，血管内介入治疗(下肢血运重建术)可降低患者的负性情绪水平，提高患者的正性情绪水平。健康控制点不影响被试情绪状态的变化。感知社会、情感和工具支持水平较高的患者在血管内手术后积极情绪强度的增加较小。感知工具支持水平较低的患者，其负性情绪强度在血管内手术后的下降幅度较小。用于应对手术相关压力的策略不会影响血管内手术患者的情绪状况变化。血管内手术后症状的数量是负面情绪水平的预测指标。
{"title":"Emotional condition of patients subjected to endovascular surgery due to chronić ischemia of the l ower limbs","authors":"Beata Czerniak, J. Budzyński, Wioletta Banaś","doi":"10.12775/MBS.2016.031","DOIUrl":"https://doi.org/10.12775/MBS.2016.031","url":null,"abstract":"Introduction. Emotional status of a patient who underwent a surgery is an important element in the recovery process. The aim of the study was to assess changes in positive and negative emotions in patients subjected to endovascular procedure due to chronic ischemia of the lower limbs and the determination of the factors affecting that process. Materials and methods. 63 patients subjected to endovascular surgery due to chronic ischemia participated in the study. The study group included persons aged 46 to 87 (median 65 years). The following tools were used: a questionnaire on demographic and medical data, Larsen & Diener Affect Intensity Measure Scale, modified Charles Carver's MiniCOPE (situational version) Inventory of coping with stress measurement, Berlin social support scale and Multidimensional Health Locus of Control Scale. Medical data on the hospitalization time, type of anesthesia and the type of a surgery procedure was also used in the study. Results. Statistically significant increase of the positive emotions intensity was observed in the studied group of patients Me=9 (min. 0, max. 23) before the surgery and Me=13 (min. 4, max. 27) after surgery and reduced level of negative emotions from Me=10 (min. 1, max. 24) to Me=3 (min. 0, max. 15). Conclusions. In patients treated for chronic ischemia of the lower limbs an endovascular intervention (revascularization of lower limbs) decreased the negative emotions level and increased the positive ones. Health locus of control does not influence the emotional status change in the studied subjects. Patients with higher levels of perceived social, emotional and instrumental support are characterized by smaller increase of positive emotions intensity after endovascular surgery. Patients with lower levels of perceived instrumental support are characterized by smaller decrease of negative emotions intensity after endovascular surgery. Strategies used to cope with stress related to surgery do not affect the emotional condition change in persons subjected to endovascular surgery. Number of symptoms following endovascular surgery is a predictor of the level of negative emotions.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"37 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81936368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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