Pub Date : 2022-03-28DOI: 10.15225/pnn.2022.11.1.4
Natalia Cecot, Maria Małgorzata Sołtysińska, B. Haor, M. Rybka
Introduction. Caring for neurological patients in the elderly has in its scope many problems and difficulties which a modern nurse has to “pay attention to”. Patients require round-the-clock and comprehensive care, which can lead to both the physical and mental exhaustion of the nurse, lack of time for family and friends, or free time to regenerate one’s strength. It can also lead to exhaustion or depression. Then a phenomenon called loading occurs.Aim. The aim of the study was to assess the influence of the degree of independence of charges on the level of physical and mental burden of nurses caring for neurological patients in geriatric age.Material and Methods. The study included 120 people — male and female nurses from treatment and conservative departments. The Katz Scale — Basic Life Activities (ADL) and the Lawton Scale (IADL) — Complex Activities were used. A self-survey questionnaire was used as a research tool. The obtained results were analysed statistically.Results. After analysing the data, the biggest problem for the respondent is: bathing, using the toilet and getting out of bed. According to the respondents, their charges have the least problems: using the telephone, managing money and administering medications. The biggest ones, however: doing housework and washing. The study also showed that more than half of the people (73) are dependent, which is 60.8%. Attention was also paid to the most common diseases that occur among the studied group of charges. According to the respondents, a large percentage of the charges were people after stroke — 63.50% and, for example, Alzheimer’s disease — 29.17%. According to the respondents, the greatest psychological burden, such as: depression of mood 64.5% occurs when caring for dependent patients, although a large percentage of depression can also be observed among caregivers of people with moderate dependency. Statistical analysis showed significant correlation between the respondents’ opinion of how high their psychological burden is in the care of neurological patients in geriatric age and the degree of independence of the patient (p = 0.008). Most of the respondents noticed the frequent possibility of physical stress, taking care of people 82.8%.Conclusions. The degree of independence of charges has a significant impact on the phenomenon of physical and mental strain in nurses. Along with the charge’s worse efficiency and the decrease in their independence, the degree of negative influence of the care on the nurse increases. Neurological diseases (Alzheimer’s disease, Parkinson’s disease, dementia and strokes) are also important. This is largely due to the additional time burden, as this care must be provided continuously and uninterruptedly. (JNNN 2022;11(1):22–26)
{"title":"The Degree of Independence of the Charges and the Level of Physical and Mental Burden of Nurses Caring for Neurological Patients in Geriatric Age","authors":"Natalia Cecot, Maria Małgorzata Sołtysińska, B. Haor, M. Rybka","doi":"10.15225/pnn.2022.11.1.4","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.4","url":null,"abstract":"Introduction. Caring for neurological patients in the elderly has in its scope many problems and difficulties which a modern nurse has to “pay attention to”. Patients require round-the-clock and comprehensive care, which can lead to both the physical and mental exhaustion of the nurse, lack of time for family and friends, or free time to regenerate one’s strength. It can also lead to exhaustion or depression. Then a phenomenon called loading occurs.Aim. The aim of the study was to assess the influence of the degree of independence of charges on the level of physical and mental burden of nurses caring for neurological patients in geriatric age.Material and Methods. The study included 120 people — male and female nurses from treatment and conservative departments. The Katz Scale — Basic Life Activities (ADL) and the Lawton Scale (IADL) — Complex Activities were used. A self-survey questionnaire was used as a research tool. The obtained results were analysed statistically.Results. After analysing the data, the biggest problem for the respondent is: bathing, using the toilet and getting out of bed. According to the respondents, their charges have the least problems: using the telephone, managing money and administering medications. The biggest ones, however: doing housework and washing. The study also showed that more than half of the people (73) are dependent, which is 60.8%. Attention was also paid to the most common diseases that occur among the studied group of charges. According to the respondents, a large percentage of the charges were people after stroke — 63.50% and, for example, Alzheimer’s disease — 29.17%. According to the respondents, the greatest psychological burden, such as: depression of mood 64.5% occurs when caring for dependent patients, although a large percentage of depression can also be observed among caregivers of people with moderate dependency. Statistical analysis showed significant correlation between the respondents’ opinion of how high their psychological burden is in the care of neurological patients in geriatric age and the degree of independence of the patient (p = 0.008). Most of the respondents noticed the frequent possibility of physical stress, taking care of people 82.8%.Conclusions. The degree of independence of charges has a significant impact on the phenomenon of physical and mental strain in nurses. Along with the charge’s worse efficiency and the decrease in their independence, the degree of negative influence of the care on the nurse increases. Neurological diseases (Alzheimer’s disease, Parkinson’s disease, dementia and strokes) are also important. This is largely due to the additional time burden, as this care must be provided continuously and uninterruptedly. (JNNN 2022;11(1):22–26)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83798790","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.6
Anna Antczak-Komoterska, Agnieszka Wasielewska, B. Haor, D. Kochman, Wiesław Fidecki, M. Wysokiński
Introduction. Degenerative diseases of the spine are a problem that threatens the modern population around the world. The World Health Organization (WHO) has recognized the degenerative changes of the spine as an epidemic of our times.Aim. The aim of the study was to assess the quality of life of patients with degenerative changes in the cervical spine in the context of sociodemographic data including: gender, age, education, marital status, type of work, place of residence, health problems, coexisting diseases and place of services.Material and Methods. 103 people were included in the study. Women constituted 60.2% of the respondents, while men 39.8%. The age of the respondents was between 25 and 76 years old. The tool used in this study was the WHOQoL-BREF questionnaire. The statistical analysis was performed based on the chi square test. The obtained results were analysed with the × 2 test for independent samples, the error rate of 5% was assumed.Results. The analysis of data concerning the place of residence showed a division into the urban environment of 79.6% and the rural environment constituting 20.4%, there was no correlation between the place of residence of the respondents and their quality of life in the social field. The respondents represented a varied level of education, the most numerous group were patients with vocational education 32%, because the complaints are often related to the type of work performed, the most numerous group were the retired persons/pensioners — 40.8%. The analysis showed a significant relationship between the work performed and education.Conclusions. Degenerative changes of the cervical spine and related ailments are among the most common health problems in people over 50 living in an urban environment. Women are statistically more likely to experience pain in the cervical spine due to the weaker muscle corset. The subjective assessment of the quality of life is positive. It was best assessed by people with higher education and respondents from the urban environment. (JNNN 2021;10(4):175–179)
{"title":"The Analysis of the Quality of Life of Patients with Degenerative Changes in the Cervical Spine","authors":"Anna Antczak-Komoterska, Agnieszka Wasielewska, B. Haor, D. Kochman, Wiesław Fidecki, M. Wysokiński","doi":"10.15225/pnn.2021.10.4.6","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.6","url":null,"abstract":"Introduction. Degenerative diseases of the spine are a problem that threatens the modern population around the world. The World Health Organization (WHO) has recognized the degenerative changes of the spine as an epidemic of our times.Aim. The aim of the study was to assess the quality of life of patients with degenerative changes in the cervical spine in the context of sociodemographic data including: gender, age, education, marital status, type of work, place of residence, health problems, coexisting diseases and place of services.Material and Methods. 103 people were included in the study. Women constituted 60.2% of the respondents, while men 39.8%. The age of the respondents was between 25 and 76 years old. The tool used in this study was the WHOQoL-BREF questionnaire. The statistical analysis was performed based on the chi square test. The obtained results were analysed with the × 2 test for independent samples, the error rate of 5% was assumed.Results. The analysis of data concerning the place of residence showed a division into the urban environment of 79.6% and the rural environment constituting 20.4%, there was no correlation between the place of residence of the respondents and their quality of life in the social field. The respondents represented a varied level of education, the most numerous group were patients with vocational education 32%, because the complaints are often related to the type of work performed, the most numerous group were the retired persons/pensioners — 40.8%. The analysis showed a significant relationship between the work performed and education.Conclusions. Degenerative changes of the cervical spine and related ailments are among the most common health problems in people over 50 living in an urban environment. Women are statistically more likely to experience pain in the cervical spine due to the weaker muscle corset. The subjective assessment of the quality of life is positive. It was best assessed by people with higher education and respondents from the urban environment. (JNNN 2021;10(4):175–179)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90885959","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.2
A. Pytel, M. Laskowska
Introduction. Parkinson’s disease is one of the most common neurodegenerative diseases. This condition is progressive in nature. In Europe, Parkinson’s disease is estimated to affect mainly people over the age of 60. It is assumed that around 80–100,000 people in Poland currently suffer from Parkinson’s disease. The disease mainly affects men.Aim. Assessment of the level of burden on caregivers of people with Parkinson’s disease and evaluation of their quality of life.Material and Methods. The study was conducted in the Koło Przyjaciół Ludzi z Chorobą Parkinsona TWK (Friends of People with Parkinson’s Disease TWK Group) in Wrocław and the Leszczyńskie Stowarzyszenie Osób z Chorobami Alzheimera i Parkinsona (Leszno Association of People with Alzheimer’s and Parkinson’s Diseases) in Leszno on a group of 92 Parkinson’s disease patients and their 92 caregivers. The study was conducted using a diagnostic survey method with a self-designed questionnaire and the following standardised instruments for caregivers: the WHOQoL-BREF questionnaire, the CBS caregiver burden scale and the HADS anxiety and depression scale. The present study also used questionnaires addressed to Parkinson’s disease patients: a sociodemographic questionnaire, the PDQ-39 quality of life questionnaire, the Hoehn–Yahr disease stage scale and the Beck depression scale BDI.Results. Analysis of the research material showed that: the quality of life of caregivers in the physical, environmental and psychological domains was significantly better in those providing care for 1–5 years than in those looking after patients for more than 10 years. The author’s own research showed that the overall burden among caregivers was significantly higher when the patient had been ill for more than 5 years than when the patient had been ill for 2–5 years, and it was found that the lower the overall level of quality of life and severity of depressive symptoms among PD patients, the lower the quality of life of their caregivers. On the overall burden scale, 47 of the 92 survey participants (51.09%) experienced a medium level of burden and 24 respondents (26.09%) experienced a high level of burden. In addition, the long duration of the disease leads to a higher burden on caregivers.Conclusions. The difficulties associated with the burden of care for caregivers of people with PD represent a significant clinical, social and also economic problem. Moreover, they significantly reduce the quality of life of caregivers, often taking away the joy of caring for loved ones with Parkinson’s disease. (JNNN 2021;10(4):144–152)
介绍。帕金森病是最常见的神经退行性疾病之一。这种情况本质上是进行性的。在欧洲，帕金森病估计主要影响60岁以上的人群。据推测，波兰目前约有8 - 10万人患有帕金森病。这种疾病主要影响男性。帕金森病患者照护者负担水平评估及生活质量评估材料和方法。该研究是在Wrocław的Koło Przyjaciół Ludzi z chorobedoparkinsona TWK(帕金森病患者之友TWK组)和Leszczyńskie Stowarzyszenie Osób z Chorobami阿尔茨海默病和帕金森病患者协会(Leszno阿尔茨海默病和帕金森病患者协会)对92名帕金森病患者及其92名护理人员进行的。本研究采用自行设计问卷的诊断调查方法，使用WHOQoL-BREF问卷、CBS照顾者负担量表和HADS焦虑抑郁量表等标准工具对照顾者进行调查。本研究还对帕金森病患者进行了问卷调查:社会人口学问卷、PDQ-39生活质量问卷、Hoehn-Yahr疾病分期量表和Beck抑郁量表bdi。对研究资料的分析表明:护理时间为1-5年的护理者在身体、环境和心理方面的生活质量明显优于护理时间为10年以上的护理者。笔者本人的研究表明，患者患病5年以上时，照顾者的整体负担明显高于患者患病2-5年，PD患者整体生活质量水平和抑郁症状严重程度越低，其照顾者的生活质量也越低。在总体负担量表上，92名调查参与者中有47人(51.09%)经历了中等水平的负担，24名受访者(26.09%)经历了高水平的负担。此外，疾病持续时间长导致护理人员负担加重。与PD患者护理人员的护理负担相关的困难代表了一个重要的临床，社会和经济问题。此外，它们还大大降低了照顾者的生活质量，常常剥夺了照顾患有帕金森病的亲人的快乐。(JNNN 2021; 10 (4): 144 - 152)
{"title":"The Effect of the Burden on the Quality of Life of Caregivers of People with Parkinson’s Disease","authors":"A. Pytel, M. Laskowska","doi":"10.15225/pnn.2021.10.4.2","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.2","url":null,"abstract":"Introduction. Parkinson’s disease is one of the most common neurodegenerative diseases. This condition is progressive in nature. In Europe, Parkinson’s disease is estimated to affect mainly people over the age of 60. It is assumed that around 80–100,000 people in Poland currently suffer from Parkinson’s disease. The disease mainly affects men.Aim. Assessment of the level of burden on caregivers of people with Parkinson’s disease and evaluation of their quality of life.Material and Methods. The study was conducted in the Koło Przyjaciół Ludzi z Chorobą Parkinsona TWK (Friends of People with Parkinson’s Disease TWK Group) in Wrocław and the Leszczyńskie Stowarzyszenie Osób z Chorobami Alzheimera i Parkinsona (Leszno Association of People with Alzheimer’s and Parkinson’s Diseases) in Leszno on a group of 92 Parkinson’s disease patients and their 92 caregivers. The study was conducted using a diagnostic survey method with a self-designed questionnaire and the following standardised instruments for caregivers: the WHOQoL-BREF questionnaire, the CBS caregiver burden scale and the HADS anxiety and depression scale. The present study also used questionnaires addressed to Parkinson’s disease patients: a sociodemographic questionnaire, the PDQ-39 quality of life questionnaire, the Hoehn–Yahr disease stage scale and the Beck depression scale BDI.Results. Analysis of the research material showed that: the quality of life of caregivers in the physical, environmental and psychological domains was significantly better in those providing care for 1–5 years than in those looking after patients for more than 10 years. The author’s own research showed that the overall burden among caregivers was significantly higher when the patient had been ill for more than 5 years than when the patient had been ill for 2–5 years, and it was found that the lower the overall level of quality of life and severity of depressive symptoms among PD patients, the lower the quality of life of their caregivers. On the overall burden scale, 47 of the 92 survey participants (51.09%) experienced a medium level of burden and 24 respondents (26.09%) experienced a high level of burden. In addition, the long duration of the disease leads to a higher burden on caregivers.Conclusions. The difficulties associated with the burden of care for caregivers of people with PD represent a significant clinical, social and also economic problem. Moreover, they significantly reduce the quality of life of caregivers, often taking away the joy of caring for loved ones with Parkinson’s disease. (JNNN 2021;10(4):144–152)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90646655","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.4
Robert Ślusarz, K. Filipska, Anna Antczak-Komoterska, B. Haor
Introduction. Burnout is recognized as an important individual and social problem. Occupations at increased risk of burnout include: doctors, nurses, social workers, teachers, policemen and emergency service workers.Aim. The aim of the research was to determine the influence of selected socio-demographic variables on the level of occupational burnout in neurological and neurosurgical nurses.Material and Methods. The research was carried out on a group of 206 nurses employed in thirteen neurological and neurosurgical centres in the Kuyavian-Pomeranian Voivodeship. By means of a diagnostic survey, the level of occupational burnout was assessed using a questionnaire survey.Results. When analysing the impact of socio-demographic variables on occupational burnout, the following results were obtained for: gender (0.939), age (0.071), workplace (0.239), marital status (0.657), education (0.330), distance to the workplace (0.773), years of experience (0.013) and position held (0.552). Only work experience in the profession had a statistically significant, low correlation with the results of the level of occupational burnout (p < 0.05).Conclusions. The examined group of nurses showed a low level of occupational burnout. The vast majority of nurses felt satisfied with their work. There was no significant influence of socio-demographic variables on the level of occupational burnout. (JNNN 2021;10(4):162–167)
{"title":"Influence of Selected Socio-demographic Variables on the Level of Occupational Burnout in Neurological and Neurosurgical Nurses","authors":"Robert Ślusarz, K. Filipska, Anna Antczak-Komoterska, B. Haor","doi":"10.15225/pnn.2021.10.4.4","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.4","url":null,"abstract":"Introduction. Burnout is recognized as an important individual and social problem. Occupations at increased risk of burnout include: doctors, nurses, social workers, teachers, policemen and emergency service workers.Aim. The aim of the research was to determine the influence of selected socio-demographic variables on the level of occupational burnout in neurological and neurosurgical nurses.Material and Methods. The research was carried out on a group of 206 nurses employed in thirteen neurological and neurosurgical centres in the Kuyavian-Pomeranian Voivodeship. By means of a diagnostic survey, the level of occupational burnout was assessed using a questionnaire survey.Results. When analysing the impact of socio-demographic variables on occupational burnout, the following results were obtained for: gender (0.939), age (0.071), workplace (0.239), marital status (0.657), education (0.330), distance to the workplace (0.773), years of experience (0.013) and position held (0.552). Only work experience in the profession had a statistically significant, low correlation with the results of the level of occupational burnout (p < 0.05).Conclusions. The examined group of nurses showed a low level of occupational burnout. The vast majority of nurses felt satisfied with their work. There was no significant influence of socio-demographic variables on the level of occupational burnout. (JNNN 2021;10(4):162–167)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91324845","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.5
Sanjay V. Neerukonda, Nathan J. Schneider, V. Aiyagari, Daiwai M. Olson
Introduction. The pupillary light reflex (PLR) is an integral aspect of the neurologic exam. With the enhancement of automated infrared pupillometry (AIP), the Neurological Pupil index (NPi) is being increasingly used when performing a neurological examination. NPi difference (the absolute difference between paired NPi readings from the left and right eye) is a relatively unexplored variable in AIP assessment.Aim. This study evaluates the association between Glasgow Coma Scale (GCS) scores and NPi differences between the left and right eyes, when the NPi is normal, in patients enrolled in a multi-center prospective database.Material and Methods. Restricting observations to only include NPi values ≥ 3 (normal), there were 2,572 qualifying patients with 3,519 pupillometer readings linked to GCS values. Linear regression and ANOVA models were developed to investigate the relationship between GCS and NPi difference.Results. Subject mean age was 55.88 (16.95) years and 54.5% were female. Mean NPi difference was 0.36 and mean GCS was 12.06. Regression analysis indicated a slight negative association between NPi difference and GCS (r2 = 0.0696, P < .0001). When observations were dichotomized as either NPi difference ≥ 0.7 (large) or < 0.7 (small), there was a statistically significant difference in the mean GCS (10.76 [3.90]) for large NPi difference vs. small NPi difference (13.15 [2.68]; P < .0001).Conclusions. Even among patients with normal PLR, a large NPi difference is associated with lower GCS scores. Trending and evaluating the NPi difference may become an important aspect of patient assessment. (JNNN 2021;10(4):168–174)
{"title":"Automated Pupillometry Value Differences Serve as a Prognostic Indicator Even When They are Within Normal Range","authors":"Sanjay V. Neerukonda, Nathan J. Schneider, V. Aiyagari, Daiwai M. Olson","doi":"10.15225/pnn.2021.10.4.5","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.5","url":null,"abstract":"Introduction. The pupillary light reflex (PLR) is an integral aspect of the neurologic exam. With the enhancement of automated infrared pupillometry (AIP), the Neurological Pupil index (NPi) is being increasingly used when performing a neurological examination. NPi difference (the absolute difference between paired NPi readings from the left and right eye) is a relatively unexplored variable in AIP assessment.Aim. This study evaluates the association between Glasgow Coma Scale (GCS) scores and NPi differences between the left and right eyes, when the NPi is normal, in patients enrolled in a multi-center prospective database.Material and Methods. Restricting observations to only include NPi values ≥ 3 (normal), there were 2,572 qualifying patients with 3,519 pupillometer readings linked to GCS values. Linear regression and ANOVA models were developed to investigate the relationship between GCS and NPi difference.Results. Subject mean age was 55.88 (16.95) years and 54.5% were female. Mean NPi difference was 0.36 and mean GCS was 12.06. Regression analysis indicated a slight negative association between NPi difference and GCS (r2 = 0.0696, P < .0001). When observations were dichotomized as either NPi difference ≥ 0.7 (large) or < 0.7 (small), there was a statistically significant difference in the mean GCS (10.76 [3.90]) for large NPi difference vs. small NPi difference (13.15 [2.68]; P < .0001).Conclusions. Even among patients with normal PLR, a large NPi difference is associated with lower GCS scores. Trending and evaluating the NPi difference may become an important aspect of patient assessment. (JNNN 2021;10(4):168–174)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80635650","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.3
A. Mazur, E. Bartoń, D. Zarzycka, Robert Ślusarz
Introduction. The pain syndrome of the lumbar spine is one of the most common civilization diseases and requires surgery in the case of a significant percentage of patients. It is also associated with a number of other health problems, with gender being an important factor that differentiates patients’ health.Aim. For this reason, our own research was focused on determining the structure of the relationship between physical activity and selected factors shaping the condition and self-assessment of health of patients in the lumbar spine pain syndrome depending on gender.Material and Methods. The study sample consists of 205 patients hospitalized at the Department of Pediatric Neurosurgery and Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin and at the Department of Pediatric Neurosurgery, Neurotraumatology and Neurosurgery, University Hospital No. 1 in Bydgoszcz. The Research used the Physical Activity Questionnaire IPAQ in Polish version, Visual Analogue Scale VAS, Questionnaire for Depression Measurement KPD, a proprietary questionnaire, as well as the results of laboratory tests of glucose concentration in the blood serum. The analysis of multidimensional relations between the variables was performed using the SEM structural equation modeling using the IBM SPSS 25 program with the AMOS extension.Results. In the subgroups of women and men, models that were structurally similar, although different in the values of selected path coefficients, were developed, which explains the variances of: blood glucose concentration, BMI, intensity of depression symptoms and self-assessment of health condition. The developed structural model shows that physical activity with mediating participation of blood glucose concentration, BMI and depression is associated with self-assessment of health. The indirect dependencies of physical activity and self-assessment of health condition also occur with the mediating participation of the BMI index and blood glucose concentration, as well as the BMI index and depression.Conclusions. The obtained data indicate that in the absence of health contraindications, an important element of interdisciplinary programs supporting the condition and self-assessment of health of patients with lumbar spine pain syndrome may be regular physical activity, adjusted to the needs and capabilities of the body. The differences between men and women suggest that preventive interventions should be gender-specific. (JNNN 2021;10(4):153–161)
{"title":"The Structure of the Relationship of Physical Activity and Selected Factors Shaping the Condition and Self-assessment of Health of Patients with the Lumbar Spine Pain Syndrome","authors":"A. Mazur, E. Bartoń, D. Zarzycka, Robert Ślusarz","doi":"10.15225/pnn.2021.10.4.3","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.3","url":null,"abstract":"Introduction. The pain syndrome of the lumbar spine is one of the most common civilization diseases and requires surgery in the case of a significant percentage of patients. It is also associated with a number of other health problems, with gender being an important factor that differentiates patients’ health.Aim. For this reason, our own research was focused on determining the structure of the relationship between physical activity and selected factors shaping the condition and self-assessment of health of patients in the lumbar spine pain syndrome depending on gender.Material and Methods. The study sample consists of 205 patients hospitalized at the Department of Pediatric Neurosurgery and Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin and at the Department of Pediatric Neurosurgery, Neurotraumatology and Neurosurgery, University Hospital No. 1 in Bydgoszcz. The Research used the Physical Activity Questionnaire IPAQ in Polish version, Visual Analogue Scale VAS, Questionnaire for Depression Measurement KPD, a proprietary questionnaire, as well as the results of laboratory tests of glucose concentration in the blood serum. The analysis of multidimensional relations between the variables was performed using the SEM structural equation modeling using the IBM SPSS 25 program with the AMOS extension.Results. In the subgroups of women and men, models that were structurally similar, although different in the values of selected path coefficients, were developed, which explains the variances of: blood glucose concentration, BMI, intensity of depression symptoms and self-assessment of health condition. The developed structural model shows that physical activity with mediating participation of blood glucose concentration, BMI and depression is associated with self-assessment of health. The indirect dependencies of physical activity and self-assessment of health condition also occur with the mediating participation of the BMI index and blood glucose concentration, as well as the BMI index and depression.Conclusions. The obtained data indicate that in the absence of health contraindications, an important element of interdisciplinary programs supporting the condition and self-assessment of health of patients with lumbar spine pain syndrome may be regular physical activity, adjusted to the needs and capabilities of the body. The differences between men and women suggest that preventive interventions should be gender-specific. (JNNN 2021;10(4):153–161)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74194742","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}
Pub Date : 2021-12-30DOI: 10.15225/pnn.2021.10.4.1
R. Jabłońska, Ewelina Strączek, P. Sokal
Introduction. Diseases of the musculoskeletal system are often caused by long-term and often simultaneous influence of the work environment and individual physical factors of each human being. Healthcare workers are most at risk of suffering from musculoskeletal pain.Aim. Assessment of health behaviours and back pain among professionally active nursing team.Material and Methods. 123 active nurses participated in the study. The method of diagnostic survey was used, using standardized research tools: VAS pain scales, Oswestry questionnaire, IZZ questionnaire.Results. According to the conducted analysis, 79.7% of people experience pain; 17.1% reported ailments on an average level. The highest results were obtained by the respondents in terms of questions concerning a positive mental attitude (average value: 3.45 ± 0.59), and the lowest in terms of health practices (average value: 2.89 ± 0.64). In the case of questions about preventive behaviours, women had statistically significantly (p = 0.010) higher results than men.Conclusions. Pain in the spine concerns the majority of the surveyed nurses. In terms of their own health behaviours, the respondents paid the least attention to proper health habits. There was no correlation in pain, functional capacity and personal health behaviour. (JNNN 2021;10(4):135–143)
{"title":"Health Behaviours and Spine Pain among Nursing Staff","authors":"R. Jabłońska, Ewelina Strączek, P. Sokal","doi":"10.15225/pnn.2021.10.4.1","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.4.1","url":null,"abstract":"Introduction. Diseases of the musculoskeletal system are often caused by long-term and often simultaneous influence of the work environment and individual physical factors of each human being. Healthcare workers are most at risk of suffering from musculoskeletal pain.Aim. Assessment of health behaviours and back pain among professionally active nursing team.Material and Methods. 123 active nurses participated in the study. The method of diagnostic survey was used, using standardized research tools: VAS pain scales, Oswestry questionnaire, IZZ questionnaire.Results. According to the conducted analysis, 79.7% of people experience pain; 17.1% reported ailments on an average level. The highest results were obtained by the respondents in terms of questions concerning a positive mental attitude (average value: 3.45 ± 0.59), and the lowest in terms of health practices (average value: 2.89 ± 0.64). In the case of questions about preventive behaviours, women had statistically significantly (p = 0.010) higher results than men.Conclusions. Pain in the spine concerns the majority of the surveyed nurses. In terms of their own health behaviours, the respondents paid the least attention to proper health habits. There was no correlation in pain, functional capacity and personal health behaviour. (JNNN 2021;10(4):135–143)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89583894","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}
Pub Date : 2021-09-30DOI: 10.15225/pnn.2021.10.3.2
A. Mazur, K. Adamek, Elżbieta Przychodzka, D. Zarzycka, E. Bartoń
Introduction. The rapid transmission of the SARS-CoV-2 coronavirus has prompted government officials from many countries around the world to introduce severe epidemic restrictions to reduce the risk of developing coronavirus disease (COVID-19). However, apart from the necessity to protect somatic health, it turned out in a relatively short time that the pandemic also posed a serious threat to the mental functioning of many people.Aim. The aim of the study is assessing the structure of stressful experiences of women and men in the pain syndrome of the lumbar spine during the COVID-19 epidemic in Poland.Material and Methods. The study sample consists of 102 patients hospitalized in the Department of Neurosurgery and Pediatric Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin. The first group is women, the second is men. The research used the KPS Questionnaire and a proprietary questionnaire. Statistical analyses were carried out using the IBM SPSS 25 program using the two-factor analysis of variance in the mixed schema included in the multivariate OML model.Results. In the group of women, 49.0% of patients feel high stress, 31.4% — moderate, and 19.6% — low. In the male population, 37.3% of the respondents exhibited high stress, 51.0% — average and 11.7% — low. Women exhibit lower emotional tension but higher external stress than men. In addition, the patients have the highest emotional tension and external stress, and the lowest — intrapsychic stress. In men, emotional tension dominates, next is external stress, and intrapsychic stress is significantly lower than them.Conclusions. The obtained data suggest that when designing interventions supporting the mental functioning of this group of patients, consideration should be given to taking into account individual differences identified in the studies. (JNNN 2021;10(3):96–104)
{"title":"The Structure of Stress Experiences in Patients in the Lumbar Spine Pain Syndrome during the COVID-19 Epidemic in Poland","authors":"A. Mazur, K. Adamek, Elżbieta Przychodzka, D. Zarzycka, E. Bartoń","doi":"10.15225/pnn.2021.10.3.2","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.3.2","url":null,"abstract":"Introduction. The rapid transmission of the SARS-CoV-2 coronavirus has prompted government officials from many countries around the world to introduce severe epidemic restrictions to reduce the risk of developing coronavirus disease (COVID-19). However, apart from the necessity to protect somatic health, it turned out in a relatively short time that the pandemic also posed a serious threat to the mental functioning of many people.Aim. The aim of the study is assessing the structure of stressful experiences of women and men in the pain syndrome of the lumbar spine during the COVID-19 epidemic in Poland.Material and Methods. The study sample consists of 102 patients hospitalized in the Department of Neurosurgery and Pediatric Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin. The first group is women, the second is men. The research used the KPS Questionnaire and a proprietary questionnaire. Statistical analyses were carried out using the IBM SPSS 25 program using the two-factor analysis of variance in the mixed schema included in the multivariate OML model.Results. In the group of women, 49.0% of patients feel high stress, 31.4% — moderate, and 19.6% — low. In the male population, 37.3% of the respondents exhibited high stress, 51.0% — average and 11.7% — low. Women exhibit lower emotional tension but higher external stress than men. In addition, the patients have the highest emotional tension and external stress, and the lowest — intrapsychic stress. In men, emotional tension dominates, next is external stress, and intrapsychic stress is significantly lower than them.Conclusions. The obtained data suggest that when designing interventions supporting the mental functioning of this group of patients, consideration should be given to taking into account individual differences identified in the studies. (JNNN 2021;10(3):96–104)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80346327","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}
Pub Date : 2021-09-30DOI: 10.15225/pnn.2021.10.3.4
A. Kołtuniuk, J. Chojdak-Łukasiewicz
Introduction. Multiple sclerosis (MS) is a chronic, autoimmune disease of the central nervous system, which affects young adults between 20–40 years old. The incidence of MS is increasing worldwide. The symptoms vary and depend on which part of the nervous system is affected. Stress is very common in patients with MS. It can be a risk factor related with relapses of the disease. Coping is defined as the behavioural and cognitive efforts used in an attempt to deal with stressful events. In a long-term treatment, disease modifying therapies are used to reduce the risk of the progression and severity of MS, and reduce the risk of disability. The adherence to therapy has a crucial role in the effectiveness of drugs.Aim. The aim of the study was to assess the correlation between coping strategies and quality of life in multiple sclerosis patients depending on the degree of adherence.Material and Methods. The study was conducted in 226 patients suffering from MS.Results. It was demonstrated that 23.5% of respondents do not follow recommended treatments. Both adherent and non-adherent patients gave the highest grade to their quality of life in its social and psychological aspects. The most often used strategies of coping with stress both in adherent and non-adherent patients were as follows: active coping, planning, positive reframing, acceptance, seeking emotional support and seeking instrumental support. On the other hand, substance use was the least frequently used strategy, irrespective of the adherence level.Conclusions. The use of the coping-with-stress strategy, associated with an active problem solving and seeking support, plays a positive role in the quality of life of MS patients adhering to therapeutic recommendations. The use of avoidance strategies, i.e. the not taking of actions as well as self-blaming, reduces the quality of life in MS patients, both adherers and non-adherers to recommendations. (JNNN 2021;10(3):112–119)
{"title":"Strategies of Coping with Stress and the Quality of Life in Relation to the Adherence to Therapeutic Recommendations in MS — Affected Patients","authors":"A. Kołtuniuk, J. Chojdak-Łukasiewicz","doi":"10.15225/pnn.2021.10.3.4","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.3.4","url":null,"abstract":"Introduction. Multiple sclerosis (MS) is a chronic, autoimmune disease of the central nervous system, which affects young adults between 20–40 years old. The incidence of MS is increasing worldwide. The symptoms vary and depend on which part of the nervous system is affected. Stress is very common in patients with MS. It can be a risk factor related with relapses of the disease. Coping is defined as the behavioural and cognitive efforts used in an attempt to deal with stressful events. In a long-term treatment, disease modifying therapies are used to reduce the risk of the progression and severity of MS, and reduce the risk of disability. The adherence to therapy has a crucial role in the effectiveness of drugs.Aim. The aim of the study was to assess the correlation between coping strategies and quality of life in multiple sclerosis patients depending on the degree of adherence.Material and Methods. The study was conducted in 226 patients suffering from MS.Results. It was demonstrated that 23.5% of respondents do not follow recommended treatments. Both adherent and non-adherent patients gave the highest grade to their quality of life in its social and psychological aspects. The most often used strategies of coping with stress both in adherent and non-adherent patients were as follows: active coping, planning, positive reframing, acceptance, seeking emotional support and seeking instrumental support. On the other hand, substance use was the least frequently used strategy, irrespective of the adherence level.Conclusions. The use of the coping-with-stress strategy, associated with an active problem solving and seeking support, plays a positive role in the quality of life of MS patients adhering to therapeutic recommendations. The use of avoidance strategies, i.e. the not taking of actions as well as self-blaming, reduces the quality of life in MS patients, both adherers and non-adherers to recommendations. (JNNN 2021;10(3):112–119)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83570054","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}
Pub Date : 2021-09-30DOI: 10.15225/pnn.2021.10.3.6
Anna Antczak-Komoterska, M. Polak, B. Haor, D. Kochman, Wiesław Fidecki, M. Wysokiński
Introduction. Depressions are among the civilization diseases of the 21st century and are disorders in the human psyche. It comes in various age groups and affects children, adolescents, women, men and the elderly. In Poland, over 1.5 million people struggle with depression, and at present, during the Covid-19 pandemic, the incidence has increased to over 3 million.Aim. The aim of the study was to evaluate the factors influencing the occurrence of depression.Material and Methods. The study included 200 people — nurses from treatment and conservative departments. The prevalence of depressive disorders was assessed using the Depression Measurement Questionnaire, which consists of 75 statements — terms referring to the approach to life and everyday life. A self-questionnaire containing questions about the socio-demographic characteristics of the respondents was used as a research tool. The obtained results were analysed statistically.Results. In the case of men, the indicator reached a statistically higher value, i.e. 242.2 points, which means the average level, while for women it amounted to 238.1 points, which means a low level. A low level of the NREAP index was shown by the group of respondents aged 20–30, while a high level was observed among the group of respondents aged 41–50. Nurses with lower education — certified ones showed a low level of the DMQ index, while nurses with higher education with a master’s degree obtained a higher level of the DMQ index. According to the statistical analysis, the low level of the KRP indicator was shown by people working briefly in the profession from 1 to 5 years. People who worked in the profession from 11 to 20 years had a high level of DMQ. Nurses working in the conservative ward showed a low level of the DMQ index, while the index of nurses in the surgical wards remained at the average levels.Conclusions. Sociodemographic factors had a significant impact on the occurrence of depressive disorders in the studied group. The study also confirmed a large influence of professional factors on the occurrence of depression among nurses. The statistical analysis showed a significant relationship between the gender, age of the respondents and the depression measurement index — DMQ. (JNNN 2021;10(3):126–132)
{"title":"The Analysis of Factors Influencing the Occurrence of Depression","authors":"Anna Antczak-Komoterska, M. Polak, B. Haor, D. Kochman, Wiesław Fidecki, M. Wysokiński","doi":"10.15225/pnn.2021.10.3.6","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.3.6","url":null,"abstract":"Introduction. Depressions are among the civilization diseases of the 21st century and are disorders in the human psyche. It comes in various age groups and affects children, adolescents, women, men and the elderly. In Poland, over 1.5 million people struggle with depression, and at present, during the Covid-19 pandemic, the incidence has increased to over 3 million.Aim. The aim of the study was to evaluate the factors influencing the occurrence of depression.Material and Methods. The study included 200 people — nurses from treatment and conservative departments. The prevalence of depressive disorders was assessed using the Depression Measurement Questionnaire, which consists of 75 statements — terms referring to the approach to life and everyday life. A self-questionnaire containing questions about the socio-demographic characteristics of the respondents was used as a research tool. The obtained results were analysed statistically.Results. In the case of men, the indicator reached a statistically higher value, i.e. 242.2 points, which means the average level, while for women it amounted to 238.1 points, which means a low level. A low level of the NREAP index was shown by the group of respondents aged 20–30, while a high level was observed among the group of respondents aged 41–50. Nurses with lower education — certified ones showed a low level of the DMQ index, while nurses with higher education with a master’s degree obtained a higher level of the DMQ index. According to the statistical analysis, the low level of the KRP indicator was shown by people working briefly in the profession from 1 to 5 years. People who worked in the profession from 11 to 20 years had a high level of DMQ. Nurses working in the conservative ward showed a low level of the DMQ index, while the index of nurses in the surgical wards remained at the average levels.Conclusions. Sociodemographic factors had a significant impact on the occurrence of depressive disorders in the studied group. The study also confirmed a large influence of professional factors on the occurrence of depression among nurses. The statistical analysis showed a significant relationship between the gender, age of the respondents and the depression measurement index — DMQ. (JNNN 2021;10(3):126–132)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85795398","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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