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Jakość życia kobiet po mastektomii
Pub Date : 2020-12-30 DOI: 10.21784/iwp.2020.020
Mariola Rybka, Państwowa Uczelnia Zawodowa we Włocławku, M. Ziółkowska, Wojewódzki Szpital Specjalistyczny im. błogosławionego księdz Włocławku
Introduction. Amazons is a group of women who are extremely brave and valiant in their social organization, who support each other against the heavy adversary that has put their lives in their way- breast cancer. The activities of associations facilitate adaptation to the new health situation of these women. An indispensable aspect of women after a mastectomy is their quality of life. The concept of quality of life is a multidimensional term covering every sphere of human life at every stage. Aim. The aim of the work was to assess the quality of life of women after mas-tectomies associated with the Amazon group. Material and methods. The study examined 103 women aged ≥ 20. More than three quarters of respondents lived in urban areas and one in three women lived in rural areas. The WHOQOL-BREF questionnaire is used to assess the quality of life and is a standardised tool for assessing the quality of life of both healthy and sick people. Results. Women after mastectomy affiliated with the Amazon club accept their appearance and health, which translates into an overall quality of life. Conclusions. Patients after the sparing procedure assess their quality of life at the highest level, while women after bilateral mastectomy at the lowest level. The extent of the support provided by loved ones has a significant impact on self-assessment in terms of quality of life satisfaction. Awareness of cancer negatively affects the mental sphere. Active professional persons after mastec-tomy were given the opportunity to return to work, which positively affected the quality of life.
介绍。亚马逊是一群女性,她们在自己的社会组织中非常勇敢,她们相互支持,对抗阻碍她们生活的沉重对手——乳腺癌。协会的活动有助于这些妇女适应新的健康状况。乳房切除术后女性不可缺少的一个方面是她们的生活质量。生活质量的概念是一个多维的术语,涵盖了人类生活的每一个阶段的每一个领域。的目标。这项工作的目的是评估与亚马逊群体相关的乳房切除术后妇女的生活质量。材料和方法。该研究调查了103名年龄≥20岁的女性。超过四分之三的受访者生活在城市地区,三分之一的妇女生活在农村地区。WHOQOL-BREF问卷用于评估生活质量,是评估健康人和病人生活质量的标准化工具。结果。在亚马逊俱乐部接受乳房切除术的女性接受她们的外表和健康,这转化为整体的生活质量。结论。保留手术后的患者生活质量评价最高,而双侧乳房切除术后的患者生活质量评价最低。亲人提供的支持程度对生活质量满意度的自我评估有显著影响。意识到癌症会对精神领域产生负面影响。积极的专业人员在乳房切除术后有机会重返工作岗位,这对生活质量产生了积极影响。
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引用次数: 0
Świadomość pacjentów na temat późnych powikłań cukrzycy typu 2
Pub Date : 2020-12-30 DOI: 10.21784/iwp.2020.022
Anna Antczak-Komoterska, Państwowa Uczelnia Zawodowa we Włocławku, Beata Boruczkowska, Centrum Diagnostyczno-Lecznicze Barska we Włocławku
Admission. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycaemia resulting from a defect in the production or function of insulin secreted by the beta cells of the pancreas. The most common form of diabetes is type 2 diabetes, in which there is primarily a decreased sensitivity of tissues to insulin (insulin resistance). Long-term diabetes leads to many serious complications that affect many organs, such as the eyes, kidneys and nerve fibers. Aim. The aim of the study was to assess the patients' awareness of late compli-cation of type 2 diabetes. Material and methods. The study involved 100 female and male patients treated at the CDL Barska Diabetes Clinic. The diagnostic survey method was selected, the survey technique and the analysis of medical records were used. The research tool used in the work was the original questionnaire and medical documentation. Results. The conducted research shows that the vast majority of patients are women (63%), over 60 (40%), living in the city (62%), professionally active (44%), who were ill for less than 5 years (45%) . Most respondents indicated participation in ophthalmological consultations (65%). The largest group of respondents indicated a complication in the form of hypertension (37.4%), visual impairment (23.7%), and the least indicated a diabetic foot (0.7%).
入学。糖尿病是一组以高血糖为特征的代谢性疾病,由胰腺β细胞分泌的胰岛素产生或功能缺陷引起。糖尿病最常见的形式是2型糖尿病,主要是组织对胰岛素的敏感性降低(胰岛素抵抗)。长期糖尿病会导致许多严重的并发症,影响许多器官,如眼睛、肾脏和神经纤维。的目标。本研究的目的是评估患者对2型糖尿病晚期并发症的认识。材料和方法。该研究涉及在CDL Barska糖尿病诊所接受治疗的100名男女患者。采用诊断性问卷调查法,采用问卷调查法和病案分析法。工作中使用的研究工具是原始问卷和医疗文件。结果。所进行的研究表明,绝大多数患者是女性(63%),60岁以上(40%),居住在城市(62%),职业活跃(44%),患病时间不到5年(45%)。大多数受访者表示参加眼科会诊(65%)。最多的应答者表示有高血压并发症(37.4%),视力障碍(23.7%),最少的应答者表示有糖尿病足(0.7%)。
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引用次数: 0
Wybrane aspekty opieki pielęgniarskiej realizowanej wobec pacjenta po przebytym udarze niedokrwiennym mózgu
Pub Date : 2020-12-30 DOI: 10.21784/iwp.2020.023
Kasandra Szklarczyk, Państwowa Uczelnia Zawodowa we Włocławku, Wiktoria Sztandarowicz, Emilia Szyjkowska, Paulina Sak
Introduction. Stroke is a clinical syndrome in which focal or global brain dysfunction suddenly occurs. Despite the progress in diagnostics and treatment options that has been noticeable in recent years, stroke is the third most common cause of death in industrialized countries. In Poland, there are 60,000 people after a stroke every year, half of them die during the first year. Stroke patients often become dependent and needs help from other people. Aim. The aim of this study is to analyze selected aspects of nursing care provided to a patient after an ischemic stroke. Material and methods. Analysis of available literature related to issue of stroke and nursing care in patients after stroke as well as mapping medical diagnosis and interventions using the INCP ® dictionary. Results. Using the ICNP classification allows to show the patient's state of health after a stroke and plan nursing care based on uniform professional terminology.
介绍。中风是一种突然发生局灶性或全局性脑功能障碍的临床综合征。尽管近年来在诊断和治疗选择方面取得了显著进展,但中风仍是工业化国家第三大常见死因。在波兰,每年有6万人中风后死亡,其中一半在第一年死亡。中风患者往往变得依赖他人,需要他人的帮助。的目标。本研究的目的是分析选择护理方面提供给缺血性中风后的病人。材料和方法。分析与中风和中风后患者护理问题相关的现有文献,以及使用INCP®词典绘制医学诊断和干预措施。结果。使用ICNP分类可以显示中风后患者的健康状况,并根据统一的专业术语制定护理计划。
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引用次数: 0
Organ transplantation and chronic disturbances in the health condition of the population – challenges and perspectives 器官移植和慢性疾病在人口健康状况-挑战和观点
Pub Date : 2020-12-30 DOI: 10.21784/iwp.2020.024
A. H. Seren
End-stage organ failure cases are increasing around the World. Especially chronic kidney failure has been becoming a worldwide epidemic. Although available medical technology and human health resources capacity is enough to transplant organs and tissues to patients diagnosed with end-stage organ fail-ure, many people cannot access the transplantation services because of eco-nomic reasons and organ shortage. Thus, health care professionals should fo-cus on preventing chronic organ failures besides increasing the organ donor pool.
世界各地的终末期器官衰竭病例正在增加。特别是慢性肾衰竭已经成为一种世界性的流行病。虽然现有的医疗技术和人类卫生资源能力足以将器官和组织移植给被诊断为终末期器官衰竭的患者,但由于经济原因和器官短缺,许多人无法获得移植服务。因此,卫生保健专业人员除了增加器官供体外,还应关注预防慢性器官衰竭。
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引用次数: 0
Zawód pielęgniarki jako profesja szczególnie obciążona długotrwałym stresem i zagrożeniem wystąpienia depresji
Pub Date : 2020-10-20 DOI: 10.21784/iwp.2020.001
Mariola Rybka, A. Rymar
The responsibility arising from the requirements of nursing is causing that many nurses feel pressure and discomfort every day. The multitude, intensity and frequency of stressors experienced every day by nurses inevitably lead to an increase in negative emotions. Many studies have proven the direct impact of stress experienced by nurses on the deterioration of the quality of life on its various areas. Such a multidimensional disorder in performing life roles leads to symptoms of depression, and thus to deterioration of both mental and physical well-being. Aim. The aim of the presented research was to determine the degree of stress burden on people working as a nurse and to answer the question whether nursing as a profession is particularly prone to depression. Material and methods. The group of respondents consisted of 100 nurses working in various forms of employment at Szpital Lipno Sp. z o.o. The study used a self-designed questionnaire, Beck's BDI-II test and the psychological measurement of disposable coping MINI COPE. Results. The obtained results confirmed that nursing is a profession particularly exposed to long-term stress. 80% of the surveyed nurses show a high exposure to stress, 16% of the respondents not too much, and 4% negligible. This means that eight out of ten nurses experience a high stress load in their workplace. Symptoms of depression occur in over 1/3 of respondents (34%). Conclusions. Nursing is a profession that is particularly burdened with long-term stress, and thus every third nurse indicates symptoms of depression.
由于护理工作的要求而产生的责任使许多护士每天都感到压力和不适。护士每天经历的压力源的数量、强度和频率不可避免地导致负面情绪的增加。许多研究已经证明了护士所经历的压力对其各个领域生活质量的恶化的直接影响。这种扮演生活角色的多维障碍导致抑郁症状,从而导致精神和身体健康的恶化。的目标。这项研究的目的是确定护士的压力负担程度,并回答护理作为一种职业是否特别容易患抑郁症的问题。材料和方法。调查对象为利普诺医院100名不同形式的护士,采用自行设计的问卷、贝克BDI-II测试和一次性应对MINI COPE心理测量。结果。获得的结果证实,护理是一个特别暴露于长期压力的职业。80%的受访护士表现出高度的压力暴露,16%的受访者不太严重,4%的受访者可以忽略不计。这意味着十分之八的护士在工作场所承受着很高的压力。超过1/3的受访者(34%)出现抑郁症状。结论。护理是一个长期承受压力的职业,因此三分之一的护士有抑郁症状。
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引用次数: 0
Wpływ uwarunkowań genetycznych i czynników środowiskowych na zachorowalność na cukrzycę typu 2
Pub Date : 2020-09-30 DOI: 10.21784/iwp.2020.015
Natalia Cecot, Państwowa Uczelnia Zawodowa we Włocławku, Beata Boruczkowska, Centrum Diagnostyczno-Lecznicze Barska we Włocławku
Admission. Diabetes mellitus is a chronic metabolic disease resulting from disturbed secretion or action of insulin, a hormone produced by the pancreas. It is genetically and multi-gene conditioned and by environmental factors, mainly obesity, bad eating habits and lack of physical activity. Aim. The aim of this study was to assess the influence of genetic conditions and environmental factors on the incidence of type 2 diabetes. Material and methods. In this work, the survey technique and classic qualita-tive analysis of documents were used. Research tools are used for the technical collection of data, such as: interview questionnaire, observation sheet, dicta-phone, pen, etc. Patients from the CDL Barska Diabetes Clinic in Włocławek participated in the study. The condition was the patient's written consent. Pa-tients received the questionnaire and it was conducted with their consent Results. One of the factors causing complications is alcohol consumption. Most respondents stated that they do not consume alcohol (45%), but a very large proportion of the respondents admitted that they drink alcohol occasion-ally (44%). Patients indicated that alcohol may induce hypoglycaemia (51%). Most of the respondents answered that alcohol is bad for the treatment of type 2 diabetes (88%). When indicating the type of physical activity, the respondents most often re-ported walking (48,4%) and cycling (25,8%). Patients admitted that they do physical activity once a week (34%) or not at all (27%). Conclusions. Genetic and environmental factors in the incidence of type 2 dia-betes are playing the very important role.
入学。糖尿病是一种慢性代谢性疾病,由胰腺产生的激素胰岛素分泌或作用紊乱引起。它是由遗传和多基因决定的,并受环境因素的影响,主要是肥胖、不良饮食习惯和缺乏体育锻炼。的目标。本研究的目的是评估遗传条件和环境因素对2型糖尿病发病率的影响。材料和方法。在这项工作中,使用了调查技术和经典的文献定性分析。研究工具用于数据的技术收集,如:访谈问卷,观察表,口述电话,笔等。来自Włocławek的CDL Barska糖尿病诊所的患者参与了这项研究。条件是病人的书面同意。患者收到问卷,并在患者同意的情况下进行问卷调查。引起并发症的因素之一是饮酒。大多数答复者表示他们不饮酒(45%),但很大一部分答复者承认他们偶尔饮酒(44%)。患者指出酒精可引起低血糖(51%)。回答“酒精对2型糖尿病的治疗有害”的人最多(88%)。在指出身体活动类型时,受访者最常报告的是步行(48.4%)和骑自行车(25.8%)。患者承认他们每周做一次体育锻炼(34%)或根本不做(27%)。结论。遗传和环境因素在2型糖尿病的发病中都起着非常重要的作用。
{"title":"Wpływ uwarunkowań genetycznych i czynników środowiskowych na zachorowalność na cukrzycę typu 2","authors":"Natalia Cecot, Państwowa Uczelnia Zawodowa we Włocławku, Beata Boruczkowska, Centrum Diagnostyczno-Lecznicze Barska we Włocławku","doi":"10.21784/iwp.2020.015","DOIUrl":"https://doi.org/10.21784/iwp.2020.015","url":null,"abstract":"Admission. Diabetes mellitus is a chronic metabolic disease resulting from disturbed secretion or action of insulin, a hormone produced by the pancreas. It is genetically and multi-gene conditioned and by environmental factors, mainly obesity, bad eating habits and lack of physical activity. Aim. The aim of this study was to assess the influence of genetic conditions and environmental factors on the incidence of type 2 diabetes. Material and methods. In this work, the survey technique and classic qualita-tive analysis of documents were used. Research tools are used for the technical collection of data, such as: interview questionnaire, observation sheet, dicta-phone, pen, etc. Patients from the CDL Barska Diabetes Clinic in Włocławek participated in the study. The condition was the patient's written consent. Pa-tients received the questionnaire and it was conducted with their consent Results. One of the factors causing complications is alcohol consumption. Most respondents stated that they do not consume alcohol (45%), but a very large proportion of the respondents admitted that they drink alcohol occasion-ally (44%). Patients indicated that alcohol may induce hypoglycaemia (51%). Most of the respondents answered that alcohol is bad for the treatment of type 2 diabetes (88%). When indicating the type of physical activity, the respondents most often re-ported walking (48,4%) and cycling (25,8%). Patients admitted that they do physical activity once a week (34%) or not at all (27%). Conclusions. Genetic and environmental factors in the incidence of type 2 dia-betes are playing the very important role.","PeriodicalId":383609,"journal":{"name":"Innowacje w Pielęgniarstwie","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130764340","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}
引用次数: 0
Nawyki żywieniowe u pacjentów z cukrzycą typu 2
Pub Date : 2020-09-30 DOI: 10.21784/iwp.2020.013
Anna Antczak-Komoterska, Państwowa Uczelnia Zawodowa we Włocławku, Malwina Gołębiewska, Mzoz Przychodnia numer Poradnia Dziecięca ul. Kaliska a Włocławku
Admission. Diabetes mellitus is a chronic disease caused by a disturbance in insulin secretion. Diet is a very important element in the treatment of diabetes. It is a prerequisite for maintaining the proper concentration of glucose and fats (lipids) in the blood and optimal blood pressure. A well-chosen diet reduces the risk of diabetes complications and reduces the risk of vascular diseases. An appropriate nutrition model also plays an important role in the prevention and treatment of chronic diabetes complications (microangiopathy, retinopathy and diabetic nephropathy). Aim. The aim of this study was to evaluate the influence of eating habits on patients with type 2 diabetes. Material and methods. The paper uses the method of a diagnostic survey. The research techniques that were used for the purposes of the research process were: surveying and estimation scale technique. The tool that was used in the study was the proprietary questionnaire of the self-survey. Results. The research results show that the patients have good and bad eating habits. Positive behaviors relate to the number of meals and the way of cook-ing. Most women indicated that they eat 4-5 meals a day – 39,0%. The negative ones include snacking between meals (most women indicated that they some-times eat between meals – 58,0%, the least that not – 8,0%), high consumption of sweets (most women indicated that they eat sweets several times a day – 23,0%, the least indicated that 3-4 times a week – 13,0%), and lower frequency of selecting fish compared to healthy women. Conclusions. It turns out that the level of knowledge about positive eating hab-its is average. Therefore, the aim of preventive actions is to make the public aware of the importance of a proper diet, the number of meals taken and the way of their preparation.
入学。糖尿病是由胰岛素分泌紊乱引起的慢性疾病。饮食是治疗糖尿病的一个非常重要的因素。它是维持血液中葡萄糖和脂肪(脂质)适当浓度和最佳血压的先决条件。精心选择的饮食可以降低患糖尿病并发症的风险,并降低患血管疾病的风险。适当的营养模式对慢性糖尿病并发症(微血管病变、视网膜病变和糖尿病肾病)的预防和治疗也起着重要作用。的目标。本研究的目的是评估饮食习惯对2型糖尿病患者的影响。材料和方法。本文采用了诊断调查的方法。研究过程中使用的研究技术是:测量和估计尺度技术。本研究使用的工具是自我调查的专有问卷。结果。研究结果表明,患者有良好和不良的饮食习惯。积极的行为与吃饭的次数和烹饪的方式有关。大多数女性表示她们每天吃4-5顿饭(39.0%)。负面因素包括两餐之间吃零食(大多数妇女表示她们有时在两餐之间吃零食——58.0%,最少的妇女表示她们有时在两餐之间吃零食——8.0%),大量食用甜食(大多数妇女表示她们每天吃几次甜食——23.0%,最少的妇女表示每周吃3-4次——13.0%),以及与健康妇女相比,选择鱼类的频率较低。结论。事实证明,人们对积极饮食习惯的了解程度一般。因此,预防行动的目的是使公众意识到适当饮食的重要性,膳食的数量和准备方式。
{"title":"Nawyki żywieniowe u pacjentów z cukrzycą typu 2","authors":"Anna Antczak-Komoterska, Państwowa Uczelnia Zawodowa we Włocławku, Malwina Gołębiewska, Mzoz Przychodnia numer Poradnia Dziecięca ul. Kaliska a Włocławku","doi":"10.21784/iwp.2020.013","DOIUrl":"https://doi.org/10.21784/iwp.2020.013","url":null,"abstract":"Admission. Diabetes mellitus is a chronic disease caused by a disturbance in insulin secretion. Diet is a very important element in the treatment of diabetes. It is a prerequisite for maintaining the proper concentration of glucose and fats (lipids) in the blood and optimal blood pressure. A well-chosen diet reduces the risk of diabetes complications and reduces the risk of vascular diseases. An appropriate nutrition model also plays an important role in the prevention and treatment of chronic diabetes complications (microangiopathy, retinopathy and diabetic nephropathy). Aim. The aim of this study was to evaluate the influence of eating habits on patients with type 2 diabetes. Material and methods. The paper uses the method of a diagnostic survey. The research techniques that were used for the purposes of the research process were: surveying and estimation scale technique. The tool that was used in the study was the proprietary questionnaire of the self-survey. Results. The research results show that the patients have good and bad eating habits. Positive behaviors relate to the number of meals and the way of cook-ing. Most women indicated that they eat 4-5 meals a day – 39,0%. The negative ones include snacking between meals (most women indicated that they some-times eat between meals – 58,0%, the least that not – 8,0%), high consumption of sweets (most women indicated that they eat sweets several times a day – 23,0%, the least indicated that 3-4 times a week – 13,0%), and lower frequency of selecting fish compared to healthy women. Conclusions. It turns out that the level of knowledge about positive eating hab-its is average. Therefore, the aim of preventive actions is to make the public aware of the importance of a proper diet, the number of meals taken and the way of their preparation.","PeriodicalId":383609,"journal":{"name":"Innowacje w Pielęgniarstwie","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125026966","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}
引用次数: 0
Analiza częstości występowania oraz czynników wpływających na powstanie wad postawy u dzieci w wieku szkolnym
Pub Date : 2020-09-30 DOI: 10.21784/iwp.2020.016
Dorota Kochman, Państwowa Uczelnia Zawodowa we Włocławku, Aneta Studzińska, Centrum Diagnostyczno-Lecznicze Barska we Włocławku
Introduction. Faulty posture is define as the syndrome of bad posture that we characterize as minimal, individual anomalies upon proper poise which are potentially curable with professional passive and active exercises. An im-portant function at develop posture anomalies has factors which induce to take improper silhouette. To the above factors mainly belong: bad posture while relaxation, wrong place to study or hefting overloaded packs. Aim. Depiction of common problem among children at school age which is exposure of faulty posture and specification of factors which produce faulty posture. Material and methods. In the thesis was used method of evaluation and diag-nostic survey method. With the object of execution the questionnaire surveys applied an anonymous and authorial questionnaire at the same time. A hundred of children at 11-14 age entered the survey. Based on data, computed BMI rate and the anthropometric parameters were evaluated according to centile grid. Results. A hundred of children entered the research (49% boys, 51% girls). 24% of children had diagnose of faulty posture namely 16 girls and 8 boys. Fallen arches was detected at 11 children, it is about 46% of people with bad posture, whereas none of children had knees valgus (0%). 38% of children who are active less than hour per day were diagnosed with faulty posture, whereas group of people with 1-2 hours daily physical activity had only 16,1% of chil-dren with faulty posture. On the other hand with students who spare over two hours on activity daily were not any fault. 87,5% of respondents with wrong BMI rate level suffer from bad posture. Children (66%), who do not respect right rules of carrying pack have diagnosed faulty posture. Conclusion. Every fourth child at research group has bad posture. The com-mon type of faulty posture is fallen arches, but the rarest is knee valgus. Low level of physical activity and wrong way of carrying pack significantly contrib-ute to develop faulty posture among school age children. Furthermore inade-quate result of BMI also has negative impact on body posture of child.
介绍。错误的姿势被定义为不良姿势的综合征,我们将其描述为最小的个体异常,在适当的平衡上,可以通过专业的被动和主动练习来潜在地治愈。体态异常的一个重要功能是诱发不正确的廓形。上述因素主要属于:放松时姿势不当、学习地点不对或书包过重。的目标。描述学龄儿童的常见问题,即错误姿势的暴露,并说明产生错误姿势的因素。材料和方法。本文采用了评价法和诊断调查法。问卷调查在执行对象上采用了匿名问卷和署名问卷相结合的方式。100名11至14岁的儿童参加了调查。根据数据,计算BMI率和人体测量参数按百分位网格进行评估。结果。100名儿童参加了这项研究(49%的男孩,51%的女孩)。24%的儿童被诊断为错误姿势,其中16名女孩和8名男孩。在11个儿童中检测到足弓下垂,大约46%的儿童有不良姿势,而没有儿童有膝盖外翻(0%)。在每天运动不足一小时的儿童中,有38%的人被诊断为姿势不良,而在每天运动1-2小时的儿童中,只有16.1%的儿童患有姿势不良。另一方面,每天花两个多小时在活动上的学生并没有什么错。87.5%的BMI指数不正确的受访者存在不良体态。不遵守正确的背包规则的儿童(66%)被诊断为错误的姿势。结论。研究小组四分之一的孩子姿势不好。常见的错误姿势是下弓,但最罕见的是膝盖外翻。低水平的体育活动和错误的背书包方式是学龄儿童不良体态的重要原因。此外,BMI不合格的结果也会对儿童的身体姿势产生负面影响。
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引用次数: 4
Poziom wiedzy na temat profilaktyki przeciwzakrzepowej wśród pacjentów z migotaniem przedsionków
Pub Date : 2020-09-30 DOI: 10.21784/iwp.2020.014
Anna Emilia Chwalisz, Wojewódzki Szpital Specjalistyczny im. błogosławionego księdz Włocławku, Grażyna Chojnacka-Kowalewska, Państwowa Uczelnia Zawodowa we Włocławku
Introduction. In modern therapy of patients with atrial fibrillation, which belongs to the group particularly at risk of stroke, prophylactic anticoagulation is of primary importance. The initiation and subsequent proper monitoring of long-term anticoagulation therapy is very important for this group of patients. The use of oral anticoagulants significantly reduces the risk of ischemic stroke, and thus ensures longer survival and avoidance of permanent disability among patients with atrial fibrillation. Aim. Assessment of the level of knowledge of patients with atrial fibrillation on thromboprophylaxis in internal departments and cardiology of the Provin-cial Specialist Hospital in Włocławek. Materials and methods. The study group consisted of 100 people (63 men and 37 women) with diagnosed atrial fibrillation, taking oral anticoagulants. The research tool was the author's questionnaire. To assess the risk of ischem-ic stroke in this group of patients, the CHA2DS2-VASc scale was used and ques-tions about these factors were included in the survey. Results. Studies show that anticoagulant prophylaxis in the form of oral anti-coagulants is used in every patient with diagnosed atrial fibrillation. Most pa-tients use new generation drugs (NOAC) that do not require dose adjustment based on a normalized INR. Persistent atrial fibrillation was found in 51% of the patients. The most numerous group were patients in the 65-74 age range. The annual risk of stroke in my subjects was on average 11%. In most cases, patients correctly answered questions about the rules of conduct when using oral anticoagulants, factors that increase and weaken the effects of these drugs and the symptoms of their overdose. There were no significant differences in the level of knowledge between the women and men studied, while younger, better educated patients who declared a very good or satisfactory material situ-ation showed more knowledge. Conclusions. The study showed that the level of patients' knowledge about antithrombotic prophylaxis in atrial fibrillation is at a good level and corresponds to current medical knowledge.
介绍。房颤属于卒中高危人群,在房颤患者的现代治疗中,预防性抗凝是最重要的。长期抗凝治疗的开始和随后的适当监测对这组患者非常重要。口服抗凝剂的使用可显著降低缺血性卒中的风险,从而确保房颤患者更长的生存期和避免永久性残疾。的目标。Włocławek省级专科医院内科和心内科房颤患者血栓预防知识水平评估材料和方法。研究小组包括100名确诊为房颤的患者(63名男性和37名女性),服用口服抗凝剂。研究工具是作者的问卷。采用CHA2DS2-VASc量表评估本组患者发生缺血性脑卒中的风险,并将这些因素纳入问卷调查。结果。研究表明,抗凝预防形式的口服抗凝剂被用于每一个诊断心房颤动的患者。大多数患者使用新一代药物(NOAC),不需要根据标准化INR调整剂量。51%的患者存在持续性心房颤动。人数最多的群体是65-74岁的患者。在我的研究对象中,每年中风的风险平均为11%。在大多数情况下,患者正确回答了有关使用口服抗凝血剂的行为准则、增加和减弱这些药物作用的因素以及过量服用的症状等问题。在被研究的女性和男性之间,知识水平没有显著差异,而声称物质状况非常好或满意的年轻、受教育程度较高的患者表现出更多的知识。结论。研究表明,患者对房颤抗栓预防的知识水平处于较好的水平,与目前的医学知识相对应。
{"title":"Poziom wiedzy na temat profilaktyki przeciwzakrzepowej wśród pacjentów z migotaniem przedsionków","authors":"Anna Emilia Chwalisz, Wojewódzki Szpital Specjalistyczny im. błogosławionego księdz Włocławku, Grażyna Chojnacka-Kowalewska, Państwowa Uczelnia Zawodowa we Włocławku","doi":"10.21784/iwp.2020.014","DOIUrl":"https://doi.org/10.21784/iwp.2020.014","url":null,"abstract":"Introduction. In modern therapy of patients with atrial fibrillation, which belongs to the group particularly at risk of stroke, prophylactic anticoagulation is of primary importance. The initiation and subsequent proper monitoring of long-term anticoagulation therapy is very important for this group of patients. The use of oral anticoagulants significantly reduces the risk of ischemic stroke, and thus ensures longer survival and avoidance of permanent disability among patients with atrial fibrillation. Aim. Assessment of the level of knowledge of patients with atrial fibrillation on thromboprophylaxis in internal departments and cardiology of the Provin-cial Specialist Hospital in Włocławek. Materials and methods. The study group consisted of 100 people (63 men and 37 women) with diagnosed atrial fibrillation, taking oral anticoagulants. The research tool was the author's questionnaire. To assess the risk of ischem-ic stroke in this group of patients, the CHA2DS2-VASc scale was used and ques-tions about these factors were included in the survey. Results. Studies show that anticoagulant prophylaxis in the form of oral anti-coagulants is used in every patient with diagnosed atrial fibrillation. Most pa-tients use new generation drugs (NOAC) that do not require dose adjustment based on a normalized INR. Persistent atrial fibrillation was found in 51% of the patients. The most numerous group were patients in the 65-74 age range. The annual risk of stroke in my subjects was on average 11%. In most cases, patients correctly answered questions about the rules of conduct when using oral anticoagulants, factors that increase and weaken the effects of these drugs and the symptoms of their overdose. There were no significant differences in the level of knowledge between the women and men studied, while younger, better educated patients who declared a very good or satisfactory material situ-ation showed more knowledge. Conclusions. The study showed that the level of patients' knowledge about antithrombotic prophylaxis in atrial fibrillation is at a good level and corresponds to current medical knowledge.","PeriodicalId":383609,"journal":{"name":"Innowacje w Pielęgniarstwie","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124594386","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}
引用次数: 0
Opieka pielęgniarska nad pacjentką w przebiegu choroby Alzheimera z wykorzystaniem ICNP®
Pub Date : 2020-09-30 DOI: 10.21784/iwp.2020.017
Karolina Krajewska, Państwowa Uczelnia Zawodowa we Włocławku
Introduction. Alzheimer's disease (AD – Alzheimer Disease) is an incurable neurodegenerative disease. The main source of memory discomfort is destruc-tion. With age, irresistibly falling ill with it. Risk factors for the development of Alzheimer's disease are primarily: diabetes, female gender, hypertension and the lack of a control field. It is estimated that in Poland Alzheimer's disease affects about 200,000 people. According to statistics, 60% of all forms of de-mentia are AD. Aim of the study. The aim of the study is to present the activities that should be performed by a nurse caring for a patient with diagnosed Alzheimer's dis-ease. Case study. A 75-year-old patient admitted to the internal medicine ward, she has communication, content swallowing and spatial orientation disorders. It requires constant assistance in the performance of everyday activities. He complains of urinary and faecal incontinence. Conclusion. Thanks to the holistic approach to the patient, it is possible to ensure her correctness and the approach of the patient and her family.
介绍。阿尔茨海默病(AD - Alzheimer disease)是一种无法治愈的神经退行性疾病。记忆不适的主要来源是破坏。随着年龄的增长,不可抗拒地生病。发展为阿尔茨海默病的危险因素主要有:糖尿病、女性、高血压和缺乏控制领域。据估计,在波兰,阿尔茨海默病影响了大约20万人。据统计,所有形式的痴呆症中有60%是AD。研究的目的。本研究的目的是提出护理诊断为阿尔茨海默病的患者的护士应采取的行动。案例研究。一名75岁的住院内科病人,她有沟通、内容吞咽和空间定向障碍。它需要在日常活动中不断得到帮助。他抱怨小便失禁。结论。由于对患者的整体方法,有可能确保她的正确性和患者及其家人的方法。
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Innowacje w Pielęgniarstwie
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