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Preferred patient behaviours related to health

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Moczydłowska A., Krajewska-Kułak E., Kózka M., Bielski K.
Progress in Health Sciences
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2015
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vol. 5
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issue 2
122-133
EN
Introduction: Health education is the child of medicine and pedagogy, and they share a common focus on humans. The aim of this study was to assess the preferred behaviours associated with health as well as the health locus of control of the tested patients.Materials and methods: The study included 300 patients from surgical wards (group I) and 300 from non-surgical wards (group II), studying them using the Health Behaviour Inventory (HBI) and the Multidimensional Health Locus of Control Scale (MHLC) scales.Results: For the six statements contained in the Sanitary Behaviours Letter concerning proper nutrition, the surveyed patients received the lowest average values. Among the preventive behaviours, participants reported that they complied with medical recommendations, conducted settled family and social life, and reduced their smoking, but that they did not attach sufficient importance to rest or weight control. In relation to the four examined categories of behaviour, general indicators of the severity of health behaviour did not differ significantly between the groups, which both reported a low level of health behaviour. The majority of women expressed the conviction that their health depends on themselves, demonstrating internal health control, while men tended to claim that their health was dependent on fate or luck. Inhabitants of rural areas exhibited internal control and blamed their own health behaviour for their well-being. Urban residents, on the other hand, showed a stronger belief in the influence of others on their health.Conclusions: The majority of patients showed poor attention to health matters, especially in terms of preferred health practices. However, the less education the participants had and the worse their financial situation grew, the stronger the care for their own health became.Key words:Health behaviours, patients, HBI, MHLC
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Analysis of nurse staffing and factors determining the demand for health care in Poland

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Kózka M., Brzostek T., Ksykiewicz-Dorota A.
Progress in Health Sciences
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2011
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vol. 1
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issue 2
59-66
EN
Introduction: Recent studies have indicated that an adequate nurse staffing in a hospital exerts an effect on both the level of health services provided and the safety of patients. Numerous reports confirm the shortage of nurses who, has been observed in almost all European countries, and may threaten the quality of health care. Purpose: The objective of the study is an analysis of nurse staffing and the factors which shape the demand for health care in Poland. Material and methods: The study was based on the analysis of scientific literature, legal acts and reports by Polish government and occupational organizations, which undertake the problem discussed. Results: For years, in Poland, a decrease has been observed in nurse staffing rates per 1,000 inhabitants, compared to 15 countries of the European Union. The factors which affect the nurse staffing rate in Poland include changes in the sector of health care and the vocational education of nurses. Simultaneously, the limitations in employment of nurses are accompanied by an increased demand for health services. Considering the shortages in nurse staffing, and an increase in the demand for health services, there is a necessity to undertake systemic actions, both on the national and European level. Conclusions: Systemic solutions are necessary to prevent a divergence between increasing public health care demand and limited or even decreasing number of nurses willing to work in the profession. Otherwise the realization of the health policy goals might be hindered.
3
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Life satisfaction and self-efficacy in patients with stoma

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Bazaliński D., Sałacińska I., Więch P., Kózka M.
Progress in Health Sciences
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2014
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vol. 4
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issue 2
22-30
EN
Introduction: There are many indications for a stoma surgery; however, most frequently it is the severity and progression of colorectal cancer. The result of surgical procedure is frequently a stoma. In view of the increasing prevalence of colorectal cancer and delaying stoma surgery particular attention should be paid to the aspects of quality of life and adaptation to a new life situation in patients with a stoma. Purpose: To evaluate satisfaction with life and management of difficult situations in people with the stoma. Materials and methods: The study included 200 people from three provinces: Podkarpackie, Małopolska, and Zachodniopomorskie. The study was performed by means of a diagnostic survey in a form of the author’s questionnaire and two standardized tools: the SWLS (satisfaction with life scale) and the GSES (generalized self-efficacy scale). A chi-square test for independence was used for a statistical analysis. Results: The research found that for 56.5% of the respondents a stoma formation had a strong negative impact on their functioning both in personal, family and social life. In the opinion of 12.5% of the respondents intestinal stoma was the reason for giving up work. It was also found that there was a correlation between the level of satisfaction with life and education - higher education favors a higher level of satisfaction with life. Conclusions: This study showed that there is a positive relationship between the level of life satisfaction and the sense of self-efficacy. The higher self-efficacy, the higher satisfaction with life among the respondents were found.
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