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EN
Menopause is associated with various physiological symptoms which can be related to the most common health problems in menopausal women and a decrease in their quality of life. Determinants of experiencing menopausal symptoms are complex because they include reproductive, environmental, lifestyle and social factors. The aim of this study is to assess whether selected reproductive, lifestyle and health factors are associated with the occurence of hot flushes, night sweats, palpitations, dizzy spells and/or pins and needles in the hands and feet. A total of 346 women aged between 39 and 59 years living in Slovakia were recruited for this cross-sectional survey. Data on menopausal symptoms and potential confounders were collected by questionnaire. Logistic regression analysis revealed an independent effect of peri-/postmenopausal status and depressed mood on the manifestation of hot flushes. Analysis results for night sweats were significant for age, depressed mood and current smoking at p<0.05 while, of all input parameters, only age and depressed mood were significant predictors of palpitations. Logistic regression also revealed the effect of sport and depressed mood on dizzy spells. Depressed women, (B=0.677) and those who did not participate in sporting activities (B= -0.969) suffered more often from dizzy spells. Pins and needles in hands and feet were influenced by peri-/postmenopausal status (B=1.036), by higher numbers of pregnancy (B=0.260) and depressed mood (B=0.505). Potentially modifiable factors, such as current smoking, lack of sport, depressed mood and the number of pregnancies can predispose a woman to a higher prevalence of some of these physiological menopausal symptoms.
PL
Wstęp. Intensywny rozwój położnictwa w ciągu ostatnich kilkudziesięciu lat powoduje coraz większe zainteresowanie zagadnieniami dotyczącymi porodu nie tylko w znaczeniu medycznym, ale także psychologicznym. Cel pracy. Poznanie wpływu jednego z najczęściej stosowanych zabiegów położniczych w czasie II okresu porodu – nacięcia krocza na stan fizyczny i psychoseksualny kobiety. Materiał i metody. Badaniem objęto grupę 40 wybranych położnic przebywających na oddziale położniczo-noworodkowym jednego z wrocławskich szpitali. Do tego celu posłużono się ankietami zawierającymi 12 autorskich pytań otwartych. Badane osoby wyodrębniono ściśle jako grupę wieloródek po jednym lub więcej porodzie siłami natury z przebytym zabiegiem nacięcia krocza. Analizę statystyczną oparto na arkuszu kalkulacyjnym Microsoft Excel. Wyniki. Przeprowadzone wśród pacjentek obserwacje dowiodły, że nacięcie krocza w wielu przypadkach ma bezpośredni wpływ na samopoczucie nie tylko położnicy, ale też kobiety po zakończeniu połogu, a nawet w późniejszych okresach jej życia. Poza dolegliwościami fizycznymi pojawiają się te natury psychoseksualnej, które wydają się być równie ważne, zwłaszcza w świetle nowoczesnego położnictwa zorientowanego na holistyczną opiekę nad pacjentką. Złe samopoczucie kobiety ma niewątpliwy wpływ na jej codzienne funkcjonowanie i obniża komfort życia w różnych aspektach. Wnioski. Nacięcie krocza podczas porodu jest zabiegiem inwazyjnym mogącym u niektórych kobiet powodować negatywne odczucia psychofizyczne oraz seksualne.
EN
Background. The intensive development of obstetrics during the last several decades causes greater interest in the problem of childbirth, not only in a medical but also in psychological meaning. Objectives. The aim of this project is to find out the influence of the most popular operation performed during the second phase of childbirth – known as episiotomy – to the physical and sexual women’s wellbeing. Material and methods. The research was carried out on forty participants who were the patients of one of the obstetrics units in a hospital in Wrocław, Poland. The questionnaire consisted of twelve questions; moreover, the patients were divided as group after many (two or more) physiological childbirth with using episiotomy. The statistical analysis was made in Microsoft Excel. Results. The observations prove that episiotomy in many cases has a direct impact on the frame of mind of a woman not only after the childbirth, but also later in her life. Except from the physical illnesses, a woman may have also sexual problems which are equally important especially in the time of modern obstetrics. The bad state of mind has an indubitable influence on a women’s daily comfort of living. Conclusions. Episiotomy during the childbirth is an invasive operation which may cause negative psychophysical and sexual disorders.
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