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Postawa troski o siebie pacjentów po zawale serca

100%
Wilski M.
Człowiek - Niepełnosprawność - Społeczeństwo
|
2011
|
issue 2(14)
53-68
PL
Skuteczność rehabilitacji po zawale serca uzależniona jest w dużej mierze od aktywności własnej pacjenta. W związku z tym zasadne wydaje się poszukiwanie czynników warunkujących aktywność własną. Za jeden z takich czynników uznać można postawę troski o siebie. Celem badań była odpowiedź na pytanie czy troska o siebie osób po zawałach serca różni się ze względu na natężenie i rodzaje od troski o siebie osób zdrowych. Badania wykazały, że nie ma istotnych różnic w ogólnym poziomie troski o siebie między osobami zdrowymi a osobami po przejściu zawału serca. Zaledwie jeden z wymiarów postawy troski o siebie – poczucie odpowiedzialności, okazał się istotnie różnicować obie grupy. Poczucie odpowiedzialności za siebie i własny stan zdrowia było zdecydowanie wyższe w grupie osób po zawałach serca. Badania potwierdziły także związek między rodzajami troski o siebie a faktem przebycia zawału serca. Okazało się, że osoby po zawałach serca cechują się zdecydowanie wyższym poziomem troski o funkcjonowanie fizyczne w stosunku do osób zdrowych.
EN
The effectiveness of rehabilitation after myocardial infarction depends largely on the patient’s own activity. Therefore, it appears advisable to search for factors determining a person’s own activity. An attitude of self-care can be considered as one of such factors. The aim of this study was to answer the question whether the self-care attitude of patients after myocardial infarction differed in terms of intensity and types from the self-care attitude of healthy people. The study showed that there were no significant differences in the overall self-care attitude level between healthy people and those after myocardial infarction. Only one dimension of self-care attitude – responsibility, proved to markedly differentiate the two groups. A sense of responsibility for themselves and their own health was significantly higher in patients after myocardial infarction. The study also confirmed the relationship between the types of self-care attitude and myocardial infarction. It turned out that people after heart attacks were characterized by a much higher level of physical self-care attitude compared to healthy people.
2
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Social support as a regulator of self-care attitude in persons with myocardial infarction

63%
Wilski M., Sienkiewicz Wilowska J. A.
Polish Psychological Bulletin
|
2014
|
vol. 45
|
issue 4
521-532
EN
The article presents the results of research on the relationship between social support and self-care of people with myocardial infarction. 127 patients treated in a rehabilitation centre participated in the study. The Inventory of Socially Supportive Behaviours (ISSB) and the Self-care Questionnaire (KTS) developed by the author, were used. The findings suggest that persons receiving little support are characterised by lower level of self-care than people with medium and high level of support. No such difference was noted between people with medium and high support level. This suggests that social support is of considerable importance for the changes in the level of self-care only in the case of people previously receiving little support. The research also indicates that informational support is related to higher level of self-care whereas instrumental support is related to lower level of self-care. Emotional support was significant only for the care for social functioning.
3
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Social support as a regulator of self-care attitude in persons with myocardial infarction

63%
Wilski M., Sienkiewicz Wilowska J. A.
Polish Psychological Bulletin
|
2014
|
vol. 45
|
issue 4
521-532
EN
The article presents the results of research on the relationship between social support and self-care of people with myocardial infarction. 127 patients treated in a rehabilitation centre participated in the study. The Inventory of Socially Supportive Behaviours (ISSB) and the Self-care Questionnaire (KTS) developed by the author, were used. The findings suggest that persons receiving little support are characterised by lower level of self-care than people with medium and high level of support. No such difference was noted between people with medium and high support level. This suggests that social support is of considerable importance for the changes in the level of self-care only in the case of people previously receiving little support. The research also indicates that informational support is related to higher level of self-care whereas instrumental support is related to lower level of self-care. Emotional support was significant only for the care for social functioning.
4
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Work locus of control and burnout in Polish physiotherapists: The mediating effect of coping styles

51%
Wilski M., Chmielewski B., Tomczak M.
International Journal of Occupational Medicine and Environmental Health
|
2015
|
vol. 28
|
issue 5
875-889
EN
Objectives The aim of this study was to explain the relationship between work locus of control and burnout in Polish physiotherapists through the mediation of coping styles. In particular, we hypothesized that external work locus of control may have a positive direct relationship with burnout symptoms via positive relationship with emotion-focused and avoidant coping styles, and a negative relationship with problem-focused style. Material and Methods We tested the mediational hypothesis using structural equation modeling of self-report data from 155 Polish physiotherapists. Results The relationship between external work locus of control and physiotherapists’ burnout was shown to be mediated by a positive relationship with emotion-focused coping and an inverse relationship with problem-focused coping. The variables included in the model explained about 15% of the variance of emotional exhaustion, 14% of depersonalization, and 14% of personal accomplishment. Conclusions Physiotherapists perceiving the situation as difficult to control, feel more burned out when they use more emotion-focused strategies, and less problem-focused strategies. This indicates the importance of including both, problem-focused coping training and increasing the perception of the situation controllability in preventing physiotherapists’ burnout programs.
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