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PL
Wstęp. Z powodu starzenia się populacji, skutecznego leczenia pierwotnych i wtórnych incydentów sercowo-krążeniowych, obserwujemy epidemię niewydolności serca. Optymalne leczenie tej choroby oparte na aktualnych wytycznych i danych naukowych, obejmuje: edukację, modyfikację stylu życia, farmakoterapię oraz wszczepianie układów resynchronizujących. Cel pracy. Udzielenie odpowiedzi na pytanie, czy, a jeśli tak, to w jakim stopniu, jakość życia pacjentów po implantacji urządzenia resynchronizacyjnego serca jest zmieniona po okresie nie mniejszym niż 6 miesięcy od zabiegu i jakie czynniki przyczyniają się do tej zmiany. Materiał i metody. W badaniu wzięło udział 21 pacjentów (17 mężczyzn) w wieku od 54 do 81 lat (średnia wieku: 68,86). Jakość życia oceniano przy użyciu polskiej wersji Kwestionariusza Jakości Życia BREF WHOQoL Światowej Organizacji Zdrowia – osobno dla osób do 65. i powyżej 65. roku życia. Wyniki. Somatyczne i psychologiczne obszary oceny jakości życia były jednorodne w porównywanych grupach wiekowych, podczas gdy obszary społeczne i środowiskowe nie były jednorodne. Przed operacją wyniki WHOQoL-BREF w sferze społecznej były istotnie wyższe u młodszych pacjentów. Po operacji o wiele lepsze wyniki w zakresie sfery środowiskowej odnotowano dla starszych pacjentów. Implantacja urządzenia resynchronizacyjnego serca miała pozytywny wpływ we wszystkich czterech obszarach jakości życia. Wnioski. Podsumowując, nasze badania wykazały, że terapia resynchronizacyjna pomaga w poprawie ogólnej jakości życia pacjentów. Terapia miała pozytywny wpływ na postrzeganie sfery somatycznej, psychologicznej i społecznej w każdej grupie pacjentów, zarówno do 65. i powyżej 65. roku życia.
EN
Background. Due to the ageing population and effective treatment of primary and secondary cardiovascular events, an epidemic of heart failure can be observed. Optimal treatment of the disease based on current guidelines and scientific data includes education, lifestyle modification, pharmacotherapy and cardiac resynchronisation device implantation Objectives. The aim of this study was to provide an answer to the question whether or not and, if yes, then to what extent, the life quality of patients after cardiac resynchronisation device implantation is affected after no less than 6 months following the procedure, and what factors contribute to this change. Material and methods. The study involved 21 patients (17 men) aged 54 to 81 years (the average: 68.86). QoL was evaluated with the Polish version of the World Health Organization Quality of Life Questionnaire WHOQoL-BREF, separately for individuals up to 65 and over 65 years of age. Results. The somatic and psychological areas of life quality evaluation were homogeneous in the age subgroups compared, while the social and environment areas were not. Prior to the surgery, the WHOQoL-BREF scores in social sphere were significantly higher in younger patients. Post-surgery, much better results in the environmental sphere were recorded for older patients. The implantation of the cardiac resynchronisation device had a positive impact in all four areas of life quality. Conclusions. In conclusion, our study revealed that resynchronisation therapy helps to improve patients’ overall quality of life. The therapy had a positive impact on the perceived somatic, psychological and social area in each patient group, both up to 65 and over 65 years of age.
EN
ObjectivesWork-related stress (WRS) is significantly associated with health-related quality of life (HRQoL), but the amounts of evidence on differences of effort-reward imbalance (ERI) and job strain index (JSI) remain sparse and have limited generalizability. Therefore, we aimed to assess the association between ERI and JSI with HRQoL and assess the mediation effect of social support (JS) and over-commitment (OC) on this association in Taiwan’s civil servants.Material and MethodsA cross-sectional national survey was given to registered civil servants in Taiwan – 20 046 civil servants from 647 institutions were enrolled using multistage stratified random cluster sampling. A web-questionnaire collected demographic information, job characteristics, and different indexes of ERI and job-control-demand-support (JCDS) models. Structural equation model (SEM) was used to examine the association between ERI and JSI with HRQoL, and the mediation effect of JS and OC on the associations.ResultsIn the ERI model, ERI and OC were consistently negatively associated with the mental component score (MCS) (r = –0.46 and r = –0.37) and physical component score (PCS) (r = –0.45 and r = –0.34), which were higher than job demand (r = –0.28 and r = –0.22) and JSI (r = –0.38 and r = –0.29). Using hierarchical multiple regression analyses, ERI was significantly correlated with MCS and PCS, which was consistently higher than JSI. The ERI and JSI were significantly correlated with MCS (β = –0.170 and β = –0.140) and PCS (β = –0.150 and β = –0.082) using SEM analysis, whereas ERI was considerably higher than in JSI. In addition, OC and JS mediated the association between The ERI and JSI with HRQoL.ConclusionsWe found the ERI index is significantly correlated with HRQoL superior to JSI, in particular among Taiwan civil servants. Further longitudinal studies are needed to determine the causality and spatiotemporal relation of these differences.
EN
The aim of the study is to assess health-related quality of life among students from Wrocław, Poland. The research was carried out in 2014 and 2015. The study sample consisted of 637 people (441 women, 196 men). The main research method used in the study was a diagnostic survey poll. The research tool was the World Health Organization Quality of Life (WHOQOL BRIEF) questionnaire. The results of the study showed that the majority of the surveyed students assessed their health-related quality of life as average. Mean scores for overall health-related quality of life, perceived health condition, and quality of life in the physical, psychological, social and environmental domains were higher among men than women. Among all the respondents, significant differences in quality of life ratings were also noted in individual domains. The respondents rated their health-related quality of life in the social domain as the highest, and in the physical domain as the lowest.
PL
Celem pracy jest diagnoza jakości życia związanej ze zdrowiem wśród studentów z Wrocławia. Badania do pracy przeprowadzono w latach 2014 i 2015. Materiał badań liczył 637 osób (441 i kobiet i 196 mężczyzn). Główną metodą badawczą wykorzystaną w pracy był sondaż diagnostyczny – technika ankietowa. Narzędziem badawczym był kwestionariusz The World Health Organization Quality of Life – WHOQOL BRIEF. Analiza wyników przeprowadzonych badań wykazała, że większość ankietowanych studentów średnio oceniała jakość swojego życia zależną od zdrowia. Średnie oceny ogólnej jakości życia związanej ze zdrowiem, zadowolenia z własnego stanu zdrowia oraz jakości życia w domenach: fizycznej, psychicznej, społecznej i środowiskowej były wyższe u badanych mężczyzn, w porównaniu z kobietami. Wśród badanych odnotowano także istotne różnice w ocenach jakości życia w poszczególnych domenach. Respondenci najwyżej ocenili jakość swojego życia w domenie społecznej, a najniżej w domenie fizycznej.
EN
Introduction and aim. Endometriosis is a common inflammatory disease affecting 6-10% of women of reproductive age. It is defined as the growth of endometrial-like tissue outside the uterine cavity. Dysmenorrhea, pelvic pain, dyspareunia and infertility are the main symptoms of endometriosis patients. Endometriosis treatment methods can be broadly divided into surgical and pharmacological. Currently, hormonal drugs are often used for women with endometriosis to relieve bothersome symptoms. The aim of this article is to review new publications presenting the effectiveness as well as side effects of the use of progestins and combined oral contraceptives in the hormonal treatment of endometriosis. Material and methods. A review of the literature regarding progestins and combined oral contraceptives in the treatment of endometriosis was performed using the PubMed database. In the end, 67 articles were included in this review. Analysis of the literature. Progestins and combined oral contraceptives significantly reduce dysmenorrhea, dyspareunia and pelvic pain in women with endometriosis. However, there is a risk of potential side effects, which should be taken into account when choosing a therapy for each patient individually. Conclusion. Endometriosis is a chronic disease that has a significant impact on the health-related quality of life of patients. When choosing a treatment, many aspects should be considered, primarily the patient’s preferences, drug tolerance and safety. Further drug research is needed to determine the most effective treatment for endometriosis.
PL
Śledząc rozwój socjologii choroby i zmiany, jakie się w niej dokonały za sprawą stosowanych perspektyw teoretycznych i paradygmatów, zwrócono uwagę na choroby nowotworowe w relacji do psychospołecznych konsekwencji diagnozy, leczenia i życia po raku. Odwołując się do własnych doświadczeń badawczych ukazano znaczenie zachowań w chorobie oraz koncepcji jakości życia uwarunkowanej stanem zdrowia dla „społeczeństwa remisji”.
EN
Following the development of the sociology of illness and observed changes in relation to used theoretical frameworks and paradigms, special attention has been paid to cancer due to psychosocial consequences of cancer diagnostics, medical treatment and “living with cancer”. Based on empirical experiences coming from performed sociomedical studies, the role of illness behaviors in cancer patients and subjective assessment of health-related quality of life by survivals have been presented in the increasing “society of remission”.
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