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Coping with challenges of the first months of COVID-19 pandemic among medical university community: a mixed-method study from Poland

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Rakoczy J., Kostyła M., Binder-Olibrowska K. W., Wrzesińska M. A.
International Journal of Occupational Medicine and Environmental Health
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2023
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vol. 36
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issue 3
365-378
EN
Objectives Universities played a significant role in meeting the challenges of the COVID-19 pandemic, with both students and staff having to identify and use available coping resources. The main aim of the study was to describe the academic community’s experiences of the pandemic and their impact on health and wellbeing. Related variables were also explored, such as sense of coherence (SOC), gratitude, and subjective health assessment (SHA). Material and Methods During the first wave of COVID-19 pandemic, an online questionnaire was sent to the community of the Medical University of Lodz. It included 4 open-ended questions on ways to remain healthy during the pandemic. The responses (N = 144) were analyzed using a general inductive approach. For the purpose of this study, the resource utilization rate (RUR) was defined and calculated based on the number of categories with responses indicating resource usage. Additionally, a Polish adaptation of the 29-item Sense of Coherence scale (SOC-29), the Gratitude Questionnaire (GQ-6), and subjective health assessment were measured. Correlations between variables were calculated. Results The main areas of resource identification and utilization were interpersonal relationships, views of reality, physical activity, pleasure activities, social contacts, and healthy diet. Physical activity has been found to be the most commonly-reported strategy of taking care of both health and emotional state more frequently among students than employees (p < 0.01). The RUR was strongly associated with SOC in male employees (ρ = 0.7, p < 0.05) and with GQ-6 in both male and female student groups (ρ = 0.56, p < 0.05 and ρ = 0.28, p < 0.05, respectively). Conclusions Relationships between RUR and SOC seem to be gender- and age-related. The relationships between health and resource utilization are worth exploring in the university setting.
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The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus

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Jankowska A., Hadław-Klimaszewska O., Rakoczy J., Woldańska-Okońska M., Irzmański R.
International Journal of Occupational Medicine and Environmental Health
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2024
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vol. 37
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issue 4
452-467
EN
Objectives Cognitive dysfunction is part of the clinical picture of stroke. Most of the executive dysfunctions are diagnosed in the early stage of rehabilitation, a few weeks after the vascular incident. Coexistence of executive dysfunctions with other disorders in stroke patients may hinder patient’s functions, slow down the rehabilitation process, and disrupt self-awareness, interpersonal communication, and professional activity in everyday life. Material and Methods Ninety patients after ischemic stroke were examined (right hemisphere stroke: N = 33, left hemisphere stroke: N = 57). The study group (N = 45) consisted of patients rehabilitated in the Department of Rehabilitation and Physical Medicine of the University Teaching Hospital of the Military Medical Academy in Lodz, Łódź, Poland, in whom a comprehensive neurorehabilitation program was implemented, consisting of motor and neuropsychological rehabilitation. The control group (N = 45) consisted of patients awaiting admission to the department, who were covered by comprehensive environmental rehabilitation including exercise therapy and neuropsychological therapy. Executive function was measured with 3 popular diagnostic tools: the Wisconsin Card Sorting Test (WCST), the Trail Making Test (TMT part A, TMT part B), and the letter test and category test with the Verbal Fluency Test (VFT). The tests were carried out twice: the first time before the start of rehabilitation and 5 weeks later after its completion. Results Although patients with right-hemispheric stroke showed better improvement in executive functions, stroke location did not prove to have significant impact on how effective the rehabilitation was. Conclusions Right hemisphere stroke patients showed greater improvement in restoring executive functions after rehabilitation compared to left hemisphere stroke patients. The location of the stroke did not significantly correlate with the efficiency of the rehabilitation setting.
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