Aim. Assessment of the effectiveness of therapeutic education conducted by nurses working in the internal medicine wards in patients with diagnosed type 2 diabetes in the context of the sense of coherence.Material and methods. The survey was carried out among 100 nurses working in the internal medicine wards. In the assessment of the effectiveness of therapeutic education, the authors' survey questionnaire was used, whereas the sense of coherence of the surveyed nurses was measured by means of SOC-29 life orientation questionnaire.Results. Therapeutic education conducted by nurses who completed postgraduate studies was a more planned process and covered more topics. A high sense of coherence correlates with a wider range of educational interactions. Over half of the surveyed nurses (56%) showed an average sense of coherence and 44% - a high sense of coherence, what was significant for the effectiveness of conducted health education. The number of encountered factors hindering the education of patients depends on the level of the sense of coherence. The surveyed with a high sense of coherence face more difficulties than those with an average sense of coherence.Conclusions. The nurses declaring the implementation of therapeutic education of patients used the knowledge gained during postgraduate education. Those who completed such studies covered a wider range of topics during the education process. A high sense of coherence is an important factor, significant in the implementation of the educational function of the nurse, and the improvement of the effectiveness of this kind of education can be achieved thanks to wider consideration of these issues at universities and postgraduate education.

Background: Teaching nursing students how to correctly perform hand hygiene procedures may guarantee a reduction in transmitting pathogens through direct contact and, thus, it may lead to a decrease in the number of hospital infections. The aim of the study, which was conducted in low fidelity simulation conditions, was to assess the performance and the efficiency of a hand-rubbing disinfection technique among nursing students on the last day of their course. Materials and methods: The study was conducted in a group of 190 nursing students studying at the Jagiellonian University and it focused on the performed hand-rubbing disinfection procedure. The accuracy of the task performance was assessed by measuring the percentage of the amount of Fluo-Rub (B. Braun) fluorescent alcohol-based gel remaining on students’ hands after disinfection. The gel was rubbed into particular hand parts including four surfaces (left palm, right palm, left back and right back) divided into thirteen areas (I–XIII) and each surface was examined separately. The results were then dichotomized based on the cut-off point of 10% and two categories: “clean” and “dirty” were established. Additionally, the range of negligence in the disinfection procedure was assessed by counting the total number of the areas classified as “dirty”. The comparison of continuous and categorical variables was conducted by means of Friedman’s and Cochrane’s tests, respectively. Results: It was found out that the palm surfaces that were commonly missed during hand disinfection included the whole thumb (I and VI), the fingertip of the little finger (V) and the midpalm (XIII), whereas in the case of back surfaces (on both right and left hand) the most commonly missed areas were the fingertips and the whole thumb I–VI. Only 30 students (13%) had all 52 areas of both hands completely clean, whereas more than one third—66 students (33%)—failed to disinfect properly more than 10 areas out of all assessed ones on the surfaces of both hands. Conclusions: In the examined group of nursing students, a significant lack of compliance with hand disinfection procedures was observed and it was related mainly to thumbs and back parts of both hands. Therefore, it is essential to conduct systematic training sessions and assessment of hand hygiene procedures for nursing students at the end of every educational stage as it can lead to their developing these skills properly.

Introduction. Satisfaction with the quality of conventional treatment, including nursing care, in the opinion of patients directly translates into levels of satisfaction, whose quantifiable indicators provide information on quality within the healthcare system. Medical team is required to perform their professional duties with best possible results, which becomes particularly meaningful with respect to patients who suffer from cardiovascular diseases, as they have become an increasingly pressing health issue among the senior population. Aim. Assessment of competences and evaluation of quality of conventional care among the patients treated for cardiovascular diseases. Material and methods. Research covered a group of 100 patients hospitalized due to ischemic heart disease and arterial hypertension. Author`s questionnaire was used as research tool with the support of anonymous Questionnaire of Patient Satisfaction (QPS). Results. The patients taking part in the evaluation and assessing the level of medical care as high accounted for 74%. A significant group (77%) expressed satisfaction with treatment or care procedures they underwent. Similarly, a large group of participants (76%) underlined the fact of receiving the information related to their functioning with the disease. Just as highly patients evaluated the level of cooperation (66%) with the medical team and their promptness in bringing help (60%). A statistically significant correlation between the age of the patients and the level of satisfaction with medical care was noted. Conclusion. In the opinion of evaluated patients, the general assessment of the quality of care was highly positive. Men and persons from the age group of 66-85 gave a higher assessment of quality of performed medical services. General nursing competences in the educational scope were assessed as being average. Patients with higher education and persons from the age group of 26-45 years of age were harsher critics, more demanding with respect to nurses’ competences.

Introduction: Therapeutic education should be an integral element of treatment, especially in chronic disorders, because good disease control and less frequent relapses or exacerbations contribute to improving the quality of life, including increasing the patient's mental comfort and self-determination in the disease. An important element of the ability to involve the patient in the process of therapeutic education is social support. Aim of the study: To understand the relationship between the assessment of the effectiveness of therapeutic education in patients treated for chronic diseases and the level of experienced social support. Material and methods: The study included 98 patients. The study involved the diagnostic survey method. To collect the data, the author's questionnaire and a standardised tool (ISSB) were used. The obtained data were analysed statistically. Results: Among the patients suffering from chronic diseases, therapeutic education was most often carried out once (42.6%), without a previously prepared educational program (61.4%) and mainly providing methods (46.5%). The surveyed most often participated in educational activities carried out by a single member of the therapeutic team (69.3%), and the duration of education was adjusted to individual needs. The evaluation of the program was carried out only in a minority of those surveyed (43.7%). Conclusions: Patients with chronic diseases had the opportunity to participate in one-time education. Therapeutic education in clinical practice is far from the recommendations of theoreticians and requires work on each stage of educational activities.

awyki żywieniowe a jakość życia pacjentów rehabilitowanych w środowiskowych domach samopomocy Eating habits to the quality of life of the patients rehabilitated ate self-help homes STRESZCZENIE Wstęp. Nawyki żywieniowe w znaczącym stopniu wpływają na zdrowie, samopoczucie oraz występowanie i intensywność objawów chorób występujących wśród pacjentów rehabilitowanych w środowiskowych domach samopomocy. Czynniki te mają znaczenie nie tylko w kwestii obiektywnej oceny zdrowia pacjentów, ale też są istotne w subiektywnym postrzeganiu własnej kondycji zdrowotnej, a co za tym idzie -percepcji jakości życia. Wyższy poziom wiedzy dotyczącej odżywiania, modyfikacja nawyków żywieniowych, czy istnienie wspierających relacji społecznych mogą wpływać na proces rehabilitacji i lepszą jakość życia jej uczestników. Cel. Celem pracy było ustalenie zależności między nawykami żywieniowymi a jakością życia pacjentów rehabilitowanych w środowiskowych domach samopomocy. Materiał i metody. Badaniami objęto grupę stu osób biorących udział w terapii w środowiskowych domach samopomocy. W celu oceny wiedzy i nawyków żywieniowych posłużono się metodą sondażu diagnostycznego, z wykorzystaniem techniki ankiety. Dokonano także pomiarów antropometrycznych, na podstawie których wyliczono wskaźnik masy ciała (BMI). Oceny jakości życia dokonano za pomocą skaliWHOQOL-BREF. Wyniki. Badanie zależności pomiędzy poprawnością nawyków żywieniowych a jakością życia respondentów wykazało, że im lepsze nawyki żywieniowe, tym wyższa jakość życia w dziedzinie psychologicznej osób badanych. Jakość życia w domenach somatycznej i socjalnej okazała się zależna od deklarowanego poziomu wiedzy. Z badań wynikło także, że jakość życia osób badanych w żadnej z dziedzin nie zależy od BMI jej uczestników. Wnioski. Identyfikowanie i ocena wybranych aspektów życia osób badanych mających wpływ na ich zdrowie oraz szacowanie jakości życia w kontekście nawyków żywieniowych może służyć do planowania indywidualnego podejścia edukacyjnego do pacjenta oraz dostosowania optymalnej oferty rehabilitacyjnej.