Recommendations for changing one's lifestyle in the aspect of factors that increase the risk of another stroke are often included in the plan of caring for patients after stroke. The style of life is connected to the quality of life and can be formed not only by socialization but also by conscious work on its health-promoting aspect. Lifestyle is a unique configuration of everyday behavior depending mostly on the quality of life available. The aim of the research was to identify the correlation between lifestyle and quality of life in people of working age after stroke. There were 279 patients after first-ever ischemic or hemorrhagic stroke, including 131 women and 148 men. Abbreviated version of the World Health Organization Questionnaire and the Sickness Impact Profile scale were used to examine the quality of life. For assessment of the quality of life, the following indicators were created: lifestyle before stroke and lifestyle after stroke. Less healthy lifestyle before stroke resulted in lower quality of life in the psychological and environmental sphere of life in these people after stroke, especially those having suffered stroke six months to two years before. Better quality of life in people after stroke was found to be connected to a pro-health lifestyle.
STRESZCZENIEWstęp. Ce lem ba dań by ło po zna nie pro ble mów zdro wot nych pa cjen tów z cho ro bą zwy rod nie nio wą krę go słu -pa (głów ną przy czy ną ob ni że nia spraw no ści fi zycz nej) oraz okre śle nie za po trze bo wa nie na edu ka cję zdro wot ną.Ma te riał i me to dy. Ba da niem ob ję to 50 osób. Wy ko rzy sta no me to dę son da żu dia gno stycz ne go przy uży -ciu au tor skie go kwe stio na riu sza an kie ty. Na rzę dziem ba daw czym prze zna czo nym do oce ny ja ko ści ży cia by ła an kie ta WHO QOL-BREF. Do oce ny sta nu zdro wia wy ko rzy sta no wskaź nik nie peł no spraw no ści (upo śle dzenia) HAQ -DI.Wy ni ki. Pro ble my sfe ry bio lo gicz nej, któ re wy stę po wa ły wśród re spon den tów do ty czy ły do le gli wo ści bó -lo wych (60%). Pro ble ma mi na tu ry psy chicz nej dla 54% re spon den tów by ło po czu cie ni ższej war to ści, 24% wska za ło na osa mot nie nie. Naj częst szy mi trud no ścia mi w peł nie niu ról spo łecz nych by ły pro ble my zwią za ne z ma łą ak tyw no ścią spo łecz ną i za wo do wą -56% re spon den tów. Ana li zu jąc ja kość ży cia pa cjen tów, istot nie (p=0,006) go rzej oce ni li stan swo je go zdro wia niż ja kość swo je go ży cia. Ja kość ży cia w dzie dzi nie spo łecz nej by ła naj wy ższa (67,9 pkt), a w dzie dzi nie psy cho lo gicz nej naj ni ższa (60,9 pkt).Wnio ski. 1. Głów ny mi pro ble ma mi zdro wot ny mi zgła sza ny mi przez re spon den tów by ły bó le krę go słu pa w od cin ku szyj nym i lę dźwio wym po ja wia ją ce się pod czas dłu go trwa łej ak tyw no ści fizycznej, przy czyn no ściach dnia co dzien ne go. 2. Ja kość ży cia ma le je wraz ze wzro stem trud no ści w wy ko ny wa niu czyn no ści ży cia co dzienne go. 3. Nie zmier nie wa żną spra wą jest umac nia nie cho rych w prze ko na niu, że ak tyw ność fi zycz na, w tym rów -nież ki ne zy te ra pia, wy wie ra po zy tyw ny wpływ na spraw ność fi zycz ną i po pra wia spraw ność w wy ko ny wa niu czyn no ści ży cia co dzien ne go. 4. Istot nym ce lem dzia łań ze spo łu te ra peu tycz ne go jest udzie le nie cho rym wspar cia i mo ty wo wa nie ich do ra dze nia so bie w sy tu acjach trud nych i funk cjo no wa nia w ży ciu spo łecz nym. Słowa kluczowe: choroba zwyrodnieniowa, kręgosłup, problemy chorych SUMMARYBackground. The aim of the study was to investigate health problems in patients with degenerative disease of the spine (the main reason for deterioration of physical fitness) and to determine the need for health education.Material and methods. The study involved 50 people. A diagnostic survey with an ad hoc questionnaire was used. Quality of life was assessed with the WHOQOL-BREF questionnaire. The HAQ-DI indicator of disability was used to assess the respondents' health status.Results. Biological problems in the respondents included pain (60%). Psychological problems included a sense of inferiority (54%) and feeling lonely (24%). The most frequent difficulties in fulfilling social roles were problems associated with low social and occupational activity (56%). The patients assessed their health as ...
Introduction: Nowadays, international organisations such as WHO, UNICEF and UNFPA support a holistic approach towards an individual, aimed at solving life problems, which is missing from educational prevention programmes. At first, the level of knowledge in the individuals should be defined in order to adjust the information concerning an ailment to educational needs. The overall and neurological state of the individual affected by stroke very frequently does not allow to convey much knowledge. Knowledge on stroke results in decreased incidence, which explains the necessity to raise awareness of risk factors for stroke. The aim: The aim of the research was to establish a connection between the level of knowledge of the ailment in people affected by stroke and their quality of life. Material and methods: The research included 279 people after stroke. Their quality of life was assessed using a shortened version of the WHOQOL-Bref questionnaire. In order to assess the level of knowledge of health-supporting actions after stroke, an indicator of knowledge was created. Results: The strongest dependence in the somatic (DOM1), social (DOM3) and environmental fields (DOM4) was observed in the group of people between 13 and 24 months after falling ill. The strongest dependence in the psychological field (DOM2) was observed in the group of people between 6 and 12 months after the incident. Conclusion: The level of health-supporting knowledge in people affected by stroke is not satisfactory. A higher level of knowledge results in a higher quality of life.
Introduction. The diagnosis of a primary tumor of the central nervous system is a source of huge fear and anxiety for a patient, because the prognosis is usually unfavorable. Very often, the cancer is accompanied by depression, which reduces the effectiveness of treatment and worsens the patient's functioning in everyday life. The aim. The aim of the study is to determine the cause-and-effect relationship between quality of life and incidence of depression, as well as the side effects of treatment in people treated with radiation for head cancer. Material and methods. The study group consisted of 103 patients during treatment in the Radiotherapy Ward of the Specialist Hospital in Nowy Sącz. The research tools were: the WHO QOL-Bref questionnaire, the Beck Depression Scale and a questionnaire of the author's own design regarding patients treated with radiation therapy for head cancer. Results. The general perception of the quality of life in the studied group was 2.88 points, the general perception of the patient's own health was 1.88 points. The average quality of life was the highest in the environmental field: 62.50 ± 23.21, while the lowest in the physical field: 44.24 ± 28.65. Conclusions. Both the overall assessment of the quality of life in the assessed areas and the perception of health by patients treated with radiation therapy for head cancer are low.
Introduction:The whole world is dealing with the consequences of the SARS-CoV-2 virus, which affected mostly elderly people. The covid-19 pandemic has made it practically impossible for elderly people to function independently. Taking into consideration the elderly population and its prognosis, the evaluation of the elderly people's quality of life is more and more important. Both doctors and people involved in medicare claim that there is a need for investigating elderly people's life quality because the health problems which decide about this quality make effective treatment more difficult.Aim of the study: The aim of this paper is to evaluate the quality of life and functionality as far as doing daily chores by elderly people is concerned and the factors which decide about it at the time of the Covid-19 pandemic. Material and methods:The research was done with a group of 1008 people (705 women, 302 men) at the age of 60-97 (approximately 71.0 ± 8.1). The questionnaire which was used was created by the people who carried out the survey and the Polish scale WHOQOL-AGE was used to evaluate the quality of life.Independent functioning in a group was evaluated by means of the Lawton Instrumental Activities of Daily Living Scale (IADL). Results:The approximate result of evaluating the quality of life using the WHOQOL-AGE scale was 67.20 ± 15.61. Social and demographic factors which decide about the quality of life in a statistically significant way are: age (p < 0,000), education (p < 0,000), place of living (p < 0,029), marital status (p < 0,000), economic situation (p < 0,000), the status of living (p < 0,019), status of dexterity (p < 0,000) and professional status before retirement (p < 0,018). Conclusion:There is a need for many activities to improve the life quality of elderly people in every aspect of life. Those activities should take into consideration the life situation, functioning status, and elderly people's expectations. Actions taken with the aim of improving elderly people's life quality should involve interdisciplinary monitoring of health as well as promotion of physical activity, which will improve elderly people's ability to perform complex daily activities (IADL).
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