Gender and education have an impact on the level of the acceptance of the disease, but they do not influence the quality of life. The acceptance of the disease is connected with the quality of life in patients with a stoma. The higher the level of acceptance of the disease, the better the quality of life. Research indicates the need to deepen patients' education regarding their functioning in society.

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Introduction/Objective. In Poland, cancers are the second most common cause of death. One in four Poles will have cancer in their life, and one in five will die from it. The purpose of the study was to assess the acceptance of illness and its impact on the quality of life in surgically treated cancer patients. Methods. The study included 123 cancer patients who had undergone surgical treatment between April and May of 2017. The most common were colon (33.3%) and breast cancer (31.7%). Sixty-five percent of the patients were only treated surgically. The Acceptance of Illness Scale, the WHOQOL-BREF quality of life questionnaire, and an original survey were used. Results. Sixty-two patients (50.4%) presented high illness acceptance levels. More than half of the patients rated their quality of life as good (41.5%) or very good (13%). A positive correlation was found between the acceptance of illness and the quality of life scores in the physical health (R = 0.351, p < 0.001), psychological (R = 0.422, p < 0.001), social relationships (R = 0.525, p < 0.001), and environment (R = 0.533, p < 0.001) domains. In the physical and psychological domains, the correlation had moderate strength, while correlations with the social relationships and environment domains were strong. Conclusion. Higher illness acceptance levels were associated with higher quality of life. Acceptance of illness was not associated with patient age, type of treatment, or repeated surgery. Patients who lived alone had significantly lower quality of life and significantly lower acceptance of illness. Patients who had undergone their first surgery perceived their quality of life in the environment domain significantly lower.

Wprowadzenie. Złamania przezkrętarzowe kości udowej są przeważnie wynikiem urazów niskoenergetycznych i występują najczęściej u osób w 7.-9. dekadzie życia. Po urazie stan zdrowia fizycznego oraz sprawności ruchowej jest istotnie gorszy niż przed złamaniem. Cel pracy. Ocena powrotu do sprawności ruchowej pacjentów po złamaniu przezkrętarzowym kości udowej 6 miesięcy po zabiegu operacyjnym. Materiał i metody. Badaniami zostało objętych 100 losowo wybranych osób po 6 miesiącach od złamania i operacji. Badania wykonano w 2014 r. w Poradni Chirurgii Urazowo-Ortopedycznej w Specjalistycznej Przychodni Przyszpitalnej Dolnośląskiego Szpitala Specjalistycznego im. T. Marciniaka we Wrocławiu. Narzędziem badawczym była autorska ankieta zawierająca 43 pytania. Wyniki. Aktualny stan zdrowia fizycznego oraz sprawność ruchowa pacjentów jest istotnie gorsza niż przed złamaniem (p < 0,001). Istotnie częściej potrzebują pomocy innych osób (p < 0,001). Natężenie bólu jest istotnie mniejsze niż bezpośrednio po złamaniu (p < 0,001). Stan emocjonalny pacjentów jest istotnie lepszy niż po złamaniu (p < 0,001). Wnioski. Niemal połowa pacjentów (48%) po zabiegu chirurgicznym i rehabilitacji powróciła do sprawności ruchowej sprzed złamania i wcześniej pełnionych ról społecznych. Podeszły wiek, zły stan fizyczny, ograniczona sprawność ruchowa pacjentów przed złamaniem oraz wiele chorób współistniejących mogą opóźnić lub uniemożliwić powrót do stanu sprzed złamania. Podczas diagnostyki złamania u chorych często po raz pierwszy rozpoznawana jest osteoporoza. Po zabiegu i rehabilitacji zmniejszył się odsetek pacjentów spędzających aktywnie wolny czas, a kondycja fizyczna jest istotnie gorsza niż przed złamaniem.

Introduction. The patients with the aortic abdominal aneurysm of 55mm in diameter are qualified for surgery. There is open repair (OR) by means of the vascular prosthesis implantation or the less invasive endovascular method by means of the stent graft implantation through femoral arteries incision (EndovascularAorticRepair - EVAR). The aim of the study was the evaluation of the postoperative course in patients operated due to the aortic abdominal aneurysm and the evaluation of the impact of the surgical method on the short-time results. Material and methods. 124 patients operated due to the abdominal aortic aneurysm in Dept of Surgery of 4th Military Hospital in Wroclaw in 2014 were enrolled into the study: 53 patients with OR, 53 patients with EVAR, and 19 patients with a ruptured aneurysm. Results. Mortality was 0% in EVAR and 6% in OR and 39% in a ruptured aneurysm. Time of hospital stay was 5.8 days in EVAR vs 10 days in OR. The stay in ICU was 0% in EVAR vs 13% in OR. Blood transfusion was 9.4% in EVAR vs 66% in OR. Time of postoperative analgesia was 27 h in EVAR vs 76.8 h in OR. Cardio-respiratory decompensation was 1.9% in EVAR vs 7.6% in OR. Renal insufficiency was 2% in EVAR vs 9% in OR. The lower rate of organ complications was in EVAR. The ruptured aneurysm presented the most complicated postoperative course: hospital stay of 11.4 days, ICU stay of 78%, blood transfusion of 100%, painkillers of 136 hours, cardio-respiratory decompensation of 81% and renal insufficiency of 69%. Conclusions. The method of treatment, the conditions of the admission and the type of surgery influenced the postoperative course. The elective EVAR patients presented both the 0% of mortality and the lightest postoperative course. The ruptured abdominal aortic aneurysms operated as an emergency had the most complicated postoperative course.