The incidence of eating disorders among upper secondary school female students. / Wystepowanie zaburzen odzywiania wsród uczennic szkól ponadgimnazjalnych.

OBJECTIVES: The aim of the present study is to evaluate the incidence and prevalence of eating disorders in the population of Polish upper secondary school female students, while considering the type of school and living conditions. METHODS: The investigations of eating disorders were conducted between March and June 2017 and covered female students of the upper secondary schools of Szczecin. Selection for the survey was multistep. 1,750 questionnaires were included in the analysis. The study used a tool for screening for the occurrence of eating disorders - the Eating Attitudes Test (EAT-26). RESULTS: Lower scores were observed among higher grade students (EAT-26, EAT dieting) as well as those who did not receive pocket money (EAT dieting, EAT bulimia) (p < 0.05). CONCLUSIONS: (1) Age has proved to be an important prognostic factor for eating disorders. The risk decreased as the age of the examined girls increased. (2) The risk of eating disorders was almost 21 times higher among first and second grade girls.

Patient isolation in psychiatric healthcare. / Osamotnienie pacjenta psychiatrycznej opieki zdrowotnej.

OBJECTIVES: To discover the opinions of psychiatric patients about personnel attitudes and family participation in the treatment process. METHODS: 219 psychiatric patients took part in the study: 80 inpatients, 69 outpatients and 70 mental health clinic patients. The diagnostic survey method was applied using a patient questionnaire regarding: (1) the patient's opinion on his or her hospital stay as an inpatient, (2) the patient's opinion on his or her care as a hospital outpatient, mental health clinic patient, or community treatment patient, and (3) research on patient satisfaction with the administered medical service VSSS-54. RESULTS: 81.25% of patients confirmed receiving mental support during treatment at inpatient departments, compared to 88.41% of patients in outpatient hospital treatment and 84.29% of patients at mental health clinics. Hospital inpatients and mental health clinic patients indicated the doctor as the person providing the greatest amount of support; whereas hospital outpatients indicated a therapist. The majority of hospital inpatients (76.25%) indicated that nurses spent sufficient time with them. The rate of positive responses regarding doctors was 61.25% (p =0.000). 66.67% of hospital outpatients indicated that personnel spent sufficient time with them, whereas among mental health clinic patients this figure was 57.14%. Hospital outpatients and mental health clinic patients were asked abouttheir satisfaction with inclusion of family in the treatment process. The respondents gave this aspect of care a mean rating of 3.807 points (out of 5 available). CONCLUSIONS: In order to increase mental health patient satisfaction, some organisational solutions which would result in both an increase in time spent by the personnel in contact with the patient as well as greater inclusion of family in the treatment process should be implemented.

The analysis of the phenomenon of violence in psychiatric patients. / Analiza zjawiska przemocy u osób leczonych psychiatrycznie.

OBJECTIVES: Domestic violence is a phenomenon stemming from various social issues. One of such issues, which arouses much interest, is the behavior of psychiatric patients using violence in their family. The aim of the following work was the analysis of the phenomenon of violence with reference to perpetrators-psychiatric patients from the Szczecin area in the years 2012-2013. In addition, the authors'aim was also to indicate that the beliefs held by society on aggression of psychiatric patients are not confirmed by the actual state. METHODS: The research was conducted with the research tool prepared on the basis of the "Blue Cards" - part A questionnaire. For data gathering, the document analysis method -survey-was used. 141 psychiatric patients constituted the research group. These people have already used violence against adults, and they already had the Blue Card. The members of the group were examined on the basis of several variables, such as sex, age, and the form of the violence used. RESULTS: Men were the ones most frequently using violence, and with regard to the forms of violence, it was most often hitting and pushing. As far as psychic violence is concerned, most perpetrators admitted they used to humiliate, criticize and bother their victims. Regarding other types of behaviors among the psychiatric patients using violence, as many as 96 respondents admitted that they used punishable threats and insults, and 71 respondents admitted they destroyed and damaged property. CONCLUSIONS: On the basis of the conducted analysis, the authors claim that the obtained data do not confirm the common belief that psychiatric patients indicate an increased level of aggression.

Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation.

The seasonal influenza vaccination uptake of the elderly in Poland is one of the lowest in Europe. Objective: to assess the vaccination coverage and influencing determinants in patients ≥65 years of age. METHODS: A cross-sectional study was conducted (November 2015-April 2016) among consecutive patients admitted to a municipal hospital located in the city of Szczecin, North-west Poland. Patients completed researcher-administered, anonymous questionnaires on socio- demographic data/factors related to the vaccination. Results: The response rate: 92.0%. Among 230 patients (79.6% women, median of age 69 years, range 65-89) who agreed to participate, 34.8% (95% Confidence Interval: 28.6-41.0%) were vaccinated. About 15.7% of respondents had not previously heard about the vaccination; 41.3% of those who stated they were vaccinated or planned on being vaccinated the following year, compared to 19.3% of respondents who stated they were not currently vaccinated (p < 0.001). A multivariable regression analysis revealed that patient factors, such as younger age (Odds Ratio, OR = 7.69), living in the urban area (OR = 7.69), having comorbidities (OR = 2.70), having a vaccinated family member (OR = 3.57), and being informed about vaccination (OR = 5.00) were each associated with greater odds of being immunized. Willingness for vaccination the next year was strongly associated (OR = 8.59) with vaccination status. Conclusions: The influenza vaccination uptake in the elderly population in Poland is disturbingly low. Improved education strategies are needed to increase the uptake. Vaccinated respondents are more likely to plan on being vaccinated the following year. Future interventions related to maximizing vaccination coverage should be more tailored, focusing especially on older patients living in rural areas.

[Quality and availability of care for people with mental disorders ­ assessment of health care providers].

Introduction: The aim of this study was to identify the opinions of mental health care providers on the quality of their services. Materials and methods: The study was based on the opinions of mental health care providers. The study included facilities of the West Pomeranian province in Poland. A diagnostic survey was chosen as the research method. The questionnaire -based interview was carried out in facilities located in Szczecin. In other facilities the survey was carried out and the questionnaire was sent by post after prior calls. The study used a specially designed questionnaire which was based on quality categories proposed by Maxwell. Results: In all categories of quality respondents most frequently indicated "high" and "average" scores. The "low" score was rarely reported. The best rated category of quality is justice in access to services. As many as 93.3% of respondents gave the highest rating to this category, and 6.7% rated it as average. The second best assessed category was the competence of personnel. As many as 80.0% of respondents representing health care centres rated personnel competence as high. The third top -rated category of quality was the effectiveness of services, or the provision of services in accordance with current knowledge and current scienti􀏐ic reports. As many as 76.7% of respondents rated the effectiveness of their services as high. The lowest rated category of quality was the adaptation of buildings to the needs of patients, and the safety of procedures. Conclusions: 1. Representatives of psychiatric care facilities highly rated the quality of services provided by their facility. 2. Top -rated quality categories were justice in access to services, personnel competence, and ef􀏐iciency of the services. 3. The lowest rated categories were the adaptation of facilities to the needs of patients, and the safety of procedures.

An analysis of the functioning of mental healthcare in northwestern Poland.

Introduction: Modern psychiatry faces numerous challenges related with the change of the epidemiology of mental disorders and the development of knowledge in this area of science. An answer to this situation is to be the introduction of community psychiatry. The implementation of this model in Poland was the aim of the National Mental Health Protection Programme. The aim of the study was to analyse the functioning of mental healthcare using the example of the West Pomeranian Province in Poland. Materials and methods: The analysis relied on a qualitative method. Three group interviews in an interdisciplinary advisory panel were conducted. People representing various areas acting for people with mental disorders participated in each meeting. Based on the conclusions that were drawn, PEST and SWOT analyses of functioning of mental healthcare were performed. Results: Within the analysis of the macro-environment of mental healthcare, the influence of the following factors was evaluated through PEST analysis: political and legal, economic, socio-cultural, and technological. All of these factors were assessed as negative for the functioning of mental healthcare. Then, a SWOT analysis was performed to indicate the strengths, weaknesses, opportunities, and threats in the functioning of mental healthcare. Conclusions: 1. Mental healthcare is more influenced by external factors than by internal factors. 2. Macro-environmental factors influence the functioning of mental healthcare in a significantly negative manner. 3. The basic problem in the functioning of mental healthcare is insufficient funding. 4. In order to improve the functioning of mental healthcare, it is necessary to change the funding methods, regulations, the way society perceives mental disorders, and the system of monitoring mental healthcare services.

[Patient satisfaction measure of the quality of primary health care]. / Satysfakcja pacjentów podstawowej opieki zdrowotnej z opieki medycznej i psychospolecznej.

INTRODUCTION: Primary health care centers are subject to supply and demand, while being the foundation of the health care system in the country. The aim of the study determination of satisfaction level of the patients with basic health care services. MATERIAL AND METHODS: 124 persons we studied using a standardized questionnaire EUROPEP, developed by The European Working Party on Quality in Family Practice. RESULTS: Experiences 68% of respondents indicate the kindness and helpfulness of nurses POS, and more than half of the respondents (52%) said the same in the case of receptionists. Most of the respondents had a positive opinion about the behavior of GPs emphasizing their delicacy during the medical examinations (83%), respect for intimacy (82%), as well as a benevolent attitude towards patients (77%). However, despite the positive assessment of behavior, doctors in the opinion of 52% of the respondents did not offer them any preventive examinations, and in many cases (43%) did not pass the information regarding the healthy lifestyle. Every third patient (32%) did not receive information from doctor about the side effects of drugs. The results showed that significantly fewer than half of the GPs was interested in the sphere of psychosocial of their patients. Only 27% of respondents received from the doctor's help in dealing with fears about health. An even smaller percentage of respondents experienced interest in respect of their personal (23%) or material (23%) situation, while questions about family members from doctors heard 35% of patients. CONCLUSIONS: 1. The overall level of patient satisfaction with primary care services is high. Positively evaluated is the availability of a doctor, kindness, interest in health issues. 2. Patients experience a deficit of prevention and health promotion and they consider inadequate medical attention psychosocial problems. 3. It is necessary increased involvement of staff in health promotion and health prevention education through training in interpersonal communication. 4. Increasing public awareness on health issues results in higher expectations regarding health information and the planned treatment.