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1.
Clin Cosmet Investig Dermatol ; 14: 1139-1147, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34483674

RESUMO

Introduction: Psoriasis is a chronic disease with intermittent flares and remissions. Each individual perceives the disease, its somatic effects, resultant dysfunction and related problems differently. This attitude is primarily determined by one's characterological traits and type of illness. A primary response to the diagnosis can be denial, underestimation, acceptance or overestimation of the disease. The aim of the study was to analyze the level of illness acceptance and its effect on the quality of life in moderate psoriasis depending on sociodemographic and clinical characteristics of the patients. Materials and Methods: The study included 186 patients with plaque psoriasis with Psoriasis Area Severity Index (PASI) scores ≤10. The inclusion criteria of the study were duration of psoriasis >2 years, age ≥18 years, and lack of other somatic or mental disorders during three months preceding the study. The study participants completed the Acceptance of Illness Scale (AIS), Dermatology Life Quality Index (DLQI) as well as an original survey containing questions about their sociodemographic characteristics and information about their disease. Results: Mean AIS score for the study group was 24.3 pts. Patients older than 40 years presented with lower levels of illness acceptance than younger persons (p = 0.0311). Also, patients' sex and duration of psoriasis significantly affected the acceptance of the illness, with lower AIS scores found in women (p = 0.0092) and persons with a longer history of the disease (p = 0.0362). Mean DLQI score for the study group was 13.3 pts. A lower level of illness acceptance turned out to exert an unfavorable effect on the quality of life (QOL) in psoriasis (p = 0.0015; R = -0.33). Conclusion: In this study, patients with psoriasis presented with a moderate level of the illness acceptance, and a significant correlation was found between this parameter and QOL.

2.
Dermatol Ther (Heidelb) ; 11(6): 1999-2015, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34585342

RESUMO

INTRODUCTION: Psychosocial problems of patients with chronic dermatoses, such as psoriasis, add to their somatic ailments, which results in the lack of illness acceptance, lowered self-esteem, deteriorated quality of life, and an array of somatic comorbidities. The aim of this study was to analyze the effect of psoriasis on the quality of life, sense of stigmatization, self-esteem, and satisfaction with life in patients with psoriasis. METHODS: The study was based on a short survey prepared by the authors and five validated scales: Dermatology Life Quality Index (DLQI), 6-Item Stigmatization Scale, 33-Item Feelings of Stigmatization Questionnaire, Rosenberg Self-Esteem Scale (SES), and Satisfaction With Life Scale (SWLS). The study included 111 patients with psoriasis (46.8% women and 53.2% men). The inclusion criteria of the study were the diagnosis of plaque psoriasis and written informed consent to participate. RESULTS: DLQI scores ranged between 0 and 28 points (pts) (mean 10.8 pts). Mean stigmatization scores determined with the 33- and 6-Item Stigmatization Scale were 81.6 pts and 7.5 pts, respectively. The mean SWLS score for the study group (18.5 pts) was slightly below the average. The mean score SES of 27 pts implies that the study respondents' self-esteem level was slightly above the average. CONCLUSIONS: Satisfaction with life turned out to be significantly modulated by overall stigmatization level on the 33-Item Stigmatization Scale (the stronger the sense of stigmatization, the lower the satisfaction with life) and education (respondents with higher education presented with higher satisfaction with life than those with non-higher education).

3.
Artigo em Inglês | MEDLINE | ID: mdl-33546373

RESUMO

Dating violence (DV) among adolescents is a public health issue because of its negative health consequences. In this study, we aimed to analyse the prevalence and the psychosocial and socioeconomic risk and protective factors associated DV among male and female adolescents in Europe. It was performed a cross-sectional study based on a non-probabilistic sample of 1555 students aged 13-16 years (2018-2019). The global prevalence of DV victimization was significantly greater among girls than boys (girls: 34.1%, boys: 26.7%; p = 0.012). The prevalence of DV in both girls and boys was greater for those over age 15 (girls: 48.5% p < 0.001; boys: 35.9%; p = 0.019). There was an increased likelihood of DV victimization among girls whose fathers did not have paid employment (p = 0.024), who suffered abuse in childhood, and reported higher Benevolent Sexism [PR (CI 95%): 1.01 (1.00-1.03)] and machismo [1.02 (1.00-1.05)]. In the case of boys, the likelihood of DV increased with abuse in childhood (p = 0.018), lower parental support [0.97 (0.96-0.99)], high hostile sexism scores (p = 0.019), lower acceptance of violence (p = 0.009) and high machismo (p < 0.001). Abuse in childhood was shown to be the main factor associated with being a victim of DV in both population groups, as well as sexism and machismo attitudes. These results may contribute to future DV prevention school programs for both, teenagers and children of elementary school ages.


Assuntos
Comportamento do Adolescente , Bullying , Vítimas de Crime , Violência por Parceiro Íntimo , Adolescente , Criança , Estudos Transversais , Europa (Continente) , Feminino , Humanos , Masculino
4.
Clin Cosmet Investig Dermatol ; 14: 107-121, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33564255

RESUMO

Introduction: Psoriasis is a chronic inflammatory disease of the skin having a profound effect on the quality of life and contributing to the sense of stigmatization in the affected patients. The aim of this study was to analyze the effect of psoriasis severity on the quality of life and sense of stigmatization in psoriatics and to investigate relationships between these measures and sociodemographic variables. Patients and Methods: The study included 111 patients with psoriasis. The inclusion criteria of the study were the diagnosis of psoriasis and written informed consent to participate. The study was based on a short survey prepared by the authors and four validated scales: Dermatology Life Quality Index (DLQI), 6-item Stigmatization Scale, 33-item Feelings of Stigmatization Questionnaire, and Psoriasis Area and Severity Index (PASI). Results: Mean PASI score for the study group was 14 pts. Most respondents presented with low DLQI scores, with the mean value of 10.8 pts suggesting that the disease-related ailments were not extremely burdensome for the majority of the patients. Mean stigmatization scores for the 6- and 33-item scale were 7-8 and 81-82 pts, respectively. Conclusion: The severity of psoriasis was the strongest determinant of the quality of life measured with the DLQI. Also, the levels of stigmatization determined with the 6- and 33-item scale correlated significantly with PASI scores.

5.
J Adolesc Health ; 68(5): 922-929, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33067152

RESUMO

PURPOSE: To analyze the potential association between social support, experiences of violence, and sociodemographic characteristics of adolescents and the likelihood of acceptance of violence and machismo in different European countries. METHODS: Cross-sectional design. We recruited 1,555 participants ages 13-16 from secondary schools in Alicante (Spain), Rome (Italy), Iasi (Romania), Matosinhos (Portugal), Poznan (Poland), and Cardiff (UK). We used linear regression models to identify how social support from teachers and parents, experiences of violence-dating violence, bullying, cyberbullying, abuse in childhood-and sociodemographic characteristics were associated with violent thinking, specifically: machismo and acceptance of violence. The analysis was stratified by sex. RESULTS: Acceptance of violence was higher for those who had lower perceived social support from parents (ßgirls = -154, p < .001; ßboys = -.114, p = .019) for both sexes. Perpetration of bullying and/or cyberbullying was associated with higher scores for machismo and acceptance of violence for both sexes (ßgirls = .067, p = .035; ßboys = .225, p < .001; (ßgirls = .118, p < .001; ßboys = .210, p < .001). Being the victim of dating violence, having suffered physical and/or sexual abuse in childhood, and lower perceived social support from teachers were associated with higher scores for both machismo and acceptance of violence. These associations differed between girls and boys. CONCLUSIONS: Machismo and acceptance of violence are widely present amongst adolescents in different European countries. Our results suggest the importance of providing educational/psycho-educational interventions with boys and girls to prevent these attitudes and, in turn, prevent interpersonal violence, including bullying and dating violence.


Assuntos
Comportamento do Adolescente , Bullying , Vítimas de Crime , Violência por Parceiro Íntimo , Adolescente , Criança , Estudos Transversais , Europa (Continente) , Feminino , Humanos , Itália , Masculino , Portugal , Apoio Social , Violência
6.
Dermatology ; 237(4): 611-617, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32841936

RESUMO

BACKGROUND: Psoriasis is a systemic inflammatory disease capable of creating stigmatization in the form of social exclusion and decrement of psychological conditions. AIM: The aim of the study was to determine the level of stigmatization in patients with plaque psoriasis. METHODS: The study included 166 patients with plaque psoriasis (55.6% women and 44.3% men) with Psoriasis Area and Severity Index scores ≤10. The age of the study patients ranged between 18 and 72 years (arithmetic mean = 37.4; median = 38; standard deviation [SD] = 11.0). The mean age at the diagnosis of psoriasis was 21.5 years (median = 20; SD = 9.1) and disease duration varied from 2 to 59 years (arithmetic mean = 15.8; median = 15; SD = 11.3). The study patients completed the Polish version of the 6-item Stigmatization Scale and the 33-item Feelings of Stigmatization Questionnaire and a survey developed by the authors of this study, containing questions about the participants' sociodemographic characteristics (sex, age, place of residence, marital status, education, employment status) and information about their disease (location of psoriatic lesions, time elapsed since the diagnosis of psoriasis). RESULTS: The mean score for the 6-item Stigmatization Scale for the whole study group was 7.6 out of 18 points (median = 7; SD = 3.8; minimum = 0; maximum = 17). The average score for the 33-item Stigma Feelings Questionnaire in our series was 84.5 out of 165 points (median = 88; SD = 20.9; minimum = 30; maximum = 136). A statistically significant sex-related difference was observed in the 6-item Stigmatization Scale scores, with higher stigmatization levels found in men than in women (p = 0.0082). Moreover, significantly higher levels of stigmatization were observed in countryside dwellers (p = 0.0311) and unmarried persons (p = 0.0321). Patients with a longer history of the disease (≥15 years) scored significantly higher on the 6-item Stigmatization Scale (p = 0.0217) than those in whom psoriasis lasted less long, and presented with higher, at the threshold of statistical significance, scores for the 33-item Feelings of Stigmatization Questionnaire. CONCLUSIONS: Stigmatization awareness should be promoted among physicians and psoriatic patients to improve psoriasis management.

7.
Artigo em Inglês | MEDLINE | ID: mdl-33271817

RESUMO

The aim of the article is to show the role of school social support and school social climate in dating violence victimization prevention among adolescents in Europe. Study participants were students from secondary schools (age 13-16) in Spain, Italy, Romania, Portugal, Poland and UK. The analysis in this text concern student with dating experience (n = 993) (57.2% of girls and 66.5% of boys). School social support was measured by School Social Climate, Factor 1 Scale (CECSCE) and by Student Social Support Scale (CASSS), subscales teachers and classmates. The association between school social support and different types of dating victimization (physical and/or sexual dating violence, control dating violence and fear) was measured by calculating the prevalence ratios and their 95% confidence intervals, estimated by Poisson regression models with robust variance. All the models were adjusted by country and by sociodemographic variables. The results show that the average values of all types of social support are significantly lower in young people who have suffered any type of dating violence or were scared of their partner. The likelihood of suffering physical and/or sexual dating violence decreased when school social support increased [PR (CI 95%): 0.96 (0.92; 0.99)]. In the same way, the likelihood of fear decreased when school social climate increased [PR (CI 95%): 0.98 (0.96; 0.99)].There is an association between school social support and school social climate and experiences of being victim of dating violence among adolescents in Europe. Our results suggest that in the prevention of dating violence building a supportive climate at schools and building/using the support of peers and teachers is important.


Assuntos
Comportamento do Adolescente , Vítimas de Crime , Violência por Parceiro Íntimo , Apoio Social , Adolescente , Europa (Continente) , Feminino , Humanos , Itália , Masculino , Polônia , Portugal , Romênia , Instituições Acadêmicas , Espanha
8.
Postepy Dermatol Alergol ; 37(4): 597-602, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32994785

RESUMO

Introduction: Psoriasis is classified as a psychosomatic disease since its development and outcome may be modulated by various psychological factors. Due to the presence of clinical signs visible to others and poor social awareness of the disease, psoriasis patients are not infrequently classified as different or stigmatized, and their value as human beings tends to decrease. Aim: To analyse the relationship between self-esteem and stigmatization in psoriasis patients. Material and methods: The study included 120 patients with psoriasis vulgaris. The study participants completed Polish versions of the Rosenberg Self-Esteem Scale (RSES) and the 6-Item Stigmatization Scale developed by Evers et al., as well as an original survey containing questions about their sociodemographic characteristics. Results: Mean RSES score of the study participants was 24.1 points. Mean RSES score for female patients was nearly 2 points lower than the mean score for men. Analysis of Spearman's rho coefficients showed that the higher the self-esteem in the study participants the less often they considered themselves unattractive to others (0.23), less often believed that people gaze at their skin lesions (0.23) or avoid them because of their condition (0.38). Conclusions: Our findings demonstrate clearly that both self-esteem and stigmatization are significant components of psoriasis' influence on the patient life. Psoriasis should not be considered merely as a somatic problem, but also as a significant psychological and social burden.

9.
Dermatol Ther (Heidelb) ; 10(3): 413-430, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32193842

RESUMO

INTRODUCTION: Psoriasis is a complex disease with a heterogeneous presentation, which may have a profound effect on the everyday functioning of patients. As a strongly stressogenic disease, psoriasis may cause lack of illness acceptance and contribute to negative changes in self-image. Usually, psoriasis also has a detrimental effect on quality of life. The aim of this study is to determine the levels of illness acceptance, satisfaction with life, stigmatization, and quality of life in people with psoriasis, to analyze relationships among these variables, and to verify whether they are modulated by selected sociodemographic factors. METHODS: A total of 366 people with psoriasis treated at the Dermatology and Medical Cosmetology Clinic in Bialystok were included. The study was conducted using a short survey prepared by the authors and five validated psychometric scales: Acceptance of Illness Scale (AIS), Satisfaction with Life Scale (SWLS), 6-item Stigmatization Scale, 33-item Feelings of Stigmatization Questionnaire, and Dermatology Life Quality Index (DLQI). RESULTS: Median AIS score was 24 pts, which corresponds to a moderate level of illness acceptance. The level of illness acceptance among men was significantly higher than among women. More than half of respondents assessed their satisfaction with life as low. Men showed low levels of satisfaction with life slightly more often than women. Patients living in the countryside showed high levels of satisfaction with life significantly more often than those living in cities/towns. Mean scores for the 6-item Stigmatization Scale and the 33-item Feelings of Stigmatization Questionnaire were 8.73 pts and 90.06 pts, respectively, with no significant differences between the results of male and female patients. The DLQI scores for the study group ranged between 0 and 30 pts, with the mean value of 17.81 pts corresponding to a severe deterioration of quality of life. Statistically significant differences between quality of life and all sociodemographic variables were demonstrated. CONCLUSIONS: People with psoriasis participating in this study showed moderate levels of illness acceptance and stigmatization, low level of satisfaction with life, and moderately deteriorated quality of life. Acceptance of illness was significantly modulated by patient sex. The level of illness acceptance among men was significantly higher than among women. Furthermore, illness acceptance exerted a significant effect on satisfaction with life in psoriasis patients. Place of residence exerted significant effects on satisfaction with life (higher in countryside dwellers), sense of stigmatization (stronger in countryside dwellers), and quality of life (more severely deteriorated in city/town dwellers). Disease duration significantly affected the degree of life satisfaction, sense of stigmatization (measured using a 33-item Feelings of Stigmatization Questionnaire), and quality of life among patients with psoriasis.

10.
Dermatol Ther (Heidelb) ; 10(2): 285-296, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32146709

RESUMO

INTRODUCTION: Each dermatological condition associated with the presence of visible skin lesions can evoke the following psychological response of the patient: shame, anxiety, anger, or even depression. Psoriasis may additionally be a cause of social rejection, which significantly impairs a patient's private life and social functioning, and may contribute to stigmatization, alienation, and deterioration of their quality of life. The aim of the study was to determine the level of stigmatization and the quality of life of persons with psoriasis in relation to sociodemographic characteristics. METHODS: The study, which included 166 patients with plaque psoriasis, was carried out with the 33-item Feelings of Stigmatization Questionnaire, Dermatology Life Quality Index (DLQI), and a dedicated sociodemographic survey. RESULTS: Compared with women, men had higher stigmatization scores in the "Feeling of being flawed" domain (p = 0.0362), and patients up to 30 years of age scored higher on the "Guilt and shame" domain ([Formula: see text] = 17.1 points) than those older than 30 years ([Formula: see text] = 14.6 points). Also, persons with visible skin lesions presented with higher stigmatization levels in the "Guilt and shame" domain than those without (p = 0.0028). Quality of life in persons with psoriasis did not depend on sociodemographic parameters but correlated significantly with two stigmatization domains, "Sensitivity to the opinions of others" (R = 0.31; p = 0.0030) and "Positive attitudes" (R = 0.27; p = 0.0115). CONCLUSIONS: As stigmatization is a social problem, only greater social awareness of psoriasis may contribute to better understanding and broader acceptance of patients with this dermatosis. To help them to cope with the stigmatization and hence to improve their quality of life, persons with psoriasis should be provided with psychological counselling.

11.
Postepy Dermatol Alergol ; 37(6): 948-955, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33603615

RESUMO

Introduction: Since the skin plays a pivotal role in interpersonal relationships, a chronic dermatological condition (psoriasis), may have a profound effect on the psychological status of patients. Aim: To analyse the effects of skin lesions on satisfaction with life, acceptance of illness and quality of life in psoriasis. Material and methods: The study included psoriatics recruited at the Dermatology Outpatient Unit of the Regional Hospital in Lomza, Dermatology Outpatient Clinic in Siemiatycze and Dermatology and Medical Cosmetology Centre in Bialystok. The study patients were examined with a demographic survey prepared by the authors, as well as with three validated scales: AIS, SWLS and DLQI. A total of 263 questionnaire sets were handed out to the participants of the study; this pool included 200 questionnaires with complete data that were eventually included in the analysis. Results: Acceptance of Illness Scale scores of the study participants ranged between 8 and 40 pts. Mean AIS scores for female and male psoriatics were similar, 23 and 25 pts, respectively. Based on the distribution of Satisfaction with Life Scale scores, 42 of the study patients presented with high levels of satisfaction with life, whereas 37 and 21 showed moderate and low satisfaction levels, respectively. Quality of life turned out to be the best among 20- to 30-year-old respondents as up to 74.19 of them had Dermatology Life Quality Index scores no greater than 10 pts. Conclusions: Psoriatics with higher levels of illness acceptance also presented with greater satisfaction with life.

12.
Postepy Dermatol Alergol ; 37(6): 956-961, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33603616

RESUMO

Introduction: The appearance of the skin and its appendages not only reflects the general body condition, but also exerts an effect on one's self-esteem and self-image, and the way he/she is perceived by the others. Aim: To analyse the quality of life (QOL) in dermatological diseases, assessed by the patients themselves and the nurses being their caregivers. Material and methods: The survey was completed by 300 patients diagnosed with various dermatological conditions; however, only the data from 281 surveys were considered during the analysis. All patients completed an anonymous questionnaire designed specifically for the purpose of the study. The survey included 32 questions. Moreover, the study patients were surveyed with the Dermatology Life Quality Index (DLQI). Moreover, the study included 1713 nurses employed in various healthcare institutions and providing care to patients with dermatological diseases. The survey for the nurses consisted of 32 questions. Results: Mean DLQI score for the study patients was 12.4 ±8.1 points. Based on the median, lower and upper quartile values, every fourth person presented with DLQI scores > 18 points, half of the respondents had DLQI scores no greater than 12 points, and every fourth respondent experienced good QOL (DLQI score no higher than 5 points). Conclusions: According to the majority of patients and nurses, individuals with skin conditions are not fully able to cope with their disease and show a negative attitude towards it. The QOL of patients with skin diseases is determined by the type of the dermatological condition.

13.
Hum Vaccin Immunother ; 14(12): 2884-2893, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30257128

RESUMO

Background: Vaccinations are currently the key element in the prevention of the spread of infectious diseases. We studied parents' opinions about mandatory and recommended preventive vaccinations in Poland. Methods: A diagnostic survey using an original questionnaire was done in a group of 300 parents. Results: A total of 3.7% of parents did not vaccinate their children. 90% were aware of the threat potentially posed by infectious diseases, and 73.7% knew that breastfeeding alone does not ensure sufficient protection against them. 28% believed that it is necessary to vaccinate a child against all diseases, 51.7% that the number of vaccinations is insufficient, and 62.7% that vaccine use is safe. 40.7% thought that unvaccinated children should not be able to attend nurseries and kindergartens, as they pose a threat to other children. Postvaccinal adverse events occurred in 21.3% of children, mainly (71.9%) an increase in body temperature above 38°C. 88.3% were informed about possible vaccine-induced complications, most often by nurses (79.7%). 88% of the respondents were aware of the possibility to switch to an alternative immunization program, 92% were informed on the possible administration of recommended vaccines, and 53% took advantage of combined vaccines. Conclusions: Views on vaccinations were mostly varied, depending on the age, sex, education, and financial situation of the respondents. Most of the parents who did not vaccinate their children believed that immunity can be acquired by infection. They were in favor of a limited number of vaccinations, were more critical of the vaccination program in Poland, considered the vaccines used in Poland to be unsafe, and blamed vaccines for multiple developmental defects and autism in children. Parents whose children experienced vaccine-induced adverse reactions were more likely to have doubts before the next vaccination.

15.
Postepy Dermatol Alergol ; 30(2): 85-90, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24278053

RESUMO

INTRODUCTION: Psoriasis is one of the most frequent inflammatory diseases of the skin, associated with an epidermal proliferation and a specific morphology of lesions. Patients with psoriasis perceive their appearance specifically; they are frequently rejected by their surroundings and perceive their quality of life as considerably poorer. AIM: To evaluate the satisfaction with life in patients with psoriasis, and to analyze the effect of this disease on the prevalence of depression in this group. MATERIAL AND METHODS: The study included 100 psoriasis vulgaris patients treated at the Voivodeship Outpatient Clinic of Skin and Venereal Diseases in Lomza (Poland). Sociodemographic data of the participants and the clinical characteristics of the disease were collected using a standardized questionnaire survey. The global feeling of satisfaction with life was evaluated with the Satisfaction with Life Scale and the Beck's Depression Inventory. RESULTS: Mean SWLS scores suggested that the examined patients experienced moderate levels of satisfaction with life (18.92 and 18.69 points in women and men, respectively). The life satisfaction was the highest amongst patients between 50 and 60 years of age (p = 0.81). The mean score of the Beck Depression Inventory was at a threshold of mild depression (14.08 and 13.65 points in women and men, respectively). CONCLUSIONS: Our participants presented moderate levels of satisfaction with life. A lower satisfaction with life was associated with a poorer quality of life and a higher prevalence of depressive symptoms.

16.
Int J Occup Med Environ Health ; 24(3): 267-74, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21845523

RESUMO

OBJECTIVES: The aim of this study was to estimate the level of exposure and average intensity of aggression towards particular professional groups of healthcare workers. MATERIALS AND METHODS: Study participants (n = 1498) were employed at open and closed healthcare units within Podlaskie Voivodeship: 493 nurses, 504 midwives and 501 physicians. The MDM Questionnaire was applied. RESULTS: Aggression originating from patients was experienced by 92% of nurses, 86% of doctors, and 74% of midwives examined. Aggressive behavior of co-working physicians concerned 55% of midwives, 54% of nurses and 40% of physicians. The highest average levels of patient aggression, ranging between 2.20 and 3.31, were reported by nurses. CONCLUSIONS: Nurses are the group most exposed to most aggression forms and sources. Physicians are least exposed to aggression, except for aggression manifested by patients.


Assuntos
Agressão/psicologia , Pessoal de Saúde/psicologia , Local de Trabalho/estatística & dados numéricos , Idoso , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Tocologia , Enfermeiras e Enfermeiros/psicologia , Médicos/psicologia , Polônia , Relações Profissional-Paciente , Inquéritos e Questionários
17.
Pol Merkur Lekarski ; 30(176): 116-20, 2011 Feb.
Artigo em Polonês | MEDLINE | ID: mdl-21544981

RESUMO

UNLABELLED: Systemic sclerosis (SSc) is a chronic, progressive connective tissue disease with the different clinical course characterized by a progressive fibrosis of the skin and internal organs, leading to their failure, changes in blood morphology and blood vessels disorders. The disease most often affects the skin, the osteoarticular system, the alimentary tract, the cardio-vascular system, lungs, kidneys and the nervous system. In involved systems and organs observed symptoms are able to develop gradually relatively to disease course, leading to a permanent and irreversible health damage. The aim of study was to identify major symptoms of SSc patients and to examine the relation between patients' complaints and the results of diagnostic tests: pulmonary artery pressure (PHT), lung image (X-ray and HRCT) and cytology of broncho-alveolar lavage (BAL), oesophagus X-ray and stress ECG. MATERIAL AND METHODS: The study group consisted of 63 patients with diagnosed SSc according to the ARA criteria: 47 with limited systemic sclerosis (ISSc) (74.6%) and 16 with diffuse systemic sclerosis (dSSc) (25.4%). The basic research tool was a survey questionnaire drafted for the needs of this study, assessing the health problems of patients. The examination was performed in all patients and the results of diagnostic tests were completed in selected groups according to therapeutic purposes. RESULTS: From the all identified symptoms from the alimentary tract the most characteristic was heartburn (in 71% cases). About 60% of subjects reported difficulties with swallowing, out of which 68% were ISSc patients (p < or = 0.05). The X-ray examination of the oesophagus showed a shallow peristaltic wave in 55% patients with this complaint, and it occurred significantly more often in patients who were diagnosed as ISSc for > or = 15 years (p < or = 0.05). A positive result of HRCT was more often obtained in the group of patients with dSSc (p < or = 0.05). It has been proved that there is a significant relation between fatigue reported by patients and a positive result of HRCT and BAL (p < or = 0.05). A positive result of exercise ECG was obtained in 69% of patients with dyspnoea and 61% with fatigue (p < or = 0.05). CONCLUSIONS: Disorders of the gastrointestinal tract demonstrated particular intensity in patients with ISSc, with known shall owing of the peristaltic wave in the X-ray of the esophagus. Pulmonary changes were observed in HRCT and BAL, concerned mostly dSSc patients in whom fatigue was the major symptom. Patients who declared fatigue and dyspnoea had changes in exercise ECG, with no relation to the clinical presentation of SSc.


Assuntos
Líquido da Lavagem Broncoalveolar/citologia , Esôfago/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Escleroderma Sistêmico/diagnóstico , Adulto , Eletrocardiografia , Teste de Esforço , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peristaltismo , Vigilância da População , Radiografia , Esclerodermia Difusa/diagnóstico , Escleroderma Sistêmico/patologia , Inquéritos e Questionários
18.
Ann Acad Med Stetin ; 55(3): 70-5, 2009.
Artigo em Polonês | MEDLINE | ID: mdl-20698182

RESUMO

INTRODUCTION: Mental stress is inseparably connected with work. The stress reaction is favored by stagnation in life, lack of prospects for professional growth, uncertainty of stable employment, pressure to work reliably and flexibly, excessive workload, and lack of assigned duties. Interpersonal relations among members of the team represent another significant factor in the appearance and persistence of social pathology. STUDY OBJECTIVES: Identification of forms and sources of aggression implicated in stress among physicians at the workplace. MATERIAL AND METHODS: The study was performed in 501 physicians employed by inpatient and outpatient institutions in the province of Podlaskie. We used questionnaires assessing the intensity and type of aggression against physicians and the GHQ28 General Heath Questionnaire. RESULTS: The patient source of stress for physicians included hostile comportment (53%) and extortion (41%). The source of stress from superiors included vulgar acts in the presence of coworkers (18%) and threats (17%). Stress was also caused by raised voice of other physicians (44%) and nurses (25%). CONCLUSIONS: The main source of stress for physicians was aggression by patients and fellow physicians.


Assuntos
Agressão/classificação , Hostilidade , Médicos/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Local de Trabalho/estatística & dados numéricos , Mobilidade Ocupacional , Humanos , Incidência , Polônia/epidemiologia , Vigilância da População , Inquéritos e Questionários
19.
Ann Acad Med Stetin ; 55(3): 76-80, 2009.
Artigo em Polonês | MEDLINE | ID: mdl-20698183

RESUMO

SUMMARY: Members of the medical rescue team are exposed to several dangerous and harmful factors, including emotional and physical stress, during their activities at the site of an accident. Basing on the literature it can be concluded that anxiety and low mood are present in each patient in a state of endangered life or health. The aim of study was to assess the incidence, sources, and types of aggression against medical rescuers depending on the place of work. MATERIAL AND METHODS: This study was done in 126 medical rescuers working in the province of Podlaskie. Questionnaires assessing the degree and types of aggression against medical rescuers and the GHQ28 General Heath Questionnaire were used. RESULTS: Rescuers working in emergency rooms and ambulances reported that aggression most often was in the form of raised voice (95%), threats (85%), attempted assault and dangerous situation (91%). According to respondents working at hospital emergency departments, raised voice is most often encountered (95% of respondents). Threats were made against 72%, dangerous situations were noted by 59%, and attempted assault was experienced by 44% of respondents. CONCLUSIONS: Rescuers working in ambulances and emergency rooms were more often exposed to aggression than rescuers working at hospital emergency departments. The exception was raised voice by patients which was noted with the same frequency irrespective of the place of work. Aggression from superiors and coworkers was evidently more often experienced in ambulances and emergency rooms.


Assuntos
Agressão/classificação , Serviço Hospitalar de Emergência/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Violência/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Comportamento Perigoso , Monitoramento Ambiental , Monitoramento Epidemiológico , Humanos , Incidência , Exposição Ocupacional , Polônia/epidemiologia , Vigilância da População , Trabalho de Resgate/estatística & dados numéricos , Inquéritos e Questionários
20.
Cancer Nurs ; 28(3): 172-8, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15915059

RESUMO

Melanoma is the fastest growing solid tumor in men and women, and despite accounting for only 4% of skin cancer cases, it accounts for more than 79% of skin cancer-related deaths. The present study was designed to evaluate the impact of interferon (IFN) treatment on patients' quality of life (QOL) after radical surgery of cutaneous melanoma. The tests were carried out in a group of patients treated in the Department of Soft Tissue and Bone Cancer, Institute of Oncology, in Warsaw. The present study included 2 groups of the patients, 110 persons each. One group consisted of patients who had been subjected to radical surgery of cutaneous melanoma, and the other one consisted of 110 patients treated with a supplementary interferon alfa-2b (IFN-alpha-2b) therapy. Data were collected by means of an anonymous QLQ-C30 (version 2.0.) questionnaire elaborated and provided by the European Organisation for Research and Treatment of Cancer. The QLQ-C30 questionnaire consisted of 43 questions. The IFN-alpha-2b treatment significantly affected patients' physical condition, mental health, and social life. The emotional state of the patients was more affected during IFN-alpha-2b treatment. Somatic symptoms were also increased in those patients. The IFN-alpha-2b therapy also significantly affected family and social life. In spite of several adverse effects, the patients assessed their QOL as good. The IFN-alpha-2b treatment is troublesome for the melanoma patients. It is important that the treating physician and nurse should be aware of the 4 major categories of IFN-alpha-2b toxicity: constitutional, neuropsychiatric, hepatic, and hematologic. A number of steps can be taken to minimize the morbidity associated with IFN-alpha-2b therapy, resulting in an improvement in both QOL and patient compliance.


Assuntos
Antineoplásicos/uso terapêutico , Atitude Frente a Saúde , Interferon-alfa/uso terapêutico , Melanoma , Qualidade de Vida/psicologia , Neoplasias Cutâneas , Atividades Cotidianas , Adolescente , Adulto , Antineoplásicos/efeitos adversos , Quimioterapia Adjuvante , Dispneia/induzido quimicamente , Fadiga/induzido quimicamente , Feminino , Febre/induzido quimicamente , Nível de Saúde , Humanos , Interferon alfa-2 , Interferon-alfa/efeitos adversos , Masculino , Melanoma/tratamento farmacológico , Melanoma/psicologia , Melanoma/cirurgia , Saúde Mental , Pessoa de Meia-Idade , Debilidade Muscular/induzido quimicamente , Dor/induzido quimicamente , Polônia , Cuidados Pós-Operatórios/métodos , Cuidados Pós-Operatórios/psicologia , Proteínas Recombinantes , Perfil de Impacto da Doença , Neoplasias Cutâneas/tratamento farmacológico , Neoplasias Cutâneas/psicologia , Neoplasias Cutâneas/cirurgia , Comportamento Social , Inquéritos e Questionários , Resultado do Tratamento
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