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Number of results: 15
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Abstract

Providing informal care to adults, especially elderly people, may affect many aspects of caregivers’ life, such as: physical and mental health, financial situation, social contacts, etc. Supporting dependent seniors is associated to a higher level of stress, burden and depression as well as higher mortality. The main purpose of this paper is to analyse the relationship between caregiving for adults and the subjective quality of life among Poles aged 50–69. We took into account not only the fact of providing care to adult people, but also its beginning, continuation and ending between waves. We assumed that subjective quality of life may be expressed by two variables: one describing life satisfaction, and the second one – loneliness. We used the panel subsample from the Generation and Gender Surveys (GGS) carried out in Poland in 2010/2011 and in 2014. We found a negative effect of stopping caregiving between waves on wellbeing of women-carers, which may be related to the loss of a close person. Moreover, providing care for a longer period of time increases loneliness, which confirms that providing support to others may lead to isolation and smaller social networks.

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Authors and Affiliations

Anita Abramowska-Kmon
Magdalena Maciejasz
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Abstract

Regional differentiation of economic growth in Poland between 1995 and 2015. The paper explores the regional differentiation of economic growth in Poland between 1995 and 2015 in terms of GDP per capita. The historically lagging-behind regions of eastern Poland has shown relatively high dynamics and reduced the gap vis-à-vis Western European regions. At the same time, they have not been catching up with the fastest growing metropolitan areas, which leads to increased inter-regional disparities in the country. The lowest rate of growth is characteristic of northern regions and western borderland, which is related to their social and cultural features, including poor human capital, and limited internal market. There is moderate correlation between regional economic growth and the quality of life. The least favourable situation in both respects is found in the German borderland.
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Authors and Affiliations

Bolesław Domański
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Abstract

This study aims at identifying determinants of health related quality of life in Poland, and in particular at verifying whether health domains are complements or substitutes and what the impact of heterogeneity of population on the health state valuation is. The paper uses data in panel structure coming from a survey conducted in Poland and consisting of 6700 valuations (after data cleaning) of EQ-5D health states with time trade-off method. Several econometric models are built in order to detect the impact of complementarity and heterogeneity. Random effects models as well as random parameters models estimated using Bayesian approach are used. The results show that health domains are complementary goods. Especially the lack of pain/discomfort is a complement to other health domains. Demographic factors influence how health state change impacts utility. These factors encompass sex, education, respondent’s health state and even belief in life after death.

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Authors and Affiliations

Michał Jakubczyk
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Abstract

I n t r o d u c t i o n: Peripheral arterial occlusive disease (PAOD) is a disease with worldwide increasing occurrence. Diabetic patients are greatly exposed on the risk of PAOD and its complications. The aim of the study was to check the influence of preoperative HbA1C on the outcomes of patients with diabetes undergoing PAOD related endovascular treatment.

M a t e r i a l a n d Me t h o d s: The study was conducted among 59 patients with PAOD referred from the diabetic foot outpatient for endovascular treatment. They were included in one-year observation based on follow-up visits in 1, 3, 6 and 12 months after angioplasty and divided into 2 groups basing on their preoperative glycaemia. Th e clinical condition of the lower limbs was assessed by use of the Rutherford classification, ankle-brachial index (ABI) and toe-brachial index (TBI). Changes in patients’ quality of life (QoL) were also evaluated.

R e s u l t s: Reintervention within 12 months were less frequent in patients with HbA1C ≤8.0% than in HbA1C >8.0% patients (9.09% vs. 35.48%, p = 0.03). TBI of the treated limb was lower in patients with elevated than in patients with proper glycaemia at 6 month [0.2 (0.0–0.38) vs. 0.38 (0.31–0.46); p <0.008] and 12 month follow-up [0.17 (0.0–0.27) vs. 0.32 (0.25–0.38); p <0,001]. The rate of healed ulcerations after 6 months was higher in patients HbA1C ≤8.0% (45.0% vs. 16.13%; p = 0.02) and they had significantly greater improvement of QoL.

C on c l u s i o n: Results of this study shows that preoperative level of glycaemia is an important factor for long-term prognosis in diabetic patients with PAOD. Elevated HbA1C level decreases significantly long-term improvement of QoL in DM patients undergoing endovascular treatment.

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Authors and Affiliations

Agnieszka Wachsmann
Mikołaj Maga
Martyna Schönborn
Marta Olszewska
Mateusz Blukacz
Małgorzata Cebeńko
Agnieszka Trynkiewicz
Paweł Maga
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Abstract

O b j e c t i v e s: The aim of study was to investigate the association between anxiety, depression, stress and determinants of quality of life among Iranian students.

M e t h o d s: The questionnaires were completed by 275 students. The random sampling was conducted in two phases, the stratified sampling which some classes were selected among different classes of faculty of health and at the second phase, in each class the number of students who had the requirements to enter in the study were selected randomly. the logistic regression to find out the association between demographic characteristics with the quality of life was run and according to the normality status of the distribution of data the parametric or non-parametric tests were used.

R e s u l t s: In the univariable model, the students that were living in their own homes had the odds of 2.18 times more than the others to have a higher quality of life level (95% CI: 1.07–4.45). In the multi variable model the anxiety and stress were significantly related to the quality of life and for increasing each 1 unit in the amount of anxiety and stress the odds of a better quality of life decreases 0.19 and 0.03 respectively. Even after adjusting for other covariates – in the multivariable model – both anxiety and stress were associated with the quality of life.

C o n c l u s i o n: It is useful for the universities to understand different aspects of the students’ lives which are under the influence of stress, anxiety and depression, and also determining the resources from which they are originated.

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Authors and Affiliations

Bahram Armoon
Yaser Mokhayeri
Javad Haroni
Mahmood Karimy
Mehdi Noroozi
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Abstract

The main objective of the article is an attempt to indicate factors which determine the image of a city as a good place to live as well as to reveal the ways in which they affect the citizens’ quality of life. In order to do so, the author selected the city of Gdynia which is perceived as the best city to live in by its citizens. Among the most important factors determining the quality of life in general there are: the scale of a city, local identity, public spaces, symbolic places, housing environment, perception of a place, personal satisfaction of a place where a particular person lives, urban policies as well as presence and activeness of local leaders. The article presents the results of a social study carried out by the author herself during two periods of time – in 2004 and 2014 as well as the results of the Social Diagnosis 2015.

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Authors and Affiliations

Magdalena Szmytkowska
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Abstract

The aim of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) among parents of children with autism spectrum disorder (ASD) through reducing psychopathology, improving quality of life, and developing psychological skills (psychological flexibility, self-compassion, and ego-resiliency). The study was quasi-experimental in the form of a four-week ACT intervention; three measurements were obtained (baseline, one week after training, one month after training). It involved 60 participants divided into three groups: two criteria groups (ACT in the off-line form, N=20, ACT in the on-line form, N=20), and one control group (N=20). The results showed a significant improvement in the area of quality of life and the level of psychological skills among parents participating in the ACT training, and this improvement was maintained both a week and a month after the end of the training. The form of participation in the training did not differentiate the groups, which may indicate their equivalence. In addition, significant intergroup differences were shown between participants from the criterion groups and those from the control group, as the subjects who did not participate in the training were characterized by lower quality of life and lower level of psychological skills, and higher intensity of psychopathological symptoms. The results can be used both in designing further scientific research and in clinical practice, especially in the psychological care of families of persons diagnosed with ASD, with special focus on the area of developing psychological skills and the use of short-term therapeutic methods.
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Authors and Affiliations

Anna Pyszkowska
1
Małgorzata Ewa Górnik-Durose
1

  1. University of Silesia, Katowice, Poland
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Abstract

Background: pharmacists remain on the frontline of public health around the globe and their performance directly impacts patients’ safety. So far, to our knowledge, no European study has been dedicated to their heath-related quality of life (HQoL). Therefore, the primarily aim of our study was to evaluate HQoL of Polish pharmacists utilizing the SF-36 health survey with regard to anthropometric and lifestyle-related variables.
Methods: A total sample screened consisted of 1412 respondents, yet 765 pharmacists (mean age 40, 86.3% females) finally participated in the study. HQoL was assessed with the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36).
Results: The lowest median scores were noted for general health (GH, 50.0) and vitality (V, 60.0) domains. No gender differences regarding physical and mental summary scores were found. Significant difference of HQoL was found among the assessed age groups in several domains, especially physical functioning (PF) and GH (p <0.001) scores, and especially in the group of 51–60-year-old-respondents. Correlations were found between PF (r = –0.29, p <0.001), GH (r = –0.25, p <0.001) and age as well PF (r = –0.27, p <0.001), GH (r = –0.21, p <0.001) and BMI. Self-assessed dietary habits were correlated with PF (r = 0.22, p <0.001), mental health (r = 0.25, p <0.001), GH (r = 0.27, p <0.001) and V (r = 0.30, p <0.001) scores.
Conclusions: The analysis indicates that pharmacists tend to have similar mental and physical burden according to SF-36, with age, BMI and dietary habits as predominant factors influencing their HQoL. The study presents unique values for future comparative analyses related, for instance, to the influence of the ongoing pandemic on HQoL of health-care providers.
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Authors and Affiliations

Magdalena Kurnik-Łucka
1
Paweł Pasieka
1
Agnieszka Górecka-Mazur
1
Elżbieta Rząsa-Duran
2
Jakub Pękala
1
Krzysztof Gil
1

  1. Department of Pathophysiology, Jagiellonian University Medical College, Kraków, Poland
  2. Pharmacists’ Chamber of Lesser Poland, Kraków, Poland
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Abstract

Background: To assess and compare mid-term outcomes and the quality of life (QoL) in patients with multivessel coronary artery disease (MVD) and moderate ischemic mitral regurgitation (IMR), treated with either coronary artery bypass grafting (CABG; group I) or CABG + mitral annulo-plasty (CABG+MA; group II) in 12-months follow-up after surgery.
Methods: We prospectively analyzed 74 patients (50.7% female, 66 [67–72] years) with at least moderate IMR, 3–24 weeks after myocardial infarction (MI). The effective regurgitation orifice (ERO) was used for a quantitative IMR assessment. To evaluate QoL we used a Short Form-36 (SF-36) questionnaire.
Results: Patients in group II spent more time in the hospital, expired more infection complications and received more often in-hospital complications requiring use amines and intra-aortic balloon pump as compared to those in group I. Analysis of SF-36 showed that all patients treated surgically notable improved their QoL during 12 months of follow-up.
Conclusions: We observed a significant improvement in QoL among patients with MVD in 12 months follow-up after surgery irrespective of treatment type.
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Bibliography

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Authors and Affiliations

Radosław Piątkowski
1
Jakub Kucharz
2
Monika Gawałko
1 3 4
Monika Budnik
1
Katarzyna Wołosiewicz
5
Barbara Kozub
6
Janusz Kochanowski
1
Marcin Grabowski
1
Grzegorz Opolski
1

  1. 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
  2. Department of Uro-Oncology, Maria Skłodowska-Curie, National Research Institute of Oncology, Warsaw, Poland
  3. Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands
  4. Institute of Pharmacology, West German Heart and Vascular Centre, University Duisburg-Essen, Germany
  5. 1st Department of Pediatrics, Bielanski Hospital, Warsaw, Poland
  6. Department of Ophthalmology, Medical Centre for Postgraduate Education, Warsaw, Poland
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Abstract

Introduction: Cardiac implantable electronic devices (CIED) such as pacemakers or car-dioverter defibrillators prevent dangerous heart arrhythmias and conduction abnormalities. Post-inter-vention education is crucial in the patient recovery process and aims to avoid both dangerous behavior and unnecessary restraints in daily living.
Objective: The evaluation of knowledge of daily activities’ safety among patients with CIEDs and an analysis of the relationship between the state of knowledge and perceived post-intervention quality of life.
Materials and Methods: The study group included 100 patients (57% men) with CIEDs, recruited in the University Hospital in Kraków. Data on the patients’ knowledge about permissible daily activities, medical procedures and perceived quality of life was collected using a dedicated questionnaire, which comprised 57 simple and multiple-choice questions.
Results: The analyzed group included patients aged 28 to 97 years (mean age 73). Among them, 26% either have not received or have not read the information booklet. Two-thirds of them either need more information about their device (51%) or do not possess essential knowledge (15%). Patients raised con-cerns about performing daily activities such as: car-driving (38%), using seat belts (14%), bathing (15%), returning to work (51%) or climbing stairs (16%). They reported anxiety when using computers (39%), mobile phones (51%), microwaves (73%) and even electric toothbrushes (51%). It has been observed that patients with a greater general understanding of the pacemaker and post-implantation restraints had a higher quality of life on average.
Conclusions: Patients with CIEDs restrain themselves excessively in daily living. There is a strong need to provide them with knowledge of their medical condition, concomitant capabilities, and limitations to undergo a fully successful rehabilitation. Comprehensive and easily comprehensible recommendations may play a key role in improving patients’ quality of life.
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Authors and Affiliations

Szymon Góral
1
Marta Teliżyn
1
Marek Rajzer
2
Agnieszka Olszanecka
2

  1. Students’ Scientific Group at the 1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland
  2. 1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland
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Abstract

The work assessed the diversity of the natural potential in communes of Szczecin Metropolitan Area with particular emphasis on the areas of natural and valuable nature, protected area, forests and green areas. Established links between natural resources of municipalities and their valorisation using the SWOT analysis method (included in development strategies) and planned development goals. The basic method of use of the natural potential of the municipality are: to improve the quality of life of residents and tourism development. The impact of the natural potential on the quality of life is noticed primarily by urban centres, where a large share of green areas is noticed. The commune with a dominant share of protected areas (include Natura 2000) draws attention to the development of tourism based on natural potential. This is particularly evident in the communities that are characterized by a favourable location in relation to watercourses and reservoirs (freshwater and marine). However, in the socio-economic development, the natural potential is used in both these directions: to improve the quality of life and the development of tourism. In local strategic documents, it can be noticed that the transport system based on bicycle, pedestrian and water routes related to the natural potential can be eff ectively used in building cooperation between the central and other municipalities associated in Szczecin Metropolitan Area.

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Authors and Affiliations

Anna Kiepas-Kokot
Elżbieta Dusza-Zwolińska
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Abstract

Background: Due to current increased life expectancy, the quality of life (QoL) of senior patients is gaining in importance. The aims of this study were: to estimate QoL in a group of patients, aged above 64 years, that is cared for by general practitioners (GPs) in Krakow, Poland, and to find relation-ships between elements of QoL and the results of comprehensive geriatric assessment (CGA) and other important medical and social factors.
Methods: We designed a cross-sectional, questionnaire study among patients who attended GPs’ sur-geries from April 2018 to April 2019. To examine the patients, we used the Euro-Quality of Life Ques-tionnaire (EQ-5D-5L) and eight scales forming CGA: the Activities of Daily Living, the Instrumental Activities of Daily Living, Mini-Mental State Examination, Geriatric Depression Scale, Timed Up and Go Test, Mini Nutritional Assessment, Clinical Frailty Scale and Athens Insomnia Scale.
Results: The lowest QoL was observed in dimensions of pain/discomfort and mobility, where 70% and 52% of patients, respectively, reported problems in these areas. Only 91 (21%) respondents had highest results in all five dimensions of QoL. The average score in the Visual Analogue Scale (VAS) of the EQ-5D- 5L (representing self-rated health on a given day) was 62.36 ± 18.98 points. Statistically significant relationships were observed between QoL and age, physical activity and multimorbidity (in all cases p <0.001). The results of QoL were correlated with every aspect of CGA, while the strongest relationship was noticed between scores in the EQ-5D-5L VAS scale and scales assessing depression and frailty (p <0.001; r = –0.57 both).
Conclusions: Our study showed that in senior patients in Krakow QoL was relatively high. Seniors mostly complained of pain/discomfort and problems with mobility. Moreover, dimensions of QoL were connected with the results of CGA. During visits, GPs should specifically question patients about the above mentioned aspects of QoL.
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Authors and Affiliations

Anna Pachołek
1 2
Eliza Siemaszko-Oniszczuk
3
Joanna Mierzwa
4
Anna Wróbel
5
Karolina Piotrowicz
6
Jerzy Gąsowski
6
Tomasz Tomasik
1 2

  1. Department of Family Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. The College of Family Physicians in Poland
  3. Department of Endocrinology, Diabetology and Internal Diseases, University Clinical Hospital, Białystok, Poland
  4. Second Department of Internal Diseases, Dietl Specialist Hospital, Krakow, Poland
  5. Department of Internal Diseases, City Hospital of Ruda Śląska, Ruda Śląska, Poland
  6. Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Pelvic venous disorder (PeVD) is a prevalent chronic condition characterized by the presence of varicose veins in the pelvis, leading to the development of chronic pelvic pain. Despite the growing interest in assessing quality of life in PeVD, well-designed and validated disease-specific questionnaires are missing. The objective of this study was a linguistic and clinical validation of the Symptom Questionnaire (SQ) in a cohort of Polish females with pelvic vein incompetence. The Polish version of SQ was developed using a standardized validation process that involved a back-and- forth translation protocol.
A total of 58 female patients diagnosed with pelvic varicose veins, representing diverse educational back-grounds, participated in the study. Multiple issues were observed during linguistic validation, primarily originating from disparities between the Polish and British healthcare systems, as well as differing levels of sexual health education of those two populations. Cronbach α was calculated separately for each part of the questionnaire with results exceeded 0.6 for each section. Test-retest analysis indicated most Pearson correlation coefficients surpassing 0.70. The absolute agreement consistency between pretest and post- test measures, evaluated using the Intra Class Correlation (ICC), exceeded 0.8 in three sections and 0.7 in the remaining three sections.
However, the clinical validation failed due to the lack of standardized score calculation proposed by the authors of the questionnaire and inaccurately assigned values in the answer key for five questions. Consequently, the practical utility of SQ in daily clinical settings remains uncertain, highlighting the urgent need for the development of a new, user-friendly questionnaire specifically tailored to assess the quality of life in individuals with PeVD.
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Authors and Affiliations

Paulina Kłapacz
1 2
Mikołaj Maga
2 3
Łukasz Drelicharz
1 2
Jakub Krężel
2
Ewa Graczkowska
1
Kinga Krupa
1
Gabriela Trąd
1
Wojciech Maga
4
Łukasz Partyka
1 2
Paweł Maga
1 2

  1. Department of Angiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Clinical Department of Angiology, University Hospital in Kraków
  3. Department of Rehabilitation in Internal Medicine, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland
  4. Prosthodontic and Orthodontic Department, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
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Abstract

The aim of this cross-sectional study is to examine if neglect is associated with self-rated health (SRH) and if neglect mediates the association between selected factors and self-rated health, among older men and women. The analyses were based on face-to-face computer-assisted personal interviews con-ducted with 1632 randomly selected community-dwelling individuals aged 65 years and more from among the general population of Lesser Poland. The regression models’ analysis revealed that elder neglect was associated with self-rated health, and the mediation analysis demonstrated that neglect mediates the association between frequency of church attendance and SRH, as well as between marital status (being a widower vs being married) and SRH, among men. These observations can be helpful in better under-standing of the broad context of elder neglect in order to develop instruments for an efficient improve-ment of older adults’ health and quality of life. In addition to this, the study underlines the role of social networks and social engagement as factors which might protect against neglect, and thus improve self- rated health of older people.
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Authors and Affiliations

Agata Stodolska
1
Katarzyna Zawisza
1
Barbara Wizner
2
Beata Tobiasz-Adamczyk
1
Tomasz Grodzicki
2

  1. Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland

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