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Background. The aim of this study was to investigate the influence of selected factors such as place of residence, education, age, duration of hospitalization and pain intensity before and after hip replacement surgery on the level of acceptance of the illness, on the subjective assessment of the patient’s state of health during surgery and on the level of pain and the ability to manage and reduce pain. Material and methods. The study included 181 patients diagnosed with hip joint degeneration and qualified for total hip replacement hospitalized in the Regional Specialist Hospital in Biała Podlaska, Poland. The study was conducted by means of a diagnostic survey with the use of a set of questionnaires: Acceptance of Illness Scale – AIS, WOMAC Scale, SF-36 Questionnaire, BPCQ Questionnaire. Results. More than half of the respondents (55.2%) were highly accepting of their condition. The level of acceptance was influenced by the place of residence, education, age, the intensity of pain after surgery and functional limitation. The overall assessment of the quality of life in the physical domain was – 62.9 points, with the worst scores for physical functioning and general health. Analysis with the WOMAC questionnaire showed that the majority of the subjects scored below 50 points on the functional limitation scale. All factors, except the level of pain before surgery, influenced the degree of functional limitation. Conclusions. Age, place of residence and education provided opportunities for pain control and the ability to reduce pain was perceived by those with longer hospital stays. Participants from cities had the highest quality of life. Education influenced the quality of life, which decreased with age and higher pain intensity. The better the quality of life, the higher the level of acceptance of illness, and vice versa.
The purpose of our study was to analyze hospitalizations for inflammatory bowel disease noted in the Department of Gastroenterology, Medical University of Lublin. Cases of patients hospitalized in the Department of Gastroenterology, Medical University of Lublin in 1997-2007 were retrospectively analyzed. The material studied included patients’ case histories and medical records that were used to select such patients whose hospitalizations were caused by ulcerative colitis and Crohn’s disease. Analysis distinguished two groups: rural and urban inhabitants. In 1997-2007 there were 1,825 hospitalizations for the inflammatory bowel disease noted at our clinic, which was 12.15% of all hospitalizations: 8.54% patients with ulcerative colitis and 3.61% with Crohn’s disease. Among them, 30.47% were rural inhabitants while 69.53% of patients lived in towns. The observation data demonstrated that there has been a significant increase of patients with inflammatory bowel disease in the last decade, and the patients originating in urban areas were more frequent than those from rural regions. This may be related to environmental differences between these two population groups.
Environmental conditioning of peptic ulcer, territorial variations in the occurrence of this disease, as well as reports indicating changes in the natural history of peptic ulcer provided incentives to undertake the present study. The aim of the study was to determine whether the above-mentioned changes in the course of peptic ulcer also concerned rural population from the agricultural region of south-eastern Poland. The study covered 1,647 patients with peptic ulcer treated in the General Surgery Ward at the Specialist Hospital in Brzozów (Rzeszów Region) between 1980-1999. The analysis was conducted based on data obtained from the documentation of the General Surgery Ward. In order to determine changes in the parameters examined taking place during the 20 year period, it was divided into 4 sub-periods of 5 years each. The total number of patients treated due for peptic ulcer was 1,647, including 470 patients with gastric ulcer (28.5%), 1,137 patients with duodenal ulcer (69.0%) and 40 with gastric and duodenal ulcer (2.5%). A decrease was noted in the number of patients treated for peptic ulcer during Period I of observation (1980-1984) and Period IV (1995-1999) - from 460 down to 348 patients p < 0.0001. Peptic ulcer more often affected males than females (70.2% and 29.8% respectively), most frequently in the age groups 41-50 (20.9%) and 51-60 (20.0%). Gastric ulcer was most often noted in the age groups 51-60 (24.4%) and 61-70 (23.8%), whereas duodenal ulcer in the age groups 42-50 (22.4%) and 31-40 (20.6%). During the study period (1980-1999), a decrease was observed in the number of patients treated for peptic ulcer. Hospitalization due to peptic ulcer decreased, mainly in patients with duodenal ulcer, and to a smaller degree among those with gastric ulcer. The relationship was observed between the incidence of peptic ulcer and the site of ulcer, sex and age of patients. Changes observed in hospitalization due to peptic ulcer among rural population in the south-eastern region of Poland was similar to those observed in other regions of Poland and the majority of European countries.
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