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Background. The study aimed to evaluate the effectiveness of the Physical Recreation Programme for the Elderly designed by Ewa Kozdroń intended to improve the functional efficiency and quality of life of women over 60 who participated in the programme. Material and methods. The research involved 73 females aged 60-74 who participated in the Physical Recreation Programme for the Elderly. The research used the author’s questionnaire, i.e. EQ-5D questionnaire and Functional Fitness Tests (FFT). Results. The results of our research confirmed a positive relationship between participation in a regular physical activity, the declared level of functional fitness and the perceived quality of life. Conclusions. A positive relationship was found in the study group between participation in regular physical activity, the declared level of functional fitness and the perceived quality of life.
The aim of this research is to identify and analyse the situation of residents of selected nursing homes. The study covers residents of two nursing homes in the Podkarpackie region. Nottingham Health Profile measure was used to assess their quality of life. Nursing homes' residents rate their energy and physical efficiency as the lowest. Motor system diseases and impaired vision as well as co-occurring chronic diseases significantly affect the QoL. Out of all areas physical efficiency and emotional condition have the greatest impact on the QoL. Women and widowed persons report a clearly worse QoL. Persons who have lived in a nursing home for less than a year have the worst perception of their QoL.
The topicality. The indicators of life quality are undetermined and unstandardized; the problem of determination of a single quantitative meaning of the quality of life remains unsolved. The aim of the research – to describe modern approaches to determining the quality of life and on their basis to propose a comprehensive theoretical model for the explanation of life quality phenomenon and the role of health in its formation. Methods: analysis and synthesis of scientific literature, documentary data; methods of theoretical research (analysis, synthesis, specification, classification, historical method, comparative analysis, system and structural analysis). The results: It has been proved that the quality of life is closely related to the health of human beings and it includes physical, mental and social being, considering the beliefs, expectations and world outlook. Based on the theoretical analysis and synthesis, it proposes the multicomponent structure of the quality of life, taking into account both positive and negative aspects of life, common to people of different sex, age, and state of health. Domains, sub-domains, indicators, and variables were defined as the main components of the model. Physical Component, Mental Component, Social Activity, Material Component, Development and Identity, Environment were assigned to the components of the highest level. The health-related quality of life was separated as the single part of the model. Conclusions and recommendations for further research. The theoretical model based on the principles of consistency, hierarchy, equality, determinism, unity of internal factors and external conditions was developed.
The aim of the study was to estimate the level of dyspnea and quality of life in patients with pulmonary fibrosis after 6 weeks' respiratory rehabilitation. The study comprised of 31 patients (F/M-12/19) with interstitial lung diseases (21 with idiopathic interstitial pneumonia, 4 with lung fibrosis due to allergic alveolitis, 4 with lung fibrosis due to collagenosis, 2 with lung fibrosis due to silicosis) who successfully finished the rehabilitation program. Each patient underwent an intensive (every day for 30 min) inpatient pulmonary rehabilitation program of an average length of 4 wk, continued later at home for up to 12 wk. The program consisted of respiratory muscle training and bicycle riding to the limits of the patient's tolerance. Dyspnea (MRC, OCD, BDI and Borg scale) and the quality of live (SF-36, St. George's Respiratory Questionnaire) were assessed at the time of admission and discharge. Rehabilitation caused dyspnea sensation to diminish (Borg scale: 2.97 before vs. 2.19 after). Some domains of the quality of life in SF-36 questionnaire (Role-Physical 40.6 vs. 60.2) and St. George's Respiratory Questionnaire (activity: 52 vs. 45, impact 47 vs. 40 and total 47 vs. 42) also were improved compared with the pre-rehabilitation results. We conclude that 12 weeks of combined inpatient and home-based rehabilitation programme improves the quality of live and sensation of dyspnea in patients with interstitial lung disease, despite changes in pulmonary function tests.
Allergic diseases are categorized as civilization diseases. The highest rise of sick count is reported in highly developed countries. The course of these illnesses is very long and require long-term therapy, and a high level of patients dedication. They pose a great threat of medical and social nature. The aim of the study was to determine how allergic diseases influence the quality of life of the patients. The study was carried out amongst 110 people with allergy-based diseases. The tool used was the standard interview questionnaire. Amongst the group, 58.2% were women, and 64.5% lived in a city, in 57.3% of the cases allergy has occurred after reaching the age of 18. 59.1% required constant therapy. Because of the disease 35.5% of patients had to change the family's diet. 27.3% had to remove all animals, 15.5% had to remove house plants, 57.7% changed the way of doing laundry and cleaning. Because of the disease, 33.6% had to limit contact with other people.
Background. Obesity is a global-scale epidemic of the 21st century, leading to numerous psychophysical complications. The objective of this paper is to analyse the quality of life at perimenopausal age in the group of obese women, and to compare the findings with those obtained in the group of women with proper body mass. Material and methods. There were two equal research groups included in the study. In the first group there were 50 obese women BMI (m) = 36.5, patients of the Obesity Treatment Ward. In the other group, there were 50 normal-weight women BMI (m) = 24.1, primary care patients from Warminsko-Mazurskie Province. The research tool used in the study was The World Health Organization Quality-of-Life Scale − WHOQL-BREF. Results. Differences between the group of obese women and the one with healthy body mass turned out to be statistically significant p<0.05 in the general quality of life t(sd) = -3.21(98), general quality of health t(sd) =-3.96(98), physical health t(sd) = -3.11(98), psychological health t(sd) = -3.67(98), social relationship t(sd) = -2.76(98) and environment t(sd) = -2.86(98). Conclusions. Results of the study showed significantly lower quality of life in all measured domains in obese women in comparison to those with proper body mass.
The aim of the study was to describe the implementation of socially responsible business actions addressed to employees in five areas. The two hypothesis has been assumed: 1. The analyzed company acts in social responsibly way towards the employees shaping their quality of work life; 2. Social responsible actions aimed to employees are infl uencing their quality of life and are important factor of financial success of the company. The original internal data from enterprise and data from other research were analyzed. The main method of research was case study. Data have been obtained through in-depth interviews. Elements of human resource management (HRM) in the enterprise have been characterized. The research found the level of implementation of the concept of corporate social responsibility (CSR) towards internal stakeholders and its importance in shaping the quality of work life.
Anorexia nervosa and bulimia are emotional disorders which are a serious hazard to the physical health or life. They most often affect girls and young women and disorganize their mental and social life. In this paper, complications caused by eating disorders as a result of deficiency or excessive loss of bioelements by an organism are reviewed along their influence on the quality of life. The symptoms of anorexia nervosa are the following: weight loss over 15% of the standard body mass for the age and height, severe fear of body weight gain despite clear evidence of weight deficiency. The main symptoms of bulimia involve uncontrolled overeating and counteracting weight gain which could occur after overeating episodes by self-induced vomitting or overuse of laxatives and diuretics. Medical complications of bulimia are related to the method and frequency of purgation, while in anorexia they are caused by starvation and weight loss. The following deviations are observed in both restrictive and bulimic forms on anorexia: hypokalemia, hypocalcemia, hypophosphatemia and sometimes also hyponatremia, hypomegnesemia and hypochloremic alkalosis. Many electrolytic and acid abnormalities are found in bulimia depending on the method for laxation (self-induced vomitting, misuse of laxatives or diuretics). Most patients adapt well for a relatively long time to low levels of potassium in plasma but sometimes the situation may cause life threatening consequences, like dysrhythmia, paralytic ileus, neuropathy, muscle weakness and paresis. Physicians and patients should understand that anorexia nervosa is a systemic disease and can affect all body organs. Full knowledge about possible complications of anorexia nervosa allows physicians to achieve precise assessment and conduct appropriate treatment of patients when the diagnosis has already been made.
The aim of the study was to evaluate the quality of life and its changes in patients with idiopathic pulmonary fibrosis (IPF), waiting for lung transplantation. Sixteen IPF patients, who qualified for lung transplantation, and 14 chronic obstructive pulmonary disease (COPD) patients on long term oxygen therapy, taken as a reference group, were assessed. The quality of life was estimated twice, using an SF-36-questionnaire, at the time of qualification for lung transplantation and 12 months later. The IPF and reference patients had similarly profound disturbances in lung function and arterial blood gas content. The IPF patients had a statistically greater score in their physical functioning (PF; 45 vs. 18), the role of limitations due to physical problems (RP; 43 vs. 11), social functioning (SF; 58 vs. 30), and the role of emotional limitations in everyday life (RE; 65 vs. 12) than the reference ones. After a year's observation, there were no differences in SF-36 questionnaire results, except for the role of limitations due to physical problems (RP). A correlation was noted between spirometry and blood gas results and SF-36 questionnaire results in IPF patients qualified for lung transplantation. There was a positive correlation between the partial pressure of oxygen (PaO2), on one side, and mental and general health, on the other. There also were positive correlations between FEV1 and SF and FEV1 and the level of bodily pain (BP). We conclude that the SF-36 questionnaire is a sensitive tool to assess the quality of life in IPF patients qualified for lung transplantation. The information gained can help assess the severity of the disease, clinical symptoms, and functional impairment in these patients.
In Poland the percentage of disabled individuals aged 0-14 years is 3.1%, while in the age group over 70 years it is as high as 45%. The article presents an attempt of a variant estimation of purchase costs of kitchen equipment for the disabled. Three hypothetical types of kitchen designs were investigated: low-budget, medium-budget and high-budget, respectively. Based on literature guidelines and a review of market prices it was established that the costs of the three kitchen design variants are approx. 6000 PLN (1240 €), 42 500 PLN (9870 €) and over 225 000 PLN (52 530 €). A high percentage of the total cost of kitchen equipment may be connected with specialised mechatronic equipment (up to 40% total kitchen cost). In the case of the cheapest kitchen variant a lack of expensive specialised equipment may be compensated by an appropriate layout of typical kitchen components.
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