Introduction: Numerous health problems, including depression, are related to experiencing chronic stress. Stress-inducing factors in nurses' job comprise, among others, constant contact with pain, death of a patient, or despair of the family. Aim of the research: The assessment of nurses' health in the context of depressive disorders. Material and methods:The study included 147 nurses working in a shift-work system. The Patient Health Questionnaire, PHQ-9, and a questionnaire developed by the authors were used. The study was conducted from January to February 2015. Results: Slight exacerbation of depressive symptoms was proven in 41.81% of nurses, moderate exacerbation in 17.68%, and moderate to severe in 4.76%. A significant relationship between the occurrence of depressive disorders and an existing serious disease in the family and economic migration was found (p < 0.05). Nurses recognised the following events related to the job performed as most frequently contributing to depressed mood: long-term mental and physical load (27.15%), and lingering long-lasting stress (24.05%). 83.67% of respondents postulated their willingness to use a psychologist's/psychotherapist's help in difficult situations. Conclusions: Depressive symptoms of various intensity concerned almost two-thirds of the nurses. Nearly one-fifth of the nurses assumed that negative emotional states disturb nurse-patient and nurse-co-worker relations. It was evident that there is a substantial need to create the possibility for nurses to use a psychologist's support in difficult work situations. StreszczenieWprowadzenie: Wiele problemów zdrowotnych, w tym depresja, wiąże się z doświadczaniem przewlekłego stresu. Do czynników stresogennych w pracy pielęgniarek należą m.in. ciągły kontakt z cierpieniem, śmierć chorego i rozpacz rodziny. Cel pracy: Ocena stanu zdrowia pielęgniarek w zakresie dolegliwości o charakterze depresyjnym. Materiał i metody: W badaniu wzięło udział 147 pielęgniarek pracujących w systemie zmianowym. Wykorzystano kwestionariusz zdrowia pacjenta (Patient Health Questionnaire-9 -PHQ-9) oraz kwestionariusz ankiety własnej konstrukcji. Badanie przeprowadzono od stycznia do lutego 2015 roku. Wyniki: Stwierdzono lekkie nasilenie objawów depresyjnych u 41,81% pielęgniarek, średnie nasilenie u 17,68%, a średnio ciężkie u 4,76%. Wykazano istotną zależność pomiędzy występowaniem zaburzeń depresyjnych a poważną chorobą w rodzinie oraz emigracją zarobkową (p < 0,05). Za zdarzenia związane z wykonywaną pracą, które najczęściej przyczyniają się do obniżenia nastroju, pielęgniarki uznały długotrwałe obciążenie psychiczne i fizyczne (27,15%) oraz utrzymujący się długotrwały stres (24,05%). Postulatem zgłaszanym przez 83,67% badanych była chęć skorzystania z pomocy psychologa lub psychoterapeuty w sytuacjach trudnych. Wnioski: Objawy depresyjne o różnym nasileniu dotyczyły ok. 2/3 pielęgniarek. Blisko 1/5 kobiet uznała, że negatywne stany emocjonalne zaburzają relacje na linii pielęgniarka-pacjent oraz pielęgniarka-współpracownicy. Stwierdzono zna...
Introduction: The process of occupational burnout develops slowly; its initial symptoms are discreet, they increase progressively and become manifest suddenly, with great power. The burnout syndrome constitutes a serious personal and social problem whose cause lies in the workplace or is work-related. Aim of the research: To assess occupational burnout of nurses and the sense of satisfaction with career. Material and methods: The study covered 100 nurses working for the Health Care Unit in Dąbrowa Tarnowska. The method of a diagnostic poll was used in the research. A survey questionnaire regarding career and the standardised Maslach Burnout Inventory were the research tools used. The calculations were made with the use of the IBM SPSS Statistics 20 software. The adopted statistical significance was p < 0.05. Results: As many as 48% of the nurses felt job satisfaction. Among 41% of the nurses a high level of a burnout related with emotional exhaustion was determined, and 63% of the nurses felt a low level of burnout related to depersonalisation. Lack of the feeling of personal achievements was the cause of the high level of burnout in 62% of the surveyed. The average result of burnout scale was 50.34 points, indicating that 38% of the nurses were threatened with burnout. The age of the studied nurses, place of work (ward), and feeling the need for further education do not influence the frequency of occupational burnout occurrence. Conclusions: Good relationships within a therapeutic team and support from the ward head nurse are strongly linked with the feeling of less occupational burnout. Streszczenie Wprowadzenie: Proces wypalenia zawodowego rozwija się powoli, jego początkowe objawy są bardzo dyskretne, stopniowo narastają i ujawniają się nagle z dużą siłą. Syndrom wypalenia zawodowego jest poważnym problemem indywidualnym i społecznym, którego przyczyna znajduje się w miejscu pracy lub jest związana z pracą. Cel pracy: Ocena wypalenia zawodowego u pielęgniarek oraz ich poczucia satysfakcji z pracy zawodowej. Materiał i metody: Badaniami objęto 100 pielęgniarek pracujących w Zakładzie Opieki Zdrowotnej w Dąbrowie Tarnowskiej. W badaniach zastosowano metodę sondażu diagnostycznego. Narzędziem badawczym była ankieta własnego autorstwa w formie kwestionariusza dotycząca pracy zawodowej oraz wystandaryzowany Kwestionariusz wypalenia zawodowego Christiny Maslach. Obliczeń dokonano za pomocą programu IBM SPSS Statistics 20. Przyjęto poziom istotności p < 0,05. Wyniki: Satysfakcję z wykonywanej pracy odczuwało 48% pielęgniarek. U 41% pielęgniarek stwierdzono wysoki poziom wypalenia zawodowego związanego z wyczerpaniem emocjonalnym, 63% pielęgniarek odczuwało niski poziom wypalenia zawodowego związanego z depersonalizacją. Brak poczucia osobistych osiągnięć był przyczyną wysokiego poziomu wypalenia zawodowego u 62% badanych. Średni wynik skali wypalenia zawodowego wyniósł 50,34 pkt, co wskazuje, że 38% pielęgniarek zagrożonych było wypaleniem zawodowym. Wnioski: Wiek pielęgniarek, miejsce pracy (oddział) oraz odczuwani...
Introduction. One of the social processes currently taking place in European countries is a growing number of the elderly and chronically ill. The problem of increasing life expectancy is a new biological and social phenomenon. Despite advances in medical sciences and development of technology in the 21st century, death is a necessity inscribed in the future of every man since birth. Aim. Assessment of knowledge and attitudes as regards individuals in terminal condition. Material and methods. The research was conducted at State Higher Vocational School in Tarnow among the group of 284 students. The research tool was an original survey questionnaire. Results. The studied group was composed of 26.4 % males and 73.6% females. The average age of the respondents was 26.79 years (SD=7.60). The men were significantly more frequently (p=0.008) than women prone to giving up employment abroad in order to look after a close person, also more frequently (p=0.027) claimed that in contacts with the terminally ill, a spiritual support is important. The attitude of the surveyed towards faith influenced the indication of vital factors in contacts with a terminally ill person. For believers the spiritual support was remarkably more important in a contact with a terminally ill person (p=0.016) whereas the non-believers significantly more often mentioned dealing with all formalities (p=0.049). The research demonstrated that the nonbelievers were significantly more often (p<0.000) in favour of euthanasia of individuals in a terminal condition. Conclusion. Students in a vast majority demonstrated the attitudes towards the individuals in a terminal condition that are socially acceptable. They demonstrated great sensitivity to the needs of a sick person. The surveyed hold the opinion that helping another person can become a source of one’s own spiritual growth.
<b>Introduction:</b> At present, allergic diseases are some of the most common chronic diseases affecting all spheres of human life. The only form of causative treatment of allergic diseases, apart from elimination of the sensitizing factor, is the specific allergen immunotherapy. The symptoms of allergic diseases can cause a number of consequences, including reduction of patient activity, negatively affect social relationships, ways of spending free time, and also cause sleep disorders. Assessing the quality of life in allergic diseases provides us with knowledge of the patient’s psychological and social functioning, and is a valuable addition to the review of the effectiveness of treatment for allergic diseases, allowing us to assess the patient’s overall well-being. <br/><b>Aim of the study:</b> The aim of the study was to evaluate the quality of life of patients using specific allergen immunotherapy. <br/><b>Material and methods:</b> 128 subjects were included in the study, but 100 questionnaires were used for the analysis. The study group was comprised of patients undergoing specific allergen immunotherapy over the age of 18 years. In this paper a diagnostic survey was used as a research method. The tools used are the standard questionnaire SF-36 and the questionnaire survey. <br/><b>Results:</b> In the present study, it was observed that the overall quality of life of people affected by allergic diseases, as measured by the SF-36 questionnaire, can be assessed as quite good. Respondents subjected to specific allergen immunotherapy consider this method of treatment positively influencing their health as they reduce the symptoms of allergies. As many as 91% of the respondents think that specific immunotherapy affects them to reduce the symptoms of allergies. It has also been shown that the length of therapy has no effect on reducing the symptoms of allergies. <br/><b>Conclusions:</b> The overall quality of life of patients is quite good, best evaluated in the domains of physical fitness, limitation of activity caused by emotional problems and changes in health status. Researchers positively evaluate the effect of immunotherapy on their health as it reduces the symptoms of allergies. Respondents have little knowledge about how to prevent exposure to allergens. Despite a positive assessment of the effectiveness of immunotherapy, the vast majority of respondents feel the need for additional antihistamines.
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