ObjectivesTo develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.DesignCross-sectional validation study.SettingsNurses working in surgical and cancer wards in Poland.ParticipantsA sample of 513 professionally active nurses was enrolled in the study.InterventionTo complete a Polish translation of the full original PIRNCA questionnaire.Primary and secondary outcome measuresThe primary outcome was translation and adaptation of the full original PIRNCA tool and its validation to the Polish conditions. The secondary outcome was determination of relationships between sociodemographic variables, nurses’ assessment of patient care quality and their overall job satisfaction on the one hand, and PIRNCA scores on the other.ResultsThe respondents’ mean score was 1.27 points (SD=0.68) on a scale from 0 to 3. Cronbach’s alpha for the entire instrument was 0.957. All items of the questionnaire were found to have a positive item-total correlation. The developed linear regression model showed that nurses’ assessment of patient care quality and their overall job satisfaction were independent predictors of PIRNCA scores (p<0.05). 94.15% of nurses reported rationing at least one of the 31 care activities.ConclusionsThe present findings indicate a high level of reliability and validity of the translated PIRNCA questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of PIRNCA in Polish hospitals.
Gastroesophageal reflux disease (GERD) is associated with bothersome symptoms. Their chronic and recurrent character has a negative impact on the physical and mental status of the patients. Improvement in health-related quality of life (HRQOL) of GERD patients along with decreasing the severity of symptoms remain the main aims of therapy. This paper reviews literature regarding HRQOL in GERD patients, as well as the impact of various treatment modalities on the patient's status, the incidence and severity of symptoms thereof, and subjective quality of life. Additionally, the factors that may influence the treatment outcome are also discussed. Several studies showed that the improvement of HRQOL is greater after surgical treatment than with pharmacological therapy. However, long-term studies are still needed to determine if surgery can constitute the equivalent of lifelong medical therapy. StreszczenieChoroba refluksowa przełyku (GERD) wiąże się z występowaniem uciążliwych objawów. Ich przewlekły i powtarzający się charakter negatywnie wpływa na stan fizyczny i psychiczny pacjentów. Poprawa jakości życia związanej ze zdrowiem (HRQOL) pacjentów z GERD oraz zmniejszenie nasilenia objawów są głównymi celami terapii. W pracy dokonano przeglą-du piśmiennictwa dotyczącego HRQOL u pacjentów z GERD, wpływu różnych metod leczenia na stan pacjentów, częstości występowania objawów i ich nasilenia oraz subiektywnej jakości ich życia. Dodatkowo omówiono czynniki, które mogą mieć wpływ na wyniki terapii. Wyniki wielu badań wykazały, że poprawa HRQOL jest większa po zabiegu chirurgicznym w porównaniu z terapią farmakologiczną. Nadal jednak potrzebne są długoterminowe badania, aby ustalić, czy zabieg chirurgiczny może stanowić odpowiednik terapii farmakologicznej.
© ALUNA Publishing HouseEmerg Med Serv, 2020; VII, 1: 5-12ORIGINAL ARTICLE5DOI: 10.36740/EmeMS202001101carDIac FUnctIon In PatIents wItH coronarY arterY DIsease PrePareD For coronarY angIograPHYKatarzyna Łagoda1, Regina Sierżantowicz2, Klaudiusz Nadolny4,5, Jerzy Robert Ładny3,4, Hady Razak Hady3Introduction: Cardiovascular diseases are one of the major health issues in the world. One of the factors that adversely affects the cardiovascular system is the acceleration of heart rate.the aim: Assessment of heart rate in patients with coronary heart disease depending on age and gender, as well as determination of patients ability to measure heart rate and to interpret the results.Material and methods: The study included 100 patients, both genders (62% men), aged from 45 to 84 years (67.61 ± 9.22 years) with diagnosed coronary heart disease, directed to coronarography, hospitalized in the Department of Invasive Cardiology of the University Hospital in Białystok. The data has been gathered using own questionnaire (38 questions), NYHA and CCS scale.results: The majority of patients do not know how to measure their heart rate correctly. Subjects with higher education level and under 65 years of age more often declared the knowledge about the correct heart rate value. Only 7.9% of women and 11.3% of men performed heart rate measurements by themselves. Elderly patients less frequently per-formed heart rate measurements (p=0.017) than those under 65 years of age. As many as 84.2% of women and 75.8% of men believed that the value of the heart rate affects their health.conclusions: 1. Lack of patients’ knowledge about the impact of heart rate on the cardiovascular status and lack of self-monitoring may lead to further disease development and deterioration of health. 2. Therapeutic education performed systematically on the subject of heart rate measurement, proper lifestyle and diet are important elements in improving the health of patients with coronary heart disease.
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