Aims:The establishment of the professional self-government in 2015 based on the Act on the Profession of Physiotherapist structured the profession in Poland, providing it a legal framework. The mandatory professional register was also introduced. This is an important database of demographic data on the physiotherapy market in the country, based on which the first summary statistics were created. The aim of this study was to estimate and delineate the territorial differentiation of physiotherapists' professional activity in the country. Material and methods:The data originate from the official statistics of the National Chamber of Physiotherapists, associating all persons with the right to practice the profession.Results: Data analysis shows that counties in south-eastern Poland are characterised by a very high number of physiotherapists, while an insufficient number of physiotherapists is observed, for example, in the central-eastern part of the Pomeranian Voivodeship. Conclusions:While the excess number of physiotherapists provides a specific comfort for people living in these regions, the insufficient supply of services in other areas poses a serious threat to the public health of residents. Hence, stakeholders should make efforts to improve this state of affairs as soon as possible. Nevertheless, changes in the number of physiotherapists in Poland should certainly be systematically monitored so that the areas requiring intervention can be identified.
Introduction: Perception of illness is the way in which a condition is perceived, which reflects the patient's attitude towards illness and treatment. Aim: The aim of the research was to understand the perception of illness among patients treated with haemodialysis. The specific goal was to determine the factors affecting the perception of the illness and their interrelationships. Material and methods: The study included 98 people treated with haemodialysis as part of the international project "Health, coping, and quality of life in people with chronic kidney disease and in their families". As research tools the following were used: the Barthel Index, Instrumental Activities of Daily Living Scale (IADL), Edmonton Symptom Assessment Scale-Revised (ESAS-R), and the Brief Illness Perception Questionnaire (Brief IPQ) Scoring Instructions. Results: The perception of illness in the study group was significantly influenced by the intensity of physical symptoms (p = 0.007), especially dyspnoea or fatigue. Whereas, the following areas of the perception of illness: Consequences, Treatment control, Timeline, Illness concern, and Comprehensibility were mainly affected by functional efficiency, age, and education level. A worse perception of illness was observed with the increase in IADL dependency, younger age, and lower education level. Conclusions: 1. Perception of illness in the study group was at a moderate level. 2. Perception of illness in the study group was most strongly influenced by the intensity of symptoms, especially dyspnoea and fatigue. 3. Functional efficiency, age, and education significantly affected the perception of illness.
Wstęp. Artykuł przedstawia poziom jakości życia i samooceny pacjentów leczonych metodą hemodializ. Schyłkowa niewydolność nerek (ang. end-stage renal disease-ESRD) oraz jej leczenie wpływa na wszelkie obszary życia chorego, dlatego w badaniu jakości życia (ang. quality of life-QoL) ważna jest analiza determinantów zarówno obiektywnych, jak i subiektywnych. Cel. Głównym celem pracy było określenie związku jakości życia i samooceny pacjentów leczonych nerkozastępczo. Materiał i metody. W badaniu wzięło udział 98 pacjentów leczonych metodą hemodializ. Jakość życia pacjentów dializowanych, oceniono zgodnie ze skalą The Kidney Disease Quality of Life (KDQoL), poziom samooceny określono przy wykorzystaniu narzędzia The Rosenberg Self Esteem (SES). Wyniki. Potwierdzono związek jakości życia z samooceną chorych leczonych nerkozastępczo. Wykazano, że znaczna część badanych miała pozytywną samoocenę. Wnioski. Uzyskane wyniki stanowią wstęp do dalszych prospektywnych interwencji w celu poprawy jakości życia tej grupy pacjentów.
Introduction. Chronic kidney disease (CKD) is a progressive disease, and in spite of the progress of medicine, the care of specialized medical staff, and the patient's efforts, many of them develop its end-stage. The use of renal replacement therapy, haemodialysis, has provided patients with an opportunity to prolong their life, but due to complications, it leads to the deterioration in the quality of life. Aim. To identify factors affecting the functioning of haemodialysis patients. Materials and methods. The study involved 98 patients on haemodialysis, 37 women and 61 men. The average age was 59.65 ± 15.51 years. The research tool was the Barthel Index, IADL and ESAS-R scale, i.e. a scale of experiencing symptoms that may be associated with haemodialysis. Results. The mean renal replacement therapy period was 42.76 ± 50.30 months. The most common cause of haemodialysis was chronic glomerulonephritis (21.43%), diabetic nephropathy (18.37%), polycystic kidney disease (12.24%) and hypertensive nephropathy (9.18%). In the study group, the average score on the Barthel Index scale was 90.10 ± 14.82, while the IADL score was 20.24 ± 4.72 points. Women showed a slightly higher ability in basic and complex daily living activities. People up to 60 years of age showed a slightly higher ability. According to the ESAS-R scale (7-10 points), fatigue and drowsiness were the most intense symptoms. People older than 60 years of age more often experienced pain (p = 0.048), malaise (p = 0.203), appetite disorders (p = 0.232), other problems (p = 0.042). Conclusions. In spite of their older age, the patients showed quite good motor skills. The differences between men and women in the assessment of the severity of somatic symptoms slightly disappear in the elderly. Women showed a slightly higher ability in both basic and complex daily living activities. Older people experience more haemodialysis-related symptoms.
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