Ageing policy in Poland during the COVID-19 pandemic

Lutomski, Piotr; Kaczoruk, Monika; Florek-Łuszczki, Magdalena

doi:10.26444/aaem/143559

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…According to the current regulations on the prevention and control of infections and infectious diseases in humans, isolation means 'the isolation of a person or group of persons with an infectious disease, or a person or group of persons suspected of having an infectious disease, in order to prevent the transmission of a biological pathogen to other persons' [20]. According to Qui, it is much easier for the elderly to…”

Section: Discussionmentioning

confidence: 99%

Impact of isolation on the biopsychosocial functioning of older people with COVID-19

Wróblewska¹,

Chmielewski²,

Wojciechowska³

et al. 2022

Ann Agric Environ Med.

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Introduction. COVID-19 is a highly contagious coronavirus disease that has had a significant impact on the functioning of society. On 11 March 2020, due to the rapid spread of the virus, the WHO declared a global pandemic. By the end of 2021, 5 variants of SARS-CoV-2 had been identified since the beginning of the pandemic. The course of the disease varied depending on the age of the patients and the presence of possible comorbidities. Most patients were asymptomatic or sparsely symptomatic of the infection; however, in about 6% of cases, the course of the disease was critical. Typical symptoms of COVID-19 include: fever, muscle pain and headache, lack of smell and taste, cough, dyspnea, diarrhoea and nausea. According to epidemic guidelines, infected patients were subjected to isolation, which harmed their mental state, especially the elderly. Objective. The aim of the study was to assess the impact of isolation on the biopsychosocial functioning of elderly patients with COVID-19. Materials and method. The study was conducted among 360 elderly patients in hospital wards operating as a unit in a hospital complex dedicated to patients infected with the SARS-CoV-2 virus. Data were collected using standardized questionnaires: ADL Scale, IADL, GDS, SF-36 Quality of Life Scale, Multidimensional Scale of Perceived Social Support, and supplementary questions about, among others, the oxygen therapy provided, length of stay in the unit, and the support received from relatives. Results. Almost half (48%) of the subjects received oxygen therapy, and 36% had a length of disease of 7-14 days. A correlation was observed between the quality of life and the above-mentioned factors. Correlations of quality of life indicators with the length of illness were moderate (except for the level of pain) and positive, meaning that the longer the patients were ill, the lower their quality of life. Correlations of disease severity were moderate for pain, vitality, and emotional limitations, while vital for physical functioning and limitations and general and mental health. The intensity of oxygen therapy was moderately correlated with physical and emotional limitations and general health and strongly correlated with physical functioning, vitality and mental health. Correlations between functional status and mental status of elderly patients were also studied. Analysis of variance showed that the constructed model was an excellent fit to the data, F = 37.14; p < 0.001, explaining 42% of the variance in the dependent variable (R 2 = 0.42). As many as 80% of the respondents felt that isolation harmed their well-being. Examining the impact of quality of life on their well-being showed that most of the associations tested were statistically significant, and all were positive. Associations of moderate strength were shown for physical functioning, physical limitations and general health, while strong associations were shown for vitality, emotional limitations and mental health. Pain complaints were associated with changes in well-being at the level...

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Section: Discussionmentioning

confidence: 99%

Impact of isolation on the biopsychosocial functioning of older people with COVID-19

Wróblewska¹,

Chmielewski²,

Wojciechowska³

et al. 2022

Ann Agric Environ Med.

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“…The implementation of functional capacity screening can contribute to the prevention and early detection of dysfunctions in the scope of overall independence and self-care activities. It is also important to provide assistance in the face of the ever-increasing healthrelated needs of the elderly, which is particularly important in view of the growing number of modern-age diseases and chronic diseases with a simultaneous constant, or even a decreasing, medical workforce [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of functional capacity of the elderly

Wróblewska¹,

Chmielewski²,

Florek-Łuszczki³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective.Ageing is a continuous, progressive process of functional reserve loss. Physical fitness and mental state have a significant impact on the functionality level of the elderly population. Assessing the degree elderly people's of independence regarding self-care is an important aspect of the Comprehensive Geriatric Assessment (CGA). The aim of the study was to assess the functional capacity of people over 65 years of age. Materials and method. The study involved 312 patients in hospital wards across Lower Silesia, south-west Poland. The criteria for participation were as follows: providing informed consent to participate in the study, intellectual capacity to be interviewed, and age over 65. The study applied the diagnostic survey method, together with the use of the VAS, Barthel, IADL and GDS scales. Results. Among the respondents, 59.94% were in a moderately severe condition according to the Barthel scale, average IADL score -20.56 points; according to the GDS scale, 58.97% had no symptoms of depression. Respondents suffered from multiple chronic diseases, the most common of which were hypertension (71.47%); they also reported some medical issues, mainly back pain (47.44). Assessment of the correlation of the Barthel and GDS scales, as well as the IADL and GDS, revealed a significant and negative correlation at -0.49 and -0.50. Assessment of the correlation between the number of diseases and the Barthel scale was -0.49, the number of symptoms and the Barthel scale -0.4; pain severity and the Barthel scale -0.41, number of diseases and IADL -0.58, and number of symptoms and IADL -0.52. Conclusions. The greater the seniors' independence regarding instrumental activities of daily living, the weaker the symptoms of depression. Multimorbidity and experiencing pain impaired independence among the elderly.

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“…Teleconsultation has become one of the most important, and sometimes the only possible, forms of communication between healthcare professionals and their patients during the COVID-19 pandemic. The pandemic has made it necessary to introduce solutions that would allow the patient to access remote medical services, which reduced the risk of coronavirus infection [ 1 , 2 , 3 ]. Teleconsultations have made it possible to avoid crowded waiting rooms, which has significantly reduced the risk of the spread of infection.…”

Section: Introductionmentioning

confidence: 99%

Perception and Attitude toward Teleconsultations among Different Healthcare Professionals in the Era of the COVID-19 Pandemic

Grata-Borkowska

Sobieski

Drobnik

et al. 2022

IJERPH

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Teleconsultation has become one of the most important and sometimes the only possible forms of communication between healthcare professionals (HCPs) and their patients during the COVID-19 pandemic. The perceptions and attitudes of HCPs to teleconsultations may affect the quality of the therapeutic process provided using them. Therefore, this study aimed to understand the attitudes to and perceptions of medical teleconsultation among various HCPs during the COVID-19 pandemic. We analyzed data from a dedicated questionnaire on preferences, attitudes, and opinions about teleconsultation, which was filled by 780 Polish HCPs. Most of the HCPs were doctors and nurses (69% and 19%, respectively); most of the doctors were family physicians (50.1%). During the pandemic, teleconsultation and face-to-face contact were reported as the preferred methods of providing medical services with similar frequency. Doctors and nurses displayed the most positive attitude toward teleconsultation while the paramedics and physiotherapists took the least positive view of it. The most frequently indicated ratio of the optimal number of teleconsultations to in-person visits in primary health facilities care was 20%:80%. Most HCPs appreciate the value of teleconsultation, and more than half of them are willing to continue this form of communication with the patient when necessary or desirable.

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Ageing policy in Poland during the COVID-19 pandemic

Cited by 4 publications

References 17 publications

Impact of isolation on the biopsychosocial functioning of older people with COVID-19

Impact of isolation on the biopsychosocial functioning of older people with COVID-19

Assessment of functional capacity of the elderly

Perception and Attitude toward Teleconsultations among Different Healthcare Professionals in the Era of the COVID-19 Pandemic

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