Sprawozdania, raporty (KNM) / Reports (CoMS)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/76

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Assessment of the effects of a multi-component individualized physiotherapy program in patients in a home hospice
(2019) Ćwirlej-Sozańska, Agnieszka; Wójcicka, Agnieszka; Kluska, Edyta; Stachoń, Anna; Żmuda, Anna
Introduction: Hospice care is aimed at chronically and terminally ill patients. It includes symptomatic treatment as standard, but the interest in physiotherapy programs for hospice patients is increasing in order to improve their functioning and quality of life. Aim of the study: The aim of the study is to assess the impact of a multi-component individualized physiotherapy program on the functional and mental condition and quality of life of patients in a home hospice. Material and method: The study included 60 patients (mean 66.3 years) in a home hospice living in southern Poland. Functional status was assessed twice: before and after intervention. The program was performed for 6 weeks (12 trainings) and was managed on the basis of the World Health Organization (WHO) Rehab-Cycle The International Classification of Functioning, Disability and Health (IC)F. The program was individually tailored to the patient, but structured according to the same scheme, i.e. breathing, strengthening, transfer, balance and functional exercisesas well as functional ergonomics. Patients participated in setting particular objectives of the program. The study used: Katz (ADL) and Lawton (IADL) scales, Tinetti test, Visual Analogue Scale (VAS) pain scale, WHOQOL – BREF, Yesavage Geriatric Depression Scale (GDS). A set of ICF categories in terms of function, activity and participation was selected for the studied areas. Results: The average functional level of ADL (mean 2.87) and IADL (mean 11.92) as well as quality of life (WHOQL mean 46.43) of researched patients before the intervention were low, whereas the intensity of pain (VAS mean 5.82) , the risk of falling (Tinetti mean 8.20) and depression (GDS mean 16.65) were recorded high. After the completion of the intervention program, a significant improvement was found in all assessed areas, in particular in the scope of performing basic everyday activities(ADL mean 3.95), risk of falling (Tinetti mean 12.25) and QOL (mean 52.58). Conclusions: The physiotherapeutic intervention presented here has a significant impact on improving the performance of basic and complex activities of everyday life as well as the emotional state and quality of life of patients in a home hospice. The results of our research confirm the great need for physiotherapy in hospice patients and for comprehensive assessment by means of ICF.
Cultural adaptation and validation of the Polish version of the Physical Activity Scale for the older people living in community
(2020-02-18) Wiśniowska-Szurlej, Agnieszka; Ćwirlej-Sozańska, Agnieszka; Wołoszyn, Natalia; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna; Washburn, Richard
Objective: The purpose of this study was cultural adaptation and validation of the Polish version of the Physical Activity Scale for Elderly (PASE) and an assessment of its accuracy and reliability among older people living in south-eastern Poland. Method: This cross-sectional study was carried out among 115 older adults living in southeastern Poland. The original version of the scale has been translated into Polish language following standardized translation procedures. Validity was evaluated by Pearson's rank correlation coefficients between PASE-P and Test Up and Go normal and with cognitive task (TUG; TUGcog), grip strength, basic and instrumental activities of daily living (ADL; IADL), 5 times sit-to-stand test (5x STS), 10-meter walk test (10MWT) and Berg Balance scale (BBS) and International Physical Activity Questionnaire (IPAQ). Results: The mean PASE-P was equal to 91.54 (SD 71.15). Sufficient reliability of the test-retest of the PASE-P questionnaire components was found between the trials. The ICC test was strong and ranged from 0.988 to 0.778 for major domains and total scale score. A significant correlation was found between the total PASE-P score and shorter TUG, TUG cog (r = -0.514, p <0.001; r = -0.481, p <0.001) and 10MWT (r = 0.472, p <0.001). The total PASE-P score was also positively correlated with ADL and IADL (r = 0.337, p <0.001; r = 0.415 p <0.001), BBS (r = 0.537, p <0.001) and 5xSTS (r = 0.558, p < 0.001). Discussion: The results obtained in the study confirm that the Polish version of the PASE scale is a valid and reliable tool for assessing the level of physical activity in older adults living in community.
Determinants of ADL and IADL disability in older adults in southeastern Poland
(2019) Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Wilmowska-Pietruszyńska, Anna; Sozański, Bernard
Background: The extension of the life span has led to an increase in the number of older people and an increase in the prevalence of disability in people over 60 years of age. The aim of this study was to assess the prevalence of ADL and IADL disability and to analyze its determinants among people aged 60 and older living in southeastern Poland. Methods: This cross-sectional study was carried out among a randomly selected, representative population of people aged 60 and older living in southeastern Poland. Disability was assessed using the Katz Index of Independence in Basic Activities of Daily Living and Instrumental Activities of Daily Living. Logistic regression models were used to identify the factors related to ADLs and IADLs. For the variables that were included in the above models, their clustered influence on the increase in the odds ratio for the occurrence of an ADL or IADL limitation was also examined. Results: The research results show that 35.75% of the participants reported at least one problem with IADLs. At least one problem with ADLs was reported by 17.13% of the participants. The most significant modifiable factors influencing the occurrence of disability were the presence of barriers in the participant’s environment, poor relations with relatives, a lack of social contacts, multimorbidity and pain. A multiple increase in the odds ratio of disability was found with the presence of pairs of analyzed factors. The highest odds ratio of at least one ADL limitation was observed for the combination of barriers in the participant’s environment with multimorbidity (OR 74.07). With regard to IADL disability, the highest odds ratio was observed for the combination of pain on the VAS scale ≥ 3 points with older age (OR 19.47). Conclusions: The study showed a high prevalence of ADL and IADL disability in older people living in southeastern Poland. It also indicated the extent to which modifiable factors influenced the occurrence of disability and the extent to which the risk of disability increased with the presence of pairs of factors, especially those that included environmental barriers in the participant’s environment.
Factors Associated with Disability and Quality of Life among the oldest-old in Poland: a cross selection study
(2019-03-04) Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Wilmowska-Pietruszyńska, Anna; Sozański, Bernard
Psychological Responses and Associated Factors during the Initial Stage of the Coronavirus Disease (COVID-19) Epidemic among the Population in Poland - a cross-sectional study
(2021-04-14) Sozański, Bernard; Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Jurek, Krystian; Górniak, Patryk; Górski, Karol; Englert-Bator, Anna; Perenc, Lidia
Short- and long-term effects of physical exercises and verbal stimulation on functional efficiency and use of free time in an older population under institutional care: A randomized controlled trial.
(2019-12-18) Wiśniowska-Szurlej, Agnieszka; Ćwirlej-Sozańska, Agnieszka; Wołoszyn, Natalia; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna
Background: Older people covered by institutional care are mostly physically inactive and uninvolved in interacting with each other and medical staff. Therefore, reducing sedentary behaviour is a new, important, modifiable variable of lifestyle that can improve the health of elderly people. The aim of the project was to assess the degree of improvement in functional performance and the possibility of changing habitual ways of spending free time among elderly people under institutional care, by applying physical training with verbal stimulation. Methods: The study covered older people aged 65-85 years, who are living a sedentary lifestyle in care homes in south-eastern Poland. Those who meet the eligibility criteria and are enrolled in the study was assigned at random to one of four parallel groups: basic exercises (BE), basic exercises combined with verbal stimulation (BE + VS), functional exercise training (FET) and functional exercise training with verbal stimulation (FET + VS). Data were collected at baseline and at 12 and 24 weeks following completion of the program. Results: In the FET + VS group, the greatest positive long-term impact of intervention was demonstrated in terms of functional fitness, gait speed (improved by 0.18m/s), hand grip strength (by over 3.5 kg), and upper limb flexibility (by 10 cm). There was also a significant increase in the level of physical activity spent in free time and an improvement in the quality of life especially expressed in the domain of overall physical functioning. Conclusion: Our study showed that a functional exercise program combined with verbal stimulation is effective in improving physical fitness and raising the level of physical activity spent in free time.
The use of static posturography cut-off scores to predict the risk of falling in older adults.
(2021) Wiśniowska-Szurlej, Agnieszka; Ćwirlej-Sozańska, Agnieszka; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna
Background: Falling is the most common accident that occurs in daily living and the second leading cause of unintentional injury death worldwide. The complexity of the risk factors associated with falling makes older people at risk of falling difficult to identify. Research question: The aim of the study was to identify the cut-off scores of standing posturography measures that can be used to predict the risk of falling in older adults. Methods: This observational study involved 267 elderly people aged 65 to 85 years (73.99 SD 7.51) living in south-eastern Poland. The subjects were divided into two groups: a group with a high risk of falling (HRF) and a group without risk of falling (WRF). Postural stability was assessed during eyes-open (EO) and eyes-closed (EC) trials using the two-plate stability platform CQ Stab 2P. Results and Significance: The best accuracy, sensitivity and specificity were observed for sway path, anterior-posterior sway path and medial-lateral sway path with EO and EC. The clinical cut-off score to predict the risk of falling was 350.63 for sway path with EO, 272.64 for anterior-posterior sway path with EO and 159.63 for medial-lateral sway path. The clinical cut-off score for sway path with EC was 436.11. Such screenings in clinical practice may also be useful for detecting typical balance changes in older adults.

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Przeglądanie Sprawozdania, raporty (KNM) / Reports (CoMS) według Autor "Ćwirlej-Sozańska, Agnieszka"