Przeglądanie według Temat "hospitalization"

Aktualnie wyświetlane 1 - 4 z 4

Conflict management and its diagnostics in social structure relationship networks
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2015) Rachwał, Aleksandra
Society’s historical security depends on its management of a mix of the economy’s most important risk factors. These risk factors include the following sectors: health, banking, enterprises, insurance system, pension funds, social networks, media, space management and regulative sectors. In the culture of the functional imperative which is focused on maximising the profit of enterprises, class and social structure can constitute either a firewall or open the doors to the performance of cultural obligations in the society. If social structures are poorly integrated, the maintaining of their stability and the stability of social order is put in danger. According to the World Health Organization, average life expectancy in the period between the years 1999 and 2000 was 61.4 years, while forecasts for the years 2020-2025 expect its increase to 71.6 years. It is anticipated that the entire population of developed countries will increase by 94% whilst the population of people that are 60 years or older will increase by 240%. This of course, definitely means that there will be a significant shift in age proportions toward the growth of the elderly population (Walden-Gałuszko de 2008: 3) and it constitutes a crucial argument in the societal discussion concerning health, disease, and long-term health care standards. Problems related to health-treatment, long waiting times for an appointment with the doctor, difficulties concerning accessing distant specialised health centres (clinics), existing information deficit on where and how to look for all kinds of support, paralysing stress, periodical lack of life-saving drugs, non-caring inhumane regulations, the loss of income in the family – all of the above-listed are just some of the problems faced by families taking care of family member who are suffering from cancer. Society’s major task as far as the development of palliative care is concerned is not only the permanent acquisition of families to perform care for the cancer-stricken patients but also investing in perfecting the caregivers’ skills that are vital especially in consequences arising after oncological treatment, such skills include those needed in combating pain, and skills necessary for palliative care. The main point of society’s departure from the reductionist biomedical model towards the epidemiological model results in a significant reduction in mortality due to chronic diseases (such as cardiovascular disease, stroke, diabetes and cancer). Nowadays this has led to an increase in the population of people living day by day with chronic disease, and consequently has led to an increase in demand for long-term care and long-term community support. One of the major challenges faced by medical science was the development of new evaluation parameters used for assessing the efficiency of medical care. Parameters include more than objective indicators of care (such as percentage decrease in mortality). Another challenge involves moving towards inclusion of the patient’s perspective on the care provided (patient-centered outcomes) (Tobiasz-Adamczyk 2002: 41). When economic transition accelerates, the rebuilding of social organisation and social consciousness does not keep pace with the speed of the changes. In such conditions people that are left to themselves, no longer know what is possible and what is impossible, what is fair and what is unfair; what hopes and revindications they are entitled to, and those in which they are going too far (Szacki 2006: 392). In this situation, necessary measures on behalf of the state must be taken to foster a family capable of taking care of the ill. It is very important to protect the healthy family which incidentally happens to be in a situation of crisis due to a family member’s grave illness. There is a strong need to support the family in the implementation of tasks related to their caring function and tasks related to meeting the basic needs of the ill family member. Family must be perceived from a broader perspective. We must examine it, as at a healthy family which incidentally, due to family member’s sickness, happens to be in a crisis situation. With the introduction of a social support strategy for the family as a unit of care, a possible reduction in the number of hospitalisations may take place and there also may be an increase in the independence and autonomy of the families. There will be an increase in a family’s ability to resolve everyday problems, to rebuild the necessary social support networks, and to improve the quality of care for sick members of the family.
Hemodialysis dose and long-term COVID-19 outcomes – a retrospective cohort study
(Publishing Office of the University of Rzeszow, 2024-03) Stepanova, Natalia; Rysyev, Andriy; Snisar, Lyudmyla
Introduction and aim. Long-term outcomes of COVID-19 pose a global challenge, particularly impacting individuals with un derlying health conditions, including those who have undergone hemodialysis (HD). The study aimed to investigate the rela tionship between preexisting dialysis dose, measured by single pool Kt/V (spKt/V), and long-term outcomes of COVID-19 in patients undergoing HD. Material and methods. Demographic, clinical, and laboratory parameters following COVID-19 recovery, and long-term out comes, including the presence of COVID-19 sequelae, hospitalization, and all-cause mortality during a year after COVID-19 were retrospectively analyzed. Results. Out of the 195 patients included, there were 108 males (55.4%) and 87 females (44.6%), with a median age of 56 (44-63) years and a dialysis duration of 49 (31.3–85.2) months. Patients with spKt/V<1.4 had a significantly increased risk of long-term COVID-19 sequelae (HR 9.1, 95% CI: 3.4; 24.6), hospitalization (HR 7.6, 95% CI: 3.9; 14.6), and all-cause mortality (HR 8.5, 95% CI: 2.9; 25.8) within one year after COVID-19 recovery compared with those with spKt/V≥1.4. spKt/V cutoff point of ≤1.3 emerged as a significant risk factor for one-year hospitalization and mortality within our cohort. Conclusion. Suboptimal dialysis dose, as indicated by spKt/V < 1.4, is associated with adverse long-term COVID-19 outcomes in patients undergoing HD. Optimizing dialysis adequacy may mitigate these risks. Further research is needed to validate these f indings and explore interventions to improve outcomes in this vulnerable population.
Ocena sprawności funkcjonalnej, poziomu niesamodzielności oraz jakości życia osób w wieku 80 lat i więcej hospitalizowanych na oddziale geriatrycznym na terenie województwa podkarpackiego.
(Uniwersytet Rzeszowski, 2022-12-09) Brożonowicz, Justyna
Celem pracy była ocena sprawności funkcjonalnej, poziomu niesamodzielności oraz jakości życia osób w wieku 80 lat i więcej hospitalizowanych na oddziale geriatrycznym na terenie województwa podkarpackiego. Analizą objęto 282 osoby hospitalizowane na Oddziale Geriatrycznym SP ZOZ w Przeworsku w okresie od stycznia 2019 do marca 2020 roku. W pierwszym etapie przeprowadzono kwalifikację lekarską, wstępny wywiad bezpośredni oraz ankietową część badania. W drugim etapie przeprowadzono badanie z wykorzystaniem standaryzowanych skal i kwestionariuszy, wykonano testy funkcjonalne, pomiar wzrostu i masy ciała oraz przeprowadzono analizę składu masy ciała. Sprawność funkcjonalna w zakresie podstawowych czynności dnia codziennego u ponad połowy badanych nie była obniżona. U większości badanych stwierdzono obniżenie sprawności funkcjonalnej w zakresie złożonych czynności dnia codziennego. Większość badanych nie zostało uznanych za osoby niesamodzielne. Jakość życia badanych we wszystkich domenach skali WHOQOL-Bref oceniona została na poziomie przeciętnym. Niższy poziom sprawności funkcjonalnej, występowanie niesamodzielności oraz niższa jakość życia związane były z płcią żeńską, wyższym wiekiem, niską siłą mięśniową kończyn górnych i dolnych, gorszą mobilnością. większą liczbą przyjmowanych leków oraz większą liczbą chorób współistniejących. Wyższy poziom sprawności funkcjonalnej, mniejsze ryzyko występowania niesamodzielności oraz wyższa jakość życia związane były z lepszą równowagą oraz lepszym stanem poznawczym badanych. Stwierdzono również, że zawartość masy tłuszczowej w organizmie związana była z poziomem sprawności funkcjonalnej, występowaniem niesamodzielności i jakością życia w badanej grupie. Konieczne jest kontynuowanie badań dotyczących poziomu sprawności funkcjonalnej, jakości życia i niesamodzielności w grupie hospitalizowanych osób starszych.
Predictors of hospitalization in patients presenting to emergency department with an acute exacerbation of COPD – a single-center study in Turkey
(Publishing Office of the University of Rzeszow, 2023-09) Sanalp Menekşe, Tuğba; Sert, Ekrem Taha
Introduction and aim. In this study, we evaluated parameters that might be associated with hospitalization in patients admitted to the emergency department (ED) with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Material and methods. Patients with COPD who presented to ED due to AECOPD between January 1, 2020 and December 31, 2021 were included in the study. Patient data were obtained from the hospital database. Univariable and multivariable logistic regression methods were used to identify the relationship between hospitalization and clinical parameters. Results. The study included 237 patients divided into two groups: inpatients (n=124) and outpatients (n=113). We found significant differences between the two groups in terms of temperature, oxygen saturation, respiratory rate, C-reactive protein, white blood cell count, procalcitonin, albumin, arterial blood pH, pCO 2 , and non-invasive mechanical ventilation (NIMV) requirement. Multivariable logistic regression analysis showed that body temperature [odds ratio (OR):1.62;95% confidence interval (CI):1.21–4.91; p<0.001], oxygen saturation (OR:0.73, 95% CI:0.39-0.94, p<0.001), respiratory rate (OR:1.96; 95% CI: 1.07–6.14; p<0.001), albumin (OR:0.71; 95% CI:0.41–0.93; p=0.042), procalcitonin (OR:2.93; 95% CI:1.22–4.84; p<0.001), arterial blood pH (OR:0.78; 95% CI:0.29-0.91; p=0.038), pCO 2 (OR:2.45; 95% CI:1.24–4.65; p<0.001), and NIMV requirement (OR:2.31; 95% CI:1.41–5.13; p<0.001) were the independent predictors of hospitalization. Conclusion. Our findings may help identify patients who will require hospitalization at an early stage.