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  • Author: Olga Bielan x
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Sense of coherence among patients with rheumatoid arthritis


Introduction. Sense of coherence (SOC-29) clarifies the relationship with health. High SOC in patients with rheumatoid arthritis puts faith in the meaning of life. Makes you want to be healthy and be able to function.

Aim. Aim of this study was to evaluate the sense of coherence in patients with rheumatoid arthritis.

Material and methods. The study was conducted in 2014, consisting of 120 patients with clinically diagnosed RA, who were covered by a stationary health care in a rheumatology department in one of hospitals in Olsztyn. Respondents knowingly gave oral consent to participate in the study. During the study, were used a questionnaire (SOC-29). The tool contains 29 questions relating to various aspects of life.

Results. The mean of coherence in the study group was 137 points. Among the constituent components of SOC, patients received the highest score in the category of a sense of manageability, 48.97 points, followed by a sense of rationality 45.73 points, and a sense of meaningfulness of 42.3 points.

Conclusions. The overall rate of SOC in the group of patients with rheumatoid arthritis reached the level of 137 points and is located in the middle of normative earned by Antonovsky. The highest rate of SOC patients were characterized by an under 30 years of age, also had the highest sense of manageability and reasonableness. However, a higher level of sense of rationality characterized patients between 31 and 40 years.

Open access
The quality of life of patients with chronic pain, hospitalized in conservative treatment wards


Introduction. Pain is one of the most frequent human ailment. Not not only is it the first and often the only symptom of ongoing disease process, but also a warning of impending danger. According to the European epidemiological studies, it is estimated that chronic pain occurs in 19% of the population. This means that within a year this condition is diagnosed in 7 million patients in Poland. Treatment of chronic pain is complicated due to the variety of its origin.

Aim. Influence of chronic pain in hospitalized patients on their daily quality of life.

Material and methods. The study included 80 patients with a chronic spinal pain syndrome. To evaluate the intensity of pain, the numerical scale (NRS), the verbal scale (VRS) and the abbreviated version of the McGill Questionnaire were used. To measure the quality of life, the SF-36 was used.

Results. The results of analysis of the collected material confirmed the impact of chronic pain on the quality of life of the hospitalized. Assessment of pain intensity decreased in the group of patients after one week of treatment. On the other hand, in assessing the overall perception of health, quality of life and its various dimensions, a difference between the two groups and the different stages of the study was observed. Own study confirms the equivalence of psychosocial factors modulating the level of pain and the quality of life.

Conclusions. There is a relationship between pain intensity and the level of quality of life as well as its individual components before and after the treatment in patients with chronic spinal pain. Some significant changes between the variables were separated in the accepted stages of the study among people with chronic pain.

Open access