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Violetta Mianowana, Marta Czekirda, Anna Bednarek, Dorota Nalepa and Kinga Mianowana

Abstract

Introduction. Undoubtedly, the renal replacement therapy is stressful situation for the patients with chronic renal failure. Chronic disease limits and prevents meeting the psychosocial needs. It often causes the frustration, to which patients react in different ways.

Aim of the Study. Purpose of the research was to investigate patients’ expectations for the support and to define the support given by nurses.

Material and Methodology. One hyndred chronic renal failure patients were examined on the basis of an author’s questionnaire survey. Results were subjected to statistical analysis. Homogeneity test was used for unrelated quality characteristics to detect the existence of differences between compared groups.

Results. Most of patients expected the support first from their families (39%), next from doctors and nurses. Almost everybody (95.0%) Experienced emotional support from nurses during every hemodialysis.

Conclusions. The research shows that patients during stress expect a conversation and almost all of them accept the attitude of empathy. Those who received information support felt less stressed.

Open access

Violetta Mianowana, Anna Sałgut, Kinga Mianowana, Marta Czekirda, Anna Bednarek, Dorota Nalepa and Noemi Czekirda

Abstract

Introduction. Patient with chronic renal failure and in need of renal replacement therapy is exposed to stress. The chronic disease reduces or even prevents meeting the psychosocial needs. There are also many other factors which intensify the stress. Their identification is an important element of finding remedies and giving effective support to patients.

Aim. The aim of an article is to find causes of dialyzed patients’ stress.

Material and methods. There were examined 100 patients suffering from renal failures, using a questionnaire survey designed by the authors. The findings were analyzed statistically. A homogeneity test looking at unrelated quality characteristics was used for checking whether there were any differences between compared groups of patients.

Results. Seventy-four percent of patients pointed to the fact that they were stressed by the new situation. The necessity of altering their lifestyle was mentioned by 84% of respondents. Almost a half of patients (41%) had to quit their jobs. Almost one out of three felt discriminated by the society against their renal replacement therapy.

Conclusions. The findings of this research suggest that renal replacement therapy can become a direct source of stress among patients. Moreover, patients feel stressed because of necessity of changing their lifestyles and giving up their jobs. There is a relationship between the attitude of the closest people and patients’ needs for support.

Open access

Anna Bednarek and Violetta Mianowana

Abstract

Introduction. Vaccinations against varicella and pneumococcal infection are an important form of prevention of infectious diseases and their possible complications.

Aim. Assessment of the vaccination control of children against varicella, and pneumococcal infection based on selected institutions of family practice physician.

Material and methods. There were verified 807 immunization cards of children from three vaccination offices, selected at random from the area of the southeastern Poland, i.e. the provinces of Lubelskie, Podkarpackie and Świêtokrzyskie. Based on the results of quantitative analysis of medical records of vaccination carried out in these institutions through 2007-2012, the number of children vaccinated against varicella, and pneumococcal infection was assessed.

Results. The largest number of vaccinated children (against pneumococcal infection - 148 children and 84 against varicella among 335 subjects reporting in the facility) was confirmed in health care unit in Lublin. In health care unit in Podkarpackie the number of vaccinated children against pneumococcal infection was 84 and against chicken pox - 52 among 256 children using the medical services. In health care unit in Świêtokrzyskie, 65 children were vaccinated against pneumococcal infection and 34 against varicella among 216 subjects reporting at the institution. The vast majority of these vaccines (431 - including three centers) was paid by parents.

Conclusions. 1. In all of the centers, a higher proportion of children was vaccinated against pneumococcal infection than chickenpox. 2. There was not a marked increase in the number of children vaccinated against varicella and pneumococcal infection during the analyzed period.