Purpose: To estimate the frequency of aggressive behaviors in health care institutions, and determine their influence on emotional reactions of medical workers. Materials and methods: The study involved 201 health care professionals from the regions of Lower Silesia and Opole in Poland. The authors employed the exposure to patient aggression inventory, based on the questionnaires of Merecz and Nowicka & Kolasa; this inventory divides patient aggression towards medical workers into seven different forms. Results: In over 90% of cases, health care professionals fell victim to patient aggression in a workplace. It mostly took forms of verbal aggression, a raised voice and shouting. A physical attack was reported by 45.6% of the surveyed; it resulted in physical injuries in 27.9% of psychiatric hospital workers and 24.7% of general hospital workers. As a reaction to patients’ verbal aggression, medical workers usually calmly explained that such behavior was improper. Violence and aggressive behaviors of patients evoked workers’ anger, fear, a feeling of resignation and the loss of their sense of safety. In most case's victims of patient aggression either coped with the problem themselves or asked their co-workers and superiors for help. Conclusions: Aggressive behaviors of patients arouse in medical staff, mostly anger. Medical workers usually cope with patient aggression themselves; nurses more often than other health care professionals ask their superiors and co-workers for help. It is necessary to conduct further research into the problem of patient aggression towards medical staff so that actions ensuring safety for workers can be taken.
Background: Lifestyle and health behaviours are determined by the level of knowledge, beliefs, existing dysfunctions, and interpersonal relationships, as well as personality factors. The aim of this study was to assess health behaviours undertaken by postmenopausal women, and to analyze how they are influenced by personality factors. Material/Method: The study included 196 postmenopausal women at the mean age of 56.80 +/- 4.08. The Health Behaviour Inventory and a personality questionnaire (NEO-FFI) were used. Results: In the study, women living in cities of over 100.000 residents scored higher than those living in smaller towns (p<0.05). The level of neuroticism negatively correlated with overall health behaviours, health practices, and a positive mental attitude (p<0.05). The level of conscientiousness negatively correlated with health behaviours, a positive mental attitude, and preventive behaviours (p<0.05). Positive correlations were observed between the level of extraversion and overall health behaviours, preventive behaviours, normal eating habits, health practices, and a positive mental attitude (p<0.05). Conclusions: 1. Raising the awareness through educational programmes implemented as part of care provided by primary care centres (especially in smaller towns and rural areas) could improve the level of healthful behaviours undertaken by postmenopausal women. 2. Health behaviours are also greatly dependent on personality traits, which are biologically determined and relatively stable.
Introduction: Proximal femoral fractures are the major cause of hospitalization due to an injury among advanced age patients. Purpose: To analyse causes of femoral neck fractures. Materials and methods: The research material included medical documentation of 203 patients with femoral neck fractures. A research method employed in this study was an analysis of the documentation. A statistical analysis was performed using the chi-square test for independence. Results: The majority of women and men sustained an injury at home or on the way (62.5% and 46.2% respectively). Patients who had an injury at work were largely men. Most injuries were related to a disease. It has been observed that women considerably more often than men mentioned slipping as the cause of an injury (21.3% and 6.9% respectively). Men, on the other hand, more often than women incurred injuries as a result of falls (19.4% and 9. 5% respectively). The structure of an injury was similar irrespective of whether patients were diagnosed as having such diseases as diabetes, cataract and osteoporosis or not. Conclusions: There is a relationship between gender and the circumstances of an injury. Women more often sustain an injury at home, and men – at work. The circumstances and causes of injuries are not significantly related to diseases such as diabetes, cataract and osteoporosis.
Health behaviours are actions taken by a person in the field of health. Risky behaviours are those that pose a threat to health. Bioelements are essential for the proper functioning of every organism. Their trace amounts are necessary for life and health. The aim of this study was to determine the relationship between health behaviours and the levels of bioelements in the blood serum of secondary school students. This survey-based study was carried out on a sample of 376 secondary school students aged 13-16 years. It was performed using the HBSC questionnaire (Health Behaviour In School-aged Children: A WHO Collaborative Cross-national Study). Next, cubital vein blood was collected for laboratory tests, and the levels of bioelements (Mg, Ca, Cu, Fe, Zn) in blood serum were determined. The analysis of the research material did not demonstrate substantial differences in the mean serum levels of Ca, Mg, Zn, Cu, Fe between smokers and non-smokers, alcohol consumers and non-consumers, drug users and non-users. There were no statistically significant correlations between the levels of bioelements and the frequency of drinking beer and vodka (p>0.05). A statistically significant correlation was observed between Cu levels and drinking wine (p≤0.05). Subjects showing aggressive behaviours (getting into scuffles) had lower Mg and Zn levels than other secondary school students. There were weak but statistically significant correlations between Cu levels and the frequency of wine consumption, and between serum Zn levels and smoking marijuana among the subjects.
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