Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr <p><strong>Journal of Public Health, Nursing and Medical Rescue (JPHNMR)</strong> is an English-language scientific and educational quarterly covering the subject of Health Sciences.</p><p>Assuming that Health Sciences can be treated as a group of non-medical scientific disciplines, whose knowledge and research carried out within, contribute to the proper practice and development of nursing, medical rescue, obstetrics, physiotherapy and other related medical professions, the journal focuses on the improvement, promotion, protection and restoration of health of the population in the scope of development and proper practice of non-medical professions.</p><p>The JPHNMR publishes peer-reviewed articles, original research papers, case reports and editorial comments.</p><p>The journal is a forum for the exchange of views and presentation of the scientific achievements of the Polish and foreign scientific community operating in the field of health sciences.</p> en-US Mon, 30 Dec 2019 00:00:00 +0000 OJS 3.2.0.0 http://blogs.law.harvard.edu/tech/rss 60 Sexuality of pregnant women - facts and myths http://pzpr.eu/index.php/jphnmr/article/view/39 <p>Introduction. The modern model of the course of the sexual response implies that a woman's sexual response is also influenced by psychosocial factors, such as: relationship satisfaction, self-esteem or negative sexual experiences. In this algorithm, it is personal satisfaction (physical and emotional) that is the goal of a woman's sexual activity. In the sphere of pregnant women's sexuality there are many circulating opinions and there are valuable scientific comments. Frequent treatment of this subject as a taboo has led the authors to undertake their own research.<br>The aim of the study. The aim of the study was to present selected aspects of pregnant women's sexuality presented in circulating social opinions as well as in scientific commentaries.<br>Selection of material. The search was conducted in the Scopus database using the concepts of female sexuality, pregnancy, beliefs, psychosocial factors 1990-2018. The literature found in the Google Scholar database was analysed for the highest number of quotations. The literature selected in this way was used as the material for this work.<br>Conclusions. All married couples approach sexual intercourse during pregnancy in their own way: some have pleasure, some do not, others would have much satisfaction, but they cannot have intercourse for other reasons. In all cases this problem should be treated naturally. However, there are stereotypes about sexual intercourse during pregnancy in doctors and the general public.</p> Dominika Polak, Zbigniew Kopański, Renata Zając, Stanisław Dyl, Marek Liniarski, Margita Kollárová Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/39 Mon, 30 Dec 2019 00:00:00 +0000 Physiology of sexual reaction in a woman http://pzpr.eu/index.php/jphnmr/article/view/40 <p>Introduction. Sexual response consists of many stimuli, physical and mental processes that take place in the body. There are known attempts to use objective methods to measure physiological reactions, but it is practically impossible to measure mental reactions with this method because they are subjective feelings that have an individual character.<br>Aim of the study. The aim of the study was to present the sexual physiological-psychological reactions of the body.<br>Selection of materials. The search was conducted in the Scopus database using the terms sexual reaction, female organism, pregnancy 1999-2018. The literature found in the Google Scholar database was analysed for the highest number of quotations. The literature selected in this way was used as the material for this work.<br>Conclusions. The sexual behaviour of women is influenced by biological, cultural and social factors, among others. These factors have determined that women's sex has manifested itself in different ways over the centuries, and different models of love have been built for a given period of time.</p> Dominika Polak, Zbigniew Kopański, Renata Zając, Stanisław Dyl, Marek Liniarski, Margita Kollárová Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/40 Mon, 30 Dec 2019 00:00:00 +0000 Pregnant sexual activity http://pzpr.eu/index.php/jphnmr/article/view/41 <p>Introduction. So far, the sexual activity of pregnant women is poorly understood. There are few studies and their results are contradictory. It has been shown that most pregnant women feel the need for sexual contact, but it is subject to changes in specific trimesters of pregnancy.<br>Aim of the study. The aim of the study was to present selected aspects of sexual activity of pregnant women.<br>Selection of material. The search was conducted in the Scopus database using the term sexual activity of pregnant women 2000-2018. The literature found in the Google Scholar database was analysed for the highest number of quotations. The literature selected in this way was used as the material for this work.<br>Conclusions. Pregnancy is an exceptional and special time for the future mother. This period causes many changes in all areas of a woman. The sexual activity of pregnant women is still not fully understood. There are theories based often on conjecture. It is noteworthy that healthy women with an unharmed pregnancy can be sexually active during pregnancy.</p> Dominika Polak, Zbigniew Kopański, Renata Zając, Stanisław Dyl, Marek Liniarski, Roman Kollár Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/41 Mon, 30 Dec 2019 00:00:00 +0000 Emotional disorders at women in perinatal period - division and diagnostics in the light of current guidelines http://pzpr.eu/index.php/jphnmr/article/view/42 <p>Introduction. Pregnancy is period of hormonal changes, effecting woman’s body, while postpartum period of struggling with problems in caring for a newborn baby, which is associated with chronic fatigue and a sense of frustration. The level of women's well-being in this period is lower, it loses faith in its own strength, which may lead to more serious emotional disorders. On January 1st 2019 the Regulation of the Minister of Health in regarding the perinatal care standards and one of the newly introduced provisions concerns the screening of the risk of depression in pregnant women and after delivery. Some changes coincide with the symptoms of depression, which is why identifying mental disorders and their differentiation in the perinatal period are extremely necessary.<br>The aim of the study. The aim of the work is to present the characteristics of emotional changes in the perinatal period and their diagnosis in the light of changes in the organizational standard of perinatal care.<br>Selection of material. The search for literature was made using the terms: baby blues syndrome, postpartum hypomania, perinatal depression, postnatal psychosis, post-traumatic stress syndrome in the period 1986-2019. The literature found in the Google Scholar database has been analyzed for the highest number of cytosomias. The literature selected in this way was used as a material for this paper.<br>Conclusions. Early diagnosis will enable instant delivery of psychological support and proper treatment. Because of that medical stuff, taking care of women in perinatal period, should be aware of symptoms of emotional disorders in women during pregnancy and after labour.</p> Joanna Grzesik-Gąsior, Agnieszka Pieczykolan, Katarzyna Wiśniewska, Izabela Psiuk, Agnieszka Bień Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/42 Mon, 30 Dec 2019 00:00:00 +0000 Analysis of pregnant women's behaviour and sexual preferences surveys http://pzpr.eu/index.php/jphnmr/article/view/43 <p>Introduction. The sexual behaviour of pregnant women is often a taboo subject, both among medical personnel and the patients themselves. Relationships with a partner and existing behaviour are also changing. At this particular time, women often show a need for closeness, warmth or understanding. Also preferences, needs and sexual activity, or the form of contact often change.<br>The aim of the study. The aim of the work was to learn about the behaviour and sexual preferences of pregnant women.<br>Materials and Methods. The study involved 106 pregnant women, patients of the Gynaecological and Obstetrical Clinic aged 17-47 years. The study used a proprietary questionnaire. The results were developed statistically with the use of IBM SPSS Statistics.<br>Results and Conclusions. Most pregnant women accept their body and psyche and the changes that occur in it. They are satisfied and derive satisfaction from their own femininity. Most of the respondents do not think it is necessary to give up sexual intercourse during pregnancy, but if there is a need for restraint, it is not an unbearable situation for them. Definitely, the majority of the respondents believe that sexual relations are conducive to building a proper bond and relationship with a partner. With the age of women, the acceptance of the statement that sexual intercourse during pregnancy is conducive to building a valuable relationship and the conviction that one can feel full sexual satisfaction during pregnancy increases. As women grow older, the less willing they were to accept their mental manifestations of femininity during pregnancy and the less willing they were to give up some form of realization of their sexuality during pregnancy.</p> Dominika Polak, Zbigniew Kopański, Stanisław Dyl, Marek Liniarski, Roman Kollár Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/43 Mon, 30 Dec 2019 00:00:00 +0000 The job satisfaction of Polish nurses as measured with the Minnesota Satisfaction Questionnaire http://pzpr.eu/index.php/jphnmr/article/view/44 <p>Introduction. Job satisfaction seems to be a key factor influencing various aspects of work in any organization. Considering the specificity of work in healthcare system, employee satisfaction with their work seems crucial.<br>The aim of the study. The aim of the research was to determine with the help of MSQ the main source of satisfaction and dissatisfaction of Polish nurses and to determine the importance of the respondents' education, age and professional experience for this research.<br>Materials and Methods. The research was conducted using the short version of the Minnesota Satisfaction Questionnaire. A study was carried out in a large hospital in western Poland. 205 questionnaires were distributed in the hospital among nurses, of whom 177 (86.3%) participated in the study. The mean and standard deviation (SD) have been calculated for all MSQ factors. Spearman's rank correlation coefficient was calculated to determine possible correlations between educational level, age and job seniority in the current workplace, and on the other hand, opinions on particular aspects of job satisfaction.<br>Results. The most important factors that adversely affect the nurses' job satisfaction in our study group were remuneration, working conditions, and hospital policies and practices. Factors positively influencing the level of job satisfaction were security with steady employment, performing service for other people, and being active on the job.<br>Conclusions. Our results confirm the earlier findings by other researchers who established that Polish nurses are satisfied with most aspects of their work. Our results also confirmed the fact that earnings are the worstrated aspect of the nurses' job satisfaction. Moreover, the level of satisfaction in our research seems even lower that in other similar studies. No correlation between satisfaction with remuneration and educational level, age and job seniority in the current workplace was found.</p> Dariusz Walkowiak, Rafał Staszewski Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/44 Mon, 30 Dec 2019 00:00:00 +0000 Uncertainty in illness among patients with multiple sclerosis http://pzpr.eu/index.php/jphnmr/article/view/45 <p>Introduction. Multiple sclerosis (MS) because of its un predictable course and effects, can be a source of various psychological problems and mental health disturbances such as anxiety and depression. Among them, uncertainty is the least known but equal important problem due to its possible effects on patients’ psychological adjustment, quality of life and illness outcomes.<br>Aim of the study. The aim of the study was to assess the degree of illness uncertainty and to determine the correlates of uncertainty, as well as to analyse relationships between uncertainty and quality of life of patients with multiple sclerosis. Materials and methods. The study sample consisted of 40 patients with MS diagnosis, including 29 women and 11 men aged 23 65 years. Uncertainty was assessed using the Polish version of the Mishel Unc ertainty in Illness Scale (MUIS), quality of life with the help of MSQOL 54 questionnaire, anxiety and depression with the HADS scale, and the neurological status with the EDSS scale.<br>Results. Uncertainty in the whole sample was at a medium level; the over all MUIS score was 89.65 (SD 10.60); 27.5% of patients experienced a high degree of uncertainty. Significant differences between groups with low and high levels of uncertainty was found in patients’ age, duration of the disease and severity of anxiety (p &lt; 0.05). A significant relationships between the level of uncertainty and quality of life was noted in 2 out of the 12 quality of life domains: strength/fatigue and health distress . There was no significant relationship between uncertainty and gender and th e severity of depressive symptoms.<br>Conclusions. 1) Uncertainty is an important element of the illness experience of multiple sclerosis patients its substantial severity was observed in more than a quarter of patients. 2) Younger patients with shorter dis ease duration and higher levels of anxiety were more likely to experience a higher degree of uncertainty. 3) The quality of life of patients with a high degree of uncertainty was in some domains worse than that of patients with a low degree of uncertainty.</p> Aleksandra Kurta-Nowicka, Krystyna Jaracz Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/45 Mon, 30 Dec 2019 00:00:00 +0000 Stress as an indirect determinant of occurrence a myocardial infarction http://pzpr.eu/index.php/jphnmr/article/view/46 <p>Introduction. The dynamic development of society, economy and civilization has a major impact on changes occurring in the work environment, and also causes an increase in exposure to stress of employees. It becomes a growing problem, both in the sphere of work efficiency and in the sphere of employee health. The effects of stress can have a large impact on a range of feelings and behaviors that can indirectly affect the increased risk of heart attack.<br>The aim of the study. Evaluation of the indirect impact of stress on the development of myocardial infarction.<br>Materials and methods. The study was carried out using a diagnostic survey using the author's questionnaire. The study group consisted of 200 patients hospitalized in relation to myocardial infarction and a comparative group of 200 people without cardiac problems. The calculations were made using the IBM SPSS Statistics 20 program. The level of significance was specified at the level of p ≤ 0.05.<br>Results. Stressful lifestyle lead 43% of respondents. The group of smokers was dominated by respondents who smoked up to 20 cigarettes a day and accounted for 30.5% of the entire study group. Respondents in 22,5% declaring that they consume alcohol several times a week. Before the first myocardial infarction, 74.5% of patients were diagnosed with hypertension. Conclusions. Stressful lifestyle is one of the indirect factors determining the appearance of myocardial infarction. Feeling of stress has a significant impact on smoking decisions and frequent consumption of alcohol.</p> Dawid Makowicz, Aneta Grochowska, Renata Dziubaszewska, Natalia Makowicz Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/46 Mon, 30 Dec 2019 00:00:00 +0000 Subjective assessment of the lifestyle of patients with acute coronary syndrome, including sociodemographic predictors http://pzpr.eu/index.php/jphnmr/article/view/47 <p>Introduction. Cardiovascular diseases belong to the group of civilization diseases, being the most common cause of death in Poland and in the world.<br>The aim of the study. The aim of the study was to assess the lifestyle of patients with acute coronary syndrome, including sociodemographic predictors.<br>Materials and Methods. The research was conducted from September 2018 to February 2019 among 80 patients hospitalized in the Cardiology Department and patients participating in the cardiac rehabilitation program at the Day Cardiac Rehabilitation Department at the Provincial Hospital in Podbeskidzie. The research tool was a self-made questionnaire consisting of 36 questions related to research issues and 9 questions regarding personal data. Statistical calculations were performed using the STATISTICA version 13.0 statistical package.<br>Results. Every fourth person surveyed considered lifestyle as the most important health determinant. The vast majority of respondents considered regular physical activity (85%) and healthy eating (76.2%) as the basic pillar of a healthy lifestyle. Only half of the respondents indicated no use of stimulants as a determinant of healthy lifestyle. Over 60% of respondents to the question about caring for their own health before the onset of ACS gave an affirmative answer, however, every third respondent denied. For the vast majority of respondents, the occurrence of a coronary incident was a motive to raise health awareness. The fact of ACS adversely affected the most important spheres of life of the respondents.<br>Conclusions. The lifestyle of the respondents significantly affected the occurrence of acute coronary syndrome. There is a need for a significant intensification of educational activities regarding the awareness of the importance of physical activity, especially in the elderly population in secondary prevention of myocardial infarction and its beneficial effect on improving the quality of life of people after the onset of ACS.</p> Anna Michalik, Ewa Pieronkiewicz Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/47 Mon, 30 Dec 2019 00:00:00 +0000 Analysis of selected variables on the severity of health behaviors of patients hospitalized in Emergency Department (ED) http://pzpr.eu/index.php/jphnmr/article/view/48 <p>Introduction. Patients of emergency departments, in comparison to the general population, present a higher level of anti-health behavior. Poor health behaviors are strongly associated with greater risk of long stay, emergency admissions and greater use of hospital resources.<br>The aim of the study. The aim of the study was to determine: sociodemographic and health profile and level of intensity of health behaviors of ED patients depending on sociodemographic variables and the occurrence of chronic diseases.<br>Materials and Methods. 150 patients of ED in Kędzierzyn-Koźle were studied. The method of a diagnostic survey, a survey technique using the Health Behavior Inventory and authors’ own survey were applied.<br>Results. The 48% (72/150) group was treated due to chronic diseases. The median number of drugs taken by the patient on a daily basis was 4.50 tablets (min-max; 0.00-16.00). The obesity problem concerned 31.08% of the group (46/148), whereas over-weight - 35.81% (53/148). The average health behavior index was 80.94. The level of health behavior of patients depended on age (p=0.032), gender (p=0.003), marital status (p=0.003), family material status (p=0.040), living in relationship (p=0.019), chronic disease presence (p=0.022).<br>Conclusions. Differences in the sociodemographic profile significantly determine the level of health behaviors. Health promotion and health education programs aimed at increasing health-promoting behavior should be addressed to target groups of patients in PH (Polish: Podstawowa Opieka Zdrowotna - Primary Healthcare - PH), i.e. to people who have been hospitalized in ED in the past, including in particular men, people aged 18-27, single people, persons with poor material status, people living alone and those without chronic diseases, as these groups represented the lowest level of health behavior.</p> Katarzyna Szwamel, Donata Kurpas Copyright (c) 2019 Journal of Public Health, Nursing and Medical Rescue http://pzpr.eu/index.php/jphnmr/article/view/48 Mon, 30 Dec 2019 00:00:00 +0000