Background: Patient quality of life is widely used as a non-clinical determinant of care. For patients undergoing hemodialysis, vascular access is vital to the delivery of hemodialysis and its function may affect not only the clinical outcome of treatment but also the overall quality of life of the patient, highlighting the need for increased efforts to improve the quality of hemodialysis vascular access care. The objective of this study was to evaluate the correlation between vascular access perception and quality of life in patients undergoing hemodialysis. Methods: A total of 202 patients with active hemodialysis vascular access were included in the study. Quality of life was assessed using the Kidney Disease Quality of Life Instrument (KDQOL™) questionnaire, while vascular access perception was evaluated using the Vascular Access Questionnaire (VAQ). Results: The study presented evidence on the influence of vascular access for hemodialysis patients on their quality of life. This impact is related to factors directly associated with vascular access, such as the type of access and the patient’s subjective evaluation of the access. Conclusions: The perception of vascular access is one of the factors that determines the quality of life of hemodialysis patients. The quality of life of hemodialysis patients decreases as the number of vascular access-related problems increases.

Objective: The article aims to assess the role of stress and anxiety in relation to the level of emotional control among cancer patients. Currently cancer ranks second, after cardiovascular disease, as the most common cause of death. Moreover, it is predicted that in the coming years, cancer will become the leading cause of death worldwide. This is due to the extended lifespan of the population and also to the presence of carcinogenic factors in the surrounding environment. The emergence of cancer is a significant stressor that affects individuals in diverse ways, leading to cognitive, behavioral, and emotional consequences. In line with the adopted aim, emotional issues are the chosen area of exploration in this article.Methods: The study included 102 patients. The differences between the patients' results according to various scales and the results produced by the validation group data were examined using one‐sample t‐tests. The relationships between the quantitative variables were determined using Spearman's rho coefficients, and the relationships between the quantitative and qualitative variables were verified using Kruskal‐Wallis tests.Results: The participants exhibited higher anxiety suppression levels than individuals in the normalization group. They sought emotional support more frequently than the average person in the population, turned to religion, engaged in other such activities, lived in denial more often, discontinued activities, and displayed a sense of humor less frequently. The more frequently they controlled their anger, the less they sought emotional and instrumental support, catharsis, and attempted to accept the situation and cease being active. Additionally, controlling anxiety, sadness, and depression coexisted with self‐blame, denial, and compensatory actions.Conclusions: Cancer patients face intense anxiety. Emotional and instrumental support, along with the ability to express and manage emotions, are crucial for these patients, especially within the context of facing the challenge of cancer. Finding constructive ways to express strong and difficult emotions prevents their accumulation and reduces the need for emotional suppression. Preventive actions should be oriented toward supporting the emotional competencies of patients.

Background: Stress, anxiety and depression are phenomena that often accompany the onset of chronic illness. The development of psychosomatic medicine has led to the study of the influence of other emotional factors, including the presence of anxiety and depression, on a patient’s health status, in addition to quality of life. The aim of this study is to evaluate the relationship between vascular access function and the occurrence of stress, anxiety and depression in haemodialysis patients. Methods: A total of 202 haemodialysis patients were included in the analysis, and the severity of vascular access problems and levels of negative emotions (feelings of stress, anxiety, depression) were assessed using standardised questionnaires (VAQ, HADS-M, PSS-10). Results: The results show that an increase in vascular access function problems correlated with increased levels of stress (r = 0.262; p < 0.001), anxiety (r = 0.456; p < 0.001) and depression (r = 0.391; p < 0.001). Conclusions: The study confirms the significant impact of vascular access quality on patients’ emotional state, highlighting the need to monitor and optimise its functioning to improve the psychological well-being of dialysis patients.

Background: Patient satisfaction is increasingly recognized as an essential indicator of the quality of healthcare, including nursing care, particularly in the context of chronic therapies such as haemodialysis. The condition and functioning of vascular access, crucial for effective renal replacement therapy, may significantly influence patients’ perception of the care received. Objective: To assess the relationship between the functioning of vascular access and satisfaction with nursing care among patients undergoing haemodialysis. Methods: This cross-sectional study was conducted between January 2021 and December 2022 among 202 haemodialysis patients in Poland. Data were collected using a proprietary questionnaire assessing satisfaction with nursing care, the Vascular Access Questionnaire (VAQ), and the Visual Analogue Scale (VAS) for pain assesment. The results are summarised in a statistical analysis included descriptive statistics, factor analysis, Cronbach’s alpha, Pearson’s correlation coefficient, and the Shapiro–Wilk test. Results: The proprietary satisfaction scale showed high internal consistency (Cronbach’s alpha = 0.983) and a single-factor structure. The mean satisfaction score was 3.79 (SD = 1.00), and the mean VAQ score was 13.79 (SD = 11.22). A moderate negative correlation was found between vascular access problems and satisfaction with nursing care ( r = –0.387; p < 0.001). No significant relationship was observed between pain level and satisfaction of nursing care ( r = –0.091; p = 0.215). Conclusions: Satisfaction with nursing care is inversely related to the severity of vascular access problems in haemodialysis patients. The findings underscore the importance of maintaining well-functioning vascular access and addressing patient concerns as part of comprehensive dialysis care.

Pacemaker implantation improves the quality of life of most patients, especially in the initial period after implantation. It is necessary to measure the long-term quality of life and factors that can affect it—stress and illness acceptance. The aim of the study was to assess the impact of stress and illness acceptance on the quality of life of patients after pacemaker implantation. To obtain final conclusions, we performed a survey on a group of 100 patients with implanted pacemakers. Our survey consists of standardized research tools to check the quality of life (WHOQOL-BREF), perceived stress and ways to cope with it (PSS-10, mini-COPE) and acceptance of illness (AIS). The results of the study were summarized in a statistical analysis. At least a good quality of life was declared by more than half of the respondents [Me = 4; 95% PU (4, 4)]. The average result obtained by the respondents when converted to the STEN scale was six. The respondents were characterized by a moderate level of stress compared to the PSS-10 norms and it was related to the quality of life. Similar, statistically significant correlations were presented as mini-COPE and AIS results. Respondents were most likely to use acceptance strategies, active coping methods, when dealing with something else and planning. The rarest strategies were doing nothing and taking pharmaceuticals. The average score on the acceptance of illness scale was (M = 22.14; SD = 6.05), which is more than the result obtained by patients from the AIS normalization group. It shows that assessed patients after pacemaker implantation declare the general quality of life as good or higher. Additionally, this quality of life is closely related to stress levels, coping strategies and acceptance of illness, which shows us the importance of research in this area.

Background: Myocardial infarction (MI) represents one of the major causes of hospitalization in cardiology departments, while tobacco smoking remains a significant public health challenge in Europe. Therefore, there is a pressing need to study this phenomenon in order to undertake preventive actions and thereby reduce the number of people smoking tobacco and, consequently reducing the rate of morbidity and disease. This study aims to assess the factors that increase stress and examine the strategies for coping with stress, nicotine addiction, and the motivation to quit smoking among patients after myocardial infarction. Methods: We analyzed 100 post-MI patients using a sociodemographic questionnaire, the Schneider Smoking Cessation Motivation Test, the Fagerstrom Test for Nicotine Dependence, and the Mini-COPE questionnaire. Results: A sense of helplessness emerged as the primary stress trigger (p = 0.012), with job loss, workplace issues, illness, family death, and relationship problems (p < 0.001) as key stressors. Post-MI patients showed a high degree of smoking cessation motivation, this was enhanced by limited cigarette access and social support. Patients primarily used self-distraction and behavioral disengagement (p < 0.001) as coping mechanisms. A higher degree of nicotine tolerance (rho = −0.355; p < 0.00) and increased stress frequency (rho = −0.169; p = 0.093) correlated negatively with cessation motivation. Conclusions: Post-MI patients demonstrate significant stress-related helplessness, particularly within the professional, family, and relationship domains. The prevalence of coping mechanisms centred around avoidance suggests the need for targeted psychological interventions in this population.