Quality of life of patients after implantation of a pacemaker

Due to its devastating consequences, late-life depression is an important public health problem. The aim of the study was an analysis of variables which may potentially influence the risk of depression (GDS-SF). Furthermore, the aim was to study possible mediating effects of given variables on the relationship between the total protein concentration and the risk of depression in older adults with chronic diseases, and physical function impairment. The research sample included 132 older adults with chronic conditions and physical function impairments, residing in a long-term care in residential environment. In the studied group of sensory organs, diseases proved to be a significant moderator of the relationship between GDS-SF and total serum protein concentration. A stronger relationship was observed in subjects suffering from diseases of sensory organs (b = −6.42, 95% CI= −11.27; −1.58). The Barthel index and 25(OH)D vitamin were the most significant mediators of the examined relationship. Cohort research is suggested to confirm the hypothesis.

Admission. Parenteral nutrition (parenteral) is the supply of all essential nutrients - proteins, carbohydrates, fats, electrolytes, vitamins, trace elements and water intravenously. Parenteral nutrition is a generally available method of nutritional treatment used when the supply of food through the gastrointestinal tract is impossible, insufficient or contraindicated. Complete parenteral nutrition should be replaced as soon as possible with feeding to the gastrointestinal tract. Chronic diseases in children are often complicated by serious nutritional deficiencies.

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.

Introduction. Half of deaths in Poland are caused by cardiovascular diseases. Such a high percentage causes them to rank first among the causes of death. According to the Polish Cardiac Society, acute coronary syndromes are the reason for hospitalization of 140,000 people annually, including myocardial infarction of 90,000 people each year [4]. In addition to sudden cardiac deaths, cardiovascular disease is also a major cause of hospitalization, as well as permanent or temporary disability, both physical and mental. This condition has consequences in the form of, among others, inability to work, which leads to the gradual development of social disability [7]. The multitude and variety of problems faced by patients determines the need to recognize and eliminate them.The aim of the study is to present the required scope of patient care after myocardial infarction, based on individual case study.A case report. A 82-year-old patient admitted to hospital after losing consciousness while working in the garden. The ECG showed myocardial ischaemia without visible ST segment elevation. Coronary angiography in the hemodynamic laboratory revealed stenosis of the left coronary artery, which was cleared by the introduction of a vascular stent. An individual care plan has been developed for the patient in accordance with the problems encountered.Conclusions. Patients after myocardial infarction have numerous nursing problems, which require professional actions performed by a nurse, which results in minimizing the problems and their consequences. Thanks to these activities, the patient and his immediate surroundings are prepared to continue providing care in the home environment.