2023, Volume 17, Issue 4

Stały URI dla tej kolekcji

https://hdl.handle.net/20.500.13044/1642

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Przeglądanie 2023, Volume 17, Issue 4 według Temat "aktywność fizyczna"
  • Rekord
    “Conscious 9 months”. Gestational diabetes mellitus lifestyle program combining regular exercise and nutritional intervention: a mixed-method case report
    (Akademia Bialska im. Jana Pawła II, 2023-10-06) Makaruk, Beata ; Grantham, Weronika ; Szeszko, Łukasz
    Background. Gestational Diabetes Mellitus (GDM) is a glucose tolerance disorder posing health risks for both the mother and fetus. Lifestyle modifications are recommended to control glucose levels before pharmacotherapy. The aims of this study were 1) to examine the impact of combined GDM intervention on the glycemia levels and pregnancy outcomes in a woman with GDM; and 2) to explore what can help women adhere to the desired lifestyle changes recommended for GDM. Material and methods. This instrumental study uses a mixed-method approach, combining quantitative and qualitative methods. It focuses on a comprehensive lifestyle intervention, incorporating exercise, dietary protocol, maternal education, and support. One participant was enrolled, starting the intervention at the 24th week of pregnancy. Low glycemic index (<55%) and low glycemic load meals were recommended. Exercises were supervised and conducted regularly three times a week until delivery (48 sessions in total). Results. Glucose levels remained within normal range throughout the entire pregnancy, without the need for pharmacotherapy. The pregnancy resulted in a natural delivery of a healthy newborn with normal parameters. The participant completed the entire intervention, implementing the recommended lifestyle changes and avoiding complications associated with GDM. Conclusions. 1. Individualized and holistic care for women with GDM can help maintain normal glucose levels and increase the chances of positive pregnancy outcomes. 2. Key factors contributing to the success of the intervention were emotional support, education, and personalized care provided by specialists. 3. Implementing lifestyle changes during pregnancy may reduce the need for pharmacological interventions and complications related to GDM.
  • Rekord
    Factors to help recognize burnout symptoms in hospital nurses
    (Akademia Bialska im. Jana Pawła II, 2023-08-29) Lukács, Andrea ; Simon, Nóra
    Background. It is important to recognize burnout symptoms among nurses, as it not only affects their wellbeing but can also compromise the quality of care they provide to patients. The aim of this study was to identify potential explanatory factors that help recognize nurse burnout. Material and methods. Nurses working in hospital settings were invited to take part in an online survey in 2023. Measurements included demographics, physical health (health status, physical activity), emotional states of depression, anxiety, and stress, as well as communication between nurses and physicians. To find explanatory factors for nurse burnout symptoms, hierarchical regression analysis was conducted using SPSS 28.0 statistical software. The significance level was set at p-values ≤ 0.05. Results. The data of 233 participants were analyzed, with 27.53±10.21 years of work experience. The majority of participants (93%) were female. The average age was 47.22±8.93 years. There were three significant variables that contributed to burnout symptoms: distress, nurse-physician communication and physical activity. Overall, the final model explained 58% of the variance. Conclusions. The results emphasize the significance of reducing distress, promoting healthy relationships between nurses and physicians, and encouraging physical activity as ways to lessen burnout among nurses. Since burnout among nurses doesn’t dissipate naturally, it necessitates deliberate intervention.
  • Rekord
    Physical activity of Ukrainian and Polish medical students in the beginning of the war in Ukraine
    (Akademia Bialska im. Jana Pawła II, 2023-10-25) Adamczak, Bartosz Bogusz ; Kuźnik, Zofia ; Makles, Szymon ; Kosendiak, Aureliusz
    Background. The war in Ukraine has had profound implications for public health and mental well-being. Physical activity (PA) has been recognized for its beneficial impact on mental health, yet the effects of war on exercise behavior remain poorly understood. This study aimed to investigate variables related to PA in Ukrainian medical students compared to their Polish counterparts in the beginning of the war in Ukraine. Material and methods. The study involved 225 participants from medical universities in Wroclaw, Poland (n=120), as well as Lviv (n=49) and Ivano-Frankivsk (n=56), Ukraine. Data collection took place between May and July 2022. PA levels were assessed using the International PA Questionnaire, measured in Metabolic Equivalent of Task minutes per week (MET-min/wk). Additionally, a custom questionnaire was utilized to evaluate PA barriers, motives, and preferred forms of activity. Results. Ukrainian students demonstrated significantly higher overall PA compared to Polish students (Total MET: Lviv 3759.0 MET-min/wk and Ivano-Frankivsk 4452.0 MET-min/wk vs. Wroclaw 2841.8 MET-min/wk, p<0.001). Walking and cycling emerged as the most prevalent forms of PA. The primary barrier to PA in Poland was a lack of time, while lack of motivation was more prominently displayed in Ukraine. Notably, an increase in self-esteem appeared to be a more prevalent motive in Ukraine (p<0.0001). Conclusions. Further investigation is warranted to understand the underlying reasons for the observed differences. It is crucial to ascertain whether increased PA in Ukraine is a coping mechanism for stress or attributed to other factors. Additionally, longitudinal studies are needed to identify emerging trends and changes in the population’s response over time.