Instytut Podstawowych Problemów Techniki
Polskiej Akademii Nauk

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Małgorzata Mańczak

National Institute of Geriatrics Rheumatology and Rehabilitation (PL)


Ostatnie publikacje
1.  Zegarow P., Mańczak M., Rysz J., Olszewski R., The influence of cognitive-behavioral therapy on depression in dialysis patients - meta-analysis, Archives of Medical Science , ISSN: 1734-1922, DOI: 10.5114/aoms.2019.88019, Vol.16, No.6, pp.1271-1278, 2020

Streszczenie:
Introduction: Depressive disorders are the most common mental health problem among patients undergoing dialysis. Furthermore, depression is an independent factor increasing the mortality and frequency of hospitalization in this group of patients, yet psychological intervention programs aimed at improving the mental health of dialysis patients have still not been developed. This meta-analysis aimed to assess the effects of cognitive-behavioral therapy on depressive symptoms in dialysis patients. The main hypothesis of this study is that cognitive-behavioral therapy is an effective psychological method of reducing the severity of depression symptoms among patients undergoing dialysis. Material and methods: A systematic search was conducted using Medline, PubMed, Web of Science, Scopus and Google Scholar. Data extraction was carried out by two independent researchers. The severity of depression symptoms in the included studies was measured by the Beck Depression Inventory. A random-effects model was used to estimate the pooled mean difference of these values between patients undergoing CBT and the controls. Results: Four of the 1841 search results met the inclusion criteria with data from 226 patients who had undergone dialysis therapy due to renal disorders and psychological intervention based on cognitive-behavioral therapy. This therapy significantly reduced the level of depression symptoms in all studies included in the meta-analysis (mean difference = –5.3, p = 0.001; 95% CI: –7.95 to –2.66). Conclusions: The study showed that the use of psychological intervention based on cognitive-behavioral therapy was an effective method of decreasing the severity of depressive symptoms in hemodialyzed patients. For the sake of patient well-being, it seems reasonable to extend renal replacement therapy with psychological intervention such as cognitive-behavioral therapy.

Słowa kluczowe:
depression, dialysis, cognitive-behavioral therapy, renal replacement

Afiliacje autorów:
Zegarow P. - inna afiliacja
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Rysz J. - Medical University of Lodz (PL)
Olszewski R. - IPPT PAN
70p.
2.  Obiała J., Obiała K., Mańczak M., Owoc J., Olszewski R., COVID-19 misinformation: accuracy of articles about coronavirus prevention mostly shared on social media, Health Policy and Technology, ISSN: 2211-8837, DOI: 10.1016/j.hlpt.2020.10.007, pp.1-5, 2020

Streszczenie:
Objective: To analyze accuracy of articles about COVID-19 prevention most frequently shared through social media platforms. Methods: Identifying, using the Buzzsumo analytic tool, 30 most frequently shared articles in April 2020 about COVID-19 prevention and classifying them according to number of shares, accuracy, topic and sharing platform. Calculations were made using descriptive statistics tools and chi-square test. Results: The top 30 articles about coronavirus prevention were shared 4904 160 times over a period of one month with 96.8% of all shares through Facebook. Most of the articles (80%) was found to be accurate, however they accounted for only 64% of shares. The inaccuracies referred mostly to handwashing. The most shared articles were about medications followed by masks and hand washing. Conclusions: Articles about coronavirus prevention are usually accurate, yet relatively less likely to be shared than inaccurate ones. Facebook remains a dominant social media platform for sharing content. Buzzsumo could be considered a tool in certain situations such as pandemic for health authorities to quickly investigate different health topics popular on social media. Lay Summary: Most of the articles about COVID-19 prevention, identified as most frequently shared through social media platform during the pandemic, was found to be accurate. However, inaccurate content was more likely to be shared than by Facebook users compared with accurate content. This suggests the need for health authorities to monitor content shared on social media in extraordinary situations such as pandemics.

Słowa kluczowe:
coronavirus, COVID-19, social media, misinformation, public health

Afiliacje autorów:
Obiała J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Obiała K. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Owoc J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Olszewski R. - IPPT PAN
70p.
3.  Owoc J., Mańczak M., Jabłońska M., Tombarkiewicz M., Olszewski R., Association between physician burnout and self-reported errors: meta-analysis, Journal of Patient Safety, ISSN: 1549-8417, DOI: 10.1097/PTS.0000000000000724, pp.1-9, 2020

Streszczenie:
Objectives: Burnout among physicians is an increasingly recognized phenomenon affecting different aspects of patient care and safety. This meta-analysis quantifies association of burnout and its subscales with self-reported medical errors among physicians. Methods: This meta-analysis followed the principles formulated in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-analyses of Observational Studies. The MEDLINE, PubMed, Web of Science, PsycInfo, and Eric databases were searched until February 5, 2019, using various combinations of key terms without any language restrictions: burnout, physicians, error, safety, and quality. Reference lists of selected studieswere hand searched. Datawere extracted frompublished reports. All quantitative studies reporting prevalence of burnout and its association with self-reported errors among physicians were considered. The analyses of heterogeneity (Cochran Q, I^2), publication bias (Begg- Mazumdar and Egger), three subgroups, and sensitivity were performed. The effect of overall burnout and Maslach Burnout Inventory subscales on self-reported errors was calculated as odds ratios with 95% confidence interval. Results: Thirteen studies on 20,643 physicians and residents were included. The overall burnout among participants was associated with a significantly increased risk of self-reported errors (odds ratio = 2.72, 95% confidence interval = 2.19–3.37). Emotional exhaustion, depersonalization, and personal accomplishment were all independently predicting factors of self-reported errors. Cochran Q test and inconsistency index I2 were as follows: Q = 27.2; P = 0.0013, I^2 = 67% (36%–83%). Conclusions: The results provide evidence that not only overall burnout but also its subscales independently are to be associated with a significantly increased risk of self-reported errors among physicians. As self-reported errors may translate into different types of adverse events, this strong and unequivocal association should be of major concern to healthcare organizations.

Słowa kluczowe:
burnout, error, patient safety, quality of care

Afiliacje autorów:
Owoc J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Jabłońska M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Tombarkiewicz M. - Medical University of Warsaw (PL)
Olszewski R. - IPPT PAN
70p.
4.  Obiała K., Obiała J., Jeziorski K., Owoc J., Mańczak M., Olszewski R., Improving colon cancer prevention in Poland. A long way off, Journal of Cancer Education, ISSN: 0885-8195, DOI: 10.1007/s13187-020-01860-9, pp.1-4, 2020

Streszczenie:
The aim of this study was to analyse knowledge on colon cancer prevention among patients of primary care and identify their sources of information. The questionnaire study was conducted among patients of 36 primary healthcare clinics in Poland between September 2018 and February 2019. Patients were interviewed separately by trained researchers. Over 39% of the primary health patients declared that their knowledge about colon cancer prevention is unsatisfactory. Information about colon cancer prevention varied according to sex, age and BMI. Men declared lower level of knowledge than women: 46% of men thought it was unsatisfactory compared with 36%of women (p = 0.003). Preventive recommendations weremore often provided to patients over 60 years old (p < 0.01). Overweight and obese patients were more likely to receive recommendations on diet (p < 0.001) and physical activity (p < 0.001) than patients with normal weight. Themost common source of information on colon cancer prevention was Internet (68%) and medical doctors (60%). There is a need for developing colon cancer prevention policy. Crucial aspect includes educational programs aimed at improving patient’s knowledge and involving medical staff. The policymakers should pay greater attention to cancer prevention policies and medical staff involved in prevention to quality of communication to make sure patients thoroughly understand information they are provided.

Słowa kluczowe:
colon cancer, prevention, primary healthcare, education, communication

Afiliacje autorów:
Obiała K. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Obiała J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Jeziorski K. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Owoc J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Olszewski R. - IPPT PAN
70p.

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