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Adverse childhood experiences and the nurse’s role in prevention - literature review 儿童不良经历与护士在预防中的作用-文献回顾
Pub Date : 2023-01-01 DOI: 10.24283/hjns.202315
Maria Kyvetou, Elena Michalopoulou
Introduction: Adverse childhood experiences refer to traumatic events that a child may experience from birth to adulthood, such as abuse, physical or emotional neglect, and general family dysfunction (parental imprisonment, parental mental illness, poverty, etc.). Research demonstrates that the accumulation of toxic stress from the above mentioned experiences and situations associated with various unhealthy behaviors and the manifestation of chronic health problems later adulthood.Purpose: To highlight the nurses’ role in preventing the phenomenon of Childhood Adversities.Methodology: This literature review included peer-reviewed articles and research papers published in English during the past five years with reference to Childhood Adversity found in databases such as Pubmed, Scopus and ScienceDirect.Results: According to epidemiological data, the risk is not insignificant and negatively affects the development of children in their later life, as they become burdened both mentally and physically as adults. However, Childhood Adversities, cause epigenetic changes in genes, by affecting brain function and acting as biological markers in descendants.Conclusions: To break this vicious cycle, primary health care as well as other health care settings can help build resilient families and children. In this way, preventing the phenomenon, potential health problems are reduced and health is improved. Thus, the nurse’s role regarding timely detection and management of Adversities experienced by children and families can have a profound effect on the prevention of Childhood Adversities’.
童年不良经历是指儿童从出生到成年期间可能经历的创伤性事件,如虐待、身体或情感上的忽视,以及一般的家庭功能障碍(父母监禁、父母精神疾病、贫困等)。研究表明,来自上述经历和情况的有毒压力的积累与各种不健康行为和成年后慢性健康问题的表现有关。目的:强调护士在预防儿童逆境现象中的作用。方法:本文献综述包括在Pubmed、Scopus和ScienceDirect等数据库中发现的同行评议的文章和在过去五年中发表的英文研究论文。结果:根据流行病学数据,这种风险并非微不足道,而且会对儿童的晚年发展产生负面影响,因为他们成年后会在精神上和身体上都有负担。然而,童年逆境通过影响大脑功能和作为后代的生物标记而引起基因的表观遗传变化。结论:为了打破这一恶性循环,初级卫生保健以及其他卫生保健机构可以帮助建立有复原力的家庭和儿童。通过这种方式,预防这种现象,减少潜在的健康问题,改善健康。因此,护士在及时发现和管理儿童和家庭所经历的逆境方面的作用可以对儿童逆境的预防产生深远的影响。
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引用次数: 0
The expectations of voluntary blood donors and the motivation for continued blood donation action 自愿献血者的期望和继续献血行动的动机
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202233
Theodora Kamberi, Maria Kipouropoulou
Introduction: Investing in maintaining the trust of blood donors, the safety of blood and blood products and the effectiveness of health professionals is vital because it can enhance the attraction of donors.Purpose: The main purpose of this research is to highlight the most prevalent motivational factors of blood donation.Methodology: A mixed research project was conducted after quantitative and qualitative methodologies were used in the blood donation unit of the hospital with a sample of 416 blood donors, volunteers and nonvolunteers. Research questionnaires were formulated for the year 2020.The data was collected in the form of a specially designed questionnaire. The statistical analysis was performed with the software programStatistical Package for Social Sciences (IBMSPSS), version 22.0.Results: In a percentage of 70.7%, the majority of blood donors were men, aged 36-50 years old. The evaluation of the study results showed that the blood donors were volunteers in a percentage of 82.95%, while the remaining percentage of 17.1% were urged to donate blood, due to a need of a relative.Conclusions: The findings of the study show the need for substantial interventions, application of better techniques and approach methods as well as maintenance of blood donors. The urge of people to donate blood constitutes a procedure of great importance which requires constant efforts. The sufficiency of blood is ensured only with constant, systematic blood donors.
导言:投资于维持献血者的信任、血液和血液制品的安全以及卫生专业人员的效力是至关重要的,因为它可以增强对献血者的吸引力。目的:本研究的主要目的是强调最普遍的献血动机因素。方法:采用定量与定性相结合的方法,在该医院的献血单元开展了一项混合研究项目,共抽取了416名献血者,包括志愿者和非志愿者。制定了2020年的研究问卷。数据是以特别设计的问卷的形式收集的。统计分析使用社会科学统计软件包(IBMSPSS) 22.0版软件进行。结果:献血者以男性居多,年龄在36-50岁之间,占70.7%。对研究结果的评价表明,献血者中自愿献血的比例为82.95%,其余17.1%的献血者是因亲属需要而被迫献血的。结论:研究结果表明,需要采取大量干预措施,应用更好的技术和方法,并对献血者进行维护。鼓励人们献血是一个非常重要的过程,需要不断努力。只有持续的、系统的献血者才能保证血液的充足性。
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引用次数: 0
Vesicovaginal fistulas: Diagnosis and treatment 膀胱阴道瘘的诊断与治疗
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202235
K. Zacharis, C. Messini
Vesicovaginal fistula is an abnormal connection between the vagina and the bladder. The aim of the present study is to reiterate the diagnostic and therapeutic management of vesicovaginal fistulas through a systematic literature review. Pubmed was used as a search machine using as keywords: “vaginal fistula”, “vesicovaginal fistula”, “urogenital fistula” and finally 29 articles were included. As a result of the study, an integratedapproach is considered necessary and will best serve the needs of women with vesicovaginal fistula. When a multidisciplinary team approach, consisting of urologists and gynecologists, is used, improvements in quality of life and patient satisfaction can be greater. Although more randomized clinical trials are required in order to compare therapeutic approaches of vesicovaginal fistulas.
膀胱阴道瘘是阴道和膀胱之间的一种异常连接。本研究的目的是通过系统的文献回顾,重申膀胱阴道瘘的诊断和治疗管理。使用Pubmed作为检索机,以“阴道瘘”、“膀胱阴道瘘”、“泌尿生殖瘘”为关键词,检索到29篇文章。研究结果表明,综合方法是必要的,并将最好地服务于膀胱阴道瘘妇女的需要。当采用由泌尿科医生和妇科医生组成的多学科团队方法时,生活质量和患者满意度可以得到更大的改善。虽然需要更多的随机临床试验来比较膀胱阴道瘘的治疗方法。
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引用次数: 0
Scheduled screening of patency of permanent central venous dialysis catheters 永久性中心静脉透析导管通畅的定期筛查
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202234
Dimitra Giannaraki, K. Mavromatidis
Background: The number of hemodialysis patients is being increased year by year throughout the world, due to the increase in the life expectancy of the population, as well as the increase in incidences of hypertension and diabetes among them, but also due to the fact that many of the patients with heart and renal failure are now being dialyzed. Hemodialysis requires vascular access. But diabetics, hypertensives, as well as the elderly patients, usually have no vessels (arteries and veins) capable enough to give a satisfactory blood flow via a fistula, so the catheter is the only choice.Objective-Design: A well-functioning catheter is a prerequisite for the quality of the clearance provided. In the present study, control of the catheter patency was performed in a monthly basis. If the blood supply remained high (at least >300 ml/min) the catheter was considered to function satisfactorily.Participants-Results: The study examined the patency of permanent dialysis catheters in 34 patients (19F, 15M). The catheter survival was found to be good in all cases (100%) with a blood supply of at least >300 ml/min for 17 months. Furthermore, 75% of the catheters had a good blood supply for 20 months, while 6 catheters survived withgood function for 25 months and continue to operate satisfactorily even now.Conclusion: The study found out that the method of controlling the patency of permanent dialysis catheters was easy and efficient for the timely detection of those that were malfunctioning and that the results from their use were satisfactory, compared to those of other researchers in the literature.
背景:由于人口预期寿命的增加,以及其中高血压和糖尿病发病率的增加,而且由于许多心力衰竭和肾衰竭的患者现在正在进行透析,血液透析患者的数量在世界范围内逐年增加。血液透析需要血管通路。但糖尿病患者、高血压患者以及老年患者通常没有足够的血管(动脉和静脉)能够通过瘘管提供满意的血液流动,因此导管是唯一的选择。目的-设计:功能良好的导管是提供高质量间隙的先决条件。在本研究中,每月进行一次导管通畅控制。如果血供保持高(至少>300 ml/min),则认为导管功能良好。参与者-结果:本研究检查了34例患者(19F, 15M)永久性透析导管的通畅。所有病例(100%)的导管存活率都很好,血供至少>300 ml/min,持续17个月。75%的导管维持20个月的良好血供,6根导管维持25个月的良好功能,至今仍能令人满意地继续使用。结论:与文献中其他研究者相比,本研究发现控制永久透析导管通畅的方法简单有效,可及时发现故障,使用效果令人满意。
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引用次数: 0
Patient satisfaction from the ‘Agioi Anargiroi’ home health care service 患者对“Agioi Anargiroi”家庭保健服务的满意度
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202231
Athina Delidaki, Evaggelos Mittas, Sophia Georgosopoulou, Efstratios Tselas, P. Galanis, A. Kalokairinou, M. Giannakopoulou, T. Adamakidou
Introduction: Measuring patient satisfaction within a healthcare system is a useful tool for better planning as well as improving the services provided.Aim: Investigation of user’s satisfaction from the home health care service of General Oncology Hospital of Kifisia ‘Agioi Anargiroi’.Methods: A cross-sectional study was conducted. The sample included users of the ‘Agioi Anargiroi’ Hospital home health care service, from October 2017 to March 2018. The questionnaire included the Home Care Client Satisfaction Instrument-Revised (HCCSI-R) for assessing user satisfaction as well as the socio-demographic and clinical characteristics of the participants. The statistical program SPSS v.21 was used for data analysis. The significance level of the study was set at p≤0.05.Results: The sample consisted of 121 users of the home health care service. 62.4% were female, 69.8% were older than 70 years old, 71.1% had a cancer diagnosis, 46.6% were receiving care for a period of 6 months, 38.7% had a home visit once every 15 days while their children were the informal caregivers of 58.4%. The mean score of the three questions of overall satisfaction was 9.49 in a 10-point Likert scale. The mean scoreof questions about satisfaction with staff behavior, attitudes and skills as well as the home care organization was 56.53 (maximum 60). In univariate analysis, the time period that users were receiving care by the service as well as care by their children, were both found to be related to the overall care satisfaction (p<0.001 and p=0.03 respectively) and the likelihood to recommend the home health care service to others (p<0.001 andp=0.03 respectively).The time period during which users were receiving care by the service was found to be positively related to the service’s ability to meet their expectations (p<0.001).Conclusions: Users of home health care nursing services are highly satisfied with the services provided. Health policies should focus on developing and supporting home health care services as well as staff and informal caregivers.
简介:在医疗保健系统内测量患者满意度是一个有用的工具,可以更好地规划和改善所提供的服务。目的:调查基菲希亚肿瘤综合医院家庭保健服务的用户满意度。方法:采用横断面研究。样本包括2017年10月至2018年3月期间“Agioi Anargiroi”医院家庭医疗保健服务的用户。问卷包括家庭护理客户满意度量表(HCCSI-R),用于评估使用者满意度以及参与者的社会人口统计学和临床特征。采用SPSS v.21统计软件进行数据分析。本研究的显著性水平设为p≤0.05。结果:样本包括121名家庭保健服务使用者。62.4%为女性,69.8%年龄在70岁以上,71.1%患有癌症,46.6%接受6个月的护理,38.7%每15天进行一次家访,其中58.4%的儿童是非正式照顾者。整体满意度三个问题的平均得分为9.49分(李克特10分制)。对员工行为、态度、技能和家庭护理机构满意度的平均得分为56.53分(最高60分)。在单变量分析中,使用者接受护理服务的时间和其子女的护理都与整体护理满意度(p<0.001和p=0.03)和向他人推荐家庭保健服务的可能性相关(p<0.001和p=0.03)。用户接受服务的时间周期与服务满足他们期望的能力呈正相关(p<0.001)。结论:家庭保健护理服务的使用者对所提供的服务满意度较高。卫生政策应侧重于发展和支持家庭保健服务以及工作人员和非正式护理人员。
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引用次数: 0
The contribution of music to health promotion and the creation of a therapeutic environment in the community 音乐对促进健康和在社区创造治疗环境的贡献
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202232
Andriana Stathopoulou, Anna Kavga, Evridiki Kampa, G. Fasoi
Introduction: The value of art, and especially music, can potentially approach a person in a multifaceted way and make a significant contribution to maintaining his or her health by acquiring through this interaction a decisive role in promoting health.Aim: The aim of this study was to investigate the use of music for community health screening and the degree of reinforcement of socio-emotional trust that it can build, contributing effectively to the work of the nurse.Methodology: A quantitative study was carried out with a feasibility sampling of people visiting two different institutions in Attica and suffering from mild or severe mental disorder. The sample size was 120 (N = 120) with a response rate of 80%. An anonymous, structured, self-completed questionnaire was used to collect the data. The validity and reliability of the test was tested by a pilot study involving 20 subjects (N = 20).Results: Music has emerged as an important health factor for the individual without even requiring specific knowledge as it is inherent in man. Its versatile and multi-dimensional character is confirmed, and it helps the individual to manage various difficulties and gain a positive attitude in life. Its potential seems to bestrengthened and its effectiveness enhanced through the team and the group experience.Conclusions: The present study shows that music hides a unique power and with its proper utilization offers multiple benefits to the individual. The simplicity of its implementation enables it to be used effectively in community nursing interventions and in other areas of health care while promoting public health.
艺术的价值,尤其是音乐,可以潜在地以多方面的方式接近一个人,并通过这种互动在促进健康方面获得决定性的作用,对维持他或她的健康做出重大贡献。目的:本研究的目的是调查音乐在社区健康筛查中的使用,以及它可以建立的社会情感信任的强化程度,从而有效地促进护士的工作。方法:对在阿提卡两家不同机构就诊并患有轻度或重度精神障碍的人进行了可行性抽样,进行了定量研究。样本量为120例(N = 120),应答率为80%。采用匿名、结构化、自我完成的问卷来收集数据。通过20名被试(N = 20)的初步研究,检验了测试的效度和信度。结果:音乐已经成为一个重要的个人健康因素,甚至不需要特定的知识,因为它是人类固有的。它的多功能性和多维性得到了肯定,它帮助个人管理各种困难,获得积极的生活态度。通过团队和团体的经验,它的潜力似乎得到了加强,它的有效性得到了提高。结论:目前的研究表明,音乐隐藏着一种独特的力量,如果使用得当,它会给个人带来多重好处。由于实施简单,它能够有效地用于社区护理干预和其他保健领域,同时促进公共卫生。
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引用次数: 0
Perceptions, knowledge and training needs of health professionals regarding their preparedness for crisis and mass disasters: a descriptive review 卫生专业人员对危机和大规模灾害的防范的认识、知识和培训需求:描述性审查
Pub Date : 2022-07-01 DOI: 10.24283/hjns.202236
Mirsini Spireli
Introduction: In recent years, the incidents of mass disasters have increased in intensity and frequency, with a great impact both on society as a whole and on the operation of health services. Health professionals have an important role in their treatment. However, their perceptions, knowledge and educational needs, regarding their preparedness in a critical situation, are not fully clarified.Purpose: The purpose of this review was to investigate the perceptions, knowledge and educational needs regarding the preparedness of health professionals in the face of mass disasters.Method: A complex search of the literature regarding crisis and emergency management by healthcare personnel was conducted between November 2018 and July 2020 in the online databases Pubmed, Medline, Cochrane Library, Google Scholar and the National Archive of Doctoral Dissertations. Inclusion criteria were the English and Greek language and the period of publication of the articles (from the year 2000 onwards). In addition, the studies should include only health professionals. Exclusion criteria were: the exclusive focus of the subject on vulnerable groups. Ultimately 20 studies were included in the review.Results: The level of knowledge regarding the position and role of each health specialty in the event of a crisis or mass disaster, and therefore regarding the preparedness of health professionals, was found to be satisfactory. In many cases the frequent occurrence of catastrophic events in certain areas has led to the development of the level of preparedness of health personnel and contributed to better planning. However,there were recorded gaps in knowledge regarding the psychological support of victims and as a result there were formulated needs for further training, with specific simulation scenarios for health professionals.Conclusions: Health professionals have increased needs for training and education in dealing with crises and mass disasters. Designing and monitoring appropriate training programs will improve their preparedness and effectiveness in such situations.
导言:近年来,群体性灾害事件的强度和频率都有所增加,对整个社会和卫生服务的运作都产生了很大的影响。卫生专业人员在治疗中发挥着重要作用。然而,他们的观念、知识和教育需要,关于他们在危急情况下的准备,没有得到充分澄清。目的:本综述的目的是调查卫生专业人员在面对大规模灾害时的防范观念、知识和教育需求。方法:在2018年11月至2020年7月期间,在Pubmed、Medline、Cochrane图书馆、Google Scholar和美国国家博士论文档案馆等在线数据库中,对卫生保健人员危机和应急管理相关文献进行复杂检索。纳入标准是英语和希腊语以及文章的出版时间(从2000年起)。此外,这些研究应该只包括卫生专业人员。排除标准是:专题只关注弱势群体。最终有20项研究被纳入综述。结果:在危机或大规模灾难事件中,每个卫生专业的位置和作用的知识水平,因此,关于卫生专业人员的准备,被发现是令人满意的。在许多情况下,某些地区经常发生灾难性事件,从而提高了保健人员的防备水平,并有助于改进规划。然而,在受害者心理支持方面的知识存在差距,因此制定了进一步培训的需要,并为保健专业人员提供了具体的模拟情景。结论:卫生专业人员在处理危机和大规模灾害方面对培训和教育的需求增加。设计和监督适当的培训计划将提高他们在这种情况下的准备和有效性。
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引用次数: 0
The difference of the quality of life between formal/professional and informal/nonprofessional caregivers to patients with Alzheimer’s disease 正式/专业护理人员与非正式/非专业护理人员对老年痴呆症患者生活质量的差异
Pub Date : 2022-06-01 DOI: 10.24283/hjns.202225
Foteini Karathanou, Konstantina Sklavou
Introduction: Patients with Alzheimer display a combination of cognitive, behavioral and functional symptoms. These symptoms are individual and depends on the disease from the disease stage. Managing these symptoms imposes significant burden on both patients and caregivers.Aim of the study: The primary aim of this study is to explore the difference of the quality of life between formal/professional and informal/non-professional caregivers to patients with Alzheimer’s disease.Methodology: A review study of literature of research and review studies related to quality of life, depression, burden inventory of formal/professional and informal/nonprofessional caregivers to patients with Alzheimer’s disease.Results: The quality of life of formal/professional caregivers is mainly affected by the physical fatigue that they feel and the decreasing of cognitive and functional status that patients with Alzheimer’s disease display while, informal/non-professional caregivers affected by the sentimental and economic burden that they accept.Conclusions: Identifying all the variables that affect negatively the quality of life, especially for the informal/ non-professional caregivers, can be obtain all the appropriate measures for minimize the burden, in order to improve caregiver’s quality of life and the quality of care that patients with Alzheimer’s disease receive as well
简介:显示老年痴呆症患者认知、行为和功能性症状。这些症状是个体的,取决于疾病的阶段。管理这些症状对患者和护理人员都造成了重大负担。研究目的:本研究的主要目的是探讨正式/专业护理人员与非正式/非专业护理人员对阿尔茨海默病患者生活质量的差异。方法:回顾性研究正式/专业和非正式/非专业护理人员对阿尔茨海默病患者的生活质量、抑郁、负担清单的相关研究文献。结果:正式/专业照顾者的生活质量主要受其身体疲劳感和阿尔茨海默病患者认知功能状态下降的影响,而非正式/非专业照顾者的生活质量主要受其接受的情感负担和经济负担的影响。结论:识别所有影响生活质量的负面变量,特别是非正式/非专业照顾者,可以获得所有适当的措施,以减少负担,以提高照顾者的生活质量和阿尔茨海默病患者的护理质量
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引用次数: 0
Quality of life in patients with acute myocardial infarction who have undergone percutaneous coronary intervention as a therapeutic intervention - Literature Review 经皮冠状动脉介入治疗对急性心肌梗死患者生活质量的影响——文献综述
Pub Date : 2022-06-01 DOI: 10.24283/hjns.202226
Karavalaki Panagiota, S. Tsironi, T. Katsoulas
Introduction: Percutaneous Coronary Intervention is a low-risk invasive treatment for patients with acute myocardial infarction which appears to improve their quality of life.Purpose: This bibliographic review presents all the available studies published from 2000-2019 in patients with acute myocardial infarction who have undergone Percutaneous Coronary Intervention (PCI).Conclusions: Improvement in quality of life of patients after PCI was observed at 6 and 12 months follow-up. Assessing patients’ quality of life after PCI is an important step towards a holistic approach. It is recommended health educational programs to be carried out and ongoing assessment of the quality of life of patients who have undergone PCI to be incorporated by the health care staff in their daily practice.
简介:经皮冠状动脉介入治疗是急性心肌梗死患者的一种低风险的侵入性治疗方法,可以改善患者的生活质量。目的:本文献回顾了2000-2019年发表的所有关于急性心肌梗死患者经皮冠状动脉介入治疗(PCI)的研究。结论:随访6个月和12个月观察到PCI术后患者生活质量的改善。评估PCI术后患者的生活质量是迈向整体治疗的重要一步。建议开展健康教育项目,并将对行PCI患者的生活质量进行持续评估纳入医护人员的日常工作中。
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引用次数: 0
Αλγόριθμος ελέγχου ασφαλείας χειρουργικού ασθενή σε ελληνικό δημόσιο νοσοκομείο
Pub Date : 2022-06-01 DOI: 10.24283/hjns.202221
Νικόλαος Πολίτης
Εισαγωγή: Η Λίστα Ελέγχου χειρουργικής ασφάλειας του Παγκόσμιου Οργανισμού Υγείας εφαρμόζεται σε χειρουργικές επεμβάσεις παγκοσμίως, σε μία προσπάθεια να μειωθούν οι ανεπιθύμητες μετεγχειρητικές επιπλοκές. Η εφαρμογή του συγκεκριμένου εργαλείου βελτιώνει το επίπεδο ασφάλειας και ποιότητας των υπηρεσιών που παρέχονται στο χειρουργείο. Ακόμα, ενισχύει την κουλτούρα ασφάλειας μεταξύ του προσωπικού κατά τη διάρκεια της χειρουργικής επέμβασης και μειώνει τη συχνότητα εμφάνισης μετεγχειρητικών επιπλοκών.Σκοπός: Ο γενικός στόχος της μελέτης ήταν να διερευνηθεί η συμβολή της Λίστας Ελέγχου ως προς την κουλτούρα ασφάλειας, τη μείωση των μετεγχειρητικών επιπλοκών και τη μετεγχειρητική πορεία των ασθενών.Υλικό και μέθοδος: Πρόκειται για μία μη πειραματική συγχρονική μελέτη που αφορά την εφαρμογή της Λίστας Ελέγχου χειρουργικής ασφάλειας την χρονική περίοδο πριν, κατά και μετά τη διάρκεια των χειρουργικών επεμβάσεων σε Ελληνικό δημόσιο νοσηλευτικό ίδρυμα, για να διαπιστωθεί αν συμβάλλει στη μείωση των μετεγχειρητικών επιπλοκών. Πραγματοποιήθηκαν 312 χειρουργικές επεμβάσεις και η Λίστα Ελέγχου εφαρμόστηκε σε 155 (49,7%). Χρησιμοποιήθηκαν περιγραφικά στατιστικά στοιχεία και σχεδιάστηκαν πίνακες συχνότητας για τα γενικά χαρακτηριστικά του δείγματος.Αποτελέσματα: Από τους 312 ασθενείς που συμμετείχαν στη μελέτη, οι 115 (36,9%) ήταν άντρες και οι 197 (63,1%) γυναίκες. Η πλειονότητα των συμμετεχόντων ανήκε στην ηλικιακή ομάδα 65-74 ετών και ακολουθούσε η ηλικιακή ομάδα 55-64 ετών. Το συνολικό ποσοστό των επιπλοκών που καταγράφηκε ήταν 7/312 (2,2%). Το ποσοστό των επιπλοκών για τις χειρουργικές επεμβάσεις που εφαρμόστηκε η Λίστα Ελέγχου ήταν 0/155 (0%), ενώ σε όσες δεν εφαρμόστηκε ήταν 7/157 (4,5%). Το συνολικό ποσοστό θνησιμότητας ήταν 1/312 (0,3%). Βρέθηκε στατιστικά σημαντική σχέση (P<0,05) κατά τη σύγκριση των μετεγχειρητικών επιπλοκών μεταξύ των δύο ομάδων, πριν και μετά την εφαρμογή της Λίστας Ελέγχου.Συμπεράσματα: Η εφαρμογή της Λίστας Ελέγχου σχετίζεται με τη μείωση των μετεγχειρητικών επιπλοκών και το φαινόμενο αυτό φαίνεται να είναι μεγαλύτερο στις αναπτυσσόμενες χώρες. Η χρήση της Λίστας Ελέγχου συμβάλλει σημαντικά στη βελτίωση της ποιότητας και της ασφάλειας των χειρουργικών επεμβάσεων, με αποτέλεσμα λιγότερες μετεγχειρητικές επιπλοκές. Ακόμα, παρατηρήθηκε βελτίωση όσον αφορά το εργασιακό κλίμα, την επικοινωνία και την αποτελεσματικότητα της ομάδας.Λέξεις Κλειδιά: Λίστα Ελέγχου χειρουργικής ασφάλειας, μετεγχειρητικές επιπλοκές, Παγκόσμιος Οργανισμός Υγείας
导言:世界卫生组织的 "外科手术安全核对表 "适用于世界各地的外科手术,旨在减少不良的术后并发症。该工具的实施提高了手术室的安全水平和服务质量。目的:本研究的总体目标是调查核对表在安全文化、减少术后并发症和术后患者预后方面的贡献。材料与方法:这是一项非实验性同步研究,研究对象是希腊一家公立医院在手术前、手术中和手术后实施手术安全核对表的情况,以确定该核对表是否有助于减少术后并发症。共进行了 312 例手术,其中 155 例(占 49.7%)使用了检查表,对样本的一般特征进行了描述性统计并设计了频率表:在312名参与研究的患者中,115名(36.9%)为男性,197名(63.1%)为女性。大多数参与者属于 65-74 岁年龄组,其次是 55-64 岁年龄组。所记录的总体并发症发生率为 7/312(2.2%),其中使用核对表的手术并发症发生率为 0/155(0%),而未使用核对表的手术并发症发生率为 7/157(4.5%)。比较两组患者在使用核对表前后的术后并发症,发现两者之间存在显著的统计学关系(P<0.05):结论:核对表的实施与术后并发症的减少有关,在发展中国家这种影响似乎更大。核对表的使用大大有助于提高外科手术的质量和安全性,从而减少术后并发症。此外,在工作氛围、沟通和团队效率方面也有所改善:手术安全核对表、术后并发症、世界卫生组织
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Hellenic Journal of Nursing Science
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