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Nurse's Leadership Challenges in Primary Health Care: A Focus Group Analysis in Albania 护士的领导挑战在初级卫生保健:焦点小组分析在阿尔巴尼亚
Pub Date : 2023-05-02 DOI: 10.18662/eejmhb/6.1/35
F. Kamberi, Sajmira Adëraj
For health and care systems to succeed in the future, primary head nurses must demonstrate leadership. A focus group discussion was used to assess the primary head nurses' leadership abilities in 2022 in Albania. The focus group was composed of 12 primary head health care nurses, two men and ten women, with a mean age of 40 ± (SD) years old. Eight participants were charged with the duty of head nurse for more than five years, while seven participants were in the position of paid head nurse for more than five years. The majority of nurses reported they lack a clearly defined, written job description relevant to the position. Additionally, they stated that they lacked a reference work plan based on which to organize and coordinate the associated healthcare service activities. Participants indicated that the role of the head nurse in daily practice is more focused on the work as a service nurse than as a head nurse. The majority of nurses reported having never received training expressly related to their role as head nurses. The most crucial aspects of the head nurse position were efficient planning and organization of work, vaccination, infrastructure improvement, and the effective use of human resources. The results of this study can be used by head nurses in primary healthcare settings to address and deal with problems in their leadership roles. The findings can also be used by policymakers when developing new regulations or guidelines for nursing leadership competencies. In addition to functioning in a crisis situation, nurse leaders have to demonstrate their capacity for effective leadership and transparent communication. In this regard, training is recommended.
为了使卫生和保健系统在未来取得成功,初级护士长必须表现出领导能力。采用焦点小组讨论的方法对2022年阿尔巴尼亚初级护士长的领导能力进行评估。焦点组由12名基层护士长组成,男2名,女10名,平均年龄40±(SD)岁。8名参加者担任护士长职务超过5年,7名参加者担任带薪护士长职务超过5年。大多数护士报告说,他们缺乏与该职位相关的明确定义的书面工作描述。此外,他们表示,他们缺乏一个参考工作计划来组织和协调相关的医疗保健服务活动。与会者表示,护士长在日常实践中的角色更侧重于作为服务护士而不是护士长的工作。大多数护士报告从未接受过与护士长角色明确相关的培训。护士长职位最重要的方面是有效的工作规划和组织、疫苗接种、基础设施改善和有效利用人力资源。本研究结果可用于初级卫生保健机构的护士长解决和处理其领导角色中的问题。研究结果也可用于政策制定者制定护理领导能力的新法规或指导方针。除了在危机情况下发挥作用外,护士领导还必须展示其有效领导和透明沟通的能力。在这方面,建议进行培训。
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引用次数: 0
The Role of Health Education in Healthy Eating Habits During the Quarantine from the COVID-19 Pandemic in Albania 阿尔巴尼亚新冠肺炎疫情隔离期间健康教育在健康饮食习惯中的作用
Pub Date : 2023-05-02 DOI: 10.18662/eejmhb/6.1/36
Brunilda Subashi
Introduction: Health education is the strongest tool we have, because through it, it is possible to build a new positive relationship towards knowledge and food habits and also prevent potential health problems and chronic diseases related to nutrition.Purpose: Evaluation of the role of health education in Albania, through the comparison of healthy eating habits before and after health education.Methods: This is a Comparative Effectiveness Research, conducted in Albania, predominantly in the City of Vlora, during May-July 2020, using AFQPHALS, a survey that was distributed through social media, and was completed by 545 adult subjects.Results: The City of Vlora constitutes 55% of the sample; women were 75%, and aged 30± 11.5 years.Regarding the comparison of the studies before and after the education, it turned out that after the health education on healthy nutrition, the percentage of all food groups increased consumption of: 4 meals from 19% to 36%; breakfast every day from 50% to 90%; dinner every day from 43% to 66%; homemade food 7 or more servings per week from 45% to 56%; 3 servings of fruit per day from 13% to 15%; 2 servings of vegetables per day from 17% to 28%; drink water or liquids 4 or more glasses per day from 46% to 60%. The consumption of meat, fish, eggs, dairy products and cereals has also increased.Conclusions: Health education on healthy nutrition has had a positive impact on improving knowledge and food habits in the community for a short period of time.
导言:健康教育是我们拥有的最有力的工具,因为通过它,我们可以在知识和饮食习惯之间建立一种新的积极关系,并预防与营养有关的潜在健康问题和慢性疾病。目的:通过健康教育前后健康饮食习惯的比较,评价阿尔巴尼亚健康教育的作用。方法:这是一项比较有效性研究,于2020年5月至7月在阿尔巴尼亚主要在vora市进行,使用AFQPHALS,一项通过社交媒体分发的调查,由545名成人受试者完成。结果:弗拉纳市占样本的55%;女性占75%,年龄30±11.5岁。对比教育前后的研究结果发现,健康营养健康教育后,各食物组食用:4餐的比例由19%提高到36%;每天早餐从50%到90%;每天晚餐从43%增加到66%;每周自制食物7次或以上,从45%增至56%;每天三份水果,从13%到15%;每天两份蔬菜从17%到28%;每天喝4杯或更多的水或液体,从46%到60%。肉类、鱼类、蛋类、乳制品和谷物的消费量也有所增加。结论:健康营养健康教育在短期内对提高社区健康知识和饮食习惯产生了积极影响。
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引用次数: 0
Expression of Hostility - Basis of Passive Aggressive Behavior. Correlational Study 敌意的表达——被动攻击行为的基础。相关性研究
Pub Date : 2023-05-02 DOI: 10.18662/eejmhb/6.1/34
G. Corcaci
Debating the existence and nature of a series of personality disorders, this study revolves around one of the most controversial of them, this being the passive-aggressive personality disorder. The history of its conceptualization is nuanced and complicated, this determining frequent changes in the disorder’s structure and objectiveness. The purpose of this paper is to observe if there are any connections between the passive-aggressiveness, hostility and age. For this scope, there were being used two instruments, which are The Hostility Scale and the Existential Attitudes Questionnaire. Analyzing the results, it was once again showed that passive-aggressiveness cannot be correlated with variables such as the hostility levels or the age of an individual, this once named disorder remaining as difficult to interpret as it was before the decision of erasing it from the “Diagnostic and Statistical Manual of Mental Disorders” (2013).
讨论一系列人格障碍的存在和本质,本研究围绕其中最具争议的一个,即被动攻击型人格障碍展开。其概念化的历史是微妙而复杂的,这决定了紊乱的结构和客观性的频繁变化。本文的目的是观察被动攻击、敌意和年龄之间是否存在联系。在这个范围内,使用了两种工具,即敌意量表和存在态度问卷。分析结果,它再次表明,被动攻击不能与诸如敌意水平或个人年龄等变量相关,这种曾经被命名为疾病的疾病仍然难以解释,就像在决定将其从“精神疾病诊断与统计手册”(2013)中删除之前一样。
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引用次数: 0
Determining The Health Literacy Level in Turkish Republic of Northern Cyprus (TRNC) 确定北塞浦路斯土耳其共和国的卫生知识普及水平
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/31
A. Tatar, B. Demir
Health literacy is one of the areas most affected by advances in information technologies. The desperation of states around the world in the COVID-19 epidemic that emerged in early 2020 has increased the importance of the issue further. The problems faced by states in preventing the spread of the epidemic and directing their citizens make it necessary for people to increase their awareness of health issues. In this research, it is aimed to determine the health literacy levels of individuals living in the TRNC. In this context, 32-item health literacy scale (Turkey Health Literacy Scale-32) developed by Okyay, Abacıgil and Hagan (2013) was used. Data from 203 subjects in the study were collected and subjected to analysis. As a result of the analysis of the data, it was determined that the overall score increase for health literacy was 3.71 out of 5 (74 out of 100), the participants were in the "adequate" class in the assessment of health-related information and in the "excellent" class in other dimensions. While the level of health literacy did not differ depending on gender, marital status and the mode of action exhibited in the state of being ill, it was concluded that there was a statistically significant difference depending on the importance given to healthy nutrition and sports/exercise and satisfaction with health services.
卫生知识普及是受信息技术进步影响最大的领域之一。世界各国对2020年初出现的COVID-19疫情的绝望进一步增加了这一问题的重要性。各国在预防这一流行病蔓延和指导其公民方面面临的问题使人们有必要提高对健康问题的认识。在这项研究中,它的目的是确定生活在TRNC个人的健康素养水平。本研究采用Okyay、Abacıgil和Hagan(2013)开发的32项健康素养量表(Turkey health literacy scale -32)。本研究收集了203名受试者的数据并进行了分析。对数据进行分析后,确定卫生知识普及的总体得分提高了3.71分(满分为5分),参与者在健康相关信息评估方面属于“适当”级,在其他方面属于“优秀”级。虽然卫生知识普及水平没有因性别、婚姻状况和患病时表现出的行动方式而异,但得出的结论是,根据对健康营养和运动/锻炼的重视程度以及对保健服务的满意度,在统计上存在显著差异。
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引用次数: 0
Attraction and Decision in Choosing a Spouse 选择配偶的吸引力和决定
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/33
I. Apostu
The choice of ones partner plays an important role on the functionality of the couple, on the degree of cohesion and on the chances of stability. Theoretically, the choice of the conjugal partner in the contemporary space is a free one, not conditioned by families, material transactions or other types of strategies, that exclude the will of the partners. However, a series of cultural elements assimilated by individuals in their social environments consistently mark their influence in this selection process. Today, the most common criterion regarding the selection of the conjugal partner is that related to homogamy, therefore, the free choice must be understood as a composition with different weights, built from cultural assimilations from the community where the conjugal partner became socialized him and which holds subjective elements specific to personal ideals. However, the contemporary space offers the premise of a rethinking of the homogamic principle, its borders being resized and, at the same time, reassembled in a much freer manner. If once upon a time, spatial and cultural proximity influenced the decisions of choosing a spouse, today, virtual space offers the individual the possibility of constructing criteria with a triple advantage: the possibility of choice, independent of the general norm of the cultural community, the unlimited expansion of proximity, the cancellation or reduction of the reference of the community censorship. Today, individuals no longer reproduce the marital functionality learned in their families of origin. Young people build new relationships that correspond to personal ideals and this type of new attitudes increasingly stimulate relational individualism and, by extension, another type of society, that will reduce to a minimum the old claims of social conformity.
伴侣的选择对夫妻关系的功能、凝聚力的程度和稳定的机会都起着重要的作用。从理论上讲,在当代空间中,配偶的选择是自由的,不受家庭、物质交易或其他类型的策略的限制,这些策略排除了伴侣的意愿。然而,个人在其社会环境中所吸收的一系列文化因素始终标志着它们在这一选择过程中的影响。今天,关于选择配偶的最常见的标准是与同性婚姻有关的标准,因此,自由选择必须被理解为具有不同权重的组合,建立在配偶成为社会化他的社区的文化同化之上,其中包含个人理想的主观因素。然而,当代空间提供了重新思考同质原则的前提,它的边界被重新调整,同时以更自由的方式重新组合。如果说曾经是空间和文化上的接近性影响着人们选择配偶的决定,那么今天,虚拟空间为个人提供了构建标准的可能性,它具有三重优势:独立于文化共同体一般规范的选择可能性、接近性的无限扩展、共同体审查参考的取消或减少。今天,个体不再复制从原生家庭中学到的婚姻功能。年轻人建立符合个人理想的新关系,这种新态度日益刺激关系个人主义,并引申为另一种类型的社会,它将把社会一致性的旧要求减少到最低限度。
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引用次数: 0
Assessment of Quality of Life in Patients with Lower Limb Amputation after Work Accidents 工伤事故后下肢截肢患者的生活质量评价
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/30
Vlad theodor Cotrobas dascalu, Marius Stoica, A. Dreve
Amputation is the intentional removal, by surgery, of a limb segment or part of the body. By increasing the degree of urbanization and automation around the world, accidents are the most important cause of morbidity and mortality. Lower limb amputation is a life-changing event and has an impact on functional, work, social and recreational activities. Amputation can lead people to lose self-esteem, independence and work. Quality of life it is as a wide range of human experiences related to one's general well-being. For the specific psychosocial and functional testing of people who have undergone an amputation TAPES is more frequently used. The study included 7 patients with amputation of lower limbs, prostheses, who underwent unilateral or bilateral amputation of traumatic genesis at work. Patients filled in the Trinity Amputation and Prosthesis Experience questionnaire in order to estimate quality of life and Rosenberg scale to assess self-esteem. The adaptation to wearing the prosthesis is reported by 71.42% and more than 50% of the subjects are satisfied with their prosthesis. The factors with the greatest impact on functional abilities proved to be: the level of amputation, the duration of living with the amputation limb, the presence of other pathologies and psycho-emotional status. Medical rehabilitation programs improve the functional and psycho-emotional abilities of patients with lower limb amputations.
截肢是指通过手术故意切除肢体或身体的一部分。随着世界各地城市化和自动化程度的提高,事故成为发病率和死亡率的最重要原因。下肢截肢是一个改变生活的事件,对功能、工作、社会和娱乐活动都有影响。截肢会导致人们失去自尊、独立和工作。生活质量是与一个人的总体幸福相关的广泛的人类体验。对于截肢者的特定社会心理和功能测试,更常使用磁带。本研究包括7例因工作创伤而行单侧或双侧截肢的下肢假体截肢患者。患者填写Trinity截肢假体体验问卷评估生活质量,Rosenberg量表评估自尊。71.42%的受试者报告对佩戴义肢的适应性,超过50%的受试者对他们的义肢感到满意。对功能能力影响最大的因素是:截肢程度、断肢生活时间、是否存在其他病理和心理情绪状态。医学康复方案可改善下肢截肢患者的功能和心理情绪能力。
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引用次数: 0
Early Carotid Endarterectomy for Symptomatic Internal Carotid Artery Stenosis in the Acute Ischemic Stroke 急性缺血性脑卒中症状性颈内动脉狭窄的早期颈动脉内膜切除术
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/28
A. Bodiu, A. Peciul, V. Tcaci, D. Ropot
Objective: To research the results of the microsurgical treatment of symptomatic internal carotid artery stenosis by Carotid Endarterectomy in the acute period of a stroke that were performed in the Neurosurgery Department of IMSP IMU.Materials and Methods: A retrospective data collection was conducted on all consecutive patients  surgically treated for an extra-cranial internal carotid artery (ICA) hemodynamic  stenosis in the Neurosurgery Department of the Emergency Medicine Institute,in Chisinau (Rebublic of Moldova),between February 2019 and March 2021.All patients undergoing ICA endarterectomy for symptomatic carotid stenosis (SCS) within 48 hours and 14 days after the acute neurologic onset were included in the present study.Outcomes were evaluated by a prospective follow-up. Primary outcomes were the rate of postoperative ipsilateral stroke, myocardial infarction (MI), peripheral nerve injury, hematoma in the operating area and death.Secondary outcomes were the rate of local and systemic complications.The results were stratified according NIHSS score and comorbidities 30 days after surgery,and a multivariate analysis were performed in order to define any correlation between preoperative data and postoperative outcomes.Results: A total of 40 patients (10 %, n 4 bilateral and 90%, n 36 unilateral) underwent carotid endarterectomy (CEA) for hemodynamically significant ICA stenosis. According to inclusion criteria (22% women  vs 78% men; median age 64 years, range: 54-76; median preoperative NIHSS score 4, range 0-18) all patients affected by SCS were enrolled in the present study. Median delay for surgery was 6 days (range: 2-14).During in-hospital post-operative period the combined death/stroke/MI rate was 0%.In-hospital NIHSS score improved post-operatively of more than 2 points (range 0-12) in 45.7% of cases.Microsurgical CEA is accompanied,in most cases by the regression of neurological symptoms and it is not correlated with the increased risk for a hemorrhagic transformation.No local and systemic complications were registered.The stratification of outcomes according to NIHSS status, sex, comorbidities did not show any statistical relation neither at 30 days nor at the long term-follow up.Conclusion: In properly selected patients with a SCS, affected by an acute ischemic stroke, early carotid endarterectomy can be performed without any complications or worsening of neurological status in comparison with similar cases in a longer period after a stroke.
目的:探讨在IMSP IMU神经外科行颈动脉内膜切除术治疗脑卒中急性期症状性颈内动脉狭窄的显微手术效果。材料和方法:对2019年2月至2021年3月期间在基希讷乌(摩尔多瓦共和国)急诊医学研究所神经外科接受颅外颈内动脉(ICA)血流动力学狭窄手术治疗的所有连续患者进行回顾性数据收集。所有因症状性颈动脉狭窄(SCS)在急性神经系统发病后48小时和14天内行ICA动脉内膜切除术的患者均纳入本研究。通过前瞻性随访评估结果。主要观察指标为术后同侧卒中发生率、心肌梗死发生率、周围神经损伤发生率、手术区血肿发生率和死亡发生率。次要结果是局部和全身并发症的发生率。根据NIHSS评分和术后30天的合并症对结果进行分层,并进行多因素分析,以确定术前数据与术后结果之间的相关性。结果:共有40例患者(10%,4例双侧,90%,36例单侧)因血流动力学显著的颈动脉狭窄行颈动脉内膜切除术(CEA)。根据纳入标准(22%女性vs 78%男性;中位年龄64岁,范围:54-76岁;术前NIHSS评分中位数为4分(范围0-18),所有受SCS影响的患者均纳入本研究。手术延迟中位数为6天(范围:2-14天)。术后住院期间死亡/卒中/心肌梗死合并率为0%。45.7%的患者术后院内NIHSS评分提高2分以上(0 ~ 12分)。显微外科CEA在大多数情况下伴有神经症状的消退,与出血转化的风险增加无关。无局部及全身并发症。根据NIHSS状态、性别、合并症对结果进行分层,无论在30天还是在长期随访中,均未显示出任何统计学关系。结论:与卒中后较长时间的类似病例相比,在适当选择的SCS患者中,早期行颈动脉内膜切除术可无并发症或神经系统状况恶化。
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引用次数: 0
Ethics of Care as a Legitimizing Structure from the Perspective of Transhumanism 从超人类主义视角看护理伦理的合法化结构
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/32
Loredana Terec-Vlad
Postmodern ethics precisely regulate the actions of the postmodern individual. Unlike modern ethics, that have an imperative character, postmodern ethics are constructed and adapted to a changing society, in the context of the ever-accelerating development of technology and the transhumanist proposals for bioimprovement. Thus, postmodern ethics propose a set of norms intended to contribute to the creation and shaping of desirable behavior in the current socio-cultural context. The analysis of postmodern ethics in this paper is made due to the fact that a number of proposals, such as transhumanist ones, are controversial and are intensely debated in scientific communities. An example in this sense is given by Julian Săvulescu, in the article "Deaf lesbians «designer disability», and the future of medicine", which raises a series of questions regarding bioimprovement and what the use of new technologies in order to create disabilities entails.
后现代伦理学精确地规范了后现代个人的行为。与具有命令性的现代伦理学不同,后现代伦理学是在技术不断加速发展和生物改良的超人类主义建议的背景下构建和适应不断变化的社会的。因此,后现代伦理学提出了一套规范,旨在促进当前社会文化背景下理想行为的创造和塑造。本文之所以对后现代伦理学进行分析,是因为一些建议,如超人类主义的建议,在科学界存在争议和激烈的争论。Julian surivulescu在文章《失聪女同性恋«设计残疾»和医学的未来》中给出了这方面的一个例子,这篇文章提出了一系列关于生物改良和使用新技术来制造残疾的问题。
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引用次数: 0
Skin Manifestations of COVID-19 COVID-19的皮肤表现
Pub Date : 2022-08-26 DOI: 10.18662/eejmhb/5.1/29
Silda Caushaj
Coronavirus-19 (COVID-19) is an ongoing global pandemic, which was isolated for the first time in Wuhan (China), in December 2019. Although this virus is most well known for causing respiratory pathologies, in medical practice, there are being reported more cases with heterogenous cutaneous presentations. These lesions manifest at various times in relation to COVID-19 symptoms, which may indicate whether the lesions are virus-induced or are delayed immunological responses to the infection. The main purpose of this study is to evaluate the distribution, types, and highest skin manifestations of Covid-19. Finding the potential link between Covid-19 and cutaneous manifestations may help to understand the pathogenesis and best policies in disease control. The pathophysiology of these lesions remains under study and still unclear. To achieve this goal, a transversal study was conducted on the population, the period March 1, 2021, to July 16, 2021. Out of 205 suspected / laboratory-confirmed people, there were 13 people with cutaneous signs, of which 13 were female and 9 were male. The most common morphological form was morbilliform rash, chicken-pox-like vesicles, and urticarial rash.
冠状病毒-19 (COVID-19)是一种持续的全球大流行,于2019年12月在中国武汉首次被分离出来。虽然这种病毒以引起呼吸道疾病最为人所知,但在医疗实践中,报告的更多病例具有异质皮肤表现。这些病变在与COVID-19症状相关的不同时间出现,这可能表明病变是病毒引起的还是对感染的延迟免疫反应。本研究的主要目的是评估Covid-19的分布、类型和最高皮肤表现。发现Covid-19与皮肤表现之间的潜在联系,有助于了解发病机制和疾病控制的最佳政策。这些病变的病理生理学仍在研究中,尚不清楚。为了实现这一目标,在2021年3月1日至2021年7月16日期间对人口进行了一项横向研究。在205例疑似/实验室确诊病例中,有皮肤体征的有13例,其中女性13例,男性9例。最常见的形态为麻疹样皮疹、水痘样水疱和荨麻疹。
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引用次数: 0
Digital Dementia 数字痴呆
Pub Date : 2021-06-18 DOI: 10.18662/eejmhb/4.1/22
A. Sandu, Polixenia Nistor
The development of communication technology, especially mobile technology, which has become almost indispensable, leads in some situations to negative effects on users' cognitive abilities, effects named "digital dementia". The diagnosis of digital dementia has been said to bring together a series of symptoms similar to those of Alzheimer's in the case of intensive use of mobile phones and the habit of performing several digital activities simultaneously at the same time.
通信技术,特别是移动技术的发展,已经成为几乎不可或缺的,在某些情况下导致用户的认知能力产生负面影响,这种效应被称为“数字痴呆”。据说,数字痴呆的诊断包括一系列类似阿尔茨海默氏症的症状,这些症状是在大量使用移动电话和同时进行几种数字活动的习惯的情况下出现的。
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引用次数: 5
期刊
Eastern-European Journal of Medical Humanities and Bioethics
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