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Medical tourism trends in Poland 波兰的医疗旅游趋势
Pub Date : 2015-06-19 DOI: 10.12775/MBS.2015.020
U. Religioni, M. Religioni
The global increase in the flow of patients and health professionals as well as medical technology has led to new patterns of consumption and production of medical services in the past decades. Free movement of goods and services contributed to the liberalization of trade in health services. Medical tourism is one of the forms of health tourism, rapidly growing on the global market. In medical tourism, patients travel to neighboring or distant countries in order to receive medical assistance under the global trend of combining treatment with leisure. The development of medical tourism is also observed in Poland. Citizens of Germany, Great Britain and the Scandinavian countries use the services offered in Polish medical institutions most frequently. One of the main problems in the further development of Polish medical tourism is a lack of implementation of the European Directive on the application of patients' rights in cross-border healthcare. This article describes the process of medical tourism development in Poland. The phenomenon of medical tourism, types of health tourism and main drivers of that process are also characterized by the authors.
过去几十年来,全球患者和卫生专业人员流动的增加以及医疗技术的发展导致了医疗服务消费和生产的新模式。货物和服务的自由流动促进了保健服务贸易的自由化。医疗旅游是健康旅游的一种形式,在全球市场上迅速发展。医疗旅游是指在治疗与休闲相结合的全球趋势下,患者为了获得医疗援助而前往邻近或遥远的国家。医疗旅游在波兰也得到了发展。德国、英国和斯堪的纳维亚国家的公民最常使用波兰医疗机构提供的服务。波兰医疗旅游进一步发展的主要问题之一是没有执行关于在跨境医疗保健中适用患者权利的欧洲指令。本文描述了波兰医疗旅游的发展历程。本文还对医疗旅游的现象、健康旅游的类型及其主要驱动因素进行了分析。
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引用次数: 1
The adaptation of the Caring Nurse-Patient Interaction scale (CNPI-70) to polish conditions on the basis of nursing students self-assessment of their caring competencies 护理护患互动量表(CNPI-70)在护生护理能力自我评估的基础上对优化条件的适应性研究
Pub Date : 2015-06-18 DOI: 10.12775/MBS.2015.018
M. Felsmann, A. Andruszkiewicz, Agata Kosobucka
The aim of the study and the undertaken research is to adapt the CNPI-70tool to Polish conditions and then to use this scale for the evaluation of nursing students competencies. Material and methods. A CNPI -70scale survey was conducted among486nursing students analyzing their self-assessment of caring competencies at various levels of university. Results. The reliability of the scale is very high (Cronbach’s α is O,97), analyzing the70questions of the scale it can be concluded that all, except questions no5 and21,have an average or above average correlation with the result of the overall tool. The analysis also indicates that the removal of a single question from the tool does not affect its overall high reliability. The results of the self-assessment of caring competencies among nursing students show an increase in competence at the successive levels of the university course. The level of competence is also influenced by the experience of part time students. Conclusions. The Polish version of the CNPI-70scale, assessing the caring competence of nurses, takes into account the wide range of professional roles of nurses. Research confirms the high reliability of the scale thus recommending its use in research in nursing and education.
本研究的目的是使cnpi -70工具适应波兰的条件,然后使用这个量表来评估护理学生的能力。材料和方法。采用CNPI -70量表对486名大学护生进行护理能力自评。结果。量表的信度非常高(Cronbach’s α为0,97),分析量表的70个问题可以得出结论,除了第5题和第21题外,所有问题与整体工具的结果具有平均或高于平均的相关性。分析还表明,从工具中删除单个问题并不影响其整体的高可靠性。护生关怀能力自评结果显示,护生关怀能力在大学课程的连续阶段均有提升。能力水平也受到非全日制学生经历的影响。结论。波兰版的cnpi -70量表,评估护士的护理能力,考虑到护士广泛的专业角色。研究证实了量表的高可靠性,因此推荐在护理和教育研究中使用。
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引用次数: 6
THE COOPERATION OF A PREGNANT WOMEN WITH A PHYSICIAN AND A MIDWIFE AND SELECTED ASPECTS OF THE COURSE OF CHILDBIRTH 助产:孕妇与医生和助产士的合作以及分娩过程中选定的方面
Pub Date : 2015-06-16 DOI: 10.12775/MBS.2015.021
D. Rogala, A. Mazur, M. Maślińska
Cel. Glownym celem podjetych badan byla ocena związku miedzy wspolpracą ciezarnej z lekarzem i polozną w okresie ciązy a wybranymi aspektami przebiegu porodu. Material. Badaniami objeto 234 kobiety w 38-42 tygodniu ciązy o prawidlowym przebiegu, ktore urodzily zywy plod, rozniące sie miedzy sobą wiekiem, wyksztalceniem, stanem cywilnym, miejscem zamieszkania, ilością ciąz i przebytych porodow. Metody. Badania przeprowadzono za pomocą ankiety osobowej i zebranych danych z dokumentacji okresu ciązy i dokumentacji szpitalnej. Wśrod wskaźnikow przebiegu porodu analizowano: czas trwania porodu, poziom aktyw-ności wlasnej podczas porodu, korzystanie ze środkow przeciwbolowych, obrazenia drog rodnych w czasie porodu, stan noworodka i sposob ukonczenia porodu. Wśrod wskaźnikow wspolpracy analizowano moment zgloszenia sie ciezarnej do lekarza, ilośc wizyt w ciązy, przestrzeganie zalecen personelu. Wyniki i wnioski. 1. Przeprowadzone badania nie wykazaly zalezności miedzy wspolpracą ciezarnej z lekarzem i polozną w okresie ciązy a wybranymi aspektami przebiegu porodu. 2. Kobiety po przygotowaniu w szkole rodzenia cześciej  byly pod opieką lekarza juz w pierwszym trymestrze ciązy, chodzily na wyznaczone wizyty regularnie, przestrzegaly zalecen lekarskich.
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引用次数: 0
Ethics in human and animal studies 人类和动物研究中的伦理学
Pub Date : 2015-06-15 DOI: 10.1016/B978-0-12-799943-2.00003-3
S. Holm, B. Olsen
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引用次数: 0
Urination disorders occurring in the elderly – point of view of a physiotherapist 老年人排尿障碍——物理治疗师的观点
Pub Date : 2015-06-11 DOI: 10.12775/MBS.2015.012
Marta Podhorecka, K. Kędziora–Kornatowska, Jadwiga Główczewska, Grzegorz Sielski, Dominika Gębka, Natalia Ciesielska, Mateusz Łakomski, Marta Sucharska-Szymkowiak, Małgorzata Rewers
International Continence Society defines urinary incontinence as involuntary urine leakage in subjective assessment. It is essential that urinary incontinence is regarded to as a symptom not as a separate disease. Until recently, majority of the elderly society considered disorders connected with urinary continence a taboo topic. Higher awareness level and easier access to knowledge enable even the elderly patients to start therapy in the area of these afflictions more willingly. According to the world standards of urination disorders, in the first stage of treatment noninvasive treatment should be used and when it fails, surgical treatment is to be applied. It is especially crucial in geriatrics patients whose polymorbidity poses contraindications or higher risk to general anesthesia procedures. The following article presents the point of view of a physiotherapist and possibilities of using a wide range of noninvasive methods in the therapy of urination disorders. Classification of urination disorders is presented, as well as possible comorbidities relevant during urological physiotherapy
国际尿失禁学会将尿失禁定义为主观评价中的不自觉尿漏。必须将尿失禁视为一种症状,而不是一种单独的疾病。直到最近,大多数老年社会认为与尿失禁有关的疾病是一个禁忌话题。更高的认识水平和更容易获得的知识使即使是老年患者也更愿意在这些痛苦领域开始治疗。根据世界排尿障碍的标准,在治疗的第一阶段应采用无创治疗,当治疗失败时,应采用手术治疗。对于多病性全身麻醉有禁忌症或高风险的老年患者尤其重要。下面的文章介绍了一位物理治疗师的观点,以及在排尿障碍治疗中广泛使用非侵入性方法的可能性。分类排尿障碍提出,以及可能的合并症相关的泌尿物理治疗
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引用次数: 0
Cognitive tests used in examining effects of physical training in elderly people 用于检查老年人体育锻炼效果的认知测试
Pub Date : 2015-06-10 DOI: 10.12775/MBS.2015.011
Sławomir Kujawski, A. Gajos, M. Gajos, Wojciech Stemplowski, Natalia Ciesielska, K. Kędziora–Kornatowska
Introduction. Cognitive tests are a valuable, sensitive and useful tool for examining the effectiveness of physical training. Purpose. To show which studies are sensitive in examining cognitive changes induced by physical training. We explored meta-analysis with healthy participants and patients with MCI. Materials and methods. Analysis of meta-analysis in the EBSCO database using keywords: meta-analysis, cognitive tests, physical training, elderly. Results. 4 meta-analysis have 10 researches in common; however, diverse of inclusion and exclusion criteria led to inability in obtaining reliable results. Discussion and conclusion. Some cognitive tests seems to be more sensitive in examining results of physical training. Diversity of research methodology induces much difficulties in comparing of studies.
介绍。认知测试是检验体育训练有效性的一种有价值、灵敏和有用的工具。目的。为了表明哪些研究在检测体育锻炼引起的认知变化方面是敏感的。我们对健康参与者和轻度认知障碍患者进行了荟萃分析。材料和方法。meta分析在EBSCO数据库中使用关键词:meta分析,认知测试,体能训练,老年人。结果:4项meta分析共有10项研究;然而,由于纳入和排除标准的多样化,导致无法获得可靠的结果。讨论与结论。一些认知测试在检查体育锻炼的结果时似乎更敏感。研究方法的多样性给比较研究带来了很多困难。
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引用次数: 2
Activation of the elderly with dementia syndrome 老年痴呆综合症的激活
Pub Date : 2015-06-10 DOI: 10.12775/MBS.2015.010
Dominika Gębka, K. Kędziora–Kornatowska, Marta Podhorecka, Grzegorz Sielski, Marta Sucharska-Szymkowiak, Oliwia Beck
Dementia is a set of symptoms caused by a chronic and progressive brain disease. The disease leads to the disorders of higher brain functions such as memory, orientation, thinking, understanding, counting, ability to learn, language and assessment. Dementia causes decrease in intellectual functions and hinders basic everyday life activities. The most known disease connected with dementia is the Alzheimer’s disease. Its treatment consists of pharmacotherapy and other nonpharmacological methods, which play an important part in the improvement of patient’s functioning. Activation of the elderly person with dementia is not easy and depends greatly on our attitude. The purpose of this article is to present different therapeutic methods activating the patient in a daytime. Apart from physiotherapy, the methods include occupational therapy and memory training.
痴呆症是一种慢性进行性脑部疾病引起的一系列症状。这种疾病会导致大脑高级功能紊乱,如记忆、定向、思维、理解、计数、学习能力、语言和评估能力。痴呆症会导致智力功能下降,妨碍基本的日常生活活动。与痴呆症有关的最广为人知的疾病是阿尔茨海默病。其治疗包括药物治疗和其他非药物治疗方法,对患者功能的改善起着重要作用。激活老年痴呆症患者并不容易,很大程度上取决于我们的态度。本文的目的是介绍在白天激活患者的不同治疗方法。除物理治疗外,还包括职业治疗和记忆训练。
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引用次数: 3
Hepatitis C as an epidemiological problem in the polish population 丙型肝炎是波兰人口中的一个流行病学问题
Pub Date : 2015-06-08 DOI: 10.12775/MBS.2015.017
L. Sierpińska
Introduction. Hepatitis C (HC) is an important medical and social problem in Poland and worldwide. The etiologic factor of the disease is the hepatitis C virus (HCV), which is transmitted by blood and blood preparation. Objective. Epidemiological analysis of the prevalence of hepatitis C in the Polish population, based on preliminary results of scientific studies and statistical data. Results. The estimation data show that in Poland the number of new cases increases annually by approximately 3000 patients. The HCV is characterized by a high level of genetic changeability, which contributes to the limited therapeutic possibilities and renders the development of a vaccine impossible. Since1997 in Poland, the number of deaths due to HCV infection has been increasing, and in the nearest years it will increase several times. In Poland, hepatitis C is frequently noted among hospital-acquired infections. These infections are one of the most frequent sources of legal proceedings by patients and their families. Conclusions. Hepatitis C (HC) is an important clinical, epidemiological, economic and social problem in Poland and worldwide. HCV is characterized by a high degree of variation, which contributes to the limited therapeutic possibilities and makes it impossible to develop a vaccine. Infections with HCV are a frequent cause for bringing civil cases to court by previous patients against health care facilities for compensations for health loss related with infection acquired during diagnosing and treatment. Considering the high risk of infection with HCV virus in health facilities non-specific diagnostics should be carried out within wide range.
介绍。丙型肝炎(HC)是波兰和世界范围内一个重要的医疗和社会问题。该病的病因是丙型肝炎病毒(HCV),通过血液和血液制剂传播。目标。基于科学研究和统计数据的初步结果,对波兰人口中丙型肝炎患病率进行流行病学分析。结果。估计数据显示,在波兰,新病例的数量每年增加约3000名患者。丙型肝炎病毒的特点是高度的遗传变异性,这导致治疗可能性有限,并使疫苗的开发成为不可能。自1997年以来,波兰因丙型肝炎病毒感染而死亡的人数一直在增加,最近几年将增加数倍。在波兰,丙型肝炎在医院获得性感染中很常见。这些感染是患者及其家属提起法律诉讼的最常见来源之一。结论。丙型肝炎(HC)是波兰和世界范围内重要的临床、流行病学、经济和社会问题。丙型肝炎病毒的特点是高度变异,这导致治疗可能性有限,使研制疫苗成为不可能。丙型肝炎病毒感染是以前的患者向法院提起民事诉讼的一个常见原因,要求卫生保健机构赔偿与诊断和治疗期间获得的感染有关的健康损失。考虑到卫生机构感染丙型肝炎病毒的高风险,应在大范围内进行非特异性诊断。
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引用次数: 3
Psychological determinants of life balance 生活平衡的心理决定因素
Pub Date : 2015-06-08 DOI: 10.12775/MBS.2015.014
A. Polak-Szabela, K. Porzych, M. Porzych, K. Kędziora–Kornatowska
The problem of life balance in the elderly has been of interest of many scientists who have undertaken research in different environments and among large populations. As a result of these studies, key determinants of life balance, which mainly affect the positive or negative balance of life in the elderly, have been developed
老年人的生活平衡问题一直是许多科学家感兴趣的问题,他们在不同的环境和大量人群中进行了研究。由于这些研究的结果,主要影响老年人生活的积极或消极平衡的生活平衡的关键决定因素已经被开发出来
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引用次数: 0
Analysis of selected demographic factors of nurses’ job satisfaction in Slovakia 斯洛伐克护士工作满意度的人口统计学因素分析
Pub Date : 2015-06-07 DOI: 10.12775/MBS.2015.019
Mária Kožuchová, Marianna Marianna Magerčiaková, A. Vargová
Nurses´ job satisfaction is an important part of nurses´ lives affecting their productivity and performance, patients´ satisfaction and the quality of nursing care rendered. The aim of the contribution is to present job satisfaction of nurses in institutional healthcare facilities in Slovakia related to the selected demographic factors (age and gender). The research sample was composed of 206 nurses working in institutional healthcare facilities in Slovakia at the age of 23 to 63 years. The nurses´ job satisfaction was surveyed using the standardized form of the McCloskey/Mueller Satisfaction Scale that was distributed in electronic form to all nurses in Slovakia. The research was realized in Slovak healthcare facilities from December 2014 to January 2015. Significant interaction of two qualitative variables was evaluated using Mann-Whitney test with Z Adj statistics, Kruskal- Wallis with H test statistics and correlation analysis with Spearmann correlation coefficient r(S). The statistical processing found no statistically significant differences between nurses´ general satisfaction and age (p = 0.994), neither between nurses´ general satisfaction and gender (p = 0.729). The results may be influenced by the unequal representation of men and women in the sample. They demonstrate the need to investigate nurses´ job satisfaction with a focus on the identification of factors determining this multifaceted phenomenon.
护士的工作满意度是护士生活的重要组成部分,影响着护士的工作效率和表现、患者的满意度和护理质量。这项贡献的目的是介绍斯洛伐克机构保健设施中护士的工作满意度与选定的人口因素(年龄和性别)的关系。研究样本是由206名护士在机构卫生保健机构在斯洛伐克工作,年龄在23至63岁。使用McCloskey/Mueller满意度量表的标准化表格对护士的工作满意度进行调查,该量表以电子形式分发给斯洛伐克的所有护士。该研究于2014年12月至2015年1月在斯洛伐克的医疗机构中进行。采用Z Adj统计量的Mann-Whitney检验、H统计量的Kruskal- Wallis检验和Spearmann相关系数r(S)的相关分析来评价两个定性变量的显著交互作用。统计处理发现护士一般满意度与年龄之间无统计学差异(p = 0.994),护士一般满意度与性别之间无统计学差异(p = 0.729)。结果可能受到样本中男女比例不平等的影响。他们证明有必要调查护士的工作满意度,重点是确定决定这一多方面现象的因素。
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引用次数: 3
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Medical and Biological Sciences
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