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The satisfaction of the users of health services with the work of nurses at the Rosulje Family Medicine Clinic // Zadovoljstvo korisnika zdravstvenih usluga radom medicinskih sestara u Ambulanti porodične medicine „Rosulje“
Pub Date : 2018-11-28 DOI: 10.7251/sez0118041j
D. Jovic
The quality of health care is a very complex feature of the condition and functioning of the health care system, and one of the elements of quality is the satisfaction of the users (patients) provided with health care. In order to evaluate patient satisfaction, there are many opportunities that are provided in order to obtain information about what they think and feel about the healthcare provided. In some institutions there are books of impressions, cases for remarks and praise, nursing surveys, telephone surveys, etc. In this paper, the questionnaire examined the satisfaction of patients with the work of nurses in the Rosulje Family Medicine Clinic. The results of the study show that the patients are very satisfied with the work of the staff in APM Rosulje. Positive attitude towards the work of the clinic is contributed by the long-standing placement of nurses and doctors in the outpatient clinic, the knowledge of patients, their habits and thus better communication and recognition of the patient and family problem.
卫生保健质量是卫生保健系统的条件和功能的一个非常复杂的特征,质量的要素之一是提供卫生保健的用户(患者)的满意度。为了评估患者满意度,提供了许多机会,以便获得有关他们对所提供的医疗保健的想法和感受的信息。在一些机构里,有印象书、评论和表扬案例、护理调查、电话调查等。本文采用问卷调查的方法,对罗苏列家庭医学诊所护士工作的满意度进行调查。研究结果表明,患者对APM Rosulje工作人员的工作非常满意。对诊所工作的积极态度是由于护士和医生在门诊的长期安置,对病人的了解,他们的习惯,从而更好地沟通和认识到病人和家庭的问题。
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引用次数: 0
Epidemiology cancer of the cervix, uterine body and ovary in Republic of Srpska // Epidemiloška situacija raka grlića materice, tijela materice i jajnika u Republici Srpskoj
Pub Date : 2018-11-28 DOI: 10.7251/SEZ0118033A
D. Antonic
Introduction: Cancer of the cervix, uterine body and ovary together with cancer of the breast account more the 1/3 female’s cancer cases in the Republic of Srpska. Cancer of the cervix, uterine body and ovary are responsible for 13.82% cancer death females, and the leading cause of cancer death females is cancer of the ovary (5.62%). Sources and methods: Mediana age diagnosed new cases of the cervix cancer is 47 years and uterin body and ovary the median age is in sixties. Relationship beetwen age-standardized rate prevalence (world) and age-standardized rate incidence cancer of the cervix, uterin body and ovary and confirm that high rate of incidence determines high rate of prevalence, this correlation is positive and relationship statistical significant (p<0.01). Relative five years survival rates of the cervix and uterin body cancer are over 80% and cancer of the ovary have almost 2.5 times lower relative five years survival rate.
简介:在斯普斯卡共和国,宫颈癌、子宫癌和卵巢癌以及乳腺癌占女性癌症病例的三分之一以上。宫颈癌、子宫癌和卵巢癌占女性癌症死亡人数的13.82%,女性癌症死亡的主要原因是卵巢癌(5.62%)。资料来源和方法:新发宫颈癌的媒体年龄为47岁,子宫体和卵巢的中位年龄为60岁。年龄标准化患病率(世界)与年龄标准化患病率子宫颈、子宫体、卵巢癌发病率呈正相关关系,证实发病率高决定患病率高,此相关性为正相关,关系有统计学意义(p<0.01)。子宫颈癌和子宫体癌的相对5年生存率超过80%,而卵巢癌的相对5年生存率几乎低2.5倍。
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引用次数: 0
Knowledge and attitudes of high school students on sexually transmitted diseases // Znanja i stavovi srednjoškolaca o polno prenosivim bolestima 高中生对性传播疾病的知识和态度// Znanja i stavovi srednjoškolaca o polno prepresivim bolestima
Pub Date : 2018-11-28 DOI: 10.7251/sez0118005z
Srđan Živanović, Snežana Bečanović, Jelena Džoganović, Veselinka Šupić, G. Bogdanovic
Introduction A fully portable infection is a public-health problem of great importance in most of the world. Infections that are transmitted by sexual contact make up a large group of diseases caused by various microorganisms: bacteria, viruses, parasites, fungi and protozoa. The most common sexually transmitted infections (PPIs) are: chlamydia, gonorrhea, Hepatitis B, AIDS, HPV infections, and others.Method The conducted research is a type of cross section study. In December of the month, 113 students of Foča SSC were interviewed from the first to the fourth year. The survey used an anonymous character questionnaire.Results 35.4% of respondents were sexually active. Young men are sexually considerably more active than girls (χ2 = 30,447; p = 0,000). The majority of sexually active students stated that the first sexual intercourse was at the age of 15 (10.6%). Men and girls have diametrically opposite attitudes to the age in which they consider optimal time to start sexual activity (χ2 = 20,252; p = 0,000). Students in the third and fourth grade have a significantly higher level of knowledge than students of the first and second (χ2 = 31,791; p = 0,000). Most students would continue to associate with a person who knows that she has one of sexually transmitted diseases (64.6%).Conclusion The results of this paper show that the sexual activity of the adolescents examined is not a mass phenomenon, but that the knowledge of pupils of the first and second grades is insufficient, and that there is a need for education of this target group, considering the importance of preserving the reproductive health of adolescents, which are the future of preserving the population.
完全可携带感染是世界上大多数国家的一个非常重要的公共卫生问题。通过性接触传播的感染构成了由细菌、病毒、寄生虫、真菌和原生动物等各种微生物引起的一大群疾病。最常见的性传播感染(PPIs)有:衣原体、淋病、乙型肝炎、艾滋病、HPV感染等。方法采用横截面法进行研究。当月12月,对113名初一至四年级学生进行了访谈。该调查采用了匿名问卷。结果35.4%的被调查者性行为活跃。年轻男性的性活跃程度明显高于女孩(χ2 = 30,447;P = 0000)。大多数性活跃的学生表示第一次性行为发生在15岁(10.6%)。男性和女性对开始性行为的最佳年龄的态度截然相反(χ2 = 20,252;P = 0000)。三、四年级学生的知识水平显著高于一、二年级学生(χ2 = 31,791;P = 0000)。大多数学生会继续与明知自己患有某种性传播疾病的人交往(64.6%)。结论本研究结果表明,所调查青少年的性行为不是一种群体性现象,但对一、二年级小学生的认识不足,有必要对这一目标群体进行教育,考虑到保护青少年生殖健康的重要性,这是保护人口的未来。
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引用次数: 0
High blood pressure in pregnancy // Hipertenzija u trudnoći 妊娠期高血压// Hipertenzija u trudnoći
Pub Date : 2018-11-28 DOI: 10.7251/sez0118028b
M. Bucalo, Ana Milosavljević, B. Babin
High blood pressure in pregnancy is a significant problem and has long been causing the attention of perinatologists. Hypertensive disorders in pregnancy are the leading cause of morbidity and mortality of mothers and fetuses. About 8% of pregnancies complicate high blood pressure. It is estimated that 192 women die daily due to hypertensive complications during pregnancy. Hypertension in pregnancy is not a single entity but it includes: pre-existing hypertension; gestational hypertension; pre-pregnancy existing hypertension complicated by gestational hypertension with proteinuria; prenatally unclassified hypertension. The aim of this paper is to point to the problem of hypertension in pregnancy and the importance of its early detection.It’s a literature review. The literature review period is from 2003-2013. The literature review was carried out in the Hinari, Pubmed and Google Scholar databases.A total of 50 scientific and professional papers in English and Serbian have been examined, of which work is included. 17. By reviewing the summary of each paper, all articles that did not report hypertension in pregnancy were excluded. Through research that was conducted, it was concluded that pregnancy is a significant problem in pregnancy and is therefore the leading cause of morbidity and mortality of both mothers and fetuses. However, the decision to introduce antihypertensive therapy and the choice of an adequate drug during pregnancy should be based on the assessment of the benefits and risks for each pregnant woman individually. Thus, the role of the health care nurse in gynecology and obstetrics has the primary goal and task to preserve and improve the health of women through a series of preventive-promotional activities, all of which are covered through primary, secondary, and tertiary prevention.A literature review lists the risk factors that can cause hypertension in pregnancy, including: age of the patient - under 20 and over 35 years, vascular and renal pathology, gestational diabetes, obesity or malnutrition, pheochromocytoma, systemic lupus, poor living conditions, there is and increased risk in first-born patients. Women who have been hypertensive during their first pregnancy have a higher risk of subsequent pregnancy.
妊娠期高血压是一个严重的问题,长期以来一直引起围产期医生的关注。妊娠期高血压疾病是母亲和胎儿发病和死亡的主要原因。大约8%的怀孕会导致高血压。据估计,每天有192名妇女死于妊娠期高血压并发症。妊娠期高血压不是一个单一的实体,它包括:既存高血压;妊娠期高血压;妊娠前高血压合并妊娠期高血压合并蛋白尿;产前未分类高血压。本文的目的是指出妊娠期高血压的问题及其早期发现的重要性。这是一篇文献综述。文献综述期为2003-2013年。文献综述是在Hinari, Pubmed和Google Scholar数据库中进行的。共审查了50份英文和塞尔维亚文的科学和专业论文,其中包括工作。17. 通过回顾每篇论文的摘要,所有未报道妊娠期高血压的文章均被排除。通过所进行的研究得出的结论是,怀孕是怀孕期间的一个重大问题,因此是母亲和胎儿发病和死亡的主要原因。然而,在怀孕期间引入降压治疗和选择适当药物的决定应基于对每个孕妇的获益和风险的单独评估。因此,妇产科保健护士的主要目标和任务是通过一系列预防促进活动来维护和改善妇女的健康,所有这些活动都包括在初级、二级和三级预防中。一篇文献综述列出了可能导致妊娠高血压的危险因素,包括:患者年龄- 20岁以下和35岁以上,血管和肾脏病理,妊娠糖尿病,肥胖或营养不良,嗜铬细胞瘤,系统性狼疮,恶劣的生活条件,有并增加了第一胎患者的风险。在第一次怀孕期间患有高血压的妇女在随后的怀孕中有更高的风险。
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引用次数: 0
HAS-BLED scor system for the assessment of risk of breathing of patients on oral anticoagulant therapy // HAS-BLED skor sistem bodovanja za procjenu rizika od krvarenja pacijenata na oralnoj antikoagulantnoj terapiji
Pub Date : 2018-11-28 DOI: 10.7251/sez0118011d
Daniela Dobrovoljski
Oral anticoagulant drugs (OALs) are effective agents in the prevention and treatment of thromboembolic complications. However, despite standardization and application progression, OALs represent a significant clinical problem because they are small-therapeutic medicines that easily interact with food and medicine, which can substantially affect the increased or weakened therapeutic effect. Oral anticoagulants are 4-hydroxycoumarin derivatives and vitamin K antagonists, and their pharmacological activity is based on inhibition of the synthesis of coagulation factors in the liver. These drugs are effective in the prevention of venous thromboembolism, acute myocardial infarction (AIM), heart rhythm disorders by type of atrial fibrillation, stroke prevention, and the like. The most important and clinically commonly undesirable effect of OAL is bleeding. The risk of bleeding is greatest during the introduction of the drug in therapy and for the first few months of the onset of therapy. HAS-BLED scor is a skoring system developed to estimate the 1-year risk of major bleeding in patients with atrial fibrillation and is also used for other indications.
口服抗凝药物(OALs)是预防和治疗血栓栓塞并发症的有效药物。然而,尽管标准化和应用进展,OALs代表了一个重大的临床问题,因为它们是小治疗药物,容易与食品和药物相互作用,这可以大大影响治疗效果的增加或减弱。口服抗凝剂是4-羟基香豆素衍生物和维生素K拮抗剂,其药理活性是基于抑制肝脏中凝血因子的合成。这些药物在预防静脉血栓栓塞、急性心肌梗死(AIM)、心房颤动型心律失常、预防脑卒中等方面有效。OAL最重要的临床不良反应是出血。在治疗中引入药物和开始治疗的最初几个月,出血的风险最大。HAS-BLED评分是一种评估心房颤动患者1年大出血风险的评分系统,也可用于其他适应症。
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引用次数: 0
Development and tendencies of education of nurses-technicians in the process of reforming the educational system of the Republic of Serbia // Razvoj i tendencije obrazovanja medicinskih sestara-tehničara u procesu reformi obrazovnog sistema Republike Srbije
Pub Date : 2018-11-28 DOI: 10.7251/sez0118015d
Marijana Dabić, Jovan Vukoje
Education of nurses in Serbia as in developed countries must follow the development and needs of the health system. This is still very difficult to implement because of the multi-week ‘hyperproduction’ of healthcare staff, and insufficiently basic systematization of jobs, mismatch of professional titles, as well as the ever more intensive departure of our healthcare workers abroad, primarily in the countries of the European Union. Also, the development of society, the political and economic situation, significantly disturb the development of sisterly practice as well as education that plays a key role.The issue of education and harmonization with European standards also entails the question of the competencies and competencies of teaching staff dealing with the education of future nurses, which still, at least in terms of secondary education, shows quite a strong resistance to change.The results of this research indicate that reforming the educational system in Serbia is present in higher education of nurses while in secondary education continues to stagnate. There is no complete harmonization of the education system with respect to the lesson of hours, the structure of study programs, or the unique nomenclature of vocational titles.The level of the pre-term for enrollment in the secondary medical school as well as the continuation of education is incompatible with European frameworks and makes it difficult to integrate into the European system of secondary education.Teaching and study programs are not fully comparable to the European ones, except for ESPB credits and study levels.There is a tendency for the development of nursing education in Serbia, but there is only partial preparation of nursing teachers in terms of upgrading professional titles and competences for the new education system.
与发达国家一样,塞尔维亚的护士教育必须遵循卫生系统的发展和需要。这仍然很难实施,因为医疗保健人员的“过度生产”持续数周,工作基本系统化不足,专业头衔不匹配,以及越来越多的医疗保健工作者离开国外,主要是在欧盟国家。同时,社会的发展、政治经济形势的变化,极大地干扰了姐妹修行的发展,而教育在其中起着关键性的作用。教育和与欧洲标准协调的问题也涉及到处理未来护士教育的教学人员的能力和能力的问题,至少在中等教育方面,这仍然显示出对变革的强烈抵制。这项研究的结果表明,改革教育制度在塞尔维亚存在于高等护士教育,而在中等教育继续停滞不前。在课时、学习计划的结构或职业头衔的独特命名方面,教育系统没有完全的协调。中等医学学校的入学预科班和继续教育的水平与欧洲框架不相容,使其难以融入欧洲中等教育体系。除了ESPB学分和学习水平外,教学和学习项目与欧洲的不完全相同。塞尔维亚护理教育有发展的趋势,但在为新的教育体系升级职称和能力方面,护理教师只有部分准备。
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引用次数: 0
Quality of Life Assessment in Alcohol Dependent Patients // Procena kvaliteta života kod zavisnika od alkohola 酒精依赖患者生活质量评价// Procena kvaliteta života kod zavisnika od holhola
Pub Date : 2018-11-28 DOI: 10.7251/sez0118021t
S. Todorovic
Alcohol addiction is an illness, health and social problem which appears as a result of a regular and uncontroled consumation of alcoholic drinks on a level on which the addict does harm to his or her health, to inner peace and to the wellbeing of the environment in which he or she lives and works. The quality of life represents the one’s awarenes about his or her own position in terms of culture and a system of value in which the one lives. It also represents one’s relations to his or her own goals, expectations, standards and problems. The aim of this research is to state the level of satisfaction with one’s life on behalf of the treated alcohol addicts in relation to global population in domains as they fallow: Professional and financial functioning, Social functioning, Emotional functioning and functioning inside of a family and Health state. The survey was conducted in March 2015, according to the type of cross section study, among alcohol addicts who are being treated at the Special Hospital for Psychiatric Diseases “Dr Slavoljub Bakalović” in Vršac, while the control group consisted of employees of Zannini East doo in Vršcu. In the end, the sample consisted of 50 alcohol addicts who were examined within the judicial group and 50 employees who were examined within the control group. The data were collected by an anonymous questionnaire, which the respondents were self-completing.The results show that alcohol addicts are generally less satisfied with their lives compared to the general population. They are considerably less satisfied with their social, professional and financial functioning, as well as emotional and family functioning, as well as health status. The average length of drinking is 21.48 years; while the number of previous treatments is 3.48 times on average. Alcohol addicts are equally dissatisfied with the quality of life regardless of the length of their drinking.
酒精成瘾是一种疾病、健康和社会问题,它是由于经常和不受控制地饮用酒精饮料而出现的,成瘾者在一定程度上损害了他或她的健康、内心的平静以及他或她生活和工作环境的福祉。生活质量代表了一个人对自己在文化和价值体系中的地位的认识。它也代表了一个人与自己的目标、期望、标准和问题的关系。本研究的目的是代表接受治疗的酒精成瘾者与全球人口在休休期的生活满意度水平,这些领域包括:职业和财务功能、社会功能、情感功能、家庭功能和健康状态。根据横断面研究的类型,该调查于2015年3月在Vršac精神疾病特别医院" Slavoljub bakaloviki博士"接受治疗的酗酒者中进行,而对照组由Vršcu Zannini East doo的雇员组成。最后,样本包括50名酒精成瘾者,他们被纳入司法组,50名雇员被纳入对照组。数据通过匿名问卷收集,受访者自行填写。研究结果表明,与普通人群相比,酒精成瘾者对生活的满意度普遍较低。他们对自己的社会、职业和财务功能、情感和家庭功能以及健康状况的满意程度要低得多。平均饮酒时间21.48年;而以前的平均治疗次数为3.48次。无论饮酒时间长短,酒瘾者对生活质量都同样不满意。
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引用次数: 0
Nursing interventions in the treatment of syndrome Takotsubo // Zadaci kardiološke medicinske sestre u lečenju Takotsubo sindroma
Pub Date : 2018-11-28 DOI: 10.7251/sez0118045o
Areta Ognjenović
Takostube syndrome (TS; broken heart syndrome) is described as transient reversible cardiomyopathy that occurs in older women in most cases as a result of mental or psychological suffering. It is associated with various disorders and it is defined as Takotsubo Syndrome (TS). The clinical picture is similar to acute coronary syndrome, but it must differ from acute ischemic heart disease. Ethiopathological factors have not been fully clarified, but the main role in the development of TS by catecholamine-induced spiking myocardial capillaries or the direct toxicity of catecholamines themselves.There are no strict guidelines in the implementation of health care for patients with TS. Given the great similarity in the clinical picture between acute myocardial infarction and TS, the same procedures and tasks are used in practice as in patients with acute myocardial infarction with ST elevation, while coronarography does not prove to be the opposite. The patient under suspicion of diagnosis of TS is admitted to the coronary unit.Healthcare goals for the treatment of patients with TS are identical to those in acute coronary syndrome and include: pain relief, tension reduction - anxiety, preservation of myocardial function, and prevention and treatment of complications.
Takostube综合征(TS;心碎综合征被描述为一种短暂的可逆性心肌病,大多数情况下发生在老年妇女身上,是精神或心理痛苦的结果。它与多种疾病相关,被定义为Takotsubo综合征(TS)。临床表现与急性冠状动脉综合征相似,但必须区别于急性缺血性心脏病。埃塞俄比亚的病理因素尚未完全明确,但主要作用是由儿茶酚胺诱导的心肌毛细血管尖峰或儿茶酚胺本身的直接毒性。对于TS患者的医疗保健实施没有严格的指导方针。鉴于急性心肌梗死和TS的临床表现非常相似,在实践中使用的程序和任务与急性心肌梗死ST段抬高患者相同,而冠状造影并未证明相反。怀疑诊断为TS的病人被送入冠状动脉病房。治疗TS患者的医疗保健目标与急性冠状动脉综合征患者的医疗保健目标相同,包括:缓解疼痛,减轻紧张-焦虑,保持心肌功能,预防和治疗并发症。
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引用次数: 0
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