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Anxiety and depression versus pain sensation in patients with gynecological cancers 妇科癌症患者的焦虑、抑郁与疼痛感觉的关系
Pub Date : 2023-07-15 DOI: 10.2478/pielxxiw-2023-0021
Patrycja Mazurek, A. Aftyka
Abstract Introduction. Patients with malignant neoplasms, including cancers of the reproductive organs, struggle with clinical and psychological ailments, resulting in symptoms such as pain, anxiety, and depression. Medical researches concentrate into the relationship between these symptoms and their coexistence. Aim. This article presents available data on the pain and psychological condition of female cancer patients. Method. The research method was a literature review. The Medline database was used, with particular emphasis on publications from 2000-2021. Summary. The article cites studies showing that anxiety and depression co-occur with the perception of pain. However, only a few studies have described the factors aff ecting the perception of pain in patients with gynaecological cancers.
摘要介绍。恶性肿瘤患者,包括生殖器官的癌症,与临床和心理疾病作斗争,导致疼痛、焦虑和抑郁等症状。医学研究集中在这些症状之间的关系及其共存。的目标。本文介绍了有关女性癌症患者的疼痛和心理状况的现有数据。方法。研究方法为文献综述法。使用Medline数据库,特别强调2000-2021年的出版物。总结。文章引用的研究表明,焦虑和抑郁与疼痛的感知同时发生。然而,只有少数研究描述了影响妇科癌症患者疼痛感知的因素。
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引用次数: 0
Benefit of vaginal dilatational balloons in pregnancy 妊娠期阴道扩张气球的好处
Pub Date : 2023-06-01 DOI: 10.2478/pielxxiw-2023-0018
Bohdana Dušová, Jana Chromá, Tereza Rajcová, R. Bužgová, Jiřina Hosáková
Abstract Aim. Aim of research was to find out influence of using vaginal dilatational balloons in pregnancy on the origin birth injuries, leakage of urine after the childbirth. Apart from that, to investigate connection between using balloons in pregnancy and sexual difficulties after the childbirth. Material and methods. The study contains 394 respondents, which used or did not use Aniball or Epi/no balloon in pregnancy and the time by their childbirth was minimum half of year. Quantitative research has been realized with the help of a non-standardized self constructed questionnaire. The research took place in gynecological clinics and through web browsers. Individual variables have been statistically tested with the help of Chi-square and Fisher’s test. Results. By statistical research have we found out that there exist the connection between using vaginal dilatational balloons in pregnancy and the origin postnatal injury in the sense of their reduction. Women, who used vaginal dilatational balloon, have experienced a lower incidence of incontinence problems. Conclusions. In empirical research we have found positive benefit of using vaginal balloons. Positive impact has been also found in connection with the origin postnatal injury and the development incontinence after the childbirth.
抽象的目的。目的探讨妊娠期使用阴道扩张球囊对原产损伤、分娩后漏尿的影响。除此之外,调查怀孕期间使用气球与分娩后性困难之间的联系。材料和方法。该研究包含394名受访者,在怀孕期间使用或未使用Aniball或Epi/no气球,分娩时间至少为半年。定量研究是通过非标准化的自编问卷来实现的。这项研究是在妇科诊所通过网络浏览器进行的。使用卡方检验和费雪检验对个体变量进行了统计检验。结果。通过统计研究发现,妊娠期使用阴道扩张球囊与产后损伤的发生在减少损伤意义上存在联系。妇女,谁使用阴道扩张球囊,经历了尿失禁问题的发生率较低。结论。在实证研究中,我们发现了使用阴道气球的积极效益。与产后损伤的起源和产后尿失禁的发展也有积极的影响。
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引用次数: 0
Empowering patients to self-control and self-management of anticoagulant therapy 增强患者抗凝治疗的自我控制和自我管理能力
Pub Date : 2023-06-01 DOI: 10.2478/pielxxiw-2023-0017
Andreja Hrovat Bukovšek, Bojana Filej
Abstract Introduction. Empowerment is a process that allows patients to perform self-control and self-management of anticoagulant therapy, while allowing them to influence the process and the outcomes of their treatment. Aim. Assessment of the level of empowerment of patients on anticoagulant treatment before and after the education. Material and methods. A quantitative study with structured instrument was used. The number of 46 patients with antiphospholipid syndrome treated in the anticoagulation clinic at the general hospital participated in the study, and 37 patients were subsequently enrolled in the training. Data were collected to determine their level of empowerment. Results and conclusion. We divided the patients into four categories of empowerment. We found that after education, patients had statistically significant higher levels of empowerment. After the education, all 37 patients were classified into the fourth category, indicating high patient participation. Empowered patients make their own decisions about their health, they have a better relationship with health professionals, they follow instructions, take greater responsibility for their health, and reduce the need for hospitalisations and urgent care.
摘要介绍。授权是一个允许患者在抗凝治疗中进行自我控制和自我管理的过程,同时允许他们影响治疗的过程和结果。的目标。教育前后患者抗凝治疗授权水平的评估。材料和方法。采用结构化仪器进行定量研究。综合医院抗凝门诊抗磷脂综合征患者46例参与研究,37例患者随后入组培训。收集数据以确定他们的授权水平。结果与结论。我们把病人分成四类。我们发现,在接受教育后,患者的授权水平在统计上显著提高。教育结束后,37例患者均被归为第四类,表明患者参与度高。被授权的患者对自己的健康做出自己的决定,他们与卫生专业人员有更好的关系,他们遵循指示,对自己的健康承担更大的责任,并减少住院和紧急护理的需要。
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引用次数: 0
Problems in diagnosing and treating children – victims of sexual abuse, including legal aspects 诊断和治疗儿童性虐待受害者的问题,包括法律方面的问题
Pub Date : 2023-06-01 DOI: 10.2478/pielxxiw-2023-0020
K. Plagens-Rotman, P. Merks, G. Jarząbek-Bielecka, W. Kędzia
Abstract Introduction. The most frequent source of information on sexual violence are the victims. It should be borne in mind that children rarely disclose sexual abuse directly, and the symptoms depend on how long they have been sexually abused, the relationship with the perpetrator, the kind of sexual activities, and factors related to the child’s development. The obvious consequences of child sexual abuse are body injuries: genitourinary tract infections and injuries to the external genitalia. Notwithstanding, the psychological consequences are more serious than the physical injuries. Aim. The study aimed to present the problem of sexually abused children including diagnostics and therapy of victims of violence. Conclusions. The effects of sexual abuse of a child include, in addition to physical trauma, also the disruption of proper psychosexual development. The task of doctors, nursing staff , educators, and psychologists is to efficiently and confidently identify the crime, enabling the initiation of therapeutic activities and legal proceedings.
摘要介绍。关于性暴力的最常见信息来源是受害者。应当铭记的是,儿童很少直接披露性虐待,其症状取决于他们遭受性虐待的时间长短、与犯罪者的关系、性活动的种类以及与儿童发展有关的因素。儿童性虐待的明显后果是身体损伤:泌尿生殖系统感染和外生殖器损伤。尽管如此,心理后果比身体伤害更严重。的目标。这项研究的目的是提出性虐待儿童的问题,包括对暴力受害者的诊断和治疗。结论。对儿童的性虐待的影响,除了身体创伤外,还包括正常的性心理发展的中断。医生、护理人员、教育工作者和心理学家的任务是有效和自信地识别犯罪,使治疗活动和法律诉讼得以启动。
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引用次数: 0
Medical simulation as a method of practical training in the opinion of nursing students 护理专业学生认为医学模拟是一种实训方法
Pub Date : 2023-06-01 DOI: 10.2478/pielxxiw-2023-0016
K. Tomaszewska, Bożena Majchrowicz, Patrycja Trojnar, Beata Boratyn
Abstract Introduction. Covid-19 pandemic has necessitated changes in practical training of nursing students. Classes previously conducted in a hospital environment were moved to a medical simulation center. Aim. The purpose of the study was to discover opinions of undergraduate nursing students on practical training using the medical simulation method. Material and methods. A total of 317 undergraduate nursing students participated in the survey. The research tool was authors’ own diagnostic survey. Participation in the study was anonymous and voluntary. It was conducted between April and May 2022. All correlations were assumed to be statistically significant when p≤0.05. Results. When it comes to 76.7% of respondents, they claimed that medical simulation classes developed their soft skills and 89.3% of respondents believe that participation in medical simulations facilitated their ability to perform patient care tasks during practical classes. Higher sense of self-efficacy is correlated with higher evaluation of the classes. Conclusions. Through the classes at the medical simulation center, a completely new environment was created to support the practical learning of nursing students. Results of the study highlight positive effects of learning that solidify students’ knowledge and improve their skills.
摘要介绍。Covid-19大流行使护理学生的实践培训发生了变化。以前在医院环境中进行的课程被转移到医疗模拟中心。的目标。本研究旨在探讨本科护生对运用医学模拟方法进行实习训练的看法。材料和方法。共有317名本科护生参与调查。研究工具是作者自己的诊断调查。参与这项研究是匿名和自愿的。该调查于2022年4月至5月进行。当p≤0.05时,认为所有相关性具有统计学意义。结果。76.7%的受访者声称,医学模拟课程培养了他们的软技能,89.3%的受访者认为,参与医学模拟有助于他们在实践课程中执行病人护理任务的能力。自我效能感越高,班级评价越高。结论。通过医学模拟中心的课程,创造了一个全新的环境来支持护理学生的实践学习。研究结果强调了学习在巩固学生知识和提高学生技能方面的积极作用。
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引用次数: 0
The instruments for evaluation the quality of nursing work life 护理工作生活质量评价工具
Pub Date : 2023-06-01 DOI: 10.2478/pielxxiw-2023-0019
Katarína Mišovičová, Martina Tomagová
Abstract Aim. To provide an overview of valid and reliable tools focusing on the assessing the quality of nursing work life, and to compare the tools with their psychometric characteristics, and use in clinical nursing practice. Material and methods. Licensed databases were used: SCOPUS, Web of Science and ProQuest in January 2022. Key words were: assessing/measuring the quality of nursing work life, quality of nurses working life, instrument, hospital nurses. Results. A total of 129 documents were identified. Based on selection criteria, 25 studies were included to final analysis. The following instruments were used for assessing the quality of nursing work life: Brooks Quality of Nursing Work Life, Quality of Work Life, Work Related Quality of Life scale, Professional Quality of Life scale, and The World Health Organization Quality of Life. Conclusions. The instruments demonstrated acceptable psychometric properties. However, their use in a specific sociocultural environment requires testing their validity and reliability on a representative sample of respondents in this environment.
抽象的目的。目的:综述有效可靠的护理工作生活质量评估工具,并比较其心理测量特征,以及在临床护理实践中的应用。材料和方法。在2022年1月使用了许可数据库:SCOPUS, Web of Science和ProQuest。关键词:护理工作生活质量评估/测量;护士工作生活质量;仪器;结果。一共鉴定了129份文件。根据选择标准,25项研究被纳入最终分析。以下工具用于评估护理工作生活质量:布鲁克斯护理工作生活质量、工作生活质量、工作相关生活质量量表、职业生活质量量表和世界卫生组织生活质量量表。结论。这些仪器显示出可接受的心理测量特性。然而,在特定的社会文化环境中使用它们需要在该环境中对受访者的代表性样本进行有效性和可靠性测试。
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引用次数: 0
Religious needs of hospitalized patients 住院病人的宗教需要
Pub Date : 2023-05-30 DOI: 10.2478/pielxxiw-2023-0015
J. Kristová, Z. Bachratá
Abstract Introduction. Meeting the religious needs of hospitalized patients is an essential part of nursing care. Their timely identification by nurses and subsequent satisfaction may lead to an easier adaptation to the hospital environment and illness, and contribute to the overall comfort of the patients. Aim. The aim of the study was to determine the religiosity of selected hospitalized patients in the premorbid and morbid period and the participation of nurses in meeting religious needs. Material and methods. To achieve the goals, we chose a qualitative method – a case study. A Spiritual Screening Tool for Older Adults and a questionnaire by Canda and Furman were used to assess spirituality and religiosity implicitly and explicitly. The respondent sample consisted of three patients hospitalized in inpatient wards of medical facilities with different gender, diagnoses and duration of the disease. Results. According to Spiritual Screening Tool for Older Adults, we found positive spiritual health in patients A, M and R. Religious needs during hospitalization were partially satisfied in patient A and fully satisfied in patients M and R, but only through individual activities (prayer, visiting the hospital chapel and others). None of the patients had their needs met by nurses. Conclusions. We recommend using the tools aimed at assessing patients’ religiosity and continue with the planning and implementation of nursing interventions accordingly. Active cooperattion with “spiritual assistants” and integrating the issue of religious needs into the content of education of future nurses are also recommended.
摘要介绍。满足住院病人的宗教需求是护理的重要组成部分。护士的及时识别和随后的满意度可能会使患者更容易适应医院环境和疾病,并有助于患者的整体舒适度。的目标。本研究的目的是确定选定的住院病人在病前和病期间的宗教信仰和护士参与满足宗教需求。材料和方法。为了达到这个目标,我们选择了一种定性的方法——案例研究。采用加拿大和弗曼编制的《老年人精神筛查工具》和问卷对老年人的精神和宗教虔诚程度进行了隐性和显性评估。调查样本包括三名不同性别、诊断和病程的医疗机构住院病房的患者。结果。根据《老年人精神筛查工具》,我们发现患者A、M和R的精神健康状况良好,患者A在住院期间的宗教需求得到部分满足,患者M和R在住院期间的宗教需求得到完全满足,但只能通过个人活动(祈祷、参观医院教堂等)来实现。没有一个病人的需要得到护士的满足。结论。我们建议使用旨在评估患者宗教信仰的工具,并继续计划和实施相应的护理干预措施。建议积极与“精神助理”合作,将宗教需求问题纳入未来护士的教育内容。
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引用次数: 0
Media mechanisms of generating emotions during the first wave of the Covid-19 pandemic. Interdisciplinary research report 新冠肺炎大流行第一波期间媒体产生情绪的机制跨学科研究报告
Pub Date : 2023-05-30 DOI: 10.2478/pielxxiw-2023-0012
J. Sosnowska, A. Duda, Aneta Wójciszyn-Wasil, Olga Białek-Szwed, Małgorzata Sławek-Czochra, Małgorzata Gruchoła, Justyna Szulich-Kałuża
Abstract Aim. This report illustrates a research on the mediatization of emotions during the first wave of Covid-19 in an interdisciplinary approach. The mechanisms of emotions generation in media messages as well as the content and visual elements of functioning of the pandemic’s subject in culture or religion have been described. Material and methods. The research was carried out on multimodal media publications on the pandemic in global messages. Due to the interdisciplinary nature of the research (social sciences, humanities, social communication and media sciences), a set of research methods and techniques was used: content analysis, analysis of visual metaphors or workshop analysis of the media message. Results. The mediatization of emotions in various areas of social life was examined on the basis of media analysis of religious, consumer-economic, educational, cultural messages. A catalogue of mechanisms for the mediatization of emotions in media coverage was created. New symbols representing the SarsCov-2 pandemic were shown. Conclusions. The research shows that the mediatization of factors is a process of mediation not only in learning about and creating social reality, but also in controlling attention. During the first wave of the Covid-19 pandemic, this role was played by emotional media discourses and mechanisms of generating emotions in the media message.
抽象的目的。本报告阐述了一项跨学科方法对第一波Covid-19期间情绪调解的研究。描述了媒体信息中情绪产生的机制,以及大流行主题在文化或宗教中运作的内容和视觉要素。材料和方法。这项研究是针对全球信息中关于该流行病的多模式媒体出版物进行的。由于研究的跨学科性质(社会科学,人文科学,社会传播和媒体科学),使用了一套研究方法和技术:内容分析,视觉隐喻分析或媒体信息的工作坊分析。结果。在对宗教、消费经济、教育和文化信息进行媒体分析的基础上,研究了社会生活各个领域中情绪的媒介化。创建了媒体报道中情绪媒介化机制的目录。显示了代表SarsCov-2大流行的新符号。结论。研究表明,因素的中介化是一个中介过程,它不仅中介于对社会现实的认识和创造,而且中介于对注意力的控制。在2019冠状病毒病大流行的第一波期间,情绪化的媒体话语和媒体信息中产生情绪的机制发挥了这一作用。
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引用次数: 0
Spirituality in Polish nursing and chosen tools used for its measuring – subject matter presentation based on literature review 波兰护理中的灵性和用于测量的选择工具——基于文献回顾的主题呈现
Pub Date : 2023-05-30 DOI: 10.2478/pielxxiw-2023-0013
L. Kwiećkowska, Iwona Kiersnowska, E. Krzych-Fałta
Abstract Introduction. In times of the dehumanisation of medicine, a holistic approach to patients seems indispensable. Moreover, there is an increasing number of scientific papers on the significance of soft competencies and the non-clinical nature of care in the quality and effectiveness of therapeutic processes. The staff often neglects or ignores the elements of spiritual care in everyday practice. It results from the concern not to interfere with the patient’s personal life and from staff shortages, which entails the staff ’s heavy workload on duty. Consequently, a phenomenon known as missing nursing care was diagnosed, involving skipping some activities during everyday nursing practice in order to perform the indispensable, most essential procedures for the patient. Aim. The aim of the study was to present the importance of spiritual care in nursing and to present tools for its measurement. Method. The method is an nonsystematic review of current national and world literature. Summary. Providing spiritual care is primarily aimed at responding to patients’ needs and concerns. Such care is based on effective communication skills, through which a nurse establishes a bond and trust with the patient, and consequently, the patient is more willing to engage in therapeutic processes, so hospitalisation might be reduced significantly.
摘要介绍。在医学非人性化的时代,对病人采取整体方法似乎是不可或缺的。此外,越来越多的科学论文关于软能力的重要性和护理的非临床性质在治疗过程的质量和有效性。在日常实践中,工作人员经常忽视或忽视精神关怀的要素。这是由于担心不干扰病人的个人生活和人手短缺,这导致工作人员的工作量很大。因此,一种被称为缺失护理的现象被诊断出来,包括在日常护理实践中跳过一些活动,以便为患者执行必不可少的,最重要的程序。的目标。本研究的目的是提出精神关怀在护理中的重要性,并提出其测量工具。方法。该方法是对当前国内和世界文献的非系统回顾。总结。提供精神护理的主要目的是回应病人的需要和关切。这种护理以有效的沟通技巧为基础,通过这种沟通技巧,护士与患者建立了联系和信任,因此,患者更愿意参与治疗过程,因此住院治疗可能会大大减少。
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引用次数: 0
Evidence-based nursing care of a patient treated with the Ilizarov method for lower limb length inequality 用Ilizarov方法治疗下肢长度不均等患者的循证护理
Pub Date : 2023-05-30 DOI: 10.2478/pielxxiw-2023-0014
Małgorzata Moskal-Szybka, Anna Moskal, Renata Dziubaszewska
Abstract Aim. Presentation of selected elements of nursing care of a patient with lower limb length inequality treated with the Ilizarov method. Material and methods. A patient after surgical placement of an external fixator is presented in this work. An individual case study method was used in this work, whereas the research techniques were: interview, nursing observations, measurements, analysis of nursing records. The research tools included e.g. a guide to collecting patient data and numeric rating scale (NRS) for pain assessment. Results. The study presents nursing interventions based on EBN for 4 diagnoses, e.g.: post-operative wound pain associated with skin incision and deep tissue damage; low mood and sadness due to the perspective of long-term treatment and accompanying disability. Effective improvement of the patient’s health is achieved by implementing nursing care based on scientific evidence. Conclusions. Important aspects of the nursing care of a patient with Ilizarov apparatus include the awareness and knowledge of nursing and clinical problems resulting from skin, soft tissue and bone damage caused by the external fixator.
抽象的目的。介绍用Ilizarov方法治疗下肢长度不平等患者的护理要点。材料和方法。手术后放置外固定架的病人是在这项工作提出。本研究采用个案研究方法,研究方法为:访谈、护理观察、测量、护理记录分析。研究工具包括收集患者数据的指南和用于疼痛评估的数字评定量表(NRS)。结果。本研究提出了基于EBN的4种诊断的护理干预措施,如:术后伤口疼痛与皮肤切口和深部组织损伤;情绪低落和悲伤由于长期治疗的角度和伴随的残疾。通过实施基于科学证据的护理,有效改善患者的健康状况。结论。使用Ilizarov器械的患者护理的重要方面包括对由外固定架引起的皮肤、软组织和骨骼损伤的护理和临床问题的认识和知识。
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引用次数: 0
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Pielegniarstwo XXI wieku / Nursing in the 21st Century
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