Pub Date : 2023-02-27DOI: 10.2478/pielxxiw-2023-0001
R. Kozáková, R. Bužgová
Abstract Aim. The purpose was to determine the quality of life of Parkinson’s disease patients and their family members and to identify the factors that affect it. Material and methods. The research sample included 183 patients with Parkinson’s disease and 78 family members. Quality of life was assessed using the Czech Quality of Life Questionnaire of Patients with Progressive Neurological Disease. Results. Patients with a longer duration of the disease had a lower overall quality of life. The connection between higher dependence of patients on daily activities, and higher degree of motor disability was associated with a poorer quality of life in patients. In family members, an association was demonstrated between older age and a lower quality of life in the domain of normal daily activity, social and spiritual area. With older age, the higher burden of symptoms also increased and deteriorated overall quality of life. The connection between higher dependence of patients on daily activities and a worse quality of life of caregivers in the three domain was confirmed. Conclusions. Regular assessment of the impact of Parkinson’s disease on the quality of life of patients and their family and the identification of factors that affect it can help prioritize the treatment planning phase.
{"title":"Quality of life of patients with Parkinson’s disease and their families","authors":"R. Kozáková, R. Bužgová","doi":"10.2478/pielxxiw-2023-0001","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0001","url":null,"abstract":"Abstract Aim. The purpose was to determine the quality of life of Parkinson’s disease patients and their family members and to identify the factors that affect it. Material and methods. The research sample included 183 patients with Parkinson’s disease and 78 family members. Quality of life was assessed using the Czech Quality of Life Questionnaire of Patients with Progressive Neurological Disease. Results. Patients with a longer duration of the disease had a lower overall quality of life. The connection between higher dependence of patients on daily activities, and higher degree of motor disability was associated with a poorer quality of life in patients. In family members, an association was demonstrated between older age and a lower quality of life in the domain of normal daily activity, social and spiritual area. With older age, the higher burden of symptoms also increased and deteriorated overall quality of life. The connection between higher dependence of patients on daily activities and a worse quality of life of caregivers in the three domain was confirmed. Conclusions. Regular assessment of the impact of Parkinson’s disease on the quality of life of patients and their family and the identification of factors that affect it can help prioritize the treatment planning phase.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"109 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120993359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0033
R. Bužgová, R. Kozáková
Abstract Aim. The aim of the research was to validate the Quality of Life Questionnaire for family members of patients with progressive neurological disease PNDQoL_FM. Material and methods. To analyze the psychometric properties of the questionnaire, a confirmatory factor analysis (convergent validity of the questionnaire) was used, together with internal consistency of the scales (reliability), retest reliability, and correlation analysis. The research sample comprised of 157 family members of patients with PND. Results. The psychometric properties of the PNDQoL_FM questionnaire were found satisfactory. The best concordance of a model and the data (CFI: 0.989; TLI: 0.973; RMSEA: 0.063; SRMR: 0.030; GFI: 0.977) was found for the model 2, where four domains of the functional scale were tested, i.e. activities of daily living, emotional functioning, social functioning, and spiritual area. The reliability of the individual subscales was also found satisfactory (Cronbach α: 0.735-0.923). The retest reliability was determined to be satisfactory for all domains as well (r>0.7). Conclusions. The questionnaire PNDQoL_FM could be used for both research and clinical practice. The assessment of the quality of life of the PND patients’ family members may be a convenient indicator of the quality of provided care.
{"title":"The questionnaire for evaluating the quality of life of family members in neurology: Psychometric properties of the Czech version of the PNDQOL_FM","authors":"R. Bužgová, R. Kozáková","doi":"10.2478/pielxxiw-2022-0033","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0033","url":null,"abstract":"Abstract Aim. The aim of the research was to validate the Quality of Life Questionnaire for family members of patients with progressive neurological disease PNDQoL_FM. Material and methods. To analyze the psychometric properties of the questionnaire, a confirmatory factor analysis (convergent validity of the questionnaire) was used, together with internal consistency of the scales (reliability), retest reliability, and correlation analysis. The research sample comprised of 157 family members of patients with PND. Results. The psychometric properties of the PNDQoL_FM questionnaire were found satisfactory. The best concordance of a model and the data (CFI: 0.989; TLI: 0.973; RMSEA: 0.063; SRMR: 0.030; GFI: 0.977) was found for the model 2, where four domains of the functional scale were tested, i.e. activities of daily living, emotional functioning, social functioning, and spiritual area. The reliability of the individual subscales was also found satisfactory (Cronbach α: 0.735-0.923). The retest reliability was determined to be satisfactory for all domains as well (r>0.7). Conclusions. The questionnaire PNDQoL_FM could be used for both research and clinical practice. The assessment of the quality of life of the PND patients’ family members may be a convenient indicator of the quality of provided care.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131070827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0034
J. Gotlib, I. Cieślak, M. Jaworski, Małgorzata Witkowska-Zimny, P. Małkowski, M. Panczyk
Abstract Introduction. The outbreak of the SARS-CoV2 pandemic resulted in a paralysis of healthcare systems. The most important problem was the provision of an appropriate number of healthcare personnel. One of the ways was to enable final-year students of medical sciences to start professional work. Aim. To analyse the available literature dealing with student study-to-work transition during the SARS-CoV-2 pandemic outbreak. Method. The resources of five databases: PubMed, Scopus, ProQuest, Web of Science, CINAHL Complete via EBSCOhost were researched. The inclusion criteria: 1) English language, 2) papers published in peer-reviewed journals, 3) type of publication, 4) papers published between 01.01.2020 and 31.12.2020. We have found 2,341 articles. The 17 papers were included in the final analysis. Results. The analysis pointed to soft competences as one of the most important group of competences enabling efficient study-to-work transition (n=13). Students pointed to the ethical problems encountered at the start of work in the pandemic (n=8). Two important factors should be highlighted as crucial for the future formation of the professional identity of a group of students starting their professional career in the pandemic: the impact of the disturbed process of professional adaptation and the need to implement changes to the processes of education of students of medical sciences.
摘要介绍。SARS-CoV2大流行的爆发导致卫生保健系统瘫痪。最重要的问题是提供适当数量的保健人员。其中一种方法是让医学专业的最后一年级学生开始从事专业工作。的目标。分析SARS-CoV-2大流行期间学生从学习到工作过渡的现有文献。方法。通过EBSCOhost对PubMed、Scopus、ProQuest、Web of Science、CINAHL Complete 5个数据库资源进行了研究。入选标准:1)语言为英语，2)发表在同行评议期刊上的论文，3)发表类型，4)发表于2020年1月1日至2020年12月31日之间的论文。我们找到了2341篇文章。这17篇论文被纳入最终分析。结果。分析指出，软能力是最重要的一组能力，能够实现有效的从学习到工作的过渡(n=13)。学生们指出了在大流行病开始工作时遇到的伦理问题(n=8)。应该强调两个重要因素，因为它们对在大流行病中开始职业生涯的学生群体未来形成职业认同至关重要:专业适应过程受到干扰的影响，以及需要对医学学生的教育过程进行改革。
{"title":"“Truly once in a lifetime opportunity”. An overview of nursing students experiences of study-to-work transition in the SARS-CoV-2 pandemic","authors":"J. Gotlib, I. Cieślak, M. Jaworski, Małgorzata Witkowska-Zimny, P. Małkowski, M. Panczyk","doi":"10.2478/pielxxiw-2022-0034","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0034","url":null,"abstract":"Abstract Introduction. The outbreak of the SARS-CoV2 pandemic resulted in a paralysis of healthcare systems. The most important problem was the provision of an appropriate number of healthcare personnel. One of the ways was to enable final-year students of medical sciences to start professional work. Aim. To analyse the available literature dealing with student study-to-work transition during the SARS-CoV-2 pandemic outbreak. Method. The resources of five databases: PubMed, Scopus, ProQuest, Web of Science, CINAHL Complete via EBSCOhost were researched. The inclusion criteria: 1) English language, 2) papers published in peer-reviewed journals, 3) type of publication, 4) papers published between 01.01.2020 and 31.12.2020. We have found 2,341 articles. The 17 papers were included in the final analysis. Results. The analysis pointed to soft competences as one of the most important group of competences enabling efficient study-to-work transition (n=13). Students pointed to the ethical problems encountered at the start of work in the pandemic (n=8). Two important factors should be highlighted as crucial for the future formation of the professional identity of a group of students starting their professional career in the pandemic: the impact of the disturbed process of professional adaptation and the need to implement changes to the processes of education of students of medical sciences.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125363265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0035
Alicja Szewczyk, Natasza Tobiasz-Kałkun, Anna Stefanowicz-Bielska, E. Kobos, M. Młynarczuk, Justyna Kapuściok, Agnieszka Karczewska, B. Hornik
Abstract Introduction. The history of recommendations by the Polish Federation for Education in Diabetology dates back to 2006, when guidelines for nurses/midwifes working with diabetic patients were first drawn up. However, the development of nurses and midwifes? competences requires stronger actions that foster a transition from experience-based towards evidence-based practice. Aim. The aim of this publication is to present a set of procedures describing nursing interventions in diabetes care, including currently available scientific evidence and clinical experience of specialists involved in the care of diabetic patients. Material and methods. The study involved a literature review of selected areas of nursing practice in diabetes care. When compiling the material, the priority was to use data from (in order of significance): randomized controlled clinical trials and their meta-analyses, observational studies and other studies with lower levels of evidence. Results. Based on an analysis of the collected material, 15 procedures and 2 guidelines have been developed, describing selected aspects of nursing interventions in diabetic patients. Each of the procedures details key recommendations on diabetes care, arranged in accordance of the significance ascribed to the scientific evidence analyzed. Conclusions. The 2023 PFED guidelines on nursing diabetes care are the effect of the evaluation of the previous versions and comprise an updated, considerably more extensive, comprehensive and evidence-based set of practices. The major asset of these guidelines is their interdisciplinarity, reflected in the fact that the final version of the publication was approved by consultants in numerous nursing fields, a consultant in diabetology, and the President of the Polish Federation for Education in Diabetology, who all represent the medical community. The authors experience gained during work on international recommendations (New Insulin Delivery Recommendations) played an important role when formulating the present guidelines.
{"title":"Practice Guidelines of Nursing and Midwifery Diabetes Care – 2023. A position statement of Polish federation for education in Diabetology","authors":"Alicja Szewczyk, Natasza Tobiasz-Kałkun, Anna Stefanowicz-Bielska, E. Kobos, M. Młynarczuk, Justyna Kapuściok, Agnieszka Karczewska, B. Hornik","doi":"10.2478/pielxxiw-2022-0035","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0035","url":null,"abstract":"Abstract Introduction. The history of recommendations by the Polish Federation for Education in Diabetology dates back to 2006, when guidelines for nurses/midwifes working with diabetic patients were first drawn up. However, the development of nurses and midwifes? competences requires stronger actions that foster a transition from experience-based towards evidence-based practice. Aim. The aim of this publication is to present a set of procedures describing nursing interventions in diabetes care, including currently available scientific evidence and clinical experience of specialists involved in the care of diabetic patients. Material and methods. The study involved a literature review of selected areas of nursing practice in diabetes care. When compiling the material, the priority was to use data from (in order of significance): randomized controlled clinical trials and their meta-analyses, observational studies and other studies with lower levels of evidence. Results. Based on an analysis of the collected material, 15 procedures and 2 guidelines have been developed, describing selected aspects of nursing interventions in diabetic patients. Each of the procedures details key recommendations on diabetes care, arranged in accordance of the significance ascribed to the scientific evidence analyzed. Conclusions. The 2023 PFED guidelines on nursing diabetes care are the effect of the evaluation of the previous versions and comprise an updated, considerably more extensive, comprehensive and evidence-based set of practices. The major asset of these guidelines is their interdisciplinarity, reflected in the fact that the final version of the publication was approved by consultants in numerous nursing fields, a consultant in diabetology, and the President of the Polish Federation for Education in Diabetology, who all represent the medical community. The authors experience gained during work on international recommendations (New Insulin Delivery Recommendations) played an important role when formulating the present guidelines.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133271728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0037
M. Salamończyk, Mariola Błachnio
Abstract Aim. The primary objective of this study was to assess the influence of various factors on the first contact of mother and her infant in Warsaw’s maternity facilities. Material and methods. For this study, direct observation was performed. Research material was collected using original observation survey, specifically designed for this study. Study was conducted in 11 Warsaw’s maternity facilities of varied referral level. Results. The contact was the longest (between 91 and 120 minutes) if there were fewer people present in the delivery room during birth (p<0.001). Infant was placed on mother’s chest immediately after delivery if there were fewer people present in the delivery room (p<0.001). Infant examination took place more than 2 hours after birth if there were fewer people present in the delivery room (p<0.001). Conclusions. Mother-infant first contact was the longest and was initiated immediately after delivery if there were fewer people present in the delivery room and if a midwife was a sole provider of care.
{"title":"Factors affecting the quality of mother-infant first contact after vaginal delivery","authors":"M. Salamończyk, Mariola Błachnio","doi":"10.2478/pielxxiw-2022-0037","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0037","url":null,"abstract":"Abstract Aim. The primary objective of this study was to assess the influence of various factors on the first contact of mother and her infant in Warsaw’s maternity facilities. Material and methods. For this study, direct observation was performed. Research material was collected using original observation survey, specifically designed for this study. Study was conducted in 11 Warsaw’s maternity facilities of varied referral level. Results. The contact was the longest (between 91 and 120 minutes) if there were fewer people present in the delivery room during birth (p<0.001). Infant was placed on mother’s chest immediately after delivery if there were fewer people present in the delivery room (p<0.001). Infant examination took place more than 2 hours after birth if there were fewer people present in the delivery room (p<0.001). Conclusions. Mother-infant first contact was the longest and was initiated immediately after delivery if there were fewer people present in the delivery room and if a midwife was a sole provider of care.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116519239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0038
Iva Marková, D. Jarošová
Abstract Aim. The aim is to describe and analyse the available studies describing the assigned nursing care and work environment of nurses. Design: Scoping review. Methods. The search was conducted in four scientific databases Ovid Nursing, ProQuest, PubMed, and Scopus. Eleven studies published between years 2000 and 2020 were included in the review. Results. Eleven cross-sectional and correlational studies were analysed to document the prevalence of rationed nursing care in the acute hospital care setting. Studies evaluating rationed nursing care confirm a strong relationship with the workplace nursing environment. Thus, the work environment is among the significant determinants of rationed nursing care. The most commonly used tools include the PIRNCA tool for assessing hidden rationing of care and the PES-NWI tool for monitoring the work environment of nurses. When the work environment is rated as unfavourable, there is a higher rate of rationed nursing care. Conclusions. Rationed nursing care is a phenomenon that is monitored globally, and its assessment is essential in health care delivery. The main reasons for the development of hidden rationing of care include inadequate staffing and facilities. Factors that contribute significantly to the rationed nursing care are based on the work environment - mainly interpersonal relationships and communication, multidisciplinary collaboration.
{"title":"Rationing nursing care and nurses’ work environment as a factor influencing the occurrence and level of rationing care – a scoping review","authors":"Iva Marková, D. Jarošová","doi":"10.2478/pielxxiw-2022-0038","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0038","url":null,"abstract":"Abstract Aim. The aim is to describe and analyse the available studies describing the assigned nursing care and work environment of nurses. Design: Scoping review. Methods. The search was conducted in four scientific databases Ovid Nursing, ProQuest, PubMed, and Scopus. Eleven studies published between years 2000 and 2020 were included in the review. Results. Eleven cross-sectional and correlational studies were analysed to document the prevalence of rationed nursing care in the acute hospital care setting. Studies evaluating rationed nursing care confirm a strong relationship with the workplace nursing environment. Thus, the work environment is among the significant determinants of rationed nursing care. The most commonly used tools include the PIRNCA tool for assessing hidden rationing of care and the PES-NWI tool for monitoring the work environment of nurses. When the work environment is rated as unfavourable, there is a higher rate of rationed nursing care. Conclusions. Rationed nursing care is a phenomenon that is monitored globally, and its assessment is essential in health care delivery. The main reasons for the development of hidden rationing of care include inadequate staffing and facilities. Factors that contribute significantly to the rationed nursing care are based on the work environment - mainly interpersonal relationships and communication, multidisciplinary collaboration.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"310 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131969336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0031
K. Kamińska, Natalia Ścirka, Marzena Kamińska
Abstract Introduction. Introduction OM caused by systemic treatment is a major therapeutic problem. The related complications may cause complications in the course of planned treatment, which in turn may affect the prognosis and results of oncological treatment. Aim. The aim of the study is to present the problem experienced by oncological patients undergoing systemic treatment.The paper describes the pathogenesis of oral mucositis, the current treat-ment standards and emphasizes the role of an oncology nurse in caring for a patient with symptoms of this disease. Method. The paper reviews selected literature on stomatitis in cancer patients. Numerous clinical trials are conducted to search for drugs that could be used in the prevention and treatment – OM. Summary. The development of oncological therapies, including targeted treatment and immunotherapy, significantly extended the life span of patients and the time free from disease progression. Appropriate prophylaxis, patient education, systematic observation allow for early detection of the disease, which allows for quick implementation of symptomatic treatment. The basis of successful oncological therapy is close cooperation the patient with the doctor and nurse, and active and conscious participation in the entire treatment and care proces.
{"title":"Inflammatory changes in the oral mucosa as a side symptom of systemic treatment","authors":"K. Kamińska, Natalia Ścirka, Marzena Kamińska","doi":"10.2478/pielxxiw-2022-0031","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0031","url":null,"abstract":"Abstract Introduction. Introduction OM caused by systemic treatment is a major therapeutic problem. The related complications may cause complications in the course of planned treatment, which in turn may affect the prognosis and results of oncological treatment. Aim. The aim of the study is to present the problem experienced by oncological patients undergoing systemic treatment.The paper describes the pathogenesis of oral mucositis, the current treat-ment standards and emphasizes the role of an oncology nurse in caring for a patient with symptoms of this disease. Method. The paper reviews selected literature on stomatitis in cancer patients. Numerous clinical trials are conducted to search for drugs that could be used in the prevention and treatment – OM. Summary. The development of oncological therapies, including targeted treatment and immunotherapy, significantly extended the life span of patients and the time free from disease progression. Appropriate prophylaxis, patient education, systematic observation allow for early detection of the disease, which allows for quick implementation of symptomatic treatment. The basis of successful oncological therapy is close cooperation the patient with the doctor and nurse, and active and conscious participation in the entire treatment and care proces.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131103009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0030
Grzegorz Bartkowiak, T. Kryczka
Abstract Introduction. Reducing the number of new HIV infections is one of the challenges of modern health care. Advances in medicine have given rise to new methods of preventing the transmission of the infection. Pharmacological pre-exposure prophylaxis (PrEP) is one of them. Aim. The aim of this paper is to discuss the principles of PrEP and to bring the role of a nurse closer in this regard. Method. The safety and efficacy of PrEP have been demonstrated in clinical trials. At the same time, in accordance with the postulates of the WHO to transfer competencies related to the prevention of the spread of HIV to other health care professionals, models of PrEP provision by e.g. nurses, are being discussed. Results. Pharmacological PrEP used in vulnerable groups at risk of HIV infection may help slow down the epidemic. Nurses have almost all the knowledge and clinical competence to provide PrEP services. Expanding the competence of nurses by including HIV diagnosis, prescription of medications approved for use as PrEP, and increasing the scope of decision-making in this type of prophylaxis will contribute to its popularisation in Poland, as well as increase the prestige of the profession and the possibilities of developing of advanced nursing practice.
{"title":"Nurse’s role in pharmacological pre-exposure prophylaxis of HIV infection","authors":"Grzegorz Bartkowiak, T. Kryczka","doi":"10.2478/pielxxiw-2022-0030","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0030","url":null,"abstract":"Abstract Introduction. Reducing the number of new HIV infections is one of the challenges of modern health care. Advances in medicine have given rise to new methods of preventing the transmission of the infection. Pharmacological pre-exposure prophylaxis (PrEP) is one of them. Aim. The aim of this paper is to discuss the principles of PrEP and to bring the role of a nurse closer in this regard. Method. The safety and efficacy of PrEP have been demonstrated in clinical trials. At the same time, in accordance with the postulates of the WHO to transfer competencies related to the prevention of the spread of HIV to other health care professionals, models of PrEP provision by e.g. nurses, are being discussed. Results. Pharmacological PrEP used in vulnerable groups at risk of HIV infection may help slow down the epidemic. Nurses have almost all the knowledge and clinical competence to provide PrEP services. Expanding the competence of nurses by including HIV diagnosis, prescription of medications approved for use as PrEP, and increasing the scope of decision-making in this type of prophylaxis will contribute to its popularisation in Poland, as well as increase the prestige of the profession and the possibilities of developing of advanced nursing practice.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127510652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0032
Aleksandra Kołpa, Daria Stochmal-Czuryszkiewicz, J. Kęsik, A. Pilewska-Kozak
Abstract Aim. To assess lifestyles of women and men having difficulty conceiving a baby. Material and methods. The study was carried out among 517 respondents (350 women and 167 men) suffering from infertility. The online diagnostic survey method was applied. The authors’ own questionnaire was used along with the standardised FANTASTIC Life Questionnaire. Results. More than a half of the women researched (60.3%) had appropriate BMI and every second man (49.1%) suffered from obesity. Most of the respondents paid attention to the quality of food they had. Every third woman (30.3%) did exercise 3-4 times a week while most men (37.7%) once a week. The mean score of the FANTASTIC Lifestyle Questionnaire was 35.73 ± 6.94 points which means the group studied was characterised by a very good lifestyle. Conclusions. The lifestyles of the resopndents was good or very good and only their physical activity, type of behaviour/personality traits or perception of themselves needed further improvement. Education of individuals who fail to conceive a baby is of great importance along with education of the entire society on the influence of lifestyle on reproductive health and the implementation of preventive measures to promote favourable health behaviours.
{"title":"Lifestyle of women and men with infertility","authors":"Aleksandra Kołpa, Daria Stochmal-Czuryszkiewicz, J. Kęsik, A. Pilewska-Kozak","doi":"10.2478/pielxxiw-2022-0032","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0032","url":null,"abstract":"Abstract Aim. To assess lifestyles of women and men having difficulty conceiving a baby. Material and methods. The study was carried out among 517 respondents (350 women and 167 men) suffering from infertility. The online diagnostic survey method was applied. The authors’ own questionnaire was used along with the standardised FANTASTIC Life Questionnaire. Results. More than a half of the women researched (60.3%) had appropriate BMI and every second man (49.1%) suffered from obesity. Most of the respondents paid attention to the quality of food they had. Every third woman (30.3%) did exercise 3-4 times a week while most men (37.7%) once a week. The mean score of the FANTASTIC Lifestyle Questionnaire was 35.73 ± 6.94 points which means the group studied was characterised by a very good lifestyle. Conclusions. The lifestyles of the resopndents was good or very good and only their physical activity, type of behaviour/personality traits or perception of themselves needed further improvement. Education of individuals who fail to conceive a baby is of great importance along with education of the entire society on the influence of lifestyle on reproductive health and the implementation of preventive measures to promote favourable health behaviours.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126307852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.2478/pielxxiw-2022-0039
A. Kucharzyk, A. Bednarek
Abstract Aim. To assess the level of school stress, factors influencing it and coping strategies among high school students. Material and methods. The research was conducted online in 2021. The method used was a diagnostic survey at work. Research tool was the original questionnaire and the Mini-COPE scale. The group of respondents was 200 high school students – 130 boys, 70 girls. Results. Less than half (46.8%) of secondary school students indicated their level of perceived stress as “6” on a 10-point scale, where “0” meant no stress, “10” – the maximum stress. Data analysis showed the most common relaxation methods turned out to be listening to music (92 people) and outdoor walks (65 people). As many as 89 respondents did not use any relaxation methods. The most common stress coping strategies are acceptance, self-focus, and active coping. The least frequently selected option was the use of psychoactive substances.. Conclusions. 1. School stress experienced by secondary school students is moderate. 2. Age and gender do not affect the level of stress experienced by high school students. 3. The most common relaxation method among adolescents is listening to music. 4. Acceptance, preoccupation with something else and active coping are the most commonly used strategies for coping with school stress.
{"title":"Assessment of school stress levels and strategies of coping with stress in high school students","authors":"A. Kucharzyk, A. Bednarek","doi":"10.2478/pielxxiw-2022-0039","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0039","url":null,"abstract":"Abstract Aim. To assess the level of school stress, factors influencing it and coping strategies among high school students. Material and methods. The research was conducted online in 2021. The method used was a diagnostic survey at work. Research tool was the original questionnaire and the Mini-COPE scale. The group of respondents was 200 high school students – 130 boys, 70 girls. Results. Less than half (46.8%) of secondary school students indicated their level of perceived stress as “6” on a 10-point scale, where “0” meant no stress, “10” – the maximum stress. Data analysis showed the most common relaxation methods turned out to be listening to music (92 people) and outdoor walks (65 people). As many as 89 respondents did not use any relaxation methods. The most common stress coping strategies are acceptance, self-focus, and active coping. The least frequently selected option was the use of psychoactive substances.. Conclusions. 1. School stress experienced by secondary school students is moderate. 2. Age and gender do not affect the level of stress experienced by high school students. 3. The most common relaxation method among adolescents is listening to music. 4. Acceptance, preoccupation with something else and active coping are the most commonly used strategies for coping with school stress.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127580157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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