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Pain and functioning of patients after endovascular treatment of thoracoabdominal aortic aneurysms during the first five days after the procedure 胸腹主动脉瘤血管内治疗后5天内患者的疼痛和功能
Pub Date : 2022-12-01 DOI: 10.2478/pielxxiw-2022-0036
M. Hreńczuk, Dominika Zadrożna
Abstract Aim. The study assessed the pain and functioning of patients after thoracoabdominal aortic aneurysms surgery. Material and methods. The study involved 35 patients after the thoracoabdominal aortic aneurysm surgery. The study used the method of a diagnostic survey, and the research tool was a proprietary questionnaire, using a numerical and descriptive pain scale and the Laitinen Scale. The results were analyzed in the program SPSS Statistics 21.0. Results. When it comes to 54.3% of the respondents, they experienced the strongest pain on the first day after the procedure, 45.7% experienced the pain periodically and it was felt the most in the evening (48%). More than half of the respondents indicated that the experienced pain completely affected the movement/walking and it was the strongest then, and it was the same while getting up. Pain intensity and the presence of functional limitations did not have a statistically significant correlation with the analyzed socio-medical variables (p>0.05). Conclusions. Patients experienced the pain after thoracoabdominal aortic aneurysm surgery and it limited their functioning, therefore they needed help in performing basic life activities.
抽象的目的。该研究评估了胸腹主动脉瘤手术后患者的疼痛和功能。材料和方法。该研究涉及35名胸腹主动脉瘤手术后的患者。本研究采用诊断调查的方法,研究工具为专有问卷,采用数字和描述性疼痛量表和Laitinen量表。在SPSS统计软件21.0中对结果进行分析。结果。在54.3%的受访者中,他们在手术后的第一天感到最强烈的疼痛,45.7%的人周期性地感到疼痛,晚上的疼痛感最大(48%)。超过一半的受访者表示,所经历的疼痛完全影响了运动/行走,并且是最强烈的,起床时也是如此。疼痛强度和功能限制的存在与分析的社会医学变量无统计学意义相关(p>0.05)。结论。患者在胸腹主动脉瘤手术后会经历疼痛,这限制了他们的功能,因此他们需要帮助进行基本的生活活动。
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引用次数: 0
STD-Related sexual and gynaecological issues, including lesions of the genital organs and oral cavity 与性病有关的性和妇科问题,包括生殖器官和口腔的损害
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0029
K. Plagens-Rotman, P. Merks, J. Opydo-Szymaczek, W. Kędzia, G. Jarząbek-Bielecka
Abstract Human sexual life takes place at the biological, mental and social levels. Sexually transmitted diseases are an important issue associated particularly with the biological sphere, and have been on the rise in recent years. The wide spectrum of symptoms and consequences depends on aetiology and advancement, accompanying symptoms and/or their absence, as well as local, generalised and multiorgan lesions. They can also be present in the oral cavity. The prevention and treatment of these diseases is a special sphere of healthcare. In the context of sexual health, healthcare can be understood as integration of the biological, emotional, intellectual and social aspects of sexual life, being also important for the positive development of personality, communication and love.
人类的性生活发生在生理、心理和社会层面。性传播疾病是一个特别与生物领域有关的重要问题,近年来呈上升趋势。广泛的症状和后果取决于病因和进展、伴随症状和/或症状的消失,以及局部、全身和多器官病变。它们也可能存在于口腔中。预防和治疗这些疾病是保健的一个特殊领域。在性健康的背景下,保健可以理解为性生活的生物、情感、智力和社会方面的整合,对个性、沟通和爱的积极发展也很重要。
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引用次数: 0
Assessment of nurses’ communication with department and hospital management in implementation of integrated clinical pathways in Slovenia 评估斯洛文尼亚实施综合临床路径时护士与科室和医院管理层的沟通情况
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0022
M. Šimec, Sabina Krsnik, K. Erjavec
Abstract Introduction. An important factor in the implementation of innovations such as integrative clinical care pathways (ICPs) is supportive communication from department and hospital management. ICPs have been introduced into the clinical environment as a tool to improve the quality, safety and efficiency of health services. Aim. The study aimed to assess communication of nurses working in three ICPs and department heads and hospital managers in a typical Slovenian hospital and to identify the main reasons for this communication using a mixed methods approach. Material and methods. The cross-sectional study used a mixed descriptive quantitative method with a survey and a qualitative method with a focus group interviews of nurses working in ICPs for chronic kidney disease, stroke and total hip arthroplasty in a typical Slovenian hospital. Result and conclusion. The results showed that communication plays an important role in the implementation of ICPs and that nurses communicate worse with hospital managers than with department heads, regardless of age, gender, education and ICPs. The main reasons for poor communication in the implementation of ICPs are communication-related (weak exchange of information, lack of appropriate communication channels, one-sided and authoritative communication on the part of hospital managers) and organisational (lack of staff, disorganisation of nursing staff).
摘要介绍。实施综合临床护理路径(ICPs)等创新的一个重要因素是来自部门和医院管理层的支持性沟通。综合方案已被引入临床环境,作为提高保健服务质量、安全和效率的工具。的目标。该研究旨在评估在三个icp中工作的护士和在一家典型的斯洛文尼亚医院的部门主管和医院管理人员的沟通,并使用混合方法方法确定这种沟通的主要原因。材料和方法。横断面研究采用混合描述性定量方法和定性方法,分别对斯洛文尼亚一家典型医院从事慢性肾病、中风和全髋关节置换术的ICPs护士进行焦点小组访谈。结果与结论。结果表明,沟通在ICPs的实施中起着重要作用,无论年龄、性别、教育程度和ICPs如何,护士与医院管理人员的沟通都比与科室主管的沟通差。ICPs实施过程中沟通不畅的主要原因是沟通相关(信息交流薄弱,缺乏适当的沟通渠道,医院管理者沟通片面和权威)和组织(人手不足,护理人员缺乏组织)。
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引用次数: 0
Women’s problems associated with pelvic floor muscle dysfunction 与盆底肌肉功能障碍有关的女性问题
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0020
J. Muszyńska, M. Lewicka, M. Sulima
Abstract Introduction. Pelvic floor muscle dysfunction is a common condition caused by failure of the suspensory and support apparatus, resulting in lowering of the vaginal walls and pelvic organs. They affect nearly half of all peri- and postmenopausal women. In recent years, the role of pelvic floor muscles has received increasing attention in both clinical trials and other studies. Aim. Presentation of women’s problems associated with pelvic floor muscle dysfunction. Methods. A review of the literature in Polish and English on pelvic floor dysfunction. Scholarly and professional publications covering 2015-2020 were searched in databases: EBSCO HOST, CINAHL, MEDLINE, and PubMed using keywords. Results. Pelvic floor muscle dysfunction is a common condition caused by failure of the suspensory and support apparatus, resulting in lowering of the vaginal walls and pelvic organs. They affect nearly half of peri- and postmenopausal women. summary. Considering how many women face a variety of complaints related to pelvic floor dysfunction, it is imperative that health care professionals are properly prepared to educate patients about the anatomy, physiology, and pathology of pelvic floor muscles.
摘要介绍。盆底肌肉功能障碍是一种常见的疾病,由悬吊和支撑装置失效引起,导致阴道壁和盆腔器官下降。近一半的围绝经期和绝经后妇女都受到影响。近年来,盆底肌肉在临床试验和其他研究中的作用越来越受到重视。的目标。介绍与盆底肌肉功能障碍有关的妇女问题。方法。波兰语和英语关于骨盆底功能障碍的文献综述。使用关键词在EBSCO HOST、CINAHL、MEDLINE和PubMed等数据库中检索2015-2020年的学术和专业出版物。结果。盆底肌肉功能障碍是一种常见的疾病,由悬吊和支撑装置失效引起,导致阴道壁和盆腔器官下降。近一半的围绝经期和绝经后妇女都受到影响。总结。考虑到有多少女性面临着与盆底功能障碍有关的各种抱怨,医疗保健专业人员必须做好适当的准备,向患者介绍盆底肌肉的解剖学、生理学和病理学。
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引用次数: 0
The factors affecting the critical thinking skills among nursing students – an integrative literature review 护生批判性思维能力的影响因素——综合文献综述
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0021
D. Zarzycka, Monika Gesek
Abstract Aim. Review and analysis of available articles focused on factors affecting development of nursing students critical thinking. Material and methods. Integrative review of articles published between 2011 and 2021, available in the electronic databases PubMed, Scopus, Web of Science and EBSCO. Searching was based on keywords “critical thinking”, “nursing”, “nursing care”, “nursing education” which were connected by Boolean logic operators “and” as well as “or”. Results. There are several factors significant to advancement of critical thinking. Prevalent teaching methods, which promote development of critical thinking, constitute active learning strategies, concept mapping, simulation, problem-based learning, case study and learning methods based on evidence. Moreover, cultural and individual factors like empathy, emotional intelligence and caring behaviour show a significant relationship with critical thinking. Conclusions. Critical thinking represents an important meta-competence for nurses. Critical thinking contributes to adequate gathering of the information about patient, selection of those and formulating accurate diagnoses, progression of problem-solving skills and making decisions, improves communication with the patient. Analysis of relevant literature made it possible to indicate factors affecting critical thinking.
抽象的目的。对影响护生批判性思维发展因素的文献进行回顾分析。材料和方法。对2011年至2021年间发表的文章进行综合综述,可在PubMed, Scopus, Web of Science和EBSCO电子数据库中获得。搜索以关键词“批判性思维”、“护理”、“护理护理”、“护理教育”为基础,通过布尔逻辑运算符“、”和“或”连接。结果。有几个因素对提高批判性思维很重要。促进批判性思维发展的主流教学方法包括主动学习策略、概念映射、模拟、基于问题的学习、案例研究和基于证据的学习方法。此外,文化和个人因素,如同理心、情商和关怀行为,都与批判性思维有显著关系。结论。批判性思维是护士重要的元能力。批判性思维有助于充分收集有关患者的信息,选择这些信息并制定准确的诊断,提高解决问题的技能和做出决定,改善与患者的沟通。通过对相关文献的分析,可以指出影响批判性思维的因素。
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引用次数: 0
Implementation of the first skin-to-skin contact after cesarean sections in maternity hospitals in Warsaw 在华沙妇产医院实施剖宫产术后第一次皮肤接触
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0025
M. Salamończyk, Mariola Błachnio
Abstract Aim. The aim of the study was to assess the skin-to-skin contact after Caesarean sections in Warsaw maternity hospitals. Material and methods. The study used the method of direct observation. The material for the research was collected using the original observation sheet designed for the purpose of the study. The research was carried out in 11 maternity facilities in Warsaw of varied referral levels. Results. In 11.73% of cases after Caesarean sections, the mother’s contact with the child occurred immediately after birth. The duration of the first contact varied and amounted to: a few seconds – 30.10% of observations, from 1 to 5 minutes – 32.14%, from 6 to 15 minutes – 16.84%. The longest contact lasted 16-30 minutes, and it was performed only in 6.12% of cases. Conclusions. In most cases, the initiation of mother-child contact after Caesarean section is not carried out in line with the recommendations, it terms of its initiation, duration and form.
抽象的目的。这项研究的目的是评估华沙妇产医院剖腹产后皮肤接触的情况。材料和方法。本研究采用直接观察的方法。本研究的材料是使用为研究目的而设计的原始观察表收集的。这项研究是在华沙11个不同转诊水平的妇产设施中进行的。结果。在11.73%的剖腹产病例中,母亲在分娩后立即与孩子接触。第一次接触的持续时间各不相同,总计为:几秒钟-观察的30.10%,从1到5分钟- 32.14%,从6到15分钟- 16.84%。最长接触时间为16 ~ 30分钟,仅占6.12%。结论。在大多数情况下,剖腹产后开始的母婴接触在开始、持续时间和形式方面都没有按照建议进行。
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引用次数: 0
Educational level and self-reported competence of nurses in Slovakia 斯洛伐克护士的教育水平和自我报告能力
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0028
M. Červený, A. Bednarek, L. Dimunová, Leilani A. Siaki, Małgorzata Nagórska
Abstract Aim. The aim of this study was to explore the relationship between self-reported competences and the educational level of nurses in Slovakia. Materials and methods. The 73-item NCS was translated into the Slovak language according to Brislin’s translation model, then electronic version of the tool was emailed to eligible nurses in the Slovak Republic registered with the Slovak Chamber of Nurses and Midwives (SkSaPA). Data were analysed in IBM SPSS version 22 using descriptive statistics, Student t-test, Kolmogorov-Smirnov, and Mann-Whitney U test. Results. A total of 135 nurses, who work in the Slovak healthcare system, returned the surveys. Nurses with master’s degree reported greater confidence in “ensuring quality” and higher competence on the “managing situations” subscales than nurses without a master’s degree. This study found no other significant relationships between nursing educational levels and self-reported competence. Conclusions. Master’s level education influences nursing competence in managing clinical situations and ensuring the quality of nursing care provided in Slovakia.
抽象的目的。本研究的目的是探讨自我报告能力和斯洛伐克护士教育水平之间的关系。材料和方法。根据布里斯林的翻译模型,将73项NCS翻译成斯洛伐克语,然后将该工具的电子版本通过电子邮件发送给在斯洛伐克护士和助产士协会(SkSaPA)注册的斯洛伐克共和国合格护士。采用IBM SPSS version 22对数据进行分析,采用描述性统计、学生t检验、Kolmogorov-Smirnov检验和Mann-Whitney U检验。结果。共有135名在斯洛伐克医疗系统工作的护士参与了调查。与没有硕士学位的护士相比,拥有硕士学位的护士在“确保质量”方面更有信心,在“管理情况”分量表上也更有能力。本研究未发现护理教育水平与自我报告能力之间的其他显著关系。结论。硕士水平的教育影响管理临床情况的护理能力和确保斯洛伐克提供的护理质量。
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引用次数: 0
Empathy and Type D personality as the correlates of level of social skills of primary healthcare nurses 共情与D型人格对初级保健护士社交技能水平的影响
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0023
Agnieszka Chrzan-Rodak, B. Ślusarska
Abstract Introduction. Social skills are a very important element in the work of a nurse. These skills support patient-centered care and improve the quality of care, and for nurses, they are a protective factor against burnout syndrome, also they improve team work. Therefore, it is so important to search for their determinants. The objective of the article was to evaluate the relation between empathy and type D personality with the level of social competences of primary healthcare nurses. Material and methods. The research was conducted among primary healthcare nurses from the Lubelskie Voivodeship, using the following tools: The Social Competences Profile (PROKOS); Type D Personality Scale (DS-14), Empathic Understanding of Other People Questionnaire (KRE) and the sociodemographic data questionnaire. Results. We analyzed the responses of 446 nurses. In the study group 65% of the nurses had an average level of social competences. The research also evaluated the level of empathy demonstrated by primary healthcare nurses. The mean score for the level of empathy was M=64.63 points (SD=10.16). When it comes to 39% of the researched group of nurses (n=172), they demonstrated type D personality. The correlation analysis proved that the level of empathy among primary healthcare nurses significantly (p<0.001) supported their social competences. Furthermore the negative affectivity and social inhibition correlated significantly negatively (p<0.001) with social skills of nurses. Conclusions. Our research enabled us to discover the relations between empathy and type D personality with the level of social competences of primary healthcare nurses. Research further indicated insufficient level of social skills of nurses and the need to investigate factors, which could support their shaping. Further, in-depth research is required in this field, including quantitative analysis.
摘要介绍。社交技巧是护士工作中非常重要的因素。这些技能支持以病人为中心的护理,提高护理质量,对护士来说,它们是防止倦怠综合征的保护因素,也能改善团队合作。因此,寻找它们的行列式是非常重要的。本研究旨在探讨初级保健护士共情、D型人格与社会能力水平的关系。材料和方法。这项研究是在卢贝尔斯基省的初级保健护士中进行的,使用了以下工具:社会能力概况(PROKOS);D型人格量表(DS-14)、他人共情理解问卷(KRE)和社会人口学数据问卷。结果。我们分析了446名护士的反馈。在研究组中,65%的护士具有平均水平的社会能力。研究还评估了初级保健护士的同理心水平。共情水平平均得分M=64.63分(SD=10.16)。39%的受访护士(172人)表现出D型人格。相关分析证明,初级保健护士的共情水平显著支持其社会胜任力(p<0.001)。负向情感、社会抑制与护士社交技能呈显著负相关(p<0.001)。结论。通过研究,我们发现了共情和D型人格与初级保健护士社会能力水平之间的关系。研究进一步表明,护士的社会技能水平不足,需要调查的因素,可以支持其形成。进一步,需要在这一领域进行深入的研究,包括定量分析。
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引用次数: 1
Health problems of the patient after oncological treatment for osteosarcoma with persistent thymus 持续性胸腺骨肉瘤肿瘤治疗后患者的健康问题
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0026
Aleksandra Hajdon, Renata Dziubaszewska, B. Chmielowska, Dawid Makowicz
Abstract Introduction. Bone sarcomas, as rare tumour types, constitute only about 1% of malignant tumours. The treatment process is an additional burden on the human body, especially at a young age. The surgery has a long-term effect on the patient’s mobility and requires great effort and motivation to regain physical fitness. The discomfort resulting from having a persistent thymus gland makes it significantly more difficult for patients to return to their precancerous state. Aim. The aim of this study is to diagnose the patient’s health problems resulting from the presence of persistent thymus gland and a history of oncological treatment for osteosarcoma, together with the presentation of measures to improve functioning in daily life. Material and methods. The research method of the individual case study and the research techniques used were: interview, observation, measurement and analysis of medical records. Additionally, 9 scales were used, which allowed for a comprehensive assessment of the patient’s health status. Results and summary. The following health problems were identified: dyspnoea, cough, muscle weakness, pain in the spine and left lower limb, dizziness and fatigue. Close cooperation of the interdisciplinary team, the patient and her relatives and a holistic approach is the key to developing an effective care plan together with tailoring such therapeutic and caring activities that increase the patient’s comfort of life.
摘要介绍。骨肉瘤是一种罕见的肿瘤类型,仅占恶性肿瘤的1%左右。治疗过程对人体来说是一个额外的负担,尤其是在年轻的时候。手术对患者的活动能力有长期影响,需要很大的努力和动力来恢复身体健康。由于胸腺持续存在而引起的不适使患者很难恢复到癌前状态。的目标。本研究的目的是诊断由持续性胸腺和骨肉瘤肿瘤治疗史引起的患者健康问题,并提出改善日常生活功能的措施。材料和方法。个案研究的研究方法和使用的研究技术是:访谈、观察、测量和分析病历。此外,还使用了9种量表,可以对患者的健康状况进行全面评估。结果和总结。确定了以下健康问题:呼吸困难、咳嗽、肌肉无力、脊柱和左下肢疼痛、头晕和疲劳。跨学科团队、患者及其家属的密切合作和整体方法是制定有效护理计划的关键,同时量身定制治疗和护理活动,增加患者的生活舒适度。
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引用次数: 0
Posttraumatic growth in children and adolescents with type 1 diabetes 1型糖尿病儿童和青少年的创伤后生长
Pub Date : 2022-09-01 DOI: 10.2478/pielxxiw-2022-0024
L. Sikorová, Tereza Strakošová
Abstract Aim. The study aimed to identify the presence of posttraumatic growth in children and adolescents with the diabetes mellitus type I and to find out relations with coping strategies. Material and methods. The research group was formed by 102 children aged 12-18 years with diabetes mellitus type I. The research design was a cross-sectional study. The Posttraumatic Growth Inventory for Children (PTGI-C) and the Ways of Coping Questionnaire (WCQ) were used for data collection. Results. The ways of coping with stress are related to the subsequent posttraumatic growth in children and adolescents with type 1 diabetes. The strongest correlation was found between posttraumatic growth and coping strategies Seeking Social Support and Planful Problem-Solving. The correlation between posttraumatic growth and coping strategy Escape-Avoidance has not been identified. However, this strategy was most often used by adolescents. There was no difference in the level of posttraumatic growth with respect to sex of the respondents and their age, except for the area of Personal Strength and area of Spiritual Change. Conclusions. The facilitation of effective coping strategies by a nurse can have a positive effect on the posttraumatic growth of children and adolescents with diabetes.
抽象的目的。本研究旨在了解儿童和青少年I型糖尿病患者创伤后生长的存在及其与应对策略的关系。材料和方法。研究小组由102名年龄在12-18岁的i型糖尿病患儿组成,研究设计为横断面研究。采用创伤后儿童成长量表(PTGI-C)和应对方式问卷(WCQ)进行数据收集。结果。儿童和青少年1型糖尿病患者的应激方式与创伤后成长有关。创伤后成长与应对策略(寻求社会支持和有计划地解决问题)之间的相关性最强。创伤后成长与应对策略逃避-回避之间的关系尚未确定。然而,这种策略最常被青少年使用。在创伤后成长水平方面,除了个人力量领域和精神改变领域外,受访者的性别和年龄没有差异。结论。护士提供有效的应对策略对糖尿病儿童和青少年创伤后成长有积极的影响。
{"title":"Posttraumatic growth in children and adolescents with type 1 diabetes","authors":"L. Sikorová, Tereza Strakošová","doi":"10.2478/pielxxiw-2022-0024","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0024","url":null,"abstract":"Abstract Aim. The study aimed to identify the presence of posttraumatic growth in children and adolescents with the diabetes mellitus type I and to find out relations with coping strategies. Material and methods. The research group was formed by 102 children aged 12-18 years with diabetes mellitus type I. The research design was a cross-sectional study. The Posttraumatic Growth Inventory for Children (PTGI-C) and the Ways of Coping Questionnaire (WCQ) were used for data collection. Results. The ways of coping with stress are related to the subsequent posttraumatic growth in children and adolescents with type 1 diabetes. The strongest correlation was found between posttraumatic growth and coping strategies Seeking Social Support and Planful Problem-Solving. The correlation between posttraumatic growth and coping strategy Escape-Avoidance has not been identified. However, this strategy was most often used by adolescents. There was no difference in the level of posttraumatic growth with respect to sex of the respondents and their age, except for the area of Personal Strength and area of Spiritual Change. Conclusions. The facilitation of effective coping strategies by a nurse can have a positive effect on the posttraumatic growth of children and adolescents with diabetes.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131989574","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}
引用次数: 0
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Pielegniarstwo XXI wieku / Nursing in the 21st Century
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