Introduction: Internet addiction increased unnaturally after the Covid-19 pandemic due to the development of the global situation where online teaching became the preference. This was not only true in Slovakia, but around the world. Bullying happens in every school, and it goes hand in hand with cyberbullying. Therefore, it is necessary to eliminate them with prevention. Research aim and objectives: In our research, we approached 158 second grade pupils from two primary schools. The aim of the research was to identify whether girls or boys spend more time on the Internet, how often they are online, whether they have encountered cyberbullying, and what kind of cyberbullying prevention has been implemented in elementary schools. Methods: In our research, we gathered information in the form of a self-constructed questionnaire. Results: Through our analysis we came to the conclusion that girls spend more time in the online space (53.16%) compared to boys. The occurrence of cyberbullying has increased in the recent period, which was also confirmed by 56.96% of respondents. The specific situations that we had the opportunity to encounter were solved by the primary school itself with the help of experts. Cyberbullying prevention alone is insufficient in primary schools, but it would be advisable to repeat it more often in order to eliminate bullying. Conclusion: Cyberbullying in primary schools is increasing with the development of information and communication technology. It is advisable to begin addressing the issue of the increased occurrence of cyberbullying at an earlier age and increase prevention. It is also advisable to increase media literacy in Slovakia.
{"title":"Cyberbullying and Prevention","authors":"T. Hardova, D. Barkasi","doi":"10.22359/cswhi_15_1_05","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_05","url":null,"abstract":"Introduction: Internet addiction increased unnaturally after the Covid-19 pandemic due to the development of the global situation where online teaching became the preference. This was not only true in Slovakia, but around the world. Bullying happens in every school, and it goes hand in hand with cyberbullying. Therefore, it is necessary to eliminate them with prevention. Research aim and objectives: In our research, we approached 158 second grade pupils from two primary schools. The aim of the research was to identify whether girls or boys spend more time on the Internet, how often they are online, whether they have encountered cyberbullying, and what kind of cyberbullying prevention has been implemented in elementary schools. Methods: In our research, we gathered information in the form of a self-constructed questionnaire. Results: Through our analysis we came to the conclusion that girls spend more time in the online space (53.16%) compared to boys. The occurrence of cyberbullying has increased in the recent period, which was also confirmed by 56.96% of respondents. The specific situations that we had the opportunity to encounter were solved by the primary school itself with the help of experts. Cyberbullying prevention alone is insufficient in primary schools, but it would be advisable to repeat it more often in order to eliminate bullying. Conclusion: Cyberbullying in primary schools is increasing with the development of information and communication technology. It is advisable to begin addressing the issue of the increased occurrence of cyberbullying at an earlier age and increase prevention. It is also advisable to increase media literacy in Slovakia.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139787737","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}
Introduction: Sleep apnoea syndrome (SAS) is a serious under-diagnosed chronic disease, which often coincides with arterial hypertension (AH). The U.S. Joint National Committee considers SAS to be the most common cause of secondary arterial hypertension. Objective: To determine the incidence of arterial hypertension in patients diagnosed with SAS in an accredited sleep laboratory (ASL) in Bratislava in the years 2013-2022. Methods: The monitored group consisted of 688 patients examined in an ASL in Bratislava who underwent an initial examination (anamnesis, anthropometry, sleep questionnaire) and a diagnosis of sleep-disordered breathing (nocturnal polysomnography) in order to confirm or refute the diagnosis of OSAS. Data collection also took place by using a copy of the patients’ medical records (presence of AH). We used Microsoft Excel and statistical software SPSS, version 21.0 to process the obtained data. We considered the result to be statistically significant if p ≤ 0.05. Results: We demonstrated a statistically significant difference in the incidence of AH in patients with SAS compared to patients without SAS, i.e., there was a statistically significantly higher incidence of AH in patients with SAS compared to patients without SAS (39% vs. 17.5%; OR=3.0; p<0.001). We also demonstrated that the higher the AHI value in patients with SAS, the higher the incidence of AH (p=0.002; 95% CI 1.4 – 4.4). In addition, there was a 1.9 times higher risk of developing AH in patients with a moderate degree of SAS compared to patients with a mild degree of SAS (p=0.014) and up to a 2.8 times higher risk of developing AH in patients with a severe degree of SAS compared to patients with moderate SAS (p<0.001) regardless of BMI. Conclusion: Due to the high coincidence (1/3) of arterial hypertension and sleep apnoea syndrome in the monitored group, it is necessary to focus on effective screening of SAS in high-risk persons as well as effective screening of SAS in persons with present AH.
简介睡眠呼吸暂停综合征（SAS）是一种严重诊断不足的慢性疾病，通常与动脉高血压（AH）同时存在。美国国家联合委员会认为，睡眠呼吸暂停综合征是继发性动脉高血压最常见的病因。目的：确定动脉高血压的发病率：确定 2013-2022 年在布拉迪斯拉发一家经认可的睡眠实验室（ASL）中被诊断为 SAS 患者的动脉高血压发病率。研究方法监测组包括在布拉迪斯拉发一家认可睡眠实验室接受检查的 688 名患者，他们都接受了初步检查（病史、人体测量、睡眠问卷）和睡眠呼吸障碍诊断（夜间多导睡眠图），以确诊或反驳 OSAS 诊断。数据收集还使用了患者的病历副本（有无 AH）。我们使用 Microsoft Excel 和 21.0 版 SPSS 统计软件处理所获得的数据。如果 p≤ 0.05，我们认为结果具有统计学意义。结果我们发现，与无 SAS 患者相比，有 SAS 患者的 AH 发生率有明显的统计学差异，即有 SAS 患者的 AH 发生率明显高于无 SAS 患者（39% vs. 17.5%；OR=3.0；P<0.001）。我们还发现，SAS 患者的 AHI 值越高，AH 的发生率也越高（p=0.002；95% CI 1.4 - 4.4）。此外，与轻度 SAS 患者相比，中度 SAS 患者发生 AH 的风险高出 1.9 倍（p=0.014），与中度 SAS 患者相比，重度 SAS 患者发生 AH 的风险高出 2.8 倍（p<0.001），与体重指数无关。结论由于监测组中动脉高血压和睡眠呼吸暂停综合征的发生率很高（1/3），因此有必要重点对高危人群进行有效的 SAS 筛查，并对存在 AH 的人群进行有效的 SAS 筛查。
{"title":"Occurrence of Arterial Hypertension in Patients with sleep Apnoea Syndrome","authors":"M. Mucska, A. Vyskoc, K. Dostalova, S. Moricova","doi":"10.22359/cswhi_15_1_07","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_07","url":null,"abstract":"Introduction: Sleep apnoea syndrome (SAS) is a serious under-diagnosed chronic disease, which often coincides with arterial hypertension (AH). The U.S. Joint National Committee considers SAS to be the most common cause of secondary arterial hypertension. Objective: To determine the incidence of arterial hypertension in patients diagnosed with SAS in an accredited sleep laboratory (ASL) in Bratislava in the years 2013-2022. Methods: The monitored group consisted of 688 patients examined in an ASL in Bratislava who underwent an initial examination (anamnesis, anthropometry, sleep questionnaire) and a diagnosis of sleep-disordered breathing (nocturnal polysomnography) in order to confirm or refute the diagnosis of OSAS. Data collection also took place by using a copy of the patients’ medical records (presence of AH). We used Microsoft Excel and statistical software SPSS, version 21.0 to process the obtained data. We considered the result to be statistically significant if p ≤ 0.05. Results: We demonstrated a statistically significant difference in the incidence of AH in patients with SAS compared to patients without SAS, i.e., there was a statistically significantly higher incidence of AH in patients with SAS compared to patients without SAS (39% vs. 17.5%; OR=3.0; p<0.001). We also demonstrated that the higher the AHI value in patients with SAS, the higher the incidence of AH (p=0.002; 95% CI 1.4 – 4.4). In addition, there was a 1.9 times higher risk of developing AH in patients with a moderate degree of SAS compared to patients with a mild degree of SAS (p=0.014) and up to a 2.8 times higher risk of developing AH in patients with a severe degree of SAS compared to patients with moderate SAS (p<0.001) regardless of BMI. Conclusion: Due to the high coincidence (1/3) of arterial hypertension and sleep apnoea syndrome in the monitored group, it is necessary to focus on effective screening of SAS in high-risk persons as well as effective screening of SAS in persons with present AH.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789904","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}
This issue of the Clinical and Social Intervention Journal is devoted to the main pillars of public health, starting with epidemiology, community medicine, through biostatistics and informatics to behavioural sciences, management and policies in public health. The contributions are compiled so as to present a holistic view of current public health problems, indicate the need for their solution in a wider interdisciplinary context, and to enable the fulfilment of the main goals in this area along with future challenges.
{"title":"An Interdisciplinary Perspective on Prevention II","authors":"N. Jankelova, I., S. Mironyuk","doi":"10.22359/cswhi_15_1_01","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_01","url":null,"abstract":"This issue of the Clinical and Social Intervention Journal is devoted to the main pillars of public health, starting with epidemiology, community medicine, through biostatistics and informatics to behavioural sciences, management and policies in public health. The contributions are compiled so as to present a holistic view of current public health problems, indicate the need for their solution in a wider interdisciplinary context, and to enable the fulfilment of the main goals in this area along with future challenges.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139790227","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}
Introduction: Up to 80% of the population has encountered back pain in some form in their life. Back pain is among the 5 most common reasons for hospitalization and is the main cause of sick leave for people over 45 years of age. This has significant consequences for the entire society. Research aim and objectives: Our research included patients of the National Rehabilitation Center Kováčová who were undergoing active rehabilitation treatment due to vertebrogenic problems. All respondents had demonstrable structural changes in the area of the lumbar spine, and around 80% of respondents had already undergone one or more lumbar spine surgeries. Our goal was to determine the relationship between the mentioned difficulties and physical activity, weight as well as the perception of social support. Methods: We used a self-constructed questionnaire focused on selected socio-demographic data and identification of eating and exercise habits. In addition, we used a standardized questionnaire titled “the Multidimensional Scale of Perceived Social Support”. Results: The analysis confirms that overweight, obesity and a lack of physical activity are related to structural changes and increased persistence of back pain. Inadequate dietary measures and insufficient physical activity directly contribute to this. Social support has a positive effect on enduring and coping with this difficult situation. Conclusion: Back pain affects almost our entire population. Therefore, it is important to address this issue, especially if prevention is possible by optimizing weight and doing adequate physical activity. We must also not forget those who are going through a difficult life period due to long-term pain and give them a helping hand and support.
{"title":"Social Support and selected preventable lifestyle Determinants in People with vertebrogenic Difficulties","authors":"K. Šupolová, D. Barkasi, R. Barta","doi":"10.22359/cswhi_15_1_09","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_09","url":null,"abstract":"Introduction: Up to 80% of the population has encountered back pain in some form in their life. Back pain is among the 5 most common reasons for hospitalization and is the main cause of sick leave for people over 45 years of age. This has significant consequences for the entire society. Research aim and objectives: Our research included patients of the National Rehabilitation Center Kováčová who were undergoing active rehabilitation treatment due to vertebrogenic problems. All respondents had demonstrable structural changes in the area of the lumbar spine, and around 80% of respondents had already undergone one or more lumbar spine surgeries. Our goal was to determine the relationship between the mentioned difficulties and physical activity, weight as well as the perception of social support. Methods: We used a self-constructed questionnaire focused on selected socio-demographic data and identification of eating and exercise habits. In addition, we used a standardized questionnaire titled “the Multidimensional Scale of Perceived Social Support”. Results: The analysis confirms that overweight, obesity and a lack of physical activity are related to structural changes and increased persistence of back pain. Inadequate dietary measures and insufficient physical activity directly contribute to this. Social support has a positive effect on enduring and coping with this difficult situation. Conclusion: Back pain affects almost our entire population. Therefore, it is important to address this issue, especially if prevention is possible by optimizing weight and doing adequate physical activity. We must also not forget those who are going through a difficult life period due to long-term pain and give them a helping hand and support.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789182","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}
Introduction: Up to 80% of the population has encountered back pain in some form in their life. Back pain is among the 5 most common reasons for hospitalization and is the main cause of sick leave for people over 45 years of age. This has significant consequences for the entire society. Research aim and objectives: Our research included patients of the National Rehabilitation Center Kováčová who were undergoing active rehabilitation treatment due to vertebrogenic problems. All respondents had demonstrable structural changes in the area of the lumbar spine, and around 80% of respondents had already undergone one or more lumbar spine surgeries. Our goal was to determine the relationship between the mentioned difficulties and physical activity, weight as well as the perception of social support. Methods: We used a self-constructed questionnaire focused on selected socio-demographic data and identification of eating and exercise habits. In addition, we used a standardized questionnaire titled “the Multidimensional Scale of Perceived Social Support”. Results: The analysis confirms that overweight, obesity and a lack of physical activity are related to structural changes and increased persistence of back pain. Inadequate dietary measures and insufficient physical activity directly contribute to this. Social support has a positive effect on enduring and coping with this difficult situation. Conclusion: Back pain affects almost our entire population. Therefore, it is important to address this issue, especially if prevention is possible by optimizing weight and doing adequate physical activity. We must also not forget those who are going through a difficult life period due to long-term pain and give them a helping hand and support.
{"title":"Social Support and selected preventable lifestyle Determinants in People with vertebrogenic Difficulties","authors":"K. Šupolová, D. Barkasi, R. Barta","doi":"10.22359/cswhi_15_1_09","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_09","url":null,"abstract":"Introduction: Up to 80% of the population has encountered back pain in some form in their life. Back pain is among the 5 most common reasons for hospitalization and is the main cause of sick leave for people over 45 years of age. This has significant consequences for the entire society. Research aim and objectives: Our research included patients of the National Rehabilitation Center Kováčová who were undergoing active rehabilitation treatment due to vertebrogenic problems. All respondents had demonstrable structural changes in the area of the lumbar spine, and around 80% of respondents had already undergone one or more lumbar spine surgeries. Our goal was to determine the relationship between the mentioned difficulties and physical activity, weight as well as the perception of social support. Methods: We used a self-constructed questionnaire focused on selected socio-demographic data and identification of eating and exercise habits. In addition, we used a standardized questionnaire titled “the Multidimensional Scale of Perceived Social Support”. Results: The analysis confirms that overweight, obesity and a lack of physical activity are related to structural changes and increased persistence of back pain. Inadequate dietary measures and insufficient physical activity directly contribute to this. Social support has a positive effect on enduring and coping with this difficult situation. Conclusion: Back pain affects almost our entire population. Therefore, it is important to address this issue, especially if prevention is possible by optimizing weight and doing adequate physical activity. We must also not forget those who are going through a difficult life period due to long-term pain and give them a helping hand and support.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849115","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}
Economic aspects of prevention refer to the costs and benefits associated with measures aimed at preventing various problems and risks. Prevention can include measures aimed at preventing disease, crime, harmful behavior, environmental problems and other areas. There are several important economic aspects of prevention: cost reduction, productivity gains, social and human benefits and long-term sustainability. It is important to realize that prevention requires initial investments and often its economic impact is not immediately visible. However, a long-term evaluation of costs and benefits shows that prevention can be an economically beneficial strategy that brings a large number of socioeconomic benefits for the individual and society as a whole.
{"title":"Economic Aspects of Prevention","authors":"A. Kovac, N. Jankelova, M. Mucska","doi":"10.22359/cswhi_15_1_06","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_06","url":null,"abstract":"Economic aspects of prevention refer to the costs and benefits associated with measures aimed at preventing various problems and risks. Prevention can include measures aimed at preventing disease, crime, harmful behavior, environmental problems and other areas. There are several important economic aspects of prevention: cost reduction, productivity gains, social and human benefits and long-term sustainability. It is important to realize that prevention requires initial investments and often its economic impact is not immediately visible. However, a long-term evaluation of costs and benefits shows that prevention can be an economically beneficial strategy that brings a large number of socioeconomic benefits for the individual and society as a whole.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789365","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}
Objective: Currently, health literacy is a hot topic worldwide. It is important for all age groups, for every individual and for society as a whole. Health literacy refers to the ability to obtain, understand and use information related to health and healthcare. The aim of the study was to identify problems related to health literacy that patients encounter in the context of their own healthcare and at the same time clarify the views of nurses on the education and health literacy of older patients. Design: Qualitative research using the technique of semi-structured interviews. Participants: Interviews were conducted with 10 senior healthcare workers (9 women, 1 man) from four healthcare facilities in the Czech Republic and Slovakia. The average age of the participants was 48 years (SD = 6.65, median 47, range 38 – 60). Methods: The method of content analysis was used to analyze the obtained data. The obtained data were processed based on the analysis using open and thematic coding and categorization. Results and conclusion: Barriers and strategies used by patients in managing their health were identified. These barriers and strategies were grouped into three themes and nine categories. Health literacy screening in a clinical care environment would not only be a beneficial tool in the care of elderly patients. Healthcare managers and senior healthcare workers should develop strategies to create environments and resources supportive of health literacy interventions.
{"title":"A nurses eye-view on the Aspects of adult Patients’ health Literacy","authors":"P. Snopek, M. Popovicová, J. Babečka","doi":"10.22359/cswhi_15_1_08","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_08","url":null,"abstract":"Objective: Currently, health literacy is a hot topic worldwide. It is important for all age groups, for every individual and for society as a whole. Health literacy refers to the ability to obtain, understand and use information related to health and healthcare. The aim of the study was to identify problems related to health literacy that patients encounter in the context of their own healthcare and at the same time clarify the views of nurses on the education and health literacy of older patients. Design: Qualitative research using the technique of semi-structured interviews. Participants: Interviews were conducted with 10 senior healthcare workers (9 women, 1 man) from four healthcare facilities in the Czech Republic and Slovakia. The average age of the participants was 48 years (SD = 6.65, median 47, range 38 – 60). Methods: The method of content analysis was used to analyze the obtained data. The obtained data were processed based on the analysis using open and thematic coding and categorization. Results and conclusion: Barriers and strategies used by patients in managing their health were identified. These barriers and strategies were grouped into three themes and nine categories. Health literacy screening in a clinical care environment would not only be a beneficial tool in the care of elderly patients. Healthcare managers and senior healthcare workers should develop strategies to create environments and resources supportive of health literacy interventions.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139847784","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}
N. Jankelova, M. Belovicova, S. Moricova, M. Mucska
Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.
{"title":"Application of lean Management Principles in Hospitals in Slovakia","authors":"N. Jankelova, M. Belovicova, S. Moricova, M. Mucska","doi":"10.22359/cswhi_15_1_04","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_04","url":null,"abstract":"Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139790310","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}
Introduction: Sleep apnoea syndrome (SAS) is a serious under-diagnosed chronic disease, which often coincides with arterial hypertension (AH). The U.S. Joint National Committee considers SAS to be the most common cause of secondary arterial hypertension. Objective: To determine the incidence of arterial hypertension in patients diagnosed with SAS in an accredited sleep laboratory (ASL) in Bratislava in the years 2013-2022. Methods: The monitored group consisted of 688 patients examined in an ASL in Bratislava who underwent an initial examination (anamnesis, anthropometry, sleep questionnaire) and a diagnosis of sleep-disordered breathing (nocturnal polysomnography) in order to confirm or refute the diagnosis of OSAS. Data collection also took place by using a copy of the patients’ medical records (presence of AH). We used Microsoft Excel and statistical software SPSS, version 21.0 to process the obtained data. We considered the result to be statistically significant if p ≤ 0.05. Results: We demonstrated a statistically significant difference in the incidence of AH in patients with SAS compared to patients without SAS, i.e., there was a statistically significantly higher incidence of AH in patients with SAS compared to patients without SAS (39% vs. 17.5%; OR=3.0; p<0.001). We also demonstrated that the higher the AHI value in patients with SAS, the higher the incidence of AH (p=0.002; 95% CI 1.4 – 4.4). In addition, there was a 1.9 times higher risk of developing AH in patients with a moderate degree of SAS compared to patients with a mild degree of SAS (p=0.014) and up to a 2.8 times higher risk of developing AH in patients with a severe degree of SAS compared to patients with moderate SAS (p<0.001) regardless of BMI. Conclusion: Due to the high coincidence (1/3) of arterial hypertension and sleep apnoea syndrome in the monitored group, it is necessary to focus on effective screening of SAS in high-risk persons as well as effective screening of SAS in persons with present AH.
简介睡眠呼吸暂停综合征（SAS）是一种严重诊断不足的慢性疾病，通常与动脉高血压（AH）同时存在。美国国家联合委员会认为，睡眠呼吸暂停综合征是继发性动脉高血压最常见的病因。目的：确定动脉高血压的发病率：确定 2013-2022 年在布拉迪斯拉发一家经认可的睡眠实验室（ASL）中被诊断为 SAS 患者的动脉高血压发病率。研究方法监测组包括在布拉迪斯拉发一家认可睡眠实验室接受检查的 688 名患者，他们都接受了初步检查（病史、人体测量、睡眠问卷）和睡眠呼吸障碍诊断（夜间多导睡眠图），以确诊或反驳 OSAS 诊断。数据收集还使用了患者的病历副本（有无 AH）。我们使用 Microsoft Excel 和 21.0 版 SPSS 统计软件处理所获得的数据。如果 p≤ 0.05，我们认为结果具有统计学意义。结果我们发现，与无 SAS 患者相比，有 SAS 患者的 AH 发生率有明显的统计学差异，即有 SAS 患者的 AH 发生率明显高于无 SAS 患者（39% vs. 17.5%；OR=3.0；P<0.001）。我们还发现，SAS 患者的 AHI 值越高，AH 的发生率也越高（p=0.002；95% CI 1.4 - 4.4）。此外，与轻度 SAS 患者相比，中度 SAS 患者发生 AH 的风险高出 1.9 倍（p=0.014），与中度 SAS 患者相比，重度 SAS 患者发生 AH 的风险高出 2.8 倍（p<0.001），与体重指数无关。结论由于监测组中动脉高血压和睡眠呼吸暂停综合征的发生率很高（1/3），因此有必要重点对高危人群进行有效的 SAS 筛查，并对存在 AH 的人群进行有效的 SAS 筛查。
{"title":"Occurrence of Arterial Hypertension in Patients with sleep Apnoea Syndrome","authors":"M. Mucska, A. Vyskoc, K. Dostalova, S. Moricova","doi":"10.22359/cswhi_15_1_07","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_07","url":null,"abstract":"Introduction: Sleep apnoea syndrome (SAS) is a serious under-diagnosed chronic disease, which often coincides with arterial hypertension (AH). The U.S. Joint National Committee considers SAS to be the most common cause of secondary arterial hypertension. Objective: To determine the incidence of arterial hypertension in patients diagnosed with SAS in an accredited sleep laboratory (ASL) in Bratislava in the years 2013-2022. Methods: The monitored group consisted of 688 patients examined in an ASL in Bratislava who underwent an initial examination (anamnesis, anthropometry, sleep questionnaire) and a diagnosis of sleep-disordered breathing (nocturnal polysomnography) in order to confirm or refute the diagnosis of OSAS. Data collection also took place by using a copy of the patients’ medical records (presence of AH). We used Microsoft Excel and statistical software SPSS, version 21.0 to process the obtained data. We considered the result to be statistically significant if p ≤ 0.05. Results: We demonstrated a statistically significant difference in the incidence of AH in patients with SAS compared to patients without SAS, i.e., there was a statistically significantly higher incidence of AH in patients with SAS compared to patients without SAS (39% vs. 17.5%; OR=3.0; p<0.001). We also demonstrated that the higher the AHI value in patients with SAS, the higher the incidence of AH (p=0.002; 95% CI 1.4 – 4.4). In addition, there was a 1.9 times higher risk of developing AH in patients with a moderate degree of SAS compared to patients with a mild degree of SAS (p=0.014) and up to a 2.8 times higher risk of developing AH in patients with a severe degree of SAS compared to patients with moderate SAS (p<0.001) regardless of BMI. Conclusion: Due to the high coincidence (1/3) of arterial hypertension and sleep apnoea syndrome in the monitored group, it is necessary to focus on effective screening of SAS in high-risk persons as well as effective screening of SAS in persons with present AH.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849626","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}
N. Jankelova, M. Belovicova, S. Moricova, M. Mucska
Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.
{"title":"Application of lean Management Principles in Hospitals in Slovakia","authors":"N. Jankelova, M. Belovicova, S. Moricova, M. Mucska","doi":"10.22359/cswhi_15_1_04","DOIUrl":"https://doi.org/10.22359/cswhi_15_1_04","url":null,"abstract":"Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.","PeriodicalId":42256,"journal":{"name":"Clinical Social Work and Health Intervention","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139850126","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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