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Socioprofessional characteristics of the oncology nurses in Lower Silesia 下西里西亚肿瘤科护士的社会职业特点
Pub Date : 2019-03-29 DOI: 10.17219/PZP/94886
Elżbieta Garwacka-Czachor
Background. During 2016 there were 32 oncological care providers in Lower Silesia that reported 898 nurses and midwives in order to execute contracts with Lower Silesian Branch of the National Health Fund. Hired nurses provide nursing care of various kind and scope, within specialized treatment, such as oncological surgery (including gynecology), chemotherapy and radiotherapy. That requires specialized knowledge and skills, often essential for performing particular services. Objectives. Aim of this study is an assessment of the demographic and socioprofessional situation of the nurses providing health services in the field of oncology in Lower Silesia. Material and methods. Research was performed in the 2nd half of 2015 and the 1st half of 2016 using diagnostic survey questionnaire. The study included 147 nurses and midwives. An analysis of statistical significance between quality variables and racy variables was conducted. Independence of answers was verified using Pearson’s χ2 test, with α = 0,05 (p ≤ 0,05). Calculations were performed using STATISTICA v. 13.3 and Microsoft Excel 2003. Results. Nurses over 45 years of age constituted the majority of the group studied; 47,6% of the surveyed nurses had secondary education and 74,8% had at least one type of postgraduate education. The vast majority had permanent employment contract and 86,4% of them declared full or partial professional satisfaction in their current workplace. Most nurses (66,0%) are dissatisfied with their wages. Data analysis indicated many significant relations. Conclusions. Most oncology nurses are over 45 years of age; persons entering the profession constitute a negligible minority. It raises concerns as Lower Silesian population health needs may not be satisfied in the future. Variables differentiating the answers on motivation behind choosing the workplace were: age, job seniority, education, and region of Lower Silesia in which the workplace is located. Nurses with job seniority longer than over 25 years substantially more often were fully or partially satisfied and never or rarely thought about job change. Age, job seniority, education level, and region of Lower Silesia affected most variables.
背景。2016年,下西里西亚有32家肿瘤护理机构报告了898名护士和助产士,以履行与国家卫生基金下西里西亚分会签订的合同。受雇的护士在专科治疗中提供各种种类和范围的护理,如肿瘤外科(包括妇科)、化疗和放疗。这就需要专业知识和技能,而这些知识和技能往往是提供特定服务所必需的。目标。本研究的目的是评估下西里西亚州肿瘤学领域提供保健服务的护士的人口和社会专业状况。材料和方法。研究在2015年下半年和2016年上半年使用诊断调查问卷进行。这项研究包括147名护士和助产士。对质量变量和质量变量进行了统计显著性分析。采用Pearson χ2检验验证答案的独立性,α = 0.05 (p≤0.05)。使用STATISTICA v. 13.3和Microsoft Excel 2003进行计算。结果。45岁以上的护士占研究群体的大多数;47.6%的受访护士受过中等教育,74.8%的受访护士至少接受过一种类型的研究生教育。绝大多数人都有长期雇佣合同,其中86.4%的人对目前的工作场所表示完全或部分满意。大多数护士(66.0%)对自己的工资不满意。数据分析显示了许多重要的关系。结论。大多数肿瘤科护士年龄在45岁以上;进入这个行业的人是微不足道的少数。它引起了关注,因为下西里西亚人口的保健需求将来可能得不到满足。区分选择工作场所动机的变量是:年龄、工作资历、教育程度和工作场所所在的下西里西亚地区。工作年资超过25年的护士基本上更多地完全或部分满意,从未或很少考虑换工作。年龄、工作资历、教育水平和下西里西亚地区影响了大多数变量。
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引用次数: 0
Validation of the research tool and measurement of pediatric patient safety in a hospital using the BePoZa questionnaire 使用BePoZa问卷对医院儿科患者安全的研究工具和测量进行验证
Pub Date : 2019-03-29 DOI: 10.17219/PZP/92355
R. Szpakowski, A. Fronczak, Patrycja Zając, Grażyna Dykowska
Background. Patient safety can be assessed using a diagnostic survey. It is analyzed in the context of safety culture and safety climate. ‘Safety climate‘ is a term narrower than ‘safety culture‘. The safety climate is a component of a broader conceptual construct – safety culture. The safety climate is, in essence, the attitude of the medical staff to the patient safety at their workplace. Objectives. Psychometric evaluation of the BePoZa tool and pediatric patient safety measurement. Material and methods. The study was conducted in a multisite children’s hospital in Warsaw. The hospital has a total capacity of 500 beds. Paper version of BePoZa survey was personally distributed among the nursing/midwifery staff between March 2017 and August 2017. The BePoZa questionnaire is the Polish version of the English-language Safety Attitudes Questionnaire (SAQ) developed at The University of Texas Health Science Center at Houston (UTHealth), USA. Results. The Cronbach's α coefficient is 0.87 for the overall questionnaire (0.87) and for the respective dimensions: 0.83 (Teamwork Climate) and 0.77 (Safety Climate). The overall result of the BePoZa questionnaire in the examined hospital is: Me = 101; M = 100 (max. 135). Conclusions. In conclusion, the assessed tool is characterized by a high degree of reliability and there is no need to modify it. The safety of the pediatric patient in the hospital was highly evaluated by the nursing staff. However, the quality of interpersonal relations with the doctors needs to be improved and the number of nursing staff should be increased.
背景。患者安全可通过诊断性调查进行评估。在安全文化和安全气候的背景下进行分析。“安全气候”是一个比“安全文化”更狭义的术语。安全气候是一个更广泛的概念结构——安全文化的组成部分。安全气候本质上是医务人员在工作场所对患者安全的态度。目标。BePoZa工具的心理测量评估和儿科患者安全测量。材料和方法。这项研究是在华沙的一家多地点儿童医院进行的。这家医院总共有500张病床。纸质版BePoZa调查于2017年3月至2017年8月在护理/助产人员中亲自分发。BePoZa问卷是美国休斯敦德克萨斯大学健康科学中心(UTHealth)开发的英语安全态度问卷(SAQ)的波兰语版本。结果。整体问卷的Cronbach’s α系数为0.87,各维度的Cronbach’s α系数分别为0.83(团队氛围)和0.77(安全氛围)。被检查医院BePoZa问卷的总体结果为:Me = 101;M = 100(最大;135)。结论。综上所述,所评估的工具具有较高的可靠性,无需对其进行修改。该院儿科患者的安全得到了护理人员的高度评价。但与医生的人际关系质量有待提高,护理人员数量有待增加。
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引用次数: 0
The attitude of Gdańsk middle school students to the problem of smoking and use of tobacco products 格但斯克中学生对吸烟和使用烟草制品问题的态度
Pub Date : 2019-03-29 DOI: 10.17219/PZP/94583
M. Gallas, Małgorzata Przybysz
Background. Cigarette smoking among young people is a serious problem. Many young people reach for tobacco products and although there are teenagers they do not have problems with purchasing them. Objectives. To test Gdańsk secondary school students’ knowledge about the dangers of smoking and tobacco use. Material and methods. The study used a method of diagnostic survey. Data was collected using a survey developed by the WHO – Global Youth Tobacco GTSS Survey – Core Questionnaire with Optional Questions, to which the respondents gave answers themselves. The study involved 117 adolescents aged 14–17 years. Results. Fifty-seven percent of respondents tried to smoke cigarettes and other tobacco products and had no problem with their purchase. Fifty-eight percent of respondents were exposed to passive smoking within the last week. Twenty-five percent of students agree with the statement that they might get to like smoking. Almost 82% are aware of the fact that giving up smoking is difficult. Twenty-four percent of respondents declared that their first contact with a cigarette was when they were less than 11 years old. For 56% of respondents obtaining cigarettes would not be a problem. Conclusions. Smoking of tobacco products is a serious problem among teenagers. They are not only exposed to its negative consequences during active smoking, but also during passive smoking. Young people experiment with the consumption of tobacco products and it is not a problem for them to acquire them. The results show that even very young people fall into addictions difficult to overcome.
背景年轻人吸烟是一个严重的问题。许多年轻人接触烟草制品,尽管也有青少年,但他们在购买烟草制品方面没有问题。目标。测试格但斯克中学生对吸烟和吸烟危险的认识。材料和方法。这项研究采用了诊断调查的方法。数据是通过世界卫生组织-全球青年烟草GTSS调查-核心问卷和可选问题开发的一项调查收集的,调查对象自己给出了答案。这项研究涉及117名14-17岁的青少年。后果57%的受访者曾尝试过吸烟和其他烟草产品,他们的购买没有问题。58%的受访者在上周内接触过被动吸烟。25%的学生同意他们可能会喜欢吸烟的说法。近82%的人意识到戒烟很困难。24%的受访者表示,他们第一次接触香烟是在不到11岁的时候。对于56%的受访者来说,获得香烟不是问题。结论。吸烟是青少年中的一个严重问题。他们不仅在主动吸烟期间,而且在被动吸烟期间都会受到其负面影响。年轻人尝试消费烟草制品,对他们来说,获得烟草制品不是问题。研究结果表明,即使是非常年轻的人也会陷入难以克服的毒瘾。
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引用次数: 0
The role of the midwife in the therapy of infertility in Poland in the opinion of patients 助产士在治疗不孕症在波兰在患者的意见中的作用
Pub Date : 2019-03-29 DOI: 10.17219/PZP/93531
Marta Neneman, G. Bączek, E. Dmoch-Gajzlerska
Background. Infertility is a disease of the reproductive system manifesting with the inability to get pregnant within a minimum of 12 months. In diagnosing infertility and the therapeutic process, pharmacotherapy, surgery and assisted reproductive technology are used. In Poland, the NaProTechnology program is also available, which is a diagnostic and therapeutic method of reproductive health disorders without utilizing assisted reproduction. The midwife can play an important role in the care of the infertile couple.
背景。不孕症是一种生殖系统疾病,表现为至少在12个月内无法怀孕。在诊断不孕症和治疗过程中,使用药物治疗、手术和辅助生殖技术。在波兰,还实施了NaProTechnology方案,这是一种不使用辅助生殖的生殖健康疾病诊断和治疗方法。助产士在照顾不育夫妇方面可以发挥重要作用。
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引用次数: 1
Carbohydrate metabolism disorders in women in procreative age 育龄妇女碳水化合物代谢障碍
Pub Date : 2018-12-31 DOI: 10.17219/pzp/92914
G. Iwanowicz-Palus, A. Bień, Joanna Piechowska, Agnieszka Pieczykolan
Every year, more and more carbohydrate metabolism disorders are diagnosed in women during the procreative age. This may contribute to sexual problems or difficulties in conception. Detection of these disorders at the earliest stage facilitates the prevention of many complications caused by these dysfunctions. For this purpose, women in the procreative age should undergo periodic health examinations and, above all, have the level of glucose in fasting blood serum evaluated. In pregnant women, the blood glucose level in the mother and the fetus is comparable, and its concentration fluctuates similarly. The placenta and tissues of the unborn child are very sensitive to metabolic changes. A slight increase in the amount of glucose in the blood serum of pregnant women may affect the functioning of the placenta and contribute to the development of complications in the fetus, such as delaying its growth, and even in extreme cases lead to intrauterine death of the fetus. For a diabetological-obstetric team taking care of a pregnant woman, it is very important that women with carbohydrate metabolism disorders should be under their control even before pregnancy occurs in order to avoid possible complications that may appear in the mother and fetus.
每年,越来越多的碳水化合物代谢障碍在育龄妇女中被诊断出来。这可能会导致性问题或受孕困难。在早期发现这些疾病有助于预防由这些功能障碍引起的许多并发症。为此,育龄妇女应定期接受健康检查,最重要的是,评估空腹血清中的葡萄糖水平。在孕妇中,母亲和胎儿的血糖水平相当,其浓度波动相似。未出生婴儿的胎盘和组织对代谢变化非常敏感。孕妇血清中葡萄糖含量的轻微增加可能会影响胎盘的功能,并导致胎儿并发症的发展,如推迟其生长,甚至在极端情况下会导致胎儿宫内死亡。对于照顾孕妇的糖尿病产科团队来说,非常重要的是,患有碳水化合物代谢障碍的妇女即使在怀孕之前也应得到控制,以避免可能出现在母亲和胎儿身上的并发症。
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引用次数: 0
Interdisciplinarity in diagnosis and therapy of children with allergic diseases of the respiratory system 儿童呼吸系统过敏性疾病诊断和治疗的跨学科性
Pub Date : 2018-12-31 DOI: 10.17219/PZP/90353
A. Emeryk, R. Zubrzycka, Anna Wojnarska
Allergic diseases of the respiratory system are the conditions most commonly diagnosed in children and adolescents. According to EACCI, about 25% of children in Europe have allergy. A disease that is the most prevalent among Polish children is allergic rhinitis. Contemporary research shows that persons in developmental age suffering from allergies are at risk of developing various disorders in psychosocial functioning (including school difficulties). The paper presents the issues of diagnosis and therapy of children with bronchial asthma and allergic rhinitis in an interdisciplinary model. On the basis of the classic theory of expanded diagnosis proposed by Ziemski, a theoretical model of medical, psychological and pedagogical practices directed at ill children was created. A set of preventive measures applicable in medical centers as well as in school and family environments has been proposed. The paper presents both the limitations in practical application of suggested theoretical solutions, and the benefits of a holistic approach towards children with allergic diseases of respiratory system in the diagnosis and therapy process.
呼吸系统过敏性疾病是儿童和青少年最常见的疾病。根据EACCI的数据,欧洲约有25%的儿童过敏。波兰儿童中最常见的一种疾病是过敏性鼻炎。当代研究表明,处于发育年龄的过敏患者有可能出现各种心理社会功能障碍(包括上学困难)。本文以跨学科模式介绍了支气管哮喘和过敏性鼻炎儿童的诊断和治疗问题。在Ziemski提出的经典扩展诊断理论的基础上,建立了针对患病儿童的医学、心理和教育实践的理论模型。已经提出了一套适用于医疗中心以及学校和家庭环境的预防措施。本文介绍了所提出的理论解决方案在实际应用中的局限性,以及在诊断和治疗过程中对呼吸系统过敏性疾病儿童采取整体方法的好处。
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引用次数: 0
The level of knowledge of primary school teachers about first aid 小学教师的急救知识水平
Pub Date : 2018-12-31 DOI: 10.17219/pzp/90354
J. Sowizdraniuk, Magdalena Lesiewicz-Misiurna
Background. More than 70,000 accidents involving children occur in Poland every year. Frequency of body damage caused by accidents is rising notably in early school age. Major trauma is a cause of 40% of child deaths. That statistics show us importance of teachers having knowledge about first aid. Objectives. The purpose of the study is to examine the primary school teachers, knowledge about providing first aid at school. Material and methods. The study was carried out in 5 primary schools in Wrocław in 2015. Author used own survey questionnaire as a research tool. Using questions about the course of action in certain situations, the teachers’ knowledge about rules of conduct in sudden lifeand health-threatening situations was assessed. Results. Most teachers have acquired knowledge and skills during occupational safety and health (OSH) training, and the last of these classes took place about 20 months ago. A majority of them declared willingness of increasing knowledge in that subject. As many as 2/3 of responders evaluated their first aid skills as moderate and a significant group among questioned teachers already had opportunity to give first aid during work. Over 90% of respondents know the correct procedure in case of suspected joint sprain, as well as in case of burns and open bone fractures, and also demonstrate knowledge of the emergency number. The greatest difficulty for respondents is the treatment of massive bleeding from forearm wounds, as well as the principles of chest compressions in case of cardiac arrest. Conclusions. Nearly half of teachers feel the desire to broaden their first aid knowledge. Teachers underestimate the level of their first aid knowledge, which may have a negative impact on rescue efforts made by them. The obtained results illustrate the necessity of taking action to improve the current level of first aid knowledge among primary school teachers.
背景波兰每年发生7万多起涉及儿童的事故。事故造成身体损伤的频率在学龄早期明显上升。严重创伤是造成40%儿童死亡的原因。这些统计数据向我们展示了教师掌握急救知识的重要性。目标。本研究的目的是检验小学教师在学校提供急救的知识。材料和方法。这项研究于2015年在弗罗茨瓦夫的5所小学进行。作者使用自己的调查问卷作为研究工具。利用某些情况下的行动过程问题,评估了教师在突发生命和健康威胁情况下的行为规则知识。后果大多数教师在职业安全与健康(OSH)培训期间获得了知识和技能,最后一次培训是在大约20个月前进行的。他们中的大多数人表示愿意增加这方面的知识。多达2/3的响应者认为他们的急救技能中等,受访教师中有相当一部分人已经有机会在工作中进行急救。超过90%的受访者知道在疑似关节扭伤、烧伤和开放性骨折的情况下的正确程序,并证明了对急救电话的了解。受访者面临的最大困难是前臂伤口大出血的治疗,以及心脏骤停时的胸外按压原则。结论。近一半的教师希望拓宽他们的急救知识。教师低估了他们的急救知识水平,这可能会对他们的救援工作产生负面影响。所获得的结果说明了采取行动提高小学教师当前急救知识水平的必要性。
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引用次数: 1
Frequency of supplemental transfusion performed in full-term and prematurely born newborns in 2012–2016 based on the analysis of the hospital ward medical records 基于医院病区病历分析的2012-2016年足月及早产新生儿补充输血频次分析
Pub Date : 2018-12-31 DOI: 10.17219/pzp/91609
L. Sochocka, Karolina Szejna, U. Posmyk, Katarzyna Szwamel
Background. Blood transfusion is a procedure often performed in newborns. The person making the decision on its implementation must be aware that it is a life­saving procedure with many complications arising from it. Objectives. Determination of the frequency of supplemental transfusion in newborns treated in the Department of Anaesthesiology and Intensive Therapy of Chil­ dren and Newborns in University Hospital in Opole in 2012–2016. Ascertaining whether there is a significant relationship between newborn’s age and the number of transfusions. Identification of the most common indications for transfusion. Material and methods. A retrospective analysis of medical records was carried out using modern techniques consisting of quantitative analysis of supplemental transfusions performed in newborns. The research material were data from a transfusion book and an electronic version of the disease history of neonates treated in the Department of Anaesthesiology and Intensive Therapy of Children and Newborns in whom the supplemental transfusion was performed. Results. In the years 2012–2016, supplemental transfusions were performed 581 times in neonates treated in the Department of Anaesthesiology and Intensive Therapy of Children and Newborns. The number of supplemental transfusions performed in premature infants was 416 (72%); 165 transfusions (28%) were carried out in full­term newborns in the same period. The most common indication for supplemental transfusion was anemia (314 transfusions), which accounted for 54%
背景输血是新生儿经常进行的一种手术。做出实施决定的人必须意识到,这是一项挽救生命的程序,会带来许多并发症。目标。2012-2016年在奥波尔大学医院儿童和新生儿麻醉和强化治疗科接受治疗的新生儿补充输血频率的确定。确定新生儿的年龄和输血次数之间是否存在显著关系。确定最常见的输血适应症。材料和方法。使用现代技术对医疗记录进行了回顾性分析,包括对新生儿补充输血的定量分析。研究材料来自输血书和在儿童和新生儿麻醉和强化治疗科接受补充输血治疗的新生儿的病史电子版。后果2012-2016年,在儿童和新生儿麻醉和强化治疗科接受治疗的新生儿进行了581次补充输血。早产儿的补充输血次数为416次(72%);同期对足月新生儿进行了165次输血(28%)。补充输血最常见的指征是贫血(314次输血),占54%
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引用次数: 0
The relationship between assessments of hospital services and the quality of hospital Internet presence 医院服务评价与医院网络存在质量的关系
Pub Date : 2018-12-31 DOI: 10.17219/PZP/90355
M. Grysztar, Aleksandra Pieczarka, Diana Wirchomska, M. Duplaga
Material and methods. The analysis covered 20 websites of hospitals ranked as the top 10 and the last 10 in the “Golden Hundred” of the “Safe Hospital 2016” ranking released by the Center for Monitoring Quality Polish National Center for Quality Assessment in Healthcare (rNCQA). The quality of hospital websites was assessed in 4 domains including access, creation and transfer of knowledge, and the scope of information provided.
材料和方法。该分析涵盖了波兰国家卫生保健质量评估中心(rNCQA)发布的“2016年安全医院”排名的前10名和后10名医院的20家网站。从知识获取、知识创造和知识转移、信息提供范围等4个方面对医院网站的质量进行评价。
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引用次数: 0
Basic anthropometric measurements and derived indicators in dietary counseling: Part two 饮食咨询中的基本人体测量和衍生指标:第二部分
Pub Date : 2018-12-31 DOI: 10.17219/PZP/92368
A. Koszowska, A. Brończyk-Puzoń
Obesity is defined as excessive accumulation of body fat. Large amounts of visceral fat in the body lead to increased risk of developing atherosclerosis, type 2 diabetes, hypertension, and ischemic heart disease. Evaluation of body fat plays a crucial role in everyday clinical practice. The article presents new anthropometric indicators: BAI (Body Adiposity Index) and VAI (Visceral Adiposity Index), and the examples of research where they were used. The studies on VAI index has so far shown that it can be useful in assessing visceral adipose dysfunction as well as cardiometabolic risk. In addition, its use may be practical and justified in young patients with endocrine diseases (for example in women with polycystic ovary syndrome) who do not yet present with symptoms metabolic syndrome. Calculation of VAI could provide much valuable information on possible visceral adipose dysfunction. The usefulness of the new BAI and VAI indicators has yet to be confirmed in scientific studies, but their calculation could enrich epidemiological studies, as well as clinical trials in patients with civilization-related and endocrine diseases.
肥胖被定义为身体脂肪过度堆积。体内大量的内脏脂肪会增加患动脉粥样硬化、2型糖尿病、高血压和缺血性心脏病的风险。体脂评估在日常临床实践中起着至关重要的作用。本文介绍了新的人体测量指标:BAI(身体脂肪指数)和VAI(内脏脂肪指数),以及它们的研究实例。到目前为止,对VAI指数的研究表明,它可以用于评估内脏脂肪功能障碍和心脏代谢风险。此外,在尚未出现代谢综合征症状的年轻内分泌疾病患者(例如多囊卵巢综合征患者)中,它的使用可能是实用和合理的。VAI的计算可以为可能的内脏脂肪功能障碍提供许多有价值的信息。新的BAI和VAI指标的有用性尚未在科学研究中得到证实,但它们的计算可以丰富流行病学研究,以及对文明相关和内分泌疾病患者的临床试验。
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引用次数: 2
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