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Assessment of nutritional status and body composition of elderly people living in nursing homes and a day-care center in Nysa, Poland 波兰尼萨养老院和日托中心老年人营养状况和身体组成评估
Pub Date : 2018-12-31 DOI: 10.17219/pzp/91607
M. Zołoteńka-Synowiec, E. Malczyk, B. Całyniuk, Izabela Grzesik, Monika Hajuga, E. Oknińska
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引用次数: 1
Care of the patient with a metastatic brain tumor in the end stage of the disease: Case study 晚期转移性脑肿瘤患者的护理:病例研究
Pub Date : 2018-12-31 DOI: 10.17219/PZP/101680
I. Twardak, A. Lisowska, Dominika Pogłódek, Jerzy Twardak, D. Krzyżanowski
Neoplasms are a heterogeneous group of diseases in terms of clinical presentation and treatment options. The end stage of neoplastic disease is the final stage of treatment and life. Patients become dependent and require constant help in all areas of life. One of the causes of this condition is secondary brain neoplasm. The disease progresses quickly, giving symptoms such as headaches, vision disturbances, cognitive disturbances, or epileptic seizures. The aim of this study was to show the tasks and role of a nurse in the care of the patient with advanced neoplastic disease. Research problems covered in the paper consist of patient care problems and the specific nature of care. The paper describes the impact of the disease on the quality of life of the patient, the type of support he or she requires and the need for a specific type of nursing care. Principles of such care are based on a holistic approach to the patient, i.e., an approach which takes into account human functioning in the biological, mental, social, and spiritual spheres. Such care can only be provided through close cooperation of the entire interdisciplinary team. An individual case study method with the description of the nursing process was used in this study. The following research methods were used: the Barthel Index, the Beck Depression Inventory, the ECOG Scale of Performance Status, the Acceptance of Illness Scale (AIS), the MNA questionnaire, and WHOQOL-BREF questionnaire.
就临床表现和治疗选择而言,肿瘤是一组异质性疾病。肿瘤终末期是治疗和生命的最后阶段。病人变得依赖他人,在生活的各个方面都需要持续的帮助。这种情况的原因之一是继发性脑肿瘤。该病进展迅速,出现头痛、视力障碍、认知障碍或癫痫发作等症状。本研究的目的是显示护士在护理晚期肿瘤患者中的任务和角色。本文所涉及的研究问题包括患者护理问题和护理的具体性质。该论文描述了疾病对患者生活质量的影响,他或她需要的支持类型以及对特定类型护理的需求。这种护理的原则是基于对病人的整体方法,即考虑到生物、心理、社会和精神领域的人类功能的方法。这种护理只能通过整个跨学科团队的密切合作来提供。本研究采用个案研究方法,对护理过程进行描述。研究方法:Barthel指数、Beck抑郁量表、ECOG工作状态量表、疾病接受量表(AIS)、MNA问卷、WHOQOL-BREF问卷。
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引用次数: 0
Job satisfaction in the opinion of surveyed nurses 护士工作满意度调查
Pub Date : 2018-12-31 DOI: 10.17219/pzp/91608
Anna Gawęda, Anna Śnieżek, B. Serzysko
Background. Work is a place where many people spend a large part of their lives. Not only external but also internal factors influence job satisfaction. Internal factors include, among others, the opportunity to acquire knowledge, the level of responsibility at work and the appreciation by superiors. Satisfaction, including job satisfaction, is also understood as the possibility for the individual to fulfill his or her needs and goals, and actualize values and beliefs. Objectives. The aim of the conducted research was to survey the nurses’ opinions about job satisfaction and to indicate factors that can affect it. Material and methods. The research involved 100 nurses employed in one of the specialist hospitals in Silesian voivodeship. The study was carried out using a diagnostic opinion poll; the specific research tool was an anonymous survey designed by the authors. Results. Good relations with co-workers were the main source of job satisfaction for the respondents (52%). Security of employment (42%) and a good working atmosphere (40%) were also mentioned. Definitely the highest number of respondents (76%) indicated bureaucracy/formalism as the most hindering factors at the workplace. The majority (89%) of respondents did not want to change their place of work and most (71%) of them were of the opinion that their work was rather satisfying. Conclusions. A significant relationship was found between the age of the respondents and satisfaction with the work performed, and between the job seniority of the respondents and the willingness to change the workplace.
背景工作是许多人度过一生大部分时间的地方。影响工作满意度的不仅是外部因素,还有内部因素。内部因素包括获得知识的机会、工作中的责任感以及上级的赞赏。满意度,包括工作满意度,也被理解为个人实现其需求和目标,实现价值观和信念的可能性。目标。本研究的目的是调查护士对工作满意度的看法,并指出影响工作满意度的因素。材料和方法。这项研究涉及西里西亚省一家专科医院的100名护士。这项研究是使用诊断性民意调查进行的;具体的研究工具是作者设计的匿名调查。后果与同事的良好关系是受访者(52%)工作满意度的主要来源。就业保障(42%)和良好的工作氛围(40%)也被提及。当然,最高的受访者(76%)认为官僚主义/形式主义是工作场所最阻碍因素。大多数(89%)受访者不想改变工作地点,其中大多数(71%)受访者认为自己的工作相当令人满意。结论。调查发现,受访者的年龄与对所做工作的满意度之间,以及受访者的工作资历与改变工作场所的意愿之间存在显著关系。
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引用次数: 5
Assessment of the use of information technologies among patients with bronchial asthma and chronic obstructive pulmonary disease 信息技术在支气管哮喘和慢性阻塞性肺病患者中的应用评估
Pub Date : 2018-12-31 DOI: 10.17219/pzp/86411
A. Tubek, D. Woźniak, M. Duplaga
Background. The Internet is commonly used for health-related purposes. For many patients, it is one of the most important sources of health information. Ability to use Internet resources is associated with the increasing role of active patient participation in the process of treatment and care. Correct identification, understanding and assessment of health-related information available on the internet may have an impact on patients’ health and the quality of their interactions with healthcare professionals. Objectives. The objective of this study was an assessment of the use of the Internet to search for health information by patients with bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD). Material and methods. The study was performed using a diagnostic survey based on a questionnaire addressing the burden of chronic disease, the use of information and communication technology (ICT), the use of the Internet for health purposes, and the assessment of the implementation of e-health services. Questionnaires were sent via post office to 1000 participants of training courses organized by the Kraków chapter of the Polish Society for Fighting Allergic Diseases. Results. A total of 95 respondents sent back completed questionnaires. An analysis was performed only on the data obtained from the questionnaires of respondents who suffered from BA or COPD. Computer use was declared by 82.1% and use of the Internet by 90.6% of the participants. Age influenced the use of the computer ( p = 0.009) and unaided use of the Internet ( p = 0.017). For 50.9% of respondents, the Internet was one of the main sources of health information. The average level of e-health literacy (the eHealth Literacy Scale – eHEALS) was 28.74 ±6.17. Internet is one of the major sources of health information for patients with chronic respiratory diseases.
背景。互联网通常用于与健康相关的目的。对许多病人来说,它是最重要的健康信息来源之一。使用互联网资源的能力与患者在治疗和护理过程中积极参与的作用日益增加有关。正确识别、理解和评估互联网上可获得的与健康有关的信息,可能会对患者的健康以及他们与医疗保健专业人员互动的质量产生影响。目标。本研究的目的是评估支气管哮喘(BA)和慢性阻塞性肺疾病(COPD)患者使用互联网搜索健康信息的情况。材料和方法。这项研究是通过一项基于问卷的诊断调查进行的,问卷涉及慢性病负担、信息和通信技术(ICT)的使用、为保健目的使用互联网以及评估电子保健服务的实施情况。通过邮局向参加波兰抗过敏疾病协会Kraków分会组织的培训课程的1000名参与者发送了调查表。结果。共有95名受访者寄回了完整的问卷。仅对患有BA或COPD的受访者的问卷数据进行了分析。82.1%的人使用电脑,90.6%的人使用互联网。年龄影响电脑使用(p = 0.009)和独立使用互联网(p = 0.017)。50.9%的受访者认为互联网是健康信息的主要来源之一。电子卫生素养(eHEALS)的平均水平为28.74±6.17。互联网是慢性呼吸系统疾病患者健康信息的主要来源之一。
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引用次数: 0
The clause of conscience and the independence of the nurse profession: Legal reflection 良心条款与护士职业独立性:法律反思
Pub Date : 2018-12-31 DOI: 10.17219/PZP/100563
Agnieszka Sieńko
The profession of nurse and midwife is independent; this independence consists of personal responsibility for professional activities. This also applies to the responsibility for professional decisions. Invoking the conscience clause may be an example of such decision. The lack of a definition of the term “conscience” becomes a reason for problems with the legal assessment of the nurse’s or midwife’s actions. Legal standards describing the code of conduct set the legal safety limits. Legal safety at work means that if the desired effect of medical activity is not achieved, no sanction or punishment will be imposed on the nurse or midwife. Therefore, in case of doubts about the content or justification of the medical regulations, the nurse or midwife has the right to request a written justification of the order from the doctor. If necessary, procedure in question can be assessed and it can be determined whether the nurse has performed all duties. The legal situation is different in case of refusal to execute an order or medical action because of the conscience clause defined in the act. It turns out that the definition of conscience is inextricably linked to the individual and subjective value system. The latter cannot be verified in terms of meeting the legal condition.
护士和助产士的职业是独立的;这种独立性包括个人对专业活动的责任。这也适用于专业决策的责任。援引良心条款可能就是这种决定的一个例子。缺乏“良心”一词的定义成为对护士或助产士行为的法律评估出现问题的原因。描述行为准则的法律标准规定了法律安全限制。工作中的法律安全意味着,如果医疗活动没有达到预期效果,护士或助产士将不会受到任何制裁或处罚。因此,如果对医疗条例的内容或理由有疑问,护士或助产士有权要求医生对该命令提出书面理由。如有必要,可以对相关程序进行评估,并确定护士是否履行了所有职责。由于法案中定义的良心条款而拒绝执行命令或医疗行动的情况下,法律情况有所不同。事实证明,良心的定义与个人和主观价值体系密不可分。后者在符合法律条件方面无法得到核实。
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引用次数: 1
Therole of theInternet in the physician–patient relations analyzed in selected age groups 因特网在选定年龄组的医患关系中的作用分析
Pub Date : 2018-12-31 DOI: 10.17219/PZP/86410
Alicja Fryc, Marianna Krassowska, Dominika Szymik, M. Hamoud, K. Patela
Background. The Internet has a huge impact on people aged 18–44 as it is one of the main sources of knowledge acquisition. The physician–patient relation is crucial to the correct course of the therapeutic process; influenced by the development of the Internet, this relation changes deeply. Objectives. The main purpose of the research was to discuss the impact of the Internet on the physician–patient relations and to identify the differences in the age
背景互联网对18-44岁的人有着巨大的影响,因为它是获取知识的主要来源之一。医患关系对于正确的治疗过程至关重要;受互联网发展的影响,这种关系发生了深刻的变化。目标。这项研究的主要目的是讨论互联网对医患关系的影响,并确定年龄差异
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引用次数: 1
Knowledge and self-assessment of nurses regarding vascular catheter-related infections prophylaxis 护士对预防血管导管相关感染的认识和自我评估
Pub Date : 2018-12-31 DOI: 10.17219/PZP/90356
A. Wiśniewska, B. Ślusarska, Monika Książek, G. Nowicki, B. Zboina, Bernadeta Jędrzejkiewicz
Background. Hospital infections are a major problem for medical institutions around the world. Rational attitude of nurses towards existing threats as well as the knowledge of and compliance with the procedures that prevent the spread of biological pathogens plays a vital role in the limiting the incidence of such infections. Therefore, it is necessary to improve the professional qualifications of nurses, which will protect not only the patient but also the nurses themselves. Objectives. Determination of the level of knowledge and self-assessment of nurses regarding vascular catheter-related infections prophylaxis. Material and methods. A diagnostic poll was used as a test method and a questionnaire designed by the authors as a research tool. The statistical analysis for the paper was calculated using χ2 test. One hundred professionally active nurses participated in the study. The study was conducted in March 2016 at Zespół Opieki Zdrowotnej in Busko-Zdrój (Healthcare Center in Busko-Zdrój). Results. The data obtained showed that a very high level of knowledge on compliance with vascular infections prophylaxis procedures during professional practice was shown only by 3% of the surveyed nurses; 31% (n = 31) of them presented a high level of knowledge, and the largest number of respondents – 36% (n = 36) – a medium one. Nurses declare a very high (74%, n = 74) or high level of self-assessment (21%, n = 21) regarding compliance with vascular infections prophylaxis procedures. Based on the statistical analysis of the results, it was ascertained that the level of education of nurses differentiated level of their level of knowledge and compliance with prophylaxis procedures (p = 0.02). Conclusions. The studied nurses present very high level of self-assessment regarding their compliance with the procedures for vascular infections prophylaxis. Nurses with higher education and specialization in nursing present a higher level of compliance in this regard. Improving occupational qualifications by nurses contributes to reducing the risk of nosocomial infections and limiting their incidence.
背景医院感染是世界各地医疗机构面临的一个主要问题。护士对现有威胁的理性态度,以及对防止生物病原体传播的程序的了解和遵守,在限制此类感染的发生率方面发挥着至关重要的作用。因此,有必要提高护士的职业资格,这不仅能保护病人,也能保护护士自身。目标。确定护士对血管导管相关感染预防的知识水平和自我评估。材料和方法。诊断性民意调查被用作测试方法,作者设计的问卷被用作研究工具。采用χ2检验进行统计分析。100名在职护士参与了这项研究。该研究于2016年3月在Busko Zdrój的ZespółOpieki Zdrowotnej(Busko Zdrój医疗中心)进行。后果所获得的数据显示,只有3%的受访护士对专业实践中遵守血管感染预防程序的知识水平非常高;其中31%(n=31)的受访者知识水平较高,36%(n=36)的受访者中等。护士宣布对血管感染预防程序的依从性进行了非常高(74%,n=74)或高水平的自我评估(21%,n=21)。根据对结果的统计分析,确定护士的教育水平区分了他们的知识水平和对预防程序的遵守程度(p=0.02)。被研究的护士在遵守血管感染预防程序方面表现出非常高水平的自我评估。受过高等教育和护理专业的护士在这方面的依从性更高。提高护士的职业资格有助于降低医院感染的风险并限制其发生率。
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引用次数: 1
Health education of visually impaired and non-disabled persons 视障人士和非残疾人士的健康教育
Pub Date : 2018-09-28 DOI: 10.17219/pzp/85179
Grzegorz Brzuzy
Background. Health education is one of the most important components of human life. It is particularly important for people whose health has worsened; the knowledge about own’s health can not only determine the process of adaptation, but can also be important in the process of rehabilitation of this group of people. If a person with a disability has appropriate knowledge and skills, he or she can become an active subject of the rehabilitation process. Objectives. The aim of the study was to answer 2 questions: 1. Are there any differences in using the health knowledge in visually impaired and non-disabled persons?; 2. Are there any differences in the using health knowledge among visually impaired people themselves? Material and methods. The study was conducted among visually impaired and non-disabled people. Anonymous questionnaire was used as a survey method. Results. Based on the research, it was found that there is no difference in the level of health knowledge, willingness to use health knowledge and sources of health knowledge between visually impaired and non-disabled persons. However, differences in the level of health knowledge and in willingness to use health knowledge among low vision and blind persons were found. Conclusions. The study has shown that visually impaired persons do not present stronger interest in health education compared to non-disabled persons, whereas a greater interest in health education was found in the blind compared to the low vision people.
背景。健康教育是人类生活最重要的组成部分之一。这对健康状况恶化的人尤其重要;了解自己的健康状况不仅可以决定适应的过程,而且在这群人的康复过程中也很重要。如果残疾人士有适当的知识和技能,他或她可以成为康复过程的积极主体。目标。这项研究的目的是回答两个问题:1。视障人士和非视障人士在使用健康知识方面是否有差异?2. 视障人士自身在使用健康知识方面是否存在差异?材料和方法。这项研究是在视力受损和非残疾人群中进行的。采用匿名问卷法进行调查。结果。通过研究发现,视障人群与非视障人群在健康知识水平、健康知识使用意愿、健康知识来源等方面均无差异。然而,低视力和盲人的健康知识水平和使用健康知识的意愿存在差异。结论。研究表明,视障人士对健康教育的兴趣不高于非残疾人,而盲人对健康教育的兴趣则高于低视力人群。
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引用次数: 0
Basic anthropometric measurements and derived ratios in dietary counseling: Part one 饮食咨询中的基本人体测量和推导比率:第一部分
Pub Date : 2018-09-28 DOI: 10.17219/PZP/92366
A. Brończyk-Puzoń, A. Koszowska, Joanna Bieniek
Dietary consulting is increasingly appreciated and is an integral part of diet-dependent diseases therapy worldwide. It is particularly important in preventing overweight and obesity, but also in alleviating existing metabolic disorders in patients with increased body mass. Anthropometric measurements and anthropometric indexes are not only widely used in dietary counseling, but also in basic and specialized medical care, as well as in clinical and epidemiological studies. In the first part of the article the authors present detailed characteristics of anthropometric parameters and the anthropometric indexes developed on the basis of those parameters, i.a., BMI, WHR and WHtR. They are a very important element in nutritional status assessment and estimation of associated health risks. Presentation of usefulness of BMI and its cut-off points among elderly people deserves special attention. The first part of this article is a collection of information about basic anthropometric measurements, which will facilitate their use and interpretation, which may be particularly important for young researchers, beginning a nutrition or clinical studies.
饮食咨询越来越受到重视,是世界范围内饮食依赖性疾病治疗不可或缺的一部分。它在预防超重和肥胖方面尤其重要,但在减轻体重增加患者现有的代谢障碍方面也尤为重要。人体测量和人体测量指数不仅广泛用于饮食咨询,还广泛用于基础和专业医疗以及临床和流行病学研究。在文章的第一部分中,作者介绍了人体测量参数的详细特征以及基于这些参数制定的人体测量指标,即BMI、WHR和WHtR。它们是营养状况评估和相关健康风险估计中的一个非常重要的因素。BMI及其临界点在老年人中的作用值得特别关注。本文的第一部分是关于基本人体测量的信息收集,这将有助于它们的使用和解释,这对开始营养或临床研究的年轻研究人员来说可能特别重要。
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引用次数: 11
Eating habits in children of preschool age from Katowice 卡托维兹学龄前儿童的饮食习惯
Pub Date : 2018-09-28 DOI: 10.17219/PZP/81101
A. Kościej, Urszula Skotnicka-Graca, A. Bryś
Background. Preschool period is an important stage in child’s life. Numerous studies have shown that proper preschool nutrition is crucial to the health of an adult. Objectives. The aim of the study was to evaluate the influence of parents and kindergartens on formation the dietary habits of children. The nutritional behavior of children during this period was also analyzed. Material and methods. The study was conducted in 6 randomly selected kindergartens in Katowice. It involved 100 parents of children aged 3–6 years. The research method was a survey, which concerned a methods of feeding children attending kindergartens. In addition, qualitative analysis also covered the menus from the same institutions. Results. There was a significant relationship between specific eating behaviors and BMI. Children with abnormal BMI, especially those with excessive body weight, consumed sweets or fast food more frequently than healthy children. Among children with normal BMI fruit and vegetable intake was higher than among children with abnormal body weight. Analysis of menus in kindergarten demonstrated insufficient supply of fresh vegetables, fruits, whole grains, as well as an excessive amount of simple sugars and highly processed foods. Conclusions. Despite the abnormal eating habits and irregularities in meals of preschool children, most parents were satisfied with meals their children received in the kindergartens. This indicates that parents are not sufficiently aware of the role of proper nutrition of preschool children and do not know the basics of preparing meals. The results show the need to conduct educational activities for both parents and kindergarten staff.
背景学龄前阶段是儿童生命中的一个重要阶段。大量研究表明,适当的学前营养对成年人的健康至关重要。目标。本研究旨在评估家长和幼儿园对儿童饮食习惯形成的影响。还分析了这一时期儿童的营养行为。材料和方法。这项研究在卡托维兹随机选择的6所幼儿园进行。它涉及100名3-6岁儿童的父母。研究方法是一项调查,涉及幼儿园儿童的喂养方法。此外,定性分析还涵盖了同一机构的菜单。后果特定饮食行为与BMI之间存在显著关系。BMI异常的儿童,尤其是体重超标的儿童,比健康儿童更频繁地吃甜食或快餐。在BMI正常的儿童中,水果和蔬菜的摄入量高于体重异常的儿童。对幼儿园菜单的分析表明,新鲜蔬菜、水果、全谷物供应不足,单糖和高度加工食品过量。结论。尽管学龄前儿童的饮食习惯不正常,饮食不规范,但大多数家长对孩子在幼儿园接受的膳食感到满意。这表明父母没有充分意识到学龄前儿童适当营养的作用,也不知道做饭的基本知识。结果表明,有必要为家长和幼儿园工作人员开展教育活动。
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引用次数: 0
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