Journal of Nursing Theory and Practice

[154th Executive Board Session of the WHO]

MARCH 08, 2024

Journal of Nursing Theory and Practice - 2024;37(01)

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Further articles in this publication

Journal of Nursing Theory and Practice

[Effects of Illegal Drugs on Oral Health]

HALÁSZ Henrietta , NÉMETH Anikó

[Drug use is still on the rise today, with designer drugs being particularly dangerous. In addition to the general effects on the body, we must also mention the negative effects on the oral cavity. Many people do not realise that oral health can also be at risk, although oral lesions can develop as a result of poor oral hygiene, infections or neurological symptoms caused by the way in which the drug is used, or even by the way in which it is taken. In addition to dental caries, it is important to mention oral infections, tooth wear, or even Kaposi’s sarcoma due to possible HIV infection. Recognition of these oral lesions and of illegal drug use is not only a task for dental professionals, but also for the whole health care system.]

Journal of Nursing Theory and Practice

[The Legacy of Juan de Dios at the Dawn of Modern Nursing]

HEGYI Viola Katalin

[The aim of this paper is to provide information on the history and cultural context of the work of Saint John of God, who became the patron saint of nurses and health workers. Sixteenth-century Spain served as a cradle for the innovations of Saint John and his followers, who established hospitals and provided care for the sick and the poor at a time when the Church was immersed in theological debates and thus seemed to forget one of its main missions: humanitarian and charitable aid to those most in need. The development of the Hospitaller Order’s nursing and health care practices, far ahead of its time, including the implementation of rules and regulations for hospitals and the extraordinary training of health professionals, is analysed. The continued work of the Religious of St. John of God, who operate health care and social service institutions in more than 50 countries today, is highlighted. Overall, we wish to provide a historical and cultural overview of the role of nursing and health care in society in the transition from the Middle Ages to the Modern Age. For this purpose, an analysis of the corresponding medieval and contemporary historical literature has been carried out beforehand.]

Journal of Nursing Theory and Practice

[Examining the Impact of Smoking on Oral Health-Related Quality of Life among Young Adults]

TOROK Anna, NÉMETH Anikó

[The purpose of the study is to investigate the quality of life of young adults in relation to oral health and how smoking affects this. The aim is to explore the differences in oral health-related quality of life between smokers, non-smokers, and quitters in a given age group.

The survey was conducted using a self-designed online questionnaire that included the Oral Health Impact Profile (OHIP-14) questionnaire. The survey was conducted from May 01 to June 30, 2023, using a nonrandom sampling method that relied on easily accessible subjects. Data were processed and analysed using IBM SPSS 20.0 statistical software, descriptive statistics, Kruskal-Wallis test, and Spearman’s rank correlation analysis (p<0.05). 

Based on the 317 assessable responses, smokers had a higher average OHIP-14 total score than non-smokers and quitters, but there were no significant differences in oral health-related quality of life between the groups (p=0.540). Four self-reported questions were added to the OHIP-14 questionnaire: dissatisfied with the colour of their teeth; afraid of communicating with others without seeing their teeth being seen; afraid of having a serious oral problem; afraid of losing their teeth. These issues are highly correlated with the OHIP-14 questionnaire and fear of oral lesions appears to be present among smokers.

Young adults do not yet show a significant deterioration in oral quality of life due to smoking, but additional questions are worth considering to assess the quality of life in smokers.]

Journal of Nursing Theory and Practice

[The Importance of Dental Prevention for Our Health]

KOVÁCS Noémi, NÉMETH Anikó

[In Hungary, people’s oral hygiene is very poor and signs of this can be seen from a very young age. The development of good oral hygiene habits should start after birth and be maintained throughout life in order to prevent the development of oral diseases. However, the consequences of poor oral hygiene are not only visible in the oral cavity, but can also have a detrimental effect on the whole organ system, leading to the development of serious diseases. To prevent these, health professionals at all levels of health care need to take preventive action.]

Journal of Nursing Theory and Practice

[Use of Wet Dressings Containing PHMB in the Treatment of Burns]

HEGYI Eszter

[In the field of wound care, the standard treatment these days is moist wound healing. Numerous advantages of this approach can be found in various studies. In cases of burn injuries, we also prefer this approach in order to provide an optimal wound environment, avoiding scab formation, crust formation, and scar formation. One excellent dressing for moist wound healing is a unique dressing containing PHMB in the world of dressings. It has numerous beneficial properties that can be used in burn injuries, but we have also bravely experimented with the dressing in other areas of wound healing. Currently, I would like to share my experiences related to burn injuries through case studies.]

All articles in the issue

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Alexithymia is associated with cognitive impairment in patients with Parkinson’s disease

SENGUL Yildizhan, KOCAK Müge, CORAKCI Zeynep, SENGUL Serdar Hakan, USTUN Ismet

Cognitive dysfunction (CD) is a common non-motor symptom of Parkinson’s disease (PD). Alexithy­mia is a still poorly understood neuropsychiatric feature of PD. Cognitive impairment (especially visuospatial dysfunction and executive dysfunction) and alexithymia share com­mon pathology of neuroanatomical structures. We hypo­thesized that there must be a correlation between CD and alexithymia levels considering this relationship of neuroanatomy. Objective – The aim of this study was to evaluate the association between alexithymia and neurocognitive function in patients with PD. Thirty-five patients with PD were included in this study. The Toronto Alexithymia Scale–20 (TAS-20), Geriatric Depression Inventory (GDI) and a detailed neuropsychological evaluation were performed. Higher TAS-20 scores were negatively correlated with Wechsler Adult Intelligence Scale (WAIS) similarities test score (r =-0.71, p value 0.02), clock drawing test (CDT) scores (r=-0.72, p=0.02) and verbal fluency (VF) (r=-0.77, p<0.01). Difficulty identifying feelings subscale score was negatively correlated with CDT scores (r=-0.74, p=0.02), VF scores (r=-0.66, p=0.04), visual memory immediate recall (r=-0.74, p=0.01). VF scores were also correlated with difficulty describing feelings (DDF) scores (r=-0.66, p=0.04). There was a reverse relationship bet­ween WAIS similarities and DDF scores (r=-0.70, p=0.02), and externally oriented-thinking (r=-0.77,p<0.01). Executive function Z score was correlated with the mean TAS-20 score (r=-62, p=0.03) and DDF subscale score (r=-0.70, p=0.01) Alexithymia was found to be associated with poorer performance on visuospatial and executive function test results. We also found that alexithymia was significantly correlated with depressive symptoms. Presence of alexithymia should therefore warn the clinicians for co-existing CD.

Clinical Neuroscience

Investigation of oxidative stress in patients with multifocal motor neuropathy

PATZKÓ Ágnes , DELI Gabriella , CSEH Tamás , BELEZNAY Zsuzsanna , NAGY Lajos , KÉKI Sándor, MIKE Andrea , PÁL Endre , KOMOLY Sámuel , ILLES Zsolt , CSONGOR Alexandra , PFUND Zoltán

Multifocal motor neuropathy (MMN) is a rare, immune-mediated illness attacking ex- clusively motor nerves. It is known that oxidative stress is present in peripheral neuropathies, but it has not been investigated MMN.

Clinical Neuroscience

[Impact of the type of hematopoietic stem-cell transplant on quality of life and psychopathology]

JANICSÁK Henrietta , MASSZI Tamás , REMÉNYI Péter , UNGVARI S. Gabor , GAZDAG Gábor

[Despite the decrease in transplant-related mortality, patients who receive hematopoietic stem- cell transplants often suffer from short-and long-term morbidities, poorer quality of life, and psychosocial functioning deficits. Several studies have compared the quality of life and affective symptoms of patients after under- going autologous and allogeneic hematopoi- etic stem-cell transplants. Some studies have reported similar or greater quality of life im- pairments in allogeneic hematopoietic stem- cell recipients, but the findings have been inconsistent. Our purpose was to examine the influence of the type of hematopoietic stem-cell transplantation on the quality of life and affective symptoms of patients.]

Clinical Neuroscience

Clinical features of cervical dystonia patients classified by the COL-CAP concept and treated with ultrasound-guided botulinum neurotoxin

SZABÓ Máté , DO KIEM Dániel , GÁRDIÁN Gabriella , SZPISJAK László , SALAMON András , KLIVÉNYI Péter, ZÁDORI Dénes

Cervical dystonia (CD) is the most common form of focal dystonias, where the identification of the involved muscles, the determination of optimal botulinum neurotoxin A (BoNT-A) dose per muscle injection, and precise tar- geting may be challenging. The aim of the current study is to compare local centre data with international data, enabling the identification of population and methodolo­ gical factors behind the differences, thereby further improvement of the care of Hunga- rian patients with CD.

Clinical Neuroscience

[Consensus statement of the Hungarian Clinical Neurogenic Society about the therapy of adult SMA patients]

BOCZÁN Judit, KLIVÉNYI Péter, KÁLMÁN Bernadette, SZÉLL Márta, KARCAGI Veronika, ZÁDORI Dénes, MOLNÁR Mária Judit

[Background – Spinal muscular atrophy (SMA) is an autosomal recessive, progressive neuromuscular disorder resulting in a loss of lower motoneurons. Recently, new disease-modifying treatments (two drugs for splicing modification of SMN2 and one for SMN1 gene replacement) have become available. Purpose – The new drugs change the progression of SMA with neonatal and childhood onset. Increasing amount of data are available about the effects of these drugs in adult patients with SMA. In this article, we summarize the available data of new SMA therapies in adult patients. Methods – Members of the Executive Committee of the Hungarian Clinical Neurogenetic Society surveyed the literature for palliative treatments, randomized controlled trials, and retrospective and prospective studies using disease modifying therapies in adult patients with SMA. Patients – We evaluated the outcomes of studies focused on treatments of adult patients mainly with SMA II and III. In this paper, we present our consensus statement in nine points covering palliative care, technical, medical and safety considerations, patient selection, and long-term monitoring of adult patients with SMA. This consensus statement aims to support the most efficient management of adult patients with SMA, and provides information about treatment efficacy and safety to be considered during personalized therapy. It also highlights open questions needed to be answered in future. Using this recommendation in clinical practice can result in optimization of therapy.]