Journal of Nursing Theory and Practice

[Assessing the Nutritional Status of the Elderly using Standard Status Scales]


AUGUST 30, 2020

Journal of Nursing Theory and Practice - 2020;33(4)

Journal Article

[Aims of the study: assess the nutritional status of elderly patients in hospital wards. A prospective, cross-sectional, quantitative study was conducted in a department of a county hospital. In a non-randomized, targeted, expert sample, the target population was elderly patients over 65 years of age (N=100). Patients with cognitive dysfunction and end-stage patients were excluded from the study. According to the MNA, 46% of patients are malnourished and 47% are at increased risk. 55% of patients were at risk using the NRS 2002 method. According to the NSI, 91% of patients are at risk. Participants with incomplete(/defective) teeth (p<0.05) and over 80 (p<0.05) are effected by malnutrition (p<0.05). The correlation was significant between the swallowing problem and malnutrition (p<0.05). Conclusions: more than half of the participants are malnourished or at increased risk. Screenings take short time, but they are informative as first assessment and for follow up. ]


  1. PTE Egészségtudományi Kar, Pécsi Képzési Központ, Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet



Further articles in this publication

Journal of Nursing Theory and Practice

[Beliefs and Misconceptions about Vaccination]


[Vaccination is one of the most effective public health interventions against infectious diseases, especially against vaccine-preventable paediatric diseases. However, there are parents either delaying or refusing recommended childhood vaccination due to the fear of a ‘link’ between vaccinations and autism or other diseases. Religious objection is often used as an excuse to avoid the vaccination. Opposition to vaccination dates back to the Victorian age. Since the 18th century, fear and controversy accompanied the introduction of every new vaccine. This has been compounded, in recent years, by a decreased trust in the vaccine manufacturing or distributing institutions. Although healthcare professionals are cited as the most influential source by parents and adult population on vaccine decision-making, mistrust of vaccinations is already occurs among health workers. It is important for health professionals to be well informed, to able to persuade parents and the targeted population to vaccine.]

Journal of Nursing Theory and Practice

[Acceptance of the Advanced Practice Nurse System among the Hungarian Society]

BÁNFAI Bálint, SAIN Henrietta

[Involving advanced practice nurses into the health care system can improve the quality of patient care. Our aim was (1) to measure the acceptance of of the advanced practice nurses (APN) in the Hungarian emergency care, (2) to determine a better nomenclature for APNs, (3) highlight the similarities between APNs and the paramedics in order to increase the admission. An online survey was used between September and November 2019. The questionnaire was filled out by Hungarian people >18 years. The questionnaire contained questions related to sociodemographic data, to the acceptance of APNs, to the nomenclature, and published a brief summary of the topic. Three-hundred seventy-two people answered our questionnaire (N=372). Participants with better knowledge about the APNs (p=0.002) accepted their role more than people with worse knowledge. Healthcare professionals are more open to know the new system (p=0.018) compared to laypeople. Participants who know the competency of paramedics were more likely to accept examinations from APNs (p<0.001). Most responders suggested APN, diagnostic nurse/paramedic, and master nurse terms for the nomenclature. It could became an integrable system with sharing appropriate information and definition of the competences and formation of the legislation.]

Journal of Nursing Theory and Practice

[Popularity of Nursing Profession among Career Choices]

KOMLÓSI Kálmánné, FERENCZY Mónika, GERÖLYNÉ Sipőcz Eszter, KARÁCSONY Ilona, SZABÓ László

[The aim of the study: The aim of our study was to assess the influencing factors in career choice of students in nursing education. Our quantitative, descriptive, cross-sectional, questionnaire survey was conducted at a high school in Szombathely and on an internet forum between February 2018 and May 2018, with non-randomized targeted expert sampling. High school students currently in nursing education (N = 114) were selected and those who did not fill in the questionnaire were excluded. Data analysis was performed with Microsoft Office Excel 2016 software using descriptive statistical methods and the chi2 test (p <0.05). There was a correlation between parents’ educational attainment and their children’s intentions to continue their education (p <0.01). There was no demonstrable correlation between staying in education and satisfaction with education, practical training in demonstration room and clinical education (p> 0.05). There was no correlation between the appreciation of nursing profession and the intention to continue in the profession (p> 0.05). Nursing care choices have been strongly influenced by the desire to help sick people. The exemplary role of health care staff in education and practice is crucial and can be followed in creating the next generation of nurses.]

Journal of Nursing Theory and Practice

[The Impact of Stoma on Patient’s Relationship and Sexual Life]

ROZMANN Nóra , MERKL-ORAVECZ Mercédesz , TÓTHNÉ Rádai Viktória, PUSZTAI Dorina , SZUNOMÁR Szilvia

[To become a sufferer of some serious illness or chronic condition leaves a mark on the life of any person. In the case of patients with stoma, this is especially true, as in addition to the underlying disease that causes stoma, this changed life situation can cause additional difficulties and obstacles. The aim of our study was to assess the impact of the presence of a stoma on patients ’relationship and sexual lives. We further aimed to compare this group of patients with the relationship and sexual habits of the non-stoma group. Our research was a quantitative, descriptive cross-sectional study, the target group was individuals with a stoma aged 16–61 years and those without a stoma (control group) living in a relationship. Data collection was performed using an anonymous, online questionnaire. For statistical analysis we used SPSS 22.0 and Microsoft Excel 2007, in addition to descriptive statistics, we performed χ2-trial analysis. The level of significance was determined to be p <0.05 with a 95% confidence interval. 80% of those with a stoma whose sex life had been changed were affected by the presence of a stoma bag. The remainder of those with a stoma, although their sexual habits did not change, were mentioned by 33% as a disturbing factor during intercourse (p=0.01). In terms of sexual satisfaction, 32% of the patients without stoma (n=60) and 36% of the patient with stoma (n=50) were satisfied with their sexual life, a difference between the two group was not significant (p=0.604). Overall, the stoma bag affects sexual harmony, which affects postoperative sexual habits]

Journal of Nursing Theory and Practice

[Role of Atrial Fibrillation in Stroke Prevalence: Implementation of CHA2DS2 – Vasc Risk Stratifi­cation Scale]

PAPP László, VIDA Nóra, BENGŐ Szilvia, KIS Tamás , GAÁL Gabriella, PETŐ Zsófia

[Introduction: Stroke is one of the leading causes of death and disability, therefore is an important public health concern. 20% of ischaemic cerebrovascular diseases are casued by cardiac-related embolism, wiith non-valvular atrial fibrillation (AF) as a major cause, and results in approximately 3-5-fold risk improvement. The aim of this study is to introduce the CHADS2-VASc scoring system, as an important tool in the estimation of stroke risk in AF patients. Recognition of AF and initiation of adequate therapy is a crucial step in the prevention of serious complications. The best-known indexes for AF’s vascular effects are HAS-BLED and CHADS2-VASc. According to European Society of Cardiology, CHADS2-VASc is recommended to use in every AF case with stroke risk, when direct anticoagulant therapy could be implemented. A nurse can work on stroke risk reduction among AF patients in various levels and competences. Primary prevention and health promotion is a responsibility for every health care worker, but at the same time, Advenced Practice Nurse could have a role either in diagnostics or initiating proper therapy.]

All articles in the issue

Related contents

Clinical Neuroscience

[Dizziness - vertigo Warning symptoms in vertebrobasilar ischemia - Part I. ]


[Dizziness and vertigo - like headache - are the most common complaints which leads patients to visit the doctor. In spite of the headache - which may be primary (e.g. migraine) or symptomatic - dizziness and vertigo do not appear to be a separate nosologic entity but rather the symptoms of several neurological disorders. For differential diagnosis, interdisciplinary thinking and activity is needed because the vestibular, neurological and psychiatric disorders might have a common role in the development of symptoms and further overlapping can also occur. The vascular disorders of the vertebrobasilar system are discussed in detail in this review. The importance, occurrence and causes of vertigo as a warning symptom is in the focus. The author draws attention to life-threatening conditions with acute onset in cases of the posterior scale ischemia and emphasizes the importance of the correct and early diagnosis. The author tries to clear up the nihilistic aspect in treating of stroke and stresses the necessity of thrombolysis and interventional radiological procedures which may be the only chance for the recovery of the patients. The pharmacological prevention of recurrent vascular events is also important and obligatory for the clinicians.]

Hypertension and nephrology

[Blood pressure management for stroke prevention and in the acute stroke. The new guideline of European Society of Hypertension (ESH, 2018), European Society of Cardiology and Hungarian Society of Hypertension (HSH, 2018)]

JENEI Zoltán

[Hypertension is the leading modifiable risk factor for stroke. Its prevalence amongst stroke patient is about 60-70% and the benefit of blood pressure (BP) lowering therapy on stroke risk reduction is well established. However the optimal BP targets for preventing stroke and reducing stroke consequences have been controversial. The new European (ESC/ESH) and Hungarian (HSH) hypertension guideline published in 2018 highlighted the primary and secondary prevention of stroke and the BP management in the acute stroke care as well. According results from ACCORD, SPRINT, HOPE-3, and other metaanalysis the systolic blood pressure (SBP) lowering < 120 mmHg has not favourable effect, thus in hypertensive patients < 65 years the SBP should be lowered to a BP range of 120-129 mmHg. In older patients ≥ 65 years the SBP should be targeted to a BP range of 130-139 mmHg (IA). In patients with acute intracerebral haemorrhage careful acute BP lowering with iv. therapy, to <180 mmHg should be considered only in case of SBP ≥ 220 mmHg (IIaB). In patients with acute ischaemic stroke who are eligible for iv. thrombolysis, BP should be carefully lowered and maintained to < 180/105 mmHg for at least the first 24 h after thrombolysis (IIaB). If the patient is not eli gible for lysis and BP ≤ 220/110 mmHg, routine BP lowering drug therapy is not recommended inside 48-72 h (IA). In patients with markedly elevated BP > 220/110 mmHg who do not receive fibrinolysis, drug therapy may be considered, based on clinical judgement, to reduce BP by 15% during the first 24 h after the stroke onset (IIbC). After 72 h of acute stroke in case of hypertensive patients < 65 years the SBP should be lowered to a BP range of 120-129 mmHg (IIaB). In older patients ≥ 65 years the SBP should be targeted to a BP range of 130-139 mmHg (IA). If BP < 140/90 mmHg after stroke, the BP lowering should be considered (IIbA). It is recommended to initiate an antihypertensive treatment with combination, preferably single pill combination of renin-angiotensin system blockers plus a calcium channel blocker and/or a thiazide like diuretics (IA). Lowering SBP < 120 mmHg is not recommended due to advers events regardless of age and type of stroke either in primary or secondary stroke prevention.]

Lege Artis Medicinae

[Five-year results of „Comprehensive Health Screening of Hungary 2010-2020”]

KISS István, BARNA István, DAIKI Tenno, DANKOVICS Gergely

[The „Comprehensive Health Screening of Hungary 2010-2020” have finished the 5th jubilee season. Int he past five year the program was working succesfully as a model for the primer and secondary prevention. The results of comprehensive screening have shown caracteristic picture about the health of population, and many people received education, informations about health protection, prevention and healthy lifestyle. More than 900 places, 7 millions of filled risk queries, 112 000 people’s comprehensive screening and 250 000 counsellings are the summary of activities. Some 200 000 people received the information pack. Significant is the familiar occurence of tumors and cardiovascular diseases, that means 20% of prevalence in test subjects. We are obese, smokers, physically inactive, our health behavior is poor. The improvement of the populational health care activity is among the strategical plans of health politics, and it is badly needed based on the results of MÁESZ Program.]

LAM Extra for General Practicioners

[Changes in infectology over the past two decades]


[Infectious diseases and various infections are the major causes of morbidity and mortality in developing as well as in industrialised countries. Despite the advances in the past decades in our understanding of microbes, efficient treatment of diseases and preventive approaches, more than 13 million people die every year due to infectious diseases. In the past two decades, more and more new pathogens and infections diseases have been emerging and old diseases that were almost forgotten have re-emerged. There are many new diseases for which we do not have or have hardly any efficient antimicrobial drugs and no efficient vaccines. Despite an increasing frequency of multi- and panresistant microbes, the development of new antibiotics to be used against these infections is unlikely to occur in the near future. The big pharmaceutical companies have stopped the research of antibiotics. In this situation, the only option we have is to use antibiotics rationally and to take prevention and control of infections seriously, both in the outpatient system and in hospitals. Preserving the effectiveness of currently used antibiotics is in everyone’s interest and is everyone’s responsibility]

LAM Extra for General Practicioners



[Various medical associations issue different recommendations for the prevention and treatment of vitamin D deficiency. These significant differences are partly explained by the different definition of normal vitamin D level and the use of completely different mathematical models to predict the increase in vitamin D level as a response to therapy. According to the Institute of Medicine (IOM), the target vitamin D level is 20 ng/ml, whereas the Endocrine Society (ES) recommends 30 ng/m as the miminum target value. According to the ES, a 1 ng/ml increase of vitamin D level can be reached by a daily intake of 100 NE, while the IOM recommends 3.6 ng/ml. Moreover, the IOM states that the effect of therapy on serum level is nonlinear. These differences show that the ES and IOM have different views on the risk of adverse effects. The IOM recommends 400 IU vitamin D daily for children younger than 1 year, 800 IU for those above 70 years and 600 IU/per day for everyone else. The ES recommend 400-1000 IU daily for all infants and 1500- 2000 IU for adults. Screening, however, is not recommended by either society. To decrease uncertainty concerning the side effects of higher-dose vitamin D treatment, it is important to understand, use and support the function of the pharmacovigilance system of the pharmaceutical industry that manufactures and markets various (prescription, over-the-counter) preparations. This is what the author aims to highlight in the second part of this article. Using this system, both the doctor and the patient can help support and accept the justification of higher-dose vitamin D therapy.]