Journal of Nursing Theory and Practice

[Changes in Quality of Life in Patients with Parkinson’s Disease following Deep Brain Stimulation (DBS) Surgery]

POLGÁRNÉ Lőrinczi Andrea1, PAPP László2

JUNE 30, 2021

Journal of Nursing Theory and Practice - 2021;34(3)

Journal Article

[The primary objective of our study was to assess the effect of deep brain stimulation (DBS) on subjectively lived quality of life in patients with Parkinson’s disease (PD). Our focus was on postoperative changes in patients’ activities, social relationships, as well as changes observed in drug therapy as a result of stimulation. In our qualitative, phenomenological study, we conducted interviews with PD patients 4–10 months after DBS surgery. The 30-60 minute interviews were conducted between July 1 and December 31, 2020. Patients reported positive changes in daily activities, work ability, sleep quality, mood and medication. No change in cognitive status was identified. After DBS surgery, patients’ quality of life changes in a clear positive direction. To achieve the optimal effect of the intervention, given the complexity of the disease, the basic motive for care should be a holistic approach.]


  1. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Idegsebészeti Klinika
  2. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Sürgősségi Betegellátó Osztály



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Journal of Nursing Theory and Practice

[The importance of teamwork in healthcare during the COVID-19 pandemic]


[The present study aimed to investigate the correlations of healthcare teamwork with burnout, workplace uncertainty, and stress factors at the workplace and at home during the COVID-19 pandemic. This cross-sectional study has been conducted through a self-constructed online questionnaire in the beginning of 2021. The answers of 1965 people have been analysed with SPSS 23.0. Descriptive statistics, chi-square and Kruskal-Wallis were applied (p<0.05). This cross-sectional study has been conducted through a self-constructed online questionnaire in the beginning of 2021. The answers of 1965 people have been analysed with SPSS 23.0. Descriptive statistics, chi-square and Kruskal-Wallis were applied (p<0.05). The present study proved that teamwork has high importance even during the COVID-19 pandemic as a protective factor on many areas.]

Journal of Nursing Theory and Practice

[Changing in the daily nursing duties – epidemiological interventions and protocols in residential care facilities related to elderly care]

HADOBÁSNÉ Kiss Hedvig, BALOGH Zoltán

[In this publication we will represent the SWOT-analysis and abilities of the social residential institutes in terms of safety measures and strategies, against the current pandemic situation caused by the Covid-19 outbreak. Our analysis involves the retirement homes and other caretaking facilities in Szabolcs-Szatmár-Bereg County. The data was acquired through anonym only surveys. We will introduce new challenges and task in the daily life of the retirement homes, furthermore we will provide advice and references to these institutes to help them create their own epidemiological protocols and to measure their own preparedness from a professional viewpoint. The aim of study: The goal of our examination was to assess the entire Szabolcs-Szatmár-Bereg County, which by we can gain insight into the situation of the retirement homes during the current pandemic period in the whole county. In Szabolcs-Szatmár-Bereg County there are 97 active retirement homes and caretaking facilities, the leaders of the facilities were asked to fill out an anonymous online survey. Based on the received data, we formed our opinion and draw conclusions. Based on the aspects of the SWOT-analysis used in the research and after the analysis of the results, we can state that the epidemiological experience, knowledge and expertise of the people working in health care show an insufficient picture. Many institutions have faced unresolved labour challenges and challenges, the difficulty of converting living quarters for isolation, and the general unpreparedness to deal with a viral situation of this caliber. The ban on visits to prevent the spread of the virus has also made it more difficult to care for those in need of special care, and in several cases, the attitude of relatives hindered the work of the institutions. Fortunately, in addition to the difficulties that arise, some positive changes should be also highlighted, such as the conscientious approach to the task of forging a team of employees. As a consequence, we can conclude that in the analysis we obtained and evaluated the serious difficulties in relation to the problems of the institutions, there are some options as solution to these. Possible solutions include further training, institution-specific guidelines, development and application of protocols in epidemic situations, support for crisis management and crisis communication within institutions. In the heightened situation, the acquisition of appropriate communication techniques to reassure relatives and patients are essential tools for the solution. Central guidance, monitoring and support are also needed to make all of these options a reality.]

Journal of Nursing Theory and Practice

[Analysis of the impact of dysphagia among stroke patients in acute care]

GRÁNÁSI Bettina, PAPP László

[Stroke is the third most common cause of death in Europe. In Hungary, 40-50 thousand people enter the stroke centers in every year, of which about 15 thousand die. Among the residual symptoms, impairment of swallowing function is significant, which can lead to a life-threatening condition. In our prospective, controlled study, we aimed to investigate the descriptive indicators of swallowing disorders in stroke patients undergoing acute care. The study was done at the Stroke Unit of the Department of Neurology, University of Szeged, between July and November 2020. During this period, 122 patients were included in the study group. The degree of consciousness (p <0.001, Cramer’s V 0.479) and the presence of facial paresis (p <0.001, Cramer’s V 0.73) basically determine the risk of developing swallowing disorders. The incidence of aspiration pneumonia was not higher in the sample than in the control group (p = 0.138). Based on our results, the assessment of the risk of swallowing disorders is an essential element in the care of stroke patients.]

Journal of Nursing Theory and Practice

[Nursing Bag Technique, Practice in home health care]

HIRDI Henriett Éva, DALLOSNÉ Király Erika, KÁLMÁNNÉ Simon Mária

[The nursing bag has been used by District Nurses and Home Care Visiting Nurses for decades to transport patient care equipment and supplies to patients’ homes. The nursing bag is transported from the patient’s home to another family’s living space and may serve as a vehicle for transmitting pathogen microorganisms. This article will focus on the core and supplementary contents in the nursing bag and on principles of practice called “bag technique” to prevent the transmission of pathogenic microorganisms.]

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[Assessing Quality of life of Women with Cervical Cancer After Treatment]


[To assess sexual function, functionality and quality of life in women with cervical cancer. Descriptive, cross-sectional, quantitative, non-random, purposive sampling of women (N=91) with FIGO stage I/II/III cervical cancer, more than 5 months after last treatment. The study used standard questionnaires with self-designed questions. Data were analysed using Microsoft Excel, descriptive and mathematical statistics (p<0.05). Completers who received radiotherapy scored significantly higher in functional status (p<0.05) and emotional function than those who did not receive radiotherapy (p<0.05). Completers with lower levels of emotional well-being were significantly more likely to have lower levels of sexual function and higher levels of gynaecological problems (p<0.05). Women affected by cervical cancer often experience somatic and psychological disturbances that reflect on quality of life associated with the disease and treatment.]

Journal of Nursing Theory and Practice

[The Effect of Asthma Bronchiale on Everyday life Activities Among Adolescents]

RÁCZ Viktória Kinga, HEGEDŰS Bianka Ágnes , SZEBENI-KOVÁCS Gyula , FERENCZY Mónika

[The aim of this study is to assess the relationship between the physical activity of asthmatics, sleep disorders, the extent of asthma treatment, and to assess the quality of life in terms of physical activity. We conducted our quantitative, cross-sectional survey between 2020-2021. In a non-randomized, comfort sampling the target group was defined as adolescents aged between 14–18 years, their diagnosis of asthma bronchiale had to be for at least 1 year ago. The data were collected by a self-prepared questionnaire, the domains included: socio-demographic questions related to physical activites, symptoms, sleep disorders, severity of asthma. We used miniAQLQ to assess quality of life. The statistical analysis were performed by using Microsoft Excel 2016 and SPSS v 24 programs. Descriptive statistics (mean, standard deviation, minimum, maximum), two-sample t-test, Chi-square test were performed. The mean age of the respondents was 16±1.51, 38% were boys and 62% were girls (N=105). There was no significant difference between physical activity and the frequency of seizures and sleep disorders (p>0.05). There is a significant difference between the genders and the symptoms increasing with intense exercise (p=0.02). We found significant correlation between the active participations in physical education classes and the severity of the disease (p=0.021). There is a significant correlation between moderate-, social activities and physical activity (p<0.05). Appropriate health education, recommendation in career choices as well as in physical activities done by nurses may lead to decrease in the number of suffocation attacks in cases of adolescents suffering from asthma bronchiale.]

Clinical Neuroscience

[Disease burden of Duchenne muscular dystrophy patients and their caregivers]


[Background and purpose - Data on the disease burden of Duchenne Muscular Dystrophy are scarce in Hungary. The aim of this study was to assess patients’ and their caregivers’ health related quality of life and healthcare utilisations. Methods - A cross sectional survey was performed as part of the European BURQOL-RD project. The EQ-5D-5L and Barthel Index questionnaires were applied, health care utilisations and patients’ informal carers were surveyed. Results - One symptomatic female carer, 50 children (boys 94%) and six adult patients (five males) participated in the study, the latter two subgroups were included in the analysis. The average age was 9.7 (SD=4.6) and 24.3 (SD=9.8) years, respectively. Median age at time of diagnosis was three years. The average EQ-5D score among children and adults was 0.198 (SD=0.417) and 0.244 (SD=0.322), respectively, the Barthel Index was 57.6 (SD=29.9) and 53.0 (SD=36.5). Score of satisfaction with healthcare (10-point Likert-scale) was mean 5.3 (SD=2.1) and 5.3 (SD=2.9). 15 children were hospitalised in the past 12 months for mean 12.9 (SD=24.5) days. Two patients received help from professional carer. 25 children (mean age 11.1, SD=4.4 years) were helped/supervisied by principal informal carer (parent) for mean 90.1 (SD=44.4) hours/week and further family members helped in 21 cases. Correlation between EQ-5D and Barthel Index was strong and significant (0.731; p<0.01) as well as with informal care time (-0.770; p<0.01), but correlation with satisfaction with health care was not significant (EQ-5D: 0.241; Barthel Index: 0.219; informal care: -0.142). Conclusion - Duchenne muscular dystrophy leads to a significant deterioration in the quality of life of patients. Parents play outstanding role in the care of affected children. This study is the first in the Central and Eastern European region that provides quality of life data in this rare disease for further health economic studies.]

Clinical Neuroscience

[The quality of life of the cluster headache patients during the active phase of the headache]


[Introduction - Cluster headache (CH), which affects 0.1% of the population, is one of the most painful human conditions: despite adequate treatment, the frequent and severe headaches cause a significant burden to the patients. According to a small number of previous studies, CH has a serious negative effect on the sufferers’ quality of life (QOL). In the current study, we set out to examine the quality of life of the CH patients attending our outpatient service between 2013 and 2016, using generic and headache-specific QOL instruments. Methods - A total of 42 CH patients (16 females and 26 males; mean age: 39.1±13.5 years) completed the SF-36 generic QOL questionnaire and the headache- specific CHQQ questionnaire (Comprehensive Headache- related Quality of life Questionnaire), during the active phase of their headache. Their data were compared to those of patients suffering from chronic tension type headache (CTH) and to data obtained from controls not suffering from significant forms of headache, using Kruskal-Wallis tests. Results - During the active phase of the CH, the patients’ generic QOL was significantly worse than that of normal controls in four of the 8 domains of the SF-36 instrument. Apart from a significantly worse result in the ‘Bodily pain’ SF-36 domain, there were no significant differences between the CH patients’ and the CTH patients’ results. All the dimensions and the total score of the headache-specific CHQQ instrument showed significantly worse QOL in the CH group than in the CTH group or in the control group. Conclusion - Cluster headache has a significant negative effect on the quality of life. The decrease of QOL experienced by the patients was better reflected by the headache-specific CHQQ instrument than by the generic SF-36 instrument. ]

Journal of Nursing Theory and Practice

Use of Imogene King’s Nursing Model in the Care for a Patient with Heart Arrhythmias


Objectives: To discover the benefits of implementation of Imogene King’s nursing model into nursing care in a patient with arrhythmias. To find out how these patients are limited in saturation of their own needs and what are the most severe limitations for patients with arrhythmias. Material and methods: Qualitative research using semi-structured interviews. The interview with patients with arrhythmia was conducted in accordance with the structure of King’s nursing model. Results: The research group consisted of 20 respondents; 13 men and seven women. All respondents expressed satisfaction with their cooperation with staff. The respondents described a change in the subjectively perceived state, the psychic state, and emotions. Conclusions: Assessment of the subjectively perceived quality of life of patients with arrhythmias using the King’s interaction model allows nurses to see the patient from the holistic point of view and plan and provide individualized care.