Journal of Nursing Theory and Practice

[Factors influencing Lifestyle Changes following Myocardial Infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ]

HALÁSZ Henrietta, MEIXNER Istvánné

FEBRUARY 28, 2018

Journal of Nursing Theory and Practice - 2018;31(01)

[The aim of the study: In addition, it seeks those methods which might help in keeping the patients motivated so that they participate in regular health education programs, and in calling their attention to the importance of their own responsibility for their health. Material and Methods: Out of the patients who took part in early rehabilitation after a heart attack, a simple random sample of 127 patients was involved (n=127). The survey was conducted by questionnaire and retrospective data analysis. For the analysis, khi2 test, correlation analysis was performed, where p was considered significant if <0.05. Results: 71% of the patients were over the age of 60, 87% were overweight or obese, 39% were smokers at the beginning of the rehabilitation, 85% suffered from hypertension and 39% had diabetes mellitus. As opposed to male patients, females tend to recognise the impact of lifestyle on health (p=0.004). Patients under the age of 60 were more knowledgeable with regards to medicine than patients above the age of 60 (p=0.000). Positive family anamnesis impacts views on lifestyle changes (p=0.01). Conclusion: In order to increase the effectiveness of health education, different methods are needed when teaching patients above the age of 60. Written materials need to supplement verbal information sharing. Patients with positive family anamnesis have already gained some knowledge, which needs to be corrected or extended as required. Nutrition consulting should be made more practical for better feasibility.]

COMMENTS

0 comments

Further articles in this publication

Journal of Nursing Theory and Practice

[How it all started: Untold Chapters of Nursing History in Hungary as testified by foxed Documents Part 2.]

SÖVÉNYI Ferencné, PERKÓ Magdolna, FEDINECZNÉ VITTAY Katalin

Journal of Nursing Theory and Practice

[Sleep Disorders among ICU Patients]

PUSZTAI Dorina Erzsébet, FULLÉR Noémi

[Aim: To examine the changes of sleep quality and quantity among patinets in the intensive care unit, to determine the factors which have influence on sleeping and to bare the methods that can help to optimize sleeping. Theme and method: During a quantitative, longitudinal research 82 patients datas and questionnaire answers were analysed. In Microsoft Excel and SPSS 22.0 program we used c2-probe, T-probe, linear regression, Mann-Whitney U probe, descriptive statistics (p<0.05) Results: In comparison of the sleep quality and quantity, both variables changed in negative direction in ICU. The most common factors that influence sleep are: thirst/feeling of mouth dought, uncomfortable posture, therapeutic tools. Correlation is detected between the quality of sleep in ICU and the severity of the existing disease (p=0.004) and therapeutic tools (p=0.002) and noises (p=0.003). Conclusion: In changed environment, mainly in the ICU, the sleep quality and quantity are poor compared to home’s and standard department’s. ]

Journal of Nursing Theory and Practice

[The Importance of Teamwork and Patient Education in the Rehabilitation of Stroke Patients]

HORVÁTH Orsolya, STERLIK Krisztina

[The aim of the study: Stroke is an increasing problem in public health. Every year in Hungary tens of thousands of people survive stroke and continue their life bearing all the negative consequences of this disease. Well organized and early rehabilitation treatment, based on the patients’ clinical condition, improves not only their life expectancy, but also quality of life and helps to restore the self- sufficient living as well. The majority of the stroke patients live with numerous of cerebrovascular risk factors, highlighting the special importance of personalized education to prevent the recurrent stroke. Material and Methods: The aim of our investigation was to examine the efficiency of the neuro-rehabilitation teamwork and personalized patient-education among stroke patients took part inpatient rehabilitation of the Teaching Hospital and Rehabilitation Center of Sopron (2016-2017). We measured the change in ability of self- sufficient living with the FIM scale and the Bartel index, while we analyzed the presence of the modifiable cerebrovascular risk-factors with the assistance of a questionnaire was completed by the patient or the relatives (2016-2017). Results: During our research we also evaluated the knowledge of patients about their condition. According to our results the modifiable risk-factors occured cumulatively among our patients and despite the education that stroke patients received during the acute period in the hospital, there still occured a general lack of knowledge regarding their disease. Conclusions: Based on our results the complex rehabilitation therapy started at its earliest possible following the acute period was the most successful method of treatment. During the acute period, the dissemination of written educational materials and information sheets help the recovery phase until the start of the complex rehabilitation therapy. ]

Journal of Nursing Theory and Practice

[Nursing Difficulties during the Treatment of Patients from different Cultures]

ČERVENÝ Martin, KILÍKOVÁ Mária

[Introduction: Inspecting the difficulties of Hungarian nurses during the treatment of patients from different cultures. Materials and methods: Anonymous online questionnaire for the subjective examination of nursing difficulties. Results: The research model consists of 122 responder. Specific questions were answered by applicable 111 responders only. It was discovered that communication is a significant difficulty for 56.76% of the respondents (63 people). Furthermore the patients from different cultures show significant distrust towards the nursing staff. Conclusion: The numbers of lessons in foreign languages need to be increased for Hungarian nurses, researches and presentations are needed in the area of multicultural patient care, communicational instructions and further trainings are required for nurses working in practice.]

All articles in the issue

Related contents

Clinical Neuroscience

[Results of intrathecal baclofen therapy on spasticity in patients with brain injury]

DÉNES Zoltán, KLAUBER András, BOTH Béla, ERÕSS Loránd

[Objectives - To evaluate the results of intrathecal baclofen (ITB) therapy on the spasticity in patients with brain injury. Method - Retrospective study in Brain Injury Rehabilitation Unit between January 2001 and December 2010. Results - During the last ten years, in our unit 13 patients were involved into ITB therapy on severe spasticity, after brain injury, while more than 100 Baclofen pumps were implantated in Hungary with Hungary with coordination of the Multidisciplinary Team. ITB therapy was indicated in severe spasticity developed after seven cases of traumatic brain injuries, five cases of strokes and one case of anoxic brain injury. The mean age of patients was 26 years (18- 52). At the time of pump implantation three patients were in vegetative state. The shortest period elapsed between the brain injury and pump implantation was three months and the longest period was nine years, mean 15 months. Baclofen pump had to be changed in six cases after six years, and was removed in three cases due to decreasing spasticity. Catheter revision was performed in two cases due to flow problem. We had no complication in association with ITB therapy. Conclusions - Intrathecal baclofen therapy seems to be an effective and safe treatment in patients with severe spasticity of cerebral origin. We suggest team (neurosurgeon and rehabilitation professionals) decision in a spasticity center before involving the patient into ITB therapy, and follow up in the rehabilitation unit. The severity of spasticity as a consequence of brain injury can change during years and it is necessery to follow it with dosage and dynamics of baclofen therapy. Baclofen pump removal is suggested if the ITB therapy is further not reasonable.]

Clinical Neuroscience

[The complex intensive care and rehabilitation of a quadriplegic patient using a diaphragm pacemaker]

FODOR Gábor, GARTNER Béla, KECSKÉS Gabriella

[A 21 year female polytraumatized patient was admitted to our unit after a serious motorbike accident. We carried out CT imaging, which confirmed the fracture of the C-II vertebra and compression of spinal cord. Futhermore, the diagnostic investigations detected the compound and comminuted fracture of the left humerus and femur; the sacrum and the pubic bones were broken as well. After the stabilization of the cervical vertebra, a tracheotomy and the fixation of her limbs were performed. She spent 1.5 years in our unit. Meanwhile we tried to fix all the medical problems related to tetraplegia and respiratory insufficiency. As part of this process she underwent an electrophysiological examination in Uppsala (Sweden) and a diaphragm pacemaker was implanted. Our main goal was to reach the fully available quality of life. It is worth making this case familiar in a wider range of public as it could be an excellent example for the close collaboration of medical and non-medical fields.]

Lege Artis Medicinae

[THE PROBLEM OF CHILDHOOD OBESITY]

RODÉ Magdolna

[Obesity represents a major public health problem in both developed and developing countries having rapidly increased in prevalence in the past two decades. Childhood obesity is of particular concern. Two of its associated diseases require special attention; metabolic syndrome and type 2 diabetes one of its components that are increasingly diagnosed in childhood. A key to prevention and treatment is healthy lifestyle. The importance of education to healthy lifestyle from early childhood cannot be overemphasized.]

Lege Artis Medicinae

[Is it necessary? - Opinions and experiences about a first aid programme for children - pilot study]

BÁNFAI Bálint, PANDUR Attila, SCHISZLER Bence, RADNAI Balázs, BÁNFAI-CSONKA Henrietta, BETLEHEM József

[INTRODUCTION - Starting first aid education in early childhood can be an effective method of knowledge transfer. AIM - Our aim was to examine first aid education related opinions of kindergarten- and primary school children, educators, and parents. MATERIALS AND METHODS - 871 people (children, educators, parents) were involved in our study. Opinions were measured with self-administered questionnaires, containing mainly open questions. RESULTS - General opinion of parents and educators on first aid education in childhood were mainly positive, but they also gave negative ones. The majority of participants had a positive opinion about our completed program. Based on the opinions of parents and educators first aid education is recommended by health care professionals. Opinions were independent from gender, age, lenght of time of working with children in all cases (p>0.05). CONCLUSIONS - General opinion of parents and educators was varied, but it was generally positive concerning our program. Based on this results opinions can be changed with concrete activities. ]

Lege Artis Medicinae

[The role of acupuncturists’ qualifications in randomized controlled trials of acupuncture]

ORAVECZ Márk, MÉSZÁROS Judit, YU Funian, HORVÁTH Ildikó

[BACKGROUND - Randomized controlled trials (RCT) of acupuncture show heterogeneity in several ways. Acupuncture interventions used for the same conditions are greatly variable and so are study designs. METHOD - We evaluated the most frequently cited randomized controlled trials of acupuncture based on traditional Chinese medicine by examining practitioner background using elements of the “STandards for Reporting Interventions in Clinical Trials of Acupuncture”. The extracted data was compared with international guidelines and standards of traditional Chinese medicine and acupuncture education. RESULTS - We identified 5 heterogenous educational systems with contact training hours ranging from 120 to 3000. The educational criteria set by 93.75% of the reviewed trials did not meet the standards of the World Health Organization guidelines for acupuncture education or the World Federation of Chinese Medicine Societies standard for Chinese medicine education. Education in traditional Chinese acupuncture is internationally heterogeneous and this heterogeneity was found to be underreported in 87.5% of these trials, not provided for in study design. DISCUSSION - The generalizability and external validity of the reviewed trials may be questioned regarding the participating practitioners’ training background. In the future, a similar evaluation of systematic reviews could help further elucidate the issue of educational heterogeneity in traditional Chinese medicine acupuncture trials.]