Journal of Nursing Theory and Practice

[Focus on quality of life: Reconstruction in Vascular Surgery ]


FEBRUARY 28, 2019

Journal of Nursing Theory and Practice - 2019;32(01)

[The aims of the study: The aim of our research was to gain deeper insight into the quality of life of patients after reconstructive vascular surgery of the lower limb. Material and method: The Vascuqol questionnaire survey was performed at the PTE KK Vascular Surgery Clinic on the day before the surgery and 3-6 weeks after surgery (N=54). Statistical analysis was carried out with Microsoft Office Excel 2013. Results: In summary it can be stated that following surgical intervention the quality of life of patients significantly improved, this finding ephasises the importance of invasise therapy. As the extent of pain decreased after surgery, patients’ ability to walk started to improve, as well as their overall physical state and ability to carry out certain household activities. There was also an improvement in their social life, more time was spent with family and friends. Conclusions: Although the VascuQoL-25 questionaire is senstivie device to measure quality of life, it is difficult to apply in clinical practice beacause of its length.]


  1. PTE Egészségtudományi Kar, Pécsi Képzési Központ, Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet
  2. PTE ETK, Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet, Védőnő és Prevenciós Tanszék



Further articles in this publication

Journal of Nursing Theory and Practice

[Who helps the caregivers? - Psychosocial characteristics of nurses in dementia care ]


[The aim of the study: Studies underline the increasing burden of dementia people. Hungarian social care system is also facing dementia care challenge. In case of developing of social sector, it is beneficial to research the psychosocial status of nurses working in dementia care. Material and method: N=130 professional caregivers in dementia care filled out self- administered questionnaires. Standardized health-psychological scales were evaluated: SWLS, Rahe’s Life Meaning, Beck’s Inventory of Measuring Depression, Maastricht Vital Exhaustion, Freudenberger’s Burn Out Inventory. Results: Caregivers have fatigue, dissatisfaction and tendency of quitting profession. Scales show high burn-out, exhaustion and depression and show correlations. Depression correlates with vital exhaustion (r=0.549), depression moves with burn out r=0,528. SWLS correlates opposite with Vital Exhaustion: r = - 366. Coherence and SWLS shows statistically significance correlation: r=0,455. Conclusion: Indicators apply nurses are in risk conditions. More focus on workplace satisfaction, psychosocial care and stress management training is essential. .]

Journal of Nursing Theory and Practice

[Efficient employee performance appraisal systems]

SÁRGA Norbert Zétény

[A well-functioning performance appraisal system and information obtained from it will provide support for executive decisions. Developing the performance appraisal system, not only the definition of performance is a key factor, but also the steps to be taken to shape it; such as the purpose for which the performance appraisal system is to be used, the method of evaluating who the members of the evaluation system are. This paper presents the various evaluation techniques and methods; the importance and effective application of the written and oral evaluations as well as the evaluation interview. Furthermore, the difficulties encountered in the evaluations and the evaluation mistakes are described. ]

Journal of Nursing Theory and Practice

[Submitted Manuscripts to Nővér - from the view of the Reviewer]

NÉMETH Anikó, HIRDI Henriett Éva

Journal of Nursing Theory and Practice

[Faces from the Hungarian Nursing Hall of Fame: the exemplary career of Katalin Durgó recipient of the Henry Dunant Meda]

BOROS Károlyné, FEDINECZNÉ VITTAY Katalin, PERKÓ Magdolna, SÖVÉNYI Ferencné

[In this part of their series on outstanding figures in Hungary’s nursing history authors present the life of Ms. Katalin Durgó, a Red Cross volunteer nurse-midwife, whose lifelong services to promote the humanitarian cause of the Red Cross were acknowledged by awarding to her, at the age of 83 years, the Henry Dunant Medal, the highest award of the Red Cross Movement. Ms. Durgó was the 5th awardee globally, the first ever Hungarian recipient and the second person to have been decorated in their lifetimes. Following her self-sacrificing and fearless work in the war theatres of WWI, Ms. Durgó worked as a local midwife in rural Hungary delivering one thousand babies as testified by her Midwife’s birth logbook. She carried out her work with a strong sense of conscientiousness, punctuality, untiring diligence, devotion and solid professional knowledge and skills; her personal and professional lives are shining examples for today’s nursing generation. ]

Journal of Nursing Theory and Practice

The issue of social inclusion of the Roma minority in the Czech Republic from the viewpoint of the Model of the culturallyminded and adapted care


Objective: The aim of the research was to map out the area of social inclusion of the Roma minority according to the Model of culturally-minded and adapted care. Above all to find out the subjective opinion of the Roma on their lives in the Czech Republic, the distribution of family roles or the respect of Roma traditions and customs. Methods: Data collection was carried out using a quantitative survey, in the form of a non-standardised questionnaire. The research group consisted of 600 members of the Roma minority across the Czech Republic. Results: The results show that the Roma minority feels some intolerance, in some cases even discrimination from the majority of society. Although in a Roma family the traditional division of the roles of the mother - maternal role, the father - the family breadwinner persists, these roles change slightly depending on the style of family upbringing and cohabitation with the older generations. The life of a Roma according to Roma traditions and customs subsides slightly into the background. Younger and single Roma no longer follow traditions like their parents. Therefore, there is an obvious large influence from the majority of society towards the Roma minority. Conclusion: The Roma minority is a group of people with many specifics. To coexist with a majority society, therefore, there is a need for understanding and tolerance on both sides. For a better understanding of this minority, the conceptual model of the following authors J. N. Giger and R.E. Davidhizar can help us, as it complexly approaches the specific needs of an individual with a different culture or religion.

All articles in the issue

Related contents

Clinical Neuroscience

[Earlier and more efficiently: the role of deep brain stimulation for parkinson’s disease preserving the working capabilities]

DELI Gabriella, BALÁS István, KOMOLY Sámuel, DÓCZI Tamás, JANSZKY József, ASCHERMANN Zsuzsanna, NAGY Ferenc, BOSNYÁK Edit, KOVÁCS Norbert

[Background – The recently published “EarlyStim” study demonstrated that deep brain stimulation (DBS) for the treatment of Parkinson’s disease (PD) with early fluctuations is superior to the optimal pharmacological treatment in improving the quality of life and motor symptoms, and preserving sociocultural position. Our retrospective investigation aimed to evaluate if DBS therapy was able to preserve the working capabilities of our patients. Methods – We reviewed the data of 39 young (<60 years-old) PD patients who underwent subthalamic DBS implantation at University of Pécs and had at least two years follow-up. Patients were categorized into two groups based on their working capabilities: Patients with active job (“Job+” group, n=15) and retired patients (without active job, “Job-” group, n=24). Severity of motor symptoms (UPDRS part 3), quality of life (EQ-5D) and presence of active job were evaluated one and two years after the operation. Results – As far as the severity of motor symptoms were concerned, similar (approximately 50%) improvement was achieved in both groups. However, the postoperative quality of life was significantly better in the Job+ group. Majority (12/15, 80%) of Job+ group members were able to preserve their job two years after the operation. However, only a minimal portion (1/24, 4.2%) of the Job- group members was able to return to the world of active employees (p<0.01, McNemar test). Conclusion – Although our retrospective study has several limitations, our results fit well with the conclusions of “EarlyStim” study. Both of them suggest that with optimal timing of DBS implantation we may preserve the working capabilities of our patients.]

Journal of Nursing Theory and Practice

[Impact of post hip-replacement motor functions on the patient’s subjective state of health and perception of surgical success]


[Research aim: The authors analyse the extent to which the change in motor function infl uences the patients’ sense of illness fi ve years after the implantation of an artifi cial hip replacement. Methodology and sample: The retrospective follow-up survey was conducted in the Jávorszky Ödön Hospital in Vác through analysis of the electronic patient database and the returned questionnaires. A total of 109 patients who had received artifi cial hip replacements were included in the survey. The authors analysed the objective motor organ indicators (movement of the hip joint, use of mobility aids) based on the patients’ subjective sense of illness five years after the surgery, and the patients’ opinions about the operation. Results: In the 5th postoperative year the patients’ motor function had signifi cantly improved, and the use of mobility aids had signifi cantly decreased. In terms of the patients’ sense of illness, no signifi cant difference was found between the studied motor organ indicators of those who considered themselves to be healthy and of those who regarded themselves as ill. Conclusions: A successful hip replacement signifi cantly improves the patients’ motor function in the 5th postoperative year, but this has little bearing on the sense of illness. In this period the nursing staff should concentrate on other factors if they want to improve the patients’ quality of life.]


[Effect of zoledronic acid treatment on pain and quality of life in patients with metastatic bone disease suffering from breast and prostate cancer - Multicenter, prospective, observational study]

PÁPAI Zsuzsanna, LANDHERR László, SPEER Gábor

[INTRODUCTION - Metastatic bone disease is frequently associated with breast and prostate cancer. Bisphosphonate treatment of bone metastases is palliative: its primary goal is to relieve pain, while it's also important to decrease the risk of bone fractures, prolong survival and maintain physical activity of the patients. Pain is the most common symptom of bone metastases. PATIENTS AND METHODS - In total 845 patients were enrolled in our open, multicenter, prospective, observational study, the first of its kind in Hungary. The agent tested was zoledronic acid (Zometa®). Duration of the study was 20 months and its primary goal was to assess the correlation between pain and quality of life during the treatment of patients with bone metastases from breast or prostate carcinoma. RESULTS - During the 18 months of the study, the average intensity of pain, measured on the visual analog scale showed a 42% reduction (p<0.0001). By the end of the 18. month, the ratio of patients free of symptoms has increased by 15% and the number of patients with substantial complaints has decreased by 73%. CONCLUSION - Our study supports the observation published in the international literature that in patients with bone metastases from breast and prostate cancer, zoledronic acid treatment is beneficial for reducing pain and thus for improving quality of life.]

Lege Artis Medicinae

[Palliative chemotherapy of solid tumors]


[Palliative chemotherapy, as defined, a cytotoxic treatment where the expected result is not sufficient enough to cure the patient but it could relieve the cancer related symptoms. In other words, it is such a treatment where the chance of symptomatic improvement means an overall advantage to the patient compared to the possible disadvantages of toxicity. In the 70s and 80s, only the objective response rate, relapse free interval, and overall survival rates were selected as endpoints when the activity of anticancer agents were investigated. In these studies it was observed that a considerable amount of patient showed significant symptomatic improvement even though the treatment was ineffective according to the measured endpoints. Today, the measurement of quality of life is one of the standard endpoint of such studies. Moreover, quality of life is considered as the most important independent factor when palliative chemotherapy is initiated. It should be noted that remission is not the only and final benefit of chemotherapy. The role and options of palliative chemotherapy in certain tumors are discussed.]

Clinical Neuroscience

[The impact of levodopa-carbidopa intestinal gel on health-related quality of life in Parkinson’s disease]

KOVÁCS Norbert, ASCHERMANN Zsuzsanna, ÁCS Péter, BOSNYÁK Edit, DELI Gabriella, JANSZKY József, KOMOLY Sámuel

[Background - The levodopa/carbidopa intestinal gel (LCIG) therapy can improve the severe fluctuations associated with advanced Parkinson’s disease (PD). Our aim was to assess the improvement in the health related quality of life of PD patients treated with LCIG at University of Pécs. Methods - Eight PD patients were evaluated (age: 68.1±4.4 years, disease duration: 14,5±6,2 years, duration of fluctuations: 8.9±3.1 years). Before the initiation of LCIG treatment and 6 and 12 months later, the health-related quality of life (PDQ-39 and EQ-5D-5L), severity of PDrelated symptoms (MDS-UPDRS, Hoehn-Yahr Scale, Clinical Global Improvement - Severity) and major non-motor symptoms (PD Sleep Scale 2nd version: PDSS-2, Epworth Scale and Beck Depression Inventory: BDI) were assessed. Results - Health-related quality life improved after LCIG treatment measured by both EQ-5D-5L (from 0.257 to 0.662, p=0.009) and PDQ-39 (from 34 to 26 points, p=0.038). Meanwhile PD-related symptoms (MDS-UPDRS total score: from 105 points to 68 points, p<0.05) sleep quality (PDSS-2: from 25 to 22 points, p<0.05), daytime sleepiness (Epworth: from 12 to 7 points, p<0.05) and depression (BDI: from 20 to 15 points, p<0.05) also improved. Median ON time improved form 4.5 hours to 10.0 hours; whereas, the OFF time decreased from 4.5 to 0.5 hours (p<0.05). Conclusion - Both the quality of life and the clinical features of PD can be improved by LCIG treatment in advanced PD.]