Journal of Nursing Theory and Practice

[Milestone in the Development of the Primary Health Care]

GUTÁSI Éva1, TÓTH Baloghné Edit2, LÁZÁR Marsiné Erika2

AUGUST 30, 2017

Journal of Nursing Theory and Practice - 2017;30(04)

[All health care systems in Europe face similar challenges. In Hungary the most important one is the emigration of health system workers and the increasing demand for care in ageing population. Key areas of the development of primary health care are prevention, public health and health promotion. In The Primary Care Development Model Program the single-handed general practices comprised of one GP, one nurse and one health visitor who were teamed up and formed the GP’s cluster employing various other health professionals (including community nurses). In the last 4 years the new primary care system became a reality for 40,000 inhabitants of four disadvantaged micro-regions of Hungary. The health status of more than 20.000 adults and 8000 children were assessed between 2013 and 2017 in the Modell Programme that uncovered a number of hidden diseases.]

AFFILIATIONS

  1. Országos Közegészségügyi Intézet
  2. Heves Praxisközösség

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[Objective: The aim of this retrospective study was to examine the effects of a weekly held group multicomponent exercise programme (consisting of aerobic, strengthening, flexibiliy, and balance exercises) on the functional abilities (muscle strength, walking speed, and static balance) among elderly people. Methods: Thirty eight older people were divided into two groups: the active group for those elderly who took part is the training for at least 2 years, and the inactive group for those who did not take part in the training before. The global muscle strength in the lower extremity was measured with the 5 sit-to-tand test, the walking speed was measured with the 4 meters walking test. To examine the static balance, we used the one-leg stance test. To determine the subjective well-being, a Visual Analog Scale was used. Results: The Active group was significantly better in 5 sit-to-tand test (t(36)=2,602; p=0,013; Cohen’d=0,99), and marginally significant difference was found in the 4 meters walking test (t(36)= 1,769; p=0,085; Cohen’d=0,66) to the benefit of the Active group. In the term of static balance, we could not find significant difference. Conclusions: This programme for elderly people is effective to improve the global lower limb muscle strenght and walking speed of the elderly, but not very effective in improving static balance.]

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