Journal of Nursing Theory and Practice

[Recognizing colorectal cancer, education of patients and preparing them for the stomal therapy]


APRIL 30, 2016

Journal of Nursing Theory and Practice - 2016;29(02)

[Aim of the research: The study investigated the circumstances of the diagnosis of the disorder. The assessment of information given to patients, communication of the staff and the preparation for the stomal therapy was also part of the study. Research and sampling methods: A self-constructed questionnaire was administered during October and December of 2015. The inventory was uploaded to self-help sites for colorectal cancer patients and questionnaires were also handed out on surgical wards (N=114). Data were analysed with SPSS 22.0. Chi square, Mann-Whitney and Kruskal-Wallis tests were applied (p<0.05). Results: Colorectal cancer screening has never been attended by 81.6% of the responders. Constipation was a more frequent warning sign by women (p=0.045). The patients who received guidance from both doctors and nurses about oncology treatment were more satisfied with the information compared to those who only communicated with one person (p<0.001). The patients who could contact a stomal therapy nurse on-demand were able to handle their stomas autonomously (p=0.035). Conclusions: Information provided by more staff members help to dissolve anxiety. Contacting stomal therapy nurses on-demand should be preferred. ]



Further articles in this publication

Journal of Nursing Theory and Practice

[The endometriosis in the focus]

KOVÁCS Zsuzsanna, VÁRADYNÉ HORVÁTH Ágnes, KOZMANN Krisztina, FERENCZY Mónika, PAKAI Annamária

[Aim of the research was to investigate the deeply infiltrating endometriosis disease perioperative changes impact on the quality of life and on the sexuality. Research and sampling methods: A retrospective, partly longitudinal research, following surgery document analysis (n = 61) and we made a processing of the individually structured questionnaire with standard elements. We used 15D to measure the quality of life and MFSQ standard questionnaire to measure the sexuality (n=44). We calculated relative and absolute frequency, mean, standard deviation, paired t-test, χ2- test, correlation and one way analysis of variance (p<0,05) with the help of the SPSS 22. program. Results: 73.8% of the patients had at least 3 organ with endometriosis involvement and 82,5% were removed by laparoscopic surgery. The length of stay showed an upward turn tendency in the context of the complications (p <0.001). The sample vitality and sexual relations 40,9% were characterized by no complaint and between sexual partners and satisfaction (r = 0.442, p = 0.003) and between orgasm and sexual partners (r = 0.518, p = <0.001) medium correlation were detected. Conclusions: The surgery was efficient in the treatment of the DIE, but there are no detectable correlation the positive perception of sexual satisfaction. ]

Journal of Nursing Theory and Practice

[Risk factors for naevus pigmentosus]


[Naevi are the most frequent disorders of the skin, which usually do not cause a problem. It can occur though, that some of them develop into a malign tumour, called melanoma malignum. This process, called malignisation, has perceivable introductory symptoms; and if they are detected in time and the affected birthmark is removed expertly, it can save the patient’s life. The article describes these symptoms and provides guidelines to the removal of birthmarks.]

Journal of Nursing Theory and Practice

[Thinking about the nursing competences]


[Nursing is a complex profession consisting of several vocational skills such as empathy, theoretical, clinical, ethical, and communication skills. Beside these, technical knowledge is also essential for a nurse. The conventional methods of knowledge transfer are less and less able to meet the changed requests of the labor market. As a result of that nurse education has adapted to these changes, therefore the aim of the recent education system is to bring the acquisition of skills and competencies into prominence by using simulations as a helpful teaching strategy. Although for nurses working bedside at present improving their adequate technical skills still needs to be solved. The author wants to draw attention to the importance of maintaining and improving the acquired nursing competences, and that unregulated nursing competences are also important to be revised.]

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Creutzfeldt-Jakob Disease: A single center experience and systemic analysis of cases in Turkey

USLU Ilgen Ferda, ELIF Gökçal, GÜRSOY Esra Azize, KOLUKISA Mehmet, YILDIZ Babacan Gulsen

We aimed to analyze the clinical, laboratory and neuroimaging findings in patients with sporadic Creutzfeldt-Jakob disease (CJD) in a single center as well as to review other published cases in Turkey. Between January 1st, 2014 and June 31st, 2017, all CJD cases were evaluated based on clinical findings, differential diagnosis, the previous misdiagnosis, electroencephalography (EEG), cerebrospinal fluid and cranial magnetic resonance imaging (MRI) findings in our center. All published cases in Turkey between 2005-2018 were also reviewed. In a total of 13 patients, progressive cognitive decline was the most common presenting symptom. Two patients had a diagnosis of Heidenhain variant, 1 patient had a diagnosis of Oppenheimer-Brownell variant. Seven patients (53.3%) had been misdiagnosed with depression, vascular dementia, normal pressure hydrocephalus or encephalitis. Eleven patients (87%) had typical MRI findings but only 5 of these were present at baseline. Asymmetrical high signal abnormalities on MRI were observed in 4 patients. Five patients (45.4%) had periodic spike wave complexes on EEG, all appeared during the follow-up. There were 74 published cases in Turkey bet­ween 2005 and 2018, with various clinical presentations. CJD has a variety of clinical features in our patient series as well as in cases reported in Turkey. Although progressive cognitive decline is the most common presenting symptom, unusual manifestations in early stages of the disease might cause misdiagnosis. Variant forms should be kept in mind in patients with isolated visual or cerebellar symptoms. MRI and EEG should be repeated during follow-up period if the clinical suspicion still exists.

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[The relevancy of measuring the level of D-dimer test in clinical practice]


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Lege Artis Medicinae



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Lege Artis Medicinae

[The up-to-date approach of Parkinson’s disease]


[Parkinson’s disease is the second most frequent neurodegenerative disease. Its aetiology has not been clarified yet, but genetical as well as environmental factors might have a significant role in its development. The differentiation between Parkinsonian syndromes and Parkinson’s disease (idiopathic Parkinsonian syndrome) could be very difficult even today. The accuracy of the diagnosis is no more than 90% despite the expertise of the best-trained neurologists and the use of the most sophisticated diagnostic procedures. A 100% of confidence can be achieved only by neuropathological examination. The precise recording of the anamnesis, the thorough knowledge of clinical symptoms and diagnostic tests could be helpful in establishing diagnosis as early and as accurately as possible, which might be crucial for choosing the most effective therapy. Nowadays we have a lot of pharmacotherapies and non-pharmacotherapies, the use of which can significantly increase the number of years with a good quality of life of patients with this currently untreatable condition.]

Lege Artis Medicinae

[World Pancreatic Day - Constant vigilance!]

ILLÉS Dóra, CZAKÓ László

[Pancreatic cancer (PaC) is a rare disease. However, it has one of the highest mortality worldwide. In Hungary both the incidence and mortality are among the highest in Europe. Surgery is the only curative method to treat PaC. Unfortunately, PaC is often diagnosed in its inoperative stage due to the asymptomatic/aspecific progression. Unfortunately, there is no effective screening method for PaC. This article aims to raise awareness of PaC risks and symp­tomps upon the World Pancreatic Cancer Day (21.11) which indicate investigations to diagnose PaC in an early stage, in favor of a better outcome of the disease. ]