Journal of Nursing Theory and Practice

[Research for Nurses 1. part: Research Design]

PAPP László

APRIL 30, 2013

Journal of Nursing Theory and Practice - 2013;26(02)

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Journal of Nursing Theory and Practice

[Possible protective factors in the wound healing in light of survey]

PAKAI Annamária, TÓTH Marianna, VÁRADYNÉ HORVÁTH Ágnes, OLÁH András, HORVÁTH Örs Péter

[Purpose of the study: to investigate the correlation between the surgical procedure and the disorders of wound-healing, furthermore to examine the impact of the matter of suture on the incidence of wound healing problems. Methods and material: The survey was carried out at Surgical Clinic of the University of Pécs, among patients between 18 to 85 years who had been undergone an elective abdominal surgery between 2009-2010 (n=105). In the course of the document analysis the authors reviewed socio-demographic data and the preoperative and postoperative parameters. The authors applied descriptive statistics with SPSS 17 moreover two-sample t- test, khi square test and logistic regression (p<0,05). Results: The incidence of wound-healing disturbance is higher in the case of using draine, however it is lower if Triclosan suture is used (p<0,05). Conclusion: A number of Hungarian and international study reports that many factors can be responsible for surgical site infections. The results point out the significance of Evidence Based Nursing wound attendance in the context of team work. ]

Journal of Nursing Theory and Practice

[Episiotomy practice in Hungary ]

SZÉNÁSI Rita, LIPIENNÉ KRÉMER Ibolya, MÉSZÁROS Judit

[Aim of the study: The aim of the research was to assess the ways in which pregnant women prepared for giving birth, and the alternative opportunities for labour and delivery, and to examine the attitudes of professionals and mothers to episiotomy. Sample and method: Participating in the first part of the study, a questionnaire-based survey with 35 questions, were women who underwent spontaneous vaginal labour in hospital after week 36 (643 persons). The data was processed in a descriptive statistical model with percentage distribution indicators. In the second part of the study, 314 spontaneous vaginal births that took place in a Budapest hospital between 1 January and 31 March 2011 were examined on the basis of the birth log, with the focus on episiotomy. Results: The results show that today the proportion of women who give birth with an episiotomy is still very high, and the incidence of intervention and tests in the course of labour is also high. The survey also revealed that episiotomies were carried out in fewer cases where the obstetrician was accompanied by a midwife. Conclusions: In comparison to past years there is a greater focus now on alternative obstetrician training and midwifery methods, and on perineal protection, but the use of these methods in everyday practice is still not sufficiently prevalent. It is essential to bring about a change in the professional attitudes of specialists to natural birth, which could promote a more humane standard of obstetric care.]

Journal of Nursing Theory and Practice

[Does the fear of losing their jobs play any role in the everyday lives of health care workers?]

IRINYI Tamás, NÉMETH Anikó

[Aims: To assess the degree of fear from becoming unemployed among health care workers in Csongrád County, and the impact of this fear on physical and psychic health, or rather the intent to leave the profession. Methods: This is a cross-sectional study carried out through a self-designed self-report questionnaire sent to registered members of MESZK living in Csongrád County. Results: Those with worse psychosomatic status (p=0.003) and greater rate of burnout (p<0.000) are more afraid of losing their jobs. The fear has a great impact on the intent to leave the profession (p<0.000). Who are not afraid of becoming unemployed feel that they would be physically and psychically able to work in their profession till retirement. Conclusions: Fear is present in the everyday lives of health care workers, and affects their physical and psychic health. ]

Journal of Nursing Theory and Practice

[Complications of wearing contact lenses]

MÉSZÁROSNÉ PINTÉR Katalin

[Aim of the study: The author seeks to identify the reasons why contact lenses can cause wearers to develop inflammation of the cornea. She also examines whether the development of this severe condition can be avoided. Sample and method: The study was conducted among contact lens-wearing inpatients at the Ophthalmology Department of the Szent Pantaleon Hospital and Clinic. A questionnaire designed by the author, consisting of closed-ended questions, was distributed to 18 patients. Results: All 18 of the patients used soft, monthly-replacement contact lenses. Ten persons wore the lenses for two weeks longer, and five persons for one week longer than prescribed. Five persons neglected to wash their hands before inserting and removing the lenses. Five persons were not in the habit of cleaning contaminants from the lens, and seven persons did not use fresh storage solution every day. Four persons used tap water for the care of the lenses. Five persons did not remove the lenses at night, and four inserted the lenses into red, inflamed eyes. With the exception of one person they did not take a break from wearing the lenses, and three persons possessed spectacles. Fourteen persons were not satisfied with the information received from the optician. Conclusions: All of the changes were due to bacterial complications that were attributable to unsatisfactory cleaning of the contact lenses. ]

Journal of Nursing Theory and Practice

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We aimed to investigate the association between fluoxetine use and the survival of hospitalised coronavirus disease (COVID-19) pneumonia patients. This retrospective case-control study used data extracted from the medical records of adult patients hospitalised with moderate or severe COVID-19 pneumonia at the Uzsoki Teaching Hospital of the Semmelweis University in Budapest, Hungary between 17 March and 22 April 2021. As a part of standard medical treatment, patients received anti-COVID-19 therapies as favipiravir, remdesivir, baricitinib or a combination of these drugs; and 110 of them received 20 mg fluoxetine capsules once daily as an adjuvant medication. Multivariable logistic regression was used to evaluate the association between fluoxetine use and mortality. For excluding a fluoxetine-selection bias potentially influencing our results, we compared baseline prognostic markers in the two groups treated versus not treated with fluoxetine. Out of the 269 participants, 205 (76.2%) survived and 64 (23.8%) died between days 2 and 28 after hospitalisation. Greater age (OR [95% CI] 1.08 [1.05–1.11], p<0.001), radiographic severity based on chest X-ray (OR [95% CI] 2.03 [1.27–3.25], p=0.003) and higher score of shortened National Early Warning Score (sNEWS) (OR [95% CI] 1.20 [1.01-1.43], p=0.04) were associated with higher mortality. Fluoxetine use was associated with an important (70%) decrease of mortality (OR [95% CI] 0.33 [0.16–0.68], p=0.002) compared to the non-fluoxetine group. Age, gender, LDH, CRP, and D-dimer levels, sNEWS, Chest X-ray score did not show statistical difference between the fluoxetine and non-fluoxetine groups supporting the reliability of our finding. Provisional to confirmation in randomised controlled studies, fluoxetine may be a potent treatment increasing the survival for COVID-19 pneumonia.

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