Journal of Nursing Theory and Practice

[Restless legs syndrome among pregnant women]

HORVÁTH Alexandra Mónika1, KARÁCSONY Ilona Hajnalka2

FEBRUARY 28, 2021

Journal of Nursing Theory and Practice - 2021;34(1)


[Restless leg syndrome, more recently renamed Willis-Ekbom disease, is a condition that disrupts sleep and occurs more frequently in the pregnant population. In women with restless legs syndrome, night cramps, and excessive daytime sleepiness were more frequent. This syndrome is a common condition that is frequently unrecognized, misdiagnosed and poorly managed. Communication aim was to present a broad summary of the latest results of international literature. Severe and untreated syndrome not only negatively affects the quality of life of patients, e.g. insomnia, excessive daytime fatigue, decreased concentration and mood, avoidance of activities requiring limited mobility, but also has a negative effect on the onset of general disease (increased anxiety and depression, cardiovascular disease and stroke).]


  1. PTE ETK Szombathelyi Képzési Központ Sürgősségi Ellátási és Egészségpedagógiai Intézet Klinikai Koordinációs és Neveléstudományi Tanszék Ápolás és Betegellátás Alapszak
  2. PTE ETK Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet Védőnői és Prevenciós Tanszék



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Journal of Nursing Theory and Practice

[The history of Pediatric Nurse and Caregiver training. The role of the Heim-Nurses and Calmette-Nurses]

PERKÓ Magdolna, SÖVÉNYI Ferencné, FATÉR Zsuzsanna, OLÁH András

[In the early part of the 20th century in Hungary, the nursing and caregiver profession has evoled considerably, including the introduction of specializations. Pediatrician Sándor Szana, considered by literature to be founder of the training of Pediatric Caregivers, offered the first lectures in 1904 for 5 females. Later the National Stephanie Alliance came into being as a key organisation in this field from 1915. On the initiative of Pediatrician Pál Heim, the Stephanie Alliance started a Pediatric Caregiver training in 1916. Thus, the first such childcare nursing specialization was named after Pál Heim MD, and the nurses who graduated were called Heim-Nurses. In addition to the Heim-Nurses, the authors of this paper also present the activities of the Calmette Nurses. Since this period, tuberculosis (TB) has been one of the leading causes of death in Hungary.]

Journal of Nursing Theory and Practice

[Improving the Quality of Life of People with Chronic Pain by means of Music Therapy]


[Aim of the study is to assess the Quality of Life of patients with rheumatoid arthritis, who are living with chronic pain and explore what kind of experiences and attitudes they have to the music therapeutic pain relief. In the whole sample was 60 women with rheumatoid arthritis, whereof 12 people were admitted to the intervention group and 10 people to the control group. We examined socio-demographic, psychological Quality of Life variables, attitude to music and about their music therapy experiences. For the intervention group and the control group, data were recorded twice, before and after training. Statistical analysis was performed with SPSS software package 23, covering descriptive statistics, analysis of variance, paired t-test and correlation analysis (p<0,05). The psychological Quality of Life indicators of the studied RA group lag behind the population average, its members experience negative emotions, more depressed mood. The intervention using music therapy elements had the potential mainly to influence the participants’ mood positively and reduce the subjective experience of pain. Even a shorter-term intervention (13 group sessions) can trigger positive changes in the participants: improve their mood and mitigate the intensity of pain.]

Journal of Nursing Theory and Practice

[Trends in antibiotic use in ventilator-associated pneumonia in context of using closed suction system]

PETHŐNÉ Tóth Ibolya, AHMANN Mercédesz, SHAHOOD Hadel, BÁLINT Csaba, PAKAI Annamária

[The aim of this study was to investigate the incidence of VAP in open and closed suction techniques and to determine whether closed suction techniques had altered the duration of combination antibiotic use. Quantitative, retrospective study was performed at the Central Anes­thesiology and Intensive Care Unit. A non-randomized, targeted expert study is aimed at patients in intensive care units with evidence of respiratory-related pneumonia. Data were collected from hospital records, the hospital pharmacy IT system, the NNSR system. Descriptive and mathematical statistical methods(p<0,05) were used to evaluate the results. Mean of ventilated days was 9.95±3.35. VAP was reported at an average of 4.95±2.29 days and antibiotic treatment lasted for 8.00±2.66 days. The suction technique showed with the number of intensive care days, the number of ventilation days, the average number of VAPs, and the treatment with antibiotics. The introduction of a closed suction alone did not reduce the incidence of VAP and the use of antibiotics. APN plays an important role in uncovering the risk factors for VAP and preventing its development, which ultimately leads to a reduction in mortality.]

Journal of Nursing Theory and Practice

[The Role of the Study Nurse in clinical trials]

SZABÓ Anita, KURUCZ-ASZTALOS Nikolett, DEMETER Zsuzsanna, PIKÓ Béla, DANK Magdolna

[The aim of this study: A brief summary of the role of the study nurse in the drug clinical trial. Based on the available literature and practical experience gained on clinical trials in cancer patients, we analyzed the role and expectations of study nurse. Due to a lack of knowledge about clinical trials, nurses are not or reluctant to participate in these. In practice, following the direction of clinical trial protocol, demanding nursing activity and accurate documentation are the basic requirements. If the above requirements are met, the study nurse becomes an indispensable member of the study group.]

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[Family planning is an exceptionally important question in multiple sclerosis, as women of childbearing age are the ones most often affected. Although it is proven that pregnancy does not worsen the long-term prognosis of relapsing-remitting multiple sclerosis, many patients are still doubtful about having children. This question is further complicated by the fact that patients – and often even doctors – are not sufficiently informed about how the ever-increasing number of available disease-modifying treatments affect pregnancies. Breastfeeding is an even less clear topic. Patients usually look to their neurologists first for answers concerning these matters. It falls to the neurologist to rationally evaluate the risks and benefits of contraception, pregnancy, assisted reproduction, childbirth, breastfeeding and disease modifying treatments, to inform patients about these, and then together come to a decision about the best possible therapeutic approach, taking the patients’ individual family plans into consideration. Here we present a review of relevant literature adhering to international guidelines on the topics of conception, pregnancy and breastfeeding, with a special focus on the applicability of approved disease modifying treatments during pregnancy and breastfeeding. The goal of this article is to provide clinicians involved in the care of MS patients with up-to-date information that they can utilize in their day-to-day clinical practice. ]

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Lege Artis Medicinae

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[There are confirmed COVID-19 infections in Hungary since March 2020. This disease caused by SARS-CoV-2 was initially known not to impose special risk on pregnant women, but probably due to the increasing number of cases and the latest mutations, this is no longer true nowadays. Recent outcomes suggest that pregnancy increases the risk of hospital admission, invasive ventilation and death with higher odds of preterm birth and caesarean sec­tion. Seemingly, vertical infection occurs only in a small percentage of all cases. To our best knowledge, 7 expectant mothers lost their life in Hungary thus far due to COVID-19. However, further rigorous studies are needed for a more accurate understanding of pregnancy complica­tions.]

Clinical Neuroscience

[Pompe disease treated with enzyme replacement therapy in pregnancy]

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[Pompe disease is a rare lysosomal storage disease inherited in a recessive manner resulting muscular dystrophy. Due to the lack of the enzyme alpha glucosidase, glycogen accumulates in the cells. In the infantile form of Pompe disease hypotonia and severe cardio-respiratory failure are common leading to death within 2 years if left untreated, while the late-onset form is characterized with limb-girdle and axial muscle weakness accompanied with respiratory dysfunction. Pompe disease has been treated with regular intake of the missing enzyme since 2006, which significantly improved the survival and severity of symptoms in patients of both subtypes. The enzyme replacement therapy (ERT) is safe and well tolerated. However, limited data are available on its use in pregnancy. Our goal is to share our experience and review the literature on the safety of enzyme replacement therapy for Pompe disease during pregnancy and post partum.]

Clinical Neuroscience

Restless leg syndrome frequency in health workers

ÖCAL Ruhsen, ATGÜDEN Gizem, AYCAN Cagri, BALABAN Zeynep, SENAR Seran, YAVUZ Sena

Introduction - Restless Leg Syndrome (RLS) is a disease, primarily composed of sensational symptoms, caused by the urge to move lower extremities especially at night, and characterized by undesired feelings of the legs. Decreasing of the dopaminergic effect at night is thought to be responsible from these symptoms. RLS patients suffer from low quality of sleep affecting their daily life activities even causing socio-economic loss. Although RLS is a common and treatable disease, it can not be diagnosed easily due to the variability of symptoms. Aim - The purpose of this study is to determine the frequency of RLS among health workers and to define the disease causing factors. Method - A questionnaire was applied to 174 randomly selected health workers at Baskent University Medical Faculty (KA17/285). The demographic information, history of illnesses or usage of drugs, socioeconomic status, working hours and daytime sleepiness were questioned. Included in the questionnaire were diagnostic criteria for RLS, frequency assessment scale, and survey of sleep quality. We used “the diagnostic criteria of international RLS working group” for the diagnosis, and “Pittsburgh sleep quality index survey” to determine the quality of sleep. Reliability and validity studies were performed on both tests. Results - A significant relationship between socio-economic status and RLS was found (p<0.05) as an increase of RLS frequency in parallel with decreased socio-economic status. RLS was found to be common among health workers. We suggest that health workers should be checked regularly, and they should be informed about the disease in order to raise an awareness and hence increase their quality of life.