Journal of Nursing Theory and Practice

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

NÉMETH Anikó, HIRDI Henriett Éva

FEBRUARY 28, 2019

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

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Journal of Nursing Theory and Practice

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

STALLER Judit, KOVÁCS Zsuzsanna, PÁLVÖLGYI Miklós

[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

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

AGÓCS Gábor, VÁRADYNÉ HORVÁTH Ágnes, SZEBENI-KOVÁCS Gyula, ROZMANN Nóra, PAKAI Annamária

[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.]

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

TOUMOVÁ Kristyna, TOTHOVA Valérie, OLISAROVÁ Vera

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.

Journal of Nursing Theory and Practice

[A less known problem: Incontinence-Associated Dermatitis ]

KÓSZÓ Lilla, NAGY Erika, PAPP Anita Tímea

[Background: Incontinence-Associated Dermatitis (IAD) is a tissue integrity problem receiving more and more attention in the last 10 years. The number of incontinent patients is increasing. In this group IAD prevalence is high. In most cases patient sacquire IAD during their hospital care. However, diagnosis with IAD appears to be difficult due to its symptomal similarities with pressure ulcer, often leading to suboptimal nursing. Objectives: This rewiew is based on the latest studies and was written for nurses in order to clarify IAD definitions, causes and preventions, and therapial alternatives in Hungarian language. Results: The definition and the patomechanism of IAD is given. The study introduces the newest classification system, and the main points that help nurses in differentiating IAD from pressure ulcer. Prevention and therapy are also integral parts of thereview.]

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A rare entity of acquired idiopathic generalised anhidrosis which has been successfully treated with pulse steroid therapy: Does the histopathology predict the treatment response?

ÖKTEM Özdemir Ece, ÇANKAYA Şeyda, UYKUR Burak Abdullah, ERDEN Simsek Nazan, YULUG Burak

Acquired idiopathic generalised anhidrosis is an uncommon sweating disorder characterized by loss of sweating in the absence of any neurologic, metabolic or sweat gland abnormalities. Although some possible immunological and structural mechanisms have been proposed for this rare entity, the definitive pathophysiology is still un­clear. Despite some successfully treated cases with systemic corticosteroid application, the dose and route of steroid application are controversial. Here, we present a 41-year-old man with lack of genera­lised sweating who has been successfully treated with high dose pulse intravenous prednisolone. We have discussed his clinical and histopathological findings as well as the treatment options in view of the current literature.

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[Intracranial cholesterol granulomata]

LEEL-ŐSSY Lóránt, BARLA Sándor, TÖRÖK Pál, SZÕLLÕSI Béla

[In the development of a cholesterol granuloma both cellular and vascular permeability factors have to be taken into consideration. It may arise as a special degradation product in a chronic cerebral infarct because of the partial insufficient activity of the macrophages. Consequently, the degradation of brain sphingolipids and other compounds does not follow the usual route of degradation and transportation by granular cells to the stage of neutral fat but the necrotic mass transforms into cholesterol esters. Cholesterol crystals produce an irritative effect to neighbouring tissues which may result in the formation of young fibroblasts with proliferative tendency in the vessel wall. Some of the fibroblasts take part in the proliferation of connective tissue, while the rest degenerate, producing more cholesterol or xanthomatous material. Inflammatory changes may also be associated with these lesions. The amount of cholesterol sometimes increases in the inner side of the thickening connective tissue layer. The final result may be an intracranial space occupying mass or it may end as a small cholesterol granuloma, as demonstrated in our incidental cases. By the time a granuloma has developed, the original vessel usually disappears completely, but sometimes remnants of vessels might prove the vascular origin. Other pathomechanisms should also be taken into consideration, such as a cholesterol embolus or anomalous vessel with a large cholesterol plaque in the wall. This also explains why trauma (hemorrhage, granulation), cholesterol embolus, inflammation, metabolic imbalance may predispose to the formation of a granuloma, as well as the hypercholesterolaemia. The nine cases demonstrate the significance of the intracranial granuloma from pathological, clinical and neurosurgical points of view. Such cases have not yet been reported in the national or international literature.]

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NAGY Zsuzsanna

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[TRIPTAN THERAPY OF MIGRAINE]

UNGUREAN Aurélia, TAJTI János, VÉCSEI László

[Migraine sufferers in Hungary present a major epidemiological challenge with about 12% of the population affected. Authors have reviewed an extensive body of internationally published literature relative to the 5-hydroxi-triptamin receptor agonists such as the triptans. While summarising most relevant data with a view to enable physicians to choose the most effective therapy for an individual, the article also discusses the prevailing questions of efficacy, tolerability and safety. For those patients with differential-diagnostic difficulties referrals should be made to the specialized 'headache centers' of neurological departments.]