Journal of Nursing Theory and Practice

[The malnutrition and the possibilities of its therapy in childhood]


OCTOBER 30, 2014

Journal of Nursing Theory and Practice - 2014;27(05)

[Malnutrition is a very important clinical condition in pediatrics. However, undernutrition as negative impact on length hospital stay, risk of infection and health care costs. Moerver, it also effects the cognitive development of children. STONG is an easy-to use screening tool that can be recorded in a few minutes, and it does not require special knowledge measurement or follow-up. In Kaposi Mór Hospital (Kaposvár) the risk of malnutrition was assessed by STRONG nutritonal risk screening tool in 31 patient of child-gastroenterology ambulatory (02.01.2014-30.06.2014). In case of malnutrition counselling and use of special formulas are essential besides evaluating tehe cause of malnutrition.]



Further articles in this publication

Journal of Nursing Theory and Practice

[Nursing Aspects of Communication with Conscious Patients Receiving Mechanical Ventilation]


[Aim of the study: The authors aimed to represent the verbal and non-verbal communication of intensive care unit nurses and reveal the difficulties they face when communicating with conscious patients receiving mechanical ventilation. Sample and methods: The study was conducted with the participation of nurses working in three intensive care units of Semmelweis University, with the use of a questionnaire that was filled in by 59 nurses. Results: There was a significant difference in the quality of communication between the day shift and the night shift (p<0.001). The workload of nurses has an impact on the effectiveness of their communication. The number of patients in the day shift (p=0.016) is also crucial and having a part-time job is determinant in the night shift (p=0,026). In both shifts, burnout of nurses had considerable effect on their communication with conscious patients who receive mechanical ventilation (day shift p=0.007; night shift=0.030), while their empathy did not. Conclusions: The environmental factors influenced the effectiveness of communication. Establishing contact with patients receiving mechanical ventilation can be improved by appropriate education of nurses, thus, the authors put forward a proposal for trainings on the subjects of communication and counselling.]

Journal of Nursing Theory and Practice

[Health concept of nursing students (BSc)]


[Aim of the study: Assessing the effect of health pedagogy and health development courses on the health concept of nursing students (BSc). The authors assumed that attending these courses will enhance the health perception of the students. Sample and methods: This follow-up study was conducted in September 2013 and in May 2014 involving second-year nursing students (N=61). Drawing and discussing the pictures provided the material for the analysis. Results: Physical, social and emotional dimensions were the most emphatic at both samplings, whereas after the courses the importance of mental, spiritual dimensions and society was significantly higher. The pictures were more detailed (p<0.001), the number of each dimension and their elements was elevated. The importance of living and natural environment was also present. Conclusions: Attending the courses in health pedagogy and health development enhances and broadens the health concept of nursing students.]

Journal of Nursing Theory and Practice

[Contact between the polycystic ovary syndrome and the metabolic syndrome]


[Aim of the study: The objective of my thesis was to examine the presence of metabolic syndrome with the disorder of glucose metabolism among patients diagnosed with polycystic ovary syndrome (PCOS). Sample and methods: 98 female patients diagnosed with PCOS, aged 18-45, took part in the retrospective quantitative study, anthropometric data and laboratory parameters relevant to metabolic profile were analysed. We applied descriptive statistics with SPSS 17 software, as well as Chi2-test and regression analysis (p <0.05) Results: 46% of the study population were found to be overweight. There was a significant correlation between BMI index and blood pressure and lipid profile (p<0.05). Metabolic syndrome was confirmed by more than 40% of the patients Conclusion: The PCOS is an endocrine disease, which affects multiple organ systems. The patients should be screened towards metabolic syndrome to achieve a correct diagnosis, regardless of the BMI values. The findings of our research and the confirmed correlations highlight the need for a development in care protocols.]

Journal of Nursing Theory and Practice

[Application of „The Parental Belief Scale for Parents of Hospitalized Children” questionnaire in Hungarian language]


[Aim of the study: Beliefs about parental role and efficacy was shown to be important in adaptation to child’s hospitalization; there is a lack of adequate measure of this construct, however. Our aim was the evaluation of the Hungarian version of The Parental Belief Scale for Parents of Hospitalized Children (PBS; Melnyk, 1994) assessing parents’ beliefs about their ability to understand and predict their children’s behaviours and emotions, as well as to participate in their children’s care during hospitalization. Sample and methods: The Hungarian version of the PBS was evaluated using a back-translation process. One hundred parents of hospitalized children in Heim Pál Children’s Hospital, Department of Surgery and Traumatology fulfilled the measure along with questionnaires regarding demographics, general parental self-efficacy and state-anxiety. Results: The Hungarian version of the PBS showed excellent internal consistency (α=0,94), and good stability (r=0,85 p<0,001). A significant positive correlation of medium effect size was found between PBS scores and general parental self-efficacy (r=0,30 p=0,025). Parent’s state anxiety was significantly negatively related to their self-efficacy beliefs regarding hospital setting (r=-0,48 p<0,001). Conclusion: The Hungarian version of the PBS was shown to be a reliable and valid instrument for measuring efficacy-beliefs of parents of hospitalized children.]

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Lege Artis Medicinae

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POLNER Kálmán, KOVÁCS Lívia, HARIS Ágnes

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Hypertension and nephrology

[Isolated systolic hypertension in children and young adults I.]


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Clinical Neuroscience

[10 years, 600 monitoring sessions - our experience with the video EEG monitoring of children]


[Introduction- The only Hungarian video EEG laboratorywhere children of ages 0-18 can be continuously monitoredfor several days was opened 1 June 2001 at Department ofNeurology of Bethesda Children’s Hospital.Objectives- Summarizing our 10 years of experience withthe video EEG monitoring (VEM) of children and defining theplace of VEM in the treatment of childhood epilepsy inHungary.Patients and methods- We have processed data from 597monitoring sessions on 541 patients between June 1, 2001and 31 May, 2011 based on our database and the detailedsummaries of the procedures. Results- 509 patients were under the age of 18. The average length of the sessions was 3.1 days. We haveobserved habitual episodes or episodes in question in 477(80%) sessions. 241 (40%) sessions were requested with anepilepsy surgery indication, and 74 patients had 84 opera-tions. 356 (60%) were requested with a differential diagnosisindication, and 191 (53%) cases of epilepsy werediagnosed. We most commonly diagnosed symptomaticgeneralized epilepsy (57 cases). In 165 sessions the episodein question was not diagnosed as epilepsy. Among theparoxysmal episodes we have identified events ofpsychogenic origin, movement disorders, sleep disordersand behavioral disorders. Only 3% of the differential diag-nosis procedures brought no additional clinical information.Discussion- The diagnostic efficiency in our VEM laborato-ry is in accordance with the data found in the literature.Besides epilepsy surgery VEM is recommended if suspectedepileptic episodes occur and interictal epileptiform signs arenot present or are not in accordance with the symptoms, ifthere is no explanation for therapy resistance and if paroxys-mal episodes of non-epileptic origin are suspected but theycannot be identified based on the anamnesis. VEM is also helpful in diagnosing subtle seizures. The procedure hasnumerous additional benefits in patient care and in trainingthe parents and hospital staff. ]