Journal of Nursing Theory and Practice

[The nursing challenges related to gestational diabetes]


JULY 30, 2012

Journal of Nursing Theory and Practice - 2012;25(04)

[Aim of the study: To assess how age and BMI affect the result of the OGTT, and to study the data on blood sugar levels. Methodology and sample: Retrospective, quantitative, cross sectional, with non-random sampling. GDM patients aged 16- 50 years were surveyed (n=123 persons), with analysis of the data relating to multiparas (n=51) and primiparas (n=72). The research took the form of an analysis of medical and nursing documents. Results: In a study of the BMI and the 2-hour OGTT results, and in a study of age and BMI, signifi cance was observed in the case of the multiparas. Comparing the 0’ OGTT values with the empty-stomach blood sugar results from the 1st control test following the diagnosis of GDM, signifi cance was observed in both groups. Conclusions: Based on the fi ndings of the research it can be concluded that a higher BMI is generally associated with more advanced age, and that it has an unfavourable impact on the results of the OGTT. It is necessary to repeat the reclassifi cation in the later stage of the pregnancy, in the 6th week following birth, and upon cessation of breastfeeding.]


  1. Pécsi Tudományegyetem, Szívgyógyászati Klinika
  2. Pécsi Tudományegyetem, Egészségtudományi Kar



Further articles in this publication

Journal of Nursing Theory and Practice

[A Bit of History]

SÖVÉNYI Ferencné

Journal of Nursing Theory and Practice

[The working conditions of paramedical professionals in general, paediatric and combined medical practices in Hungary]


[Aim of the study: To assess the working conditions of paramedical professionals in general, child and family practices, and to compare the data with the results of the survey conducted by the Hungarian Chamber of Paramedical Professionals (MESZK) in 2006 and by the National Institute of Primary Care (OALI) in 2004. Methodology and sample: The cross-sectional survey was conducted between 13 May 2012 and 30 June 2012 among paramedical professionals working in general, child and family practices, selected using a random, sampling method (N=812). The data gathering took place using a web-based, anonymous, self-completion questionnaire. The authors analysed the gathered data with Microsoft Excel 2007 software, employing a descriptive and mathematical statistical methods. Results: Based on the results of the survey it was concluded that the primary task of the nurses (95%) was the preparation of reports and data submissions, and keeping the electronic patients records system up-to-date accordingly. Their second most common activity (94%) is participation in the performance of tasks related to patient care. 67% of the nurses that responded perform health education, health awareness and advisory activities, primarily in relation to the topics of healthy nutrition, recommended screening tests and the spread of infectious diseases. The nurses are generally satisfi ed with their physical working conditions (72%), their job security (77%), their work schedule (77%) and their co-workers (83%), but they expressed the least satisfaction (73%) with their fi nancial compensation. Conclusions: Everyday experience and the results of the research show that the situation of paramedical workers, in terms of the activities they perform, their income, the allocation of holiday leave, and substitution, has not improved at all in comparison to the fi ndings of the 2006 survey. A signifi cant proportion of the nurses would like to perform more substantive and professionally challenging tasks, but their working environment does not allow this.]

Journal of Nursing Theory and Practice

[Comparison of somatic and psychological health of health care workers in Csongrád County between the years of 2008 and 2012]


[Aims of the study: To asses the changes in psychosomatic status, burn-out level and judgment of own health of health care workers in Csongrád County since 2008. Furthermore we investigated how much they intend to continue working in their current position judging from psychological and somatic point of view. Methodology and sample: Both cross-sectional studies were carried out by the means of self-designed self-report questionnaires sent to registered members of MESZK living in Csongrád County in 2008 and 2012. Results: The judgement of own health got worse since 2008, but in psychosomatic symptoms there was a non-signifi cant improvement. The incidence of headaches decreased signifi cantly. The points on the burn-out scale increased signifi cantly which implies worse psychological condition. Conclusions: The population of health care workers is aging and it is characterised by worsening psychological state.]

Journal of Nursing Theory and Practice

[25 Years in Patient Care. Always Find and Hope]

HUDOBA Mihályné

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[Hungarian Nurses Day]


[On February 19, 2022 We celebrate the 205th anniversary of the birth of the first national matronage (head nurse), Zsuzsanna Kossuth. Zsuzsanna Kossuth was characterized by a high degree of empathy, self-sacrifice, exemplary behaviour, and professionalism. She laid the foundation for the processes of nursing and patient care and performed outstanding professional work throughout his life. She made no distinction between man and man, she only saw the suffering patient, in every soldier and injured. She sacrificed his life for his profession. The Hungarian Nursing Association founded the Zsuzsanna Kossuth commemorative medal in 1998, the year of the 150th anniversary of the War of Independence, which is donated every year on February 19.]

Journal of Nursing Theory and Practice

[Healthcare and social aspects of nursing in relation to the rare Pompe disease]

TÓTH Mónika, VÁRDI Katalin Borbála

[Aim of the study: Pompe disease is a rare mitochondrial disease, which is treated with enzyme replacement therapy. The authors examined the lifestyles of patients diagnosed with Pompe disease, and their knowledge regarding the illness. They compared this with the results of the regular checkups performed during the care process, in order to assess the patients’ compliance. Sample and methods: The research was conducted among patients suffering from Pompe disease, treated at the Rehabilitation Department of the Törökbálint Institute of Pulmonary Medicine (N=14). The survey of the patients’ knowledge took place in the form of personal interviews. The findings related to the regular enzyme replacement therapy were recorded and collated in the course of interviews conducted by telephone with the nurses of the centres administering the treatment. The data was processed using Microsoft Excel software. Results: In 2012 in Hungary the number of patients diagnosed with Pompe disease was 14 (12 adults, 2 children). The time elapsed from emergence of the first symptoms to the precise diagnosis in the case of all known patients (except in the case of one screened child) was an average of 13.4 years. Ten of the patients were receiving enzyme replacement therapy. The survey revealed that the conditions of the patients receiving the enzyme replacement therapy did not deteriorate. In the case of the female child, the decrease in CK levels was accompanied by growth and movement consistent with her age, and an improvement in vocalisation. Conclusions: For patients diagnosed with the once fatal Pompe disease, enzyme replacement therapy now offers the opportunity of a full life; and complementary treatments not only boost the effectiveness of the enzyme replacement, but also improve the patients’ subjective quality of life.]

Journal of Nursing Theory and Practice

[Nursing career of the high-school students]


[Aim of the research: The aim of the study is to analyze the trends of student orientation in the age and compulsory education process by age group. In our research, we would like to answer the question of how much „popularity” the health care profession as a professional area among students participating in Hungarian public education. If you feel this area of expertise close to you, what kind of vision you have. Research and sampling methods: A self-constructed questionnaire was administered during 24 Oct 2017 - 13 Jan 2018. In all counties of Hungary, the authors sent it to at least one of the training sites and filled up with me (N=329). These training sites are involved in healthcare training. Data were analysed with SPSS 15.0 for Windows statistical program. Chi square, Mann-Whitney tests were applied (p <0,05). Results: Out of the 159 people (48%), 170 (52%) in the family have healthcare workers. When performing the controls of the distributions, we can conclude that there is no significant difference in the distribution between the two groups, so there is the same number - that is, statistically significant difference - of the proportion of those willing to choose the health care path. In terms of career choice, 276 (86%) of respondents believe it is likely to be oriented towards the health care path, with 46 people (14%) planning their life is in another direction. Seven of its principal did not answer the question. By completing the Mann-Whitney test, we can conclude that there is no significant difference between the two groups in the medians, so there is no difference - that is, statistically significant difference - with respect to career choice as a nursing profession’s esteem. Of the 329 participants, 215 (65%) replied that they would like to work as a nurse, while 114 (35%) responded that they would not choose this job. Conclusion: Don’t influence significantly the career entrant if there is a healthcare worker in the family. Who stand in front of career choice don’t influence significantly the appreciation but is more motivated by sympathy and helplessness toward another person.]

Journal of Nursing Theory and Practice

[Associated factors of independency in older adults with cognitive impairment living in a long term care institute]


[Aim of the research: Functional independence determines the elderly’s health and quality of life. In them cross-sectional study the authors analysed the associations between functional abilities (balance, gait, functional mobility, cognitive abilities), age, BMI and comorbidities and independency in older adults with cognitive impairment. Research and sampling methods: 110 elderly people were measured. Self-sufficiency was measured by the Katz-index, balance, and gait by the Tinetti Test and functional mobility by the Timed Up and Go Test. Correlations between variables were analysed with the Spearman’s rank-order correlation. Results: There was strong association between balance (r=0,557), gait (r=0,515), functional mobility (r=-0,647), and independency. It means the better the balance, gait, and functional mobility is, the higher the independency is. There was weak association between age, BMI, cognitive abilities, comorbidities and independency. Conclusion: Results show that preserving of the functional independence in older adults with cognitive impairment is a multidisciplinary task: physiotherapists and nurses should work together to complete doctors’ curative work of chronic diseases.]

Lege Artis Medicinae

[Pregnancy and insulin resistance: theoretical and clinical issues]


[During pregnancy, metabolic changes occur physiologically, which are enhanced by the presence of gestational or praegestational diabetes. The basis of these changes is the increasing insulin resistance throughout pregnancy, which in diabetics may result in hyperglycaemia with undesirable clinical consequences and complications. These complications can be prevented in diabetic pregnant women by maintaining the physiological metabolic state typical of healthy pregnant women. Thus the aim of the treatment is to achieve a normoglycaemic state throughout pregnancy. In most cases this is only possible by the use of insulin, along with appropriate dietary measures. Intensive insulin regimes are successfully used in the metabolic control of pregnant diabetic women, and the use of insulin analogues and insulin pump may also be considered.]