Lege Artis Medicinae

[Vitality generators]

BAGDY Emőke

JANUARY 20, 2010

Lege Artis Medicinae - 2010;20(01)

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Journal of Nursing Theory and Practice

[Examination of the quality of life in case of patient with the Multiple Sclerosis]

SZABÓ Julianna

[Aim of the research: To assess the impact of Multiple Sclerosis on quality of life and to consider whether there is a significant difference in the understand of the disease and the subjective assessment of quality of life in those subjects living in rural eastern Hungary and those living in Budapest. Research and sampling methods: the following questionnaires were use in the study: - Standard Test Questionnaire (SF-36) Social Support Questionnaire, and the Short Marital Stress Scale (abbreviated). Socio-demographic and disease indices were also utilized. These questionnaires were distributed to patients who have a diagnosis of Multiple Sclerosis. The patients attended the Neuro-immunology outpatients departments in the Budapest University’s St.Imre Teaching Hospital Specialist Multiple Sclerosis Centre and Josa Andras Hospital in Nyíregyháza (N=100), between August 2013 and January 2014. Results: It was found that due to the limiting nature of the disease the patients reported a significant effect on their physical condition. They were able to care for themselves in every day activities, but reported a limitation in leisure - time activities. Families play a decisive role in social contact. These results were confirmed by the patients’ observations. Those patients, who have the support of their spouses, report an increase in their health and wellbeing. There was little evidence of animosity towards those without Multiple Sclerosis.Those in Budapest achieved higher values in most dimensions, except social function and vitality, compared with those living in the country. Conclusions: The Researcher observed that relief organisations for the assistance and support of those with Multiple Sclerosis did not seem to meet the needs of the patients. Multiple Sclerosis is a chronic disease affecting all dimensions of Quality of Life. Need to strengthen the positive indicators of Quality of Life in those who are living with the disease and support families caring for those affected and enabling the maintenance of proper social relations and of social usefulness. ]

Lege Artis Medicinae

[CLINICAL ASPECTS OF NOCTURNAL GASTRO-OESOPHAGEAL REFLUX]

DEMETER Pál

[Gastro-oesophageal reflux that occur at night has special clinical features and thus require extra attention. During sleep most anti-reflux mechanisms diminish, which results in prolonged contact between gastric acid and oesophageal mucosa compared to reflux during the day. Nighttime reflux symptoms adversely affect quality of life, vitality, physical and mental health. A further important consequence is the potential exacerbation of respiratory disorders such as asthma and sleep apnea. There is increasing interest in the association between nocturnal reflux and certain extra-oesophageal symptoms, including reflux laryngitis and chronic cough. An increased risk of erosive damage and adenocarcinoma of the oesophagus are also observed among patients who report nocturnal reflux symptoms. The primary goal of treatment is to improve quality of life and reduce the risk of complications by decreasing the time of acid contact with oesophageal mucosa. Nighttime reflux symptoms are much more difficult to control than daytime symptoms. Treatment guidelines generally recommend lifestyle changes as the initial approach in managing nocturnal symptoms, however, this is successful in only a small proportion of patients. Evidence-based reviews and meta-analyses favour the use of proton pump inhibitors in the treatment of gastro-oesophageal reflux disease and reflux-oesophagitis. Proton pump inhibitors are the most efficient acid-suppressing agents and thus diminish the harmful effect of acidic gastric reflux on the oesophageal mucosa. In addition, by decreasing the volume of gastric acid, they reduce the tendency to reflux.]

Journal of Nursing Theory and Practice

[The endometriosis in the focus]

KOVÁCS Zsuzsanna, VÁRADYNÉ HORVÁTH Ágnes, KOZMANN Krisztina, FERENCZY Mónika, PAKAI Annamária

[Aim of the research was to investigate the deeply infiltrating endometriosis disease perioperative changes impact on the quality of life and on the sexuality. Research and sampling methods: A retrospective, partly longitudinal research, following surgery document analysis (n = 61) and we made a processing of the individually structured questionnaire with standard elements. We used 15D to measure the quality of life and MFSQ standard questionnaire to measure the sexuality (n=44). We calculated relative and absolute frequency, mean, standard deviation, paired t-test, χ2- test, correlation and one way analysis of variance (p<0,05) with the help of the SPSS 22. program. Results: 73.8% of the patients had at least 3 organ with endometriosis involvement and 82,5% were removed by laparoscopic surgery. The length of stay showed an upward turn tendency in the context of the complications (p <0.001). The sample vitality and sexual relations 40,9% were characterized by no complaint and between sexual partners and satisfaction (r = 0.442, p = 0.003) and between orgasm and sexual partners (r = 0.518, p = <0.001) medium correlation were detected. Conclusions: The surgery was efficient in the treatment of the DIE, but there are no detectable correlation the positive perception of sexual satisfaction. ]