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Journal of Nursing Theory and Practice

OCTOBER 20, 2015

[Nurse student’s attitude, knowledge and experience related to complementary medicine]

SÁRVÁRY Andrea, HAJDUNÉ DEMCSÁK Lívia, RADÓ Sándorné, SÁRVÁRY Attila

[Aim of the research: Investigating nurse students’ attitude towards complementary and alternative medicine and their knowledge of and experience with it. Research and sampling methods: 171 Hungarian nurse (57 full time and 114 part time) students participated in our cross-sectional study using a self-administered questionnaire. Results: Nurse students’ attitude towards alternative medicine is positive. The most known alternative methods were massage, herbal medicine, acupuncture, homeopathy, relaxation and meditation. The most used practices were massage, herbal medicine and homeopathy and found them efficient. Full time students used the Internet and part time students used education as information sources. Most students agreed that the integration of alternative methods into health care would be effective, and it should be taught in higher education. Conclusions: Nursing student would get reliable knowledge by integrating alternative medicine into higher education system and it takes their work more effective. ]

Clinical Oncology

SEPTEMBER 10, 2014

[How to evaluate clinical trials?]

TORDAY László, VÉGH Éva

[Data from a clinical study should be always viewed with great care, and is recommended to examine and evaluate the data in-depth. First of all should be determined the evidence level of the trial’s results and what recommendations can be made based on them. The study’s type and the study design, the number of participating patients, statistical power, randomisation, stratifi cation, the balance between study arms, the endpoints and the adequacy of follow-up time should be examined. In addition the importance of the observed statistical signifi cance, the clinical relevance of the data and the real magnitude of the detected differences, and the time-dependent variables are worth to consider because these factors can determine the impact of the given clinical trial on the every-day clinical practice. In the era of the “creative study plans” a critical attitude is necessary to be convinced that the study does not contain any typical bias that could infl uence the real value and actual results of the trial.]

Journal of Nursing Theory and Practice

DECEMBER 30, 2014

[Comparative analysis of attitudes during stroke among risk-exposed gypsy and caucasian hungarian population]

SÁNTHA Emese, PAPP László

[Aim of the study: The authors’s aim was to examine causasian and gypsy hungarians attitude towards illness and their knowledge about stroke. Further aim was to study whether the social and financial status and scholastic qualification have an impact on attitude during illness. Sample and methods: A self-made questionnaire was used for data collection. The authors asked 53 gypsy hungarians with a response rate of 85% (45 in total) and 50 causasian hungarians (response rate: 100%, 50 in total). Results: The gypsy persons have less knowledge about stroke than hungarians. The gypsys’ sociodemographic indicators are significantly worse than the other study group. Bad financial conditions and low employment rate seem to sustain the aversive attitude towards illness. Conclusions: If the non-desirable attitude is sustained by low qualification, employment rate and bad financial conditions, then the settlement of these areas could have an effect on the persons’ health. This study expands previous results, since it shows that the attitude towards illness is not only influenced by the knowledge about health and sickness, but also by the level of education. ]

Journal of Nursing Theory and Practice

AUGUST 28, 2014

[Examination of effects of the nurses shiftworks with application of Standard Shiftwork Index - pilot study]

FUSZ Katalin, KOVÁCS KALIC Károly, KÍVÉS Zsuzsanna, MÜLLER Ágnes, OLÁH András

[Aim of the study: Several physiological processes are disturbed in shift workers. The authors’s aim was to complete a pilot study as part of the validation process of Standard Shiftwork Index (SSI) and to examine the effects of shiftwork on the quality of sleeping and on psychical and somatic status. Sample and methods: The survey was implemented at the hospitals of the University of Szeged in 2011, with the participation of not randomly selected nurses working in shiftwork, night- or dayshifts (N=211). SSI was complemented with further respective questions. Results: Those working in dayshift suffer less from sleep disorders than nurses working in nightshift or shiftwork (p=0,002, p=0,005), and have better health status (p=0,001, p=0,003), furthermore feel themselves less tired (p=0,011, p=0,039). The nightshift workers had gastrointestinal complaints more frequently (p=0,044, p=0,006), as well as nurses working in nightshift suffer from more chronic diseases than dayshift workers (p=0,004) and shift workers (p=0,003). In case of shift workers the weekly amount of cigarettes having smoked (p=0,008) and the consumption of caffeinated refresher beverages (p<0,001) were significantly increased since the beginning of their shiftwork. Conclusion: Health status of nurses working in nightshifts and shiftwork are more relapsed, their health attitude is worse than in case of dayshift workers. As the continuation of this examination the authors try to find out which variations of shiftwork can be considered less exhausting.]

Journal of Nursing Theory and Practice

AUGUST 28, 2014

[Investigation of graduate students’ health behavior in high school of the small town]

FÁBIANNÉ PATAI Erika

[Aim of the study: To investigate graduate students’ addictions, their attitude towards healthy living and to find connection between the above and their parents’ and teachers’ lifestyle. Sample and methods: Investigating graduate students’ (n=100) and their teachers’ (n=29) lifestyles in a high school of a small town in Békés County. The results were analyzed by using SPSS programme (Cross tabulation analysis, Chi-Square Test). Results: While the students’ and their parents’ addictions are worse than the Nation’s average, the teachers’ tends to be better. 79 % of the parents and 54 % of the students does not do any sports on a daily basis. The parents and teachers can’t improve the students’ lifestyle efficiently. Students with good academic grades seem to lead healthier life. 60 % of the students with C, D grades (worse grades) smoke, while it’s 28 % of those with A and B (better grades). Conclusions: For efficient health education we need dedicated professionals who are able to involve parents to reach the best result. It’s a joint task to show the youngsters the way leading to a healthy life, as well as to give them the ability to be responsible in their choices.]

Clinical Neuroscience

NOVEMBER 28, 2014

[From life events to symptoms of anxiety and depression: the role of dysfunctional attitudes and coping]

MÉSZÁROS Veronika, AJTAY Gyöngyi, FODOR Kinga, KOMLÓSI Sarolta, BOROSS Viktor, BARNA Csilla, UDVARDY-MÉSZÁROS Ágnes, PERCZEL FORINTOS Dóra

[The aim of the present study was a systematic path-analytical investigation between the effects of life events, dysfunctional attitudes and coping strategies in relation with the exhibited depressive and anxiety symptoms in patients with mental disorders. Methods - Self-report data of 234 patients from our outpatient psychotherapy unit were analyzed. Life events, dysfunctional attitudes, coping strategies as well as symptoms of anxiety and depression were assessed by self-administerd questionnaires. Statistical methods included structural equation modelling, which enables the estimation of the magnitude and strength of individual variables within an overarching casual model, thus yielding a complex view on the possible processes underlying the development of the clinical symptoms of anxiety and depression. Results - Our findings indicate that both the number of negative life events and their subjectively experienced intensity contributed to the increase of dysfunctional attitudes. The presence of dysfunctional attitudes decreased the use of problem-focused coping strategies and increased the use of emotion-focused coping strategies. The use of problem-focused coping decreased symptom occurrence and emotion-focused coping strategies increased the frequency of symptoms of anxiety and depression. Our findings suggest that dysfunctional need for achievement and perfectionism directly increase the probability of depressive symptom manifestation. The attitude of external locus of control showed a significant relationship with anxiety symptoms through emotion-focused coping strategies and directly as well. Conclusion - Restructuring dysfunctional attitudes and developing problem-focused coping strategies are an important part of psychotherapeutic interventions aiming to decrease anxiety and depressive symptoms.]

LAM Extra for General Practicioners

SEPTEMBER 20, 2014

[ACCIDENT PREVENTION AND FIRST AID KNOWLEDGE AMONG KINDERGARTEN CHILDREN’S PARENTS]

BÁNFAI Bálint, RADNAI Balázs, MARTON József, PÉK Emese, DEUTSCH Krisztina, BETLEHEM József

[INTRODUCTION - Based on statistics, accidents from various mechanisms are among the most common causes of death all over the world. Children are mostly affected in this situations. Our aim was to examine the first aid and accident prevention knowledge and attitude of the parents. PATIENTS AND METHODS - In this study parents of 3-7 years old children were involved in six kindergarten located in Hungary. A self-fill-in questionnaire was used to collect data. In the investigation 307 parents (N=307) were included. Out of them 234 respondents filled out the questionnaire correctly. The statistical analysis was made with SPSS 20.0 statistical software. For analyses deescriptive statistics, Chisquare- test and ANOVA were used. RESULTS - Three-quarters of the children have suffered at least one accident earlier (74.3%). Most of the accidents occured at home (88.5%). 174 parents attended first aid course earlier (74.4%), the previous knowledge is based mainly on the driving license (81.6%). Based on the answers it is important to teach children first aid (70.5%) and prevention (89.7%) knowledge in the kindergarten. There were only 10 parents, who answered all the situation questions correctly (4.3%). Between the subjective judgment of the financial status and the correct answers we found a significant correlation (p=0.03). The previously accomplished first aid training (p<0.05) and the educational attainment (p=0,029) had a positive impact on the results. CONCLUSION - The level of first aid knowledge of parents is lower than expected. Participate in first aid courses the level of knowledge could increase. It would be important, because some of the accidents can be prevented by acquiring proper knowledge.]

Journal of Nursing Theory and Practice

FEBRUARY 28, 2014

[Attitudes to starting a family among students at Semmelweis University Faculty of Health Sciences]

VÁCZI Anna, FEITH Helga Judit, SOÓSNÉ Kiss Zsuzsanna, NÉMETHNÉ Gradvohl Edina, FARKAS Boglárka

[Aim of the study: To assess the willingness of students at the Faculty of Health Sciences of Semmelweis University, with respect to the preferred number of children and the planned date of the first birth. To gain an understanding of student attitudes in relation to motherhood and the role of the woman and the relevance of the traditional family model today. Further, to examine the differences in responses from students of the three specialist areas. Methodology and sample: The authors conducted the quantitative sociological survey, based on a self-completion questionnaire, among 2nd, 3rd and 4th year student nurses, student midwifes and student health visitors at the Semmelweis University Faculty of Health Sciences. The results were analysed with the SPSS 19.0 program, using a descriptive statistical method. The proportion of useful responses to the questionnaire was 94.1% (N=257). Results: The majority of the students planned to have children, at an average age of 26.5. The preferred number of children was two or three in most cases. The majority would like to start a family when married, and regard the daily caring for children as mainly the woman’s task, which shows support for the traditional family model. In their present/future circumstances, health visitors expressed a preference for motherhood in the highest numbers, and nurses in the lowest numbers (p=0.,012). Conclusions: The student nurses, midwives and health visitors at the Faculty of Health Sciences clearly plan to start families in the future. They have a traditional attitude towards the maternal role, but putting these ideas into practice is made more difficult by their paramedical vocation. Nurses and midwives, in particular, are in danger of a conflict of roles in their future lives, for reasons such as the shift working and secondary jobs. ]

Lege Artis Medicinae

JULY 20, 2014

[Accident prevention and first aid knowledge among kindergarten children’s parents]

BÁNFAI Bálint, RADNAI Balázs, MARTON József, PÉK Emese, DEUTSCH Krisztina, BETLEHEM József

[INTRODUCTION - Based on statistics, accidents from various mechanisms are among the most common causes of death all over the world. Children are mostly affected in this situations. Our aim was to examine the first aid and accident prevention knowledge and attitude of the parents. PATIENTS AND METHODS - In this study parents of 3-7 years old children were involved in six kindergarten located in Hungary. A self-fill-in questionnaire was used to collect data. In the investigation 307 parents (N=307) were included. Out of them 234 respondents filled out the questionnaire correctly. The statistical analysis was made with SPSS 20.0 statistical software. For analyses deescriptive statistics, Chisquare- test and ANOVA were used. RESULTS - Three-quarters of the children have suffered at least one accident earlier (74.3%). Most of the accidents occured at home (88.5%). 174 parents attended first aid course earlier (74.4%), the previous knowledge is based mainly on the driving license (81.6%). Based on the answers it is important to teach children first aid (70.5%) and prevention (89.7%) knowledge in the kindergarten. There were only 10 parents, who answered all the situation questions correctly (4.3%). Between the subjective judgment of the financial status and the correct answers we found a significant correlation (p=0.03). The previously accomplished first aid training (p<0.05) and the educational attainment (p=0,029) had a positive impact on the results. CONCLUSION - The level of first aid knowledge of parents is lower than expected. Participate in first aid courses the level of knowledge could increase. It would be important, because some of the accidents can be prevented by acquiring proper knowledge.]

Lege Artis Medicinae

MARCH 20, 2014

[Analysis of the knowledge on cervical cancer and attendance indicators of cervical screening]

VAJDA Réka, KARAMÁNNÉ Pakai Annamária, ÉLIÁS Zsuzsanna, SÉLLEYNÉ Gyuró Mónika, TAMÁS Péter, VÁRNAGY Ákos, KÍVÉS Zsuzsanna

[OBJECTIVE - The study aims to explore knowledge on cervical cancer and cervical screening among women with 9-14 yearold daughters, and learning the attitudes towards screening, the motivation of attendance at or absence from screening. DATA AND METHODS - A quantitative, cross-sectional study was conducted using our own questionnaire in the town Nagyatád in 2012. Study participants included women who had 9-14 year-old daughters and a registered home address in Nagyatád. We received valid responses from 186 people (response rate: 75.3%). RESULTS - The interviewed women’s knowledge on cervical cancer differed significantly depending on their age, education, marital status, and economic activity. Only 45 women with higher education (p=0.043) were considered to be well informed on the subject. However, their willingness to participate in cancer screening was more favorable than their knowledge, 96.2% of the women claimed to attend an annual cancer screening. The average age of respondents was 20.92 years at first visit. CONCLUSIONS - Although the participation rate was much higher compared with that in previously published studies, it is of great importance to increase the mothers’ knowledge on cervical cancer and the factors that promote its development, so that they can pass their knowledge to their children and strengthen their protection against one of the most common sexually transmitted viral infection and the development of cervical cancer.]