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Journal of Nursing Theory and Practice

OCTOBER 30, 2019

[The challenges of education in gestational diabetes ]

SEBESTYÉN Anett Katalin

[The aim of the author is to draw attention to difficulties of pregnant women’s education who suffer from gestational diabetes. Due to the global increase of gestational diabetes, this topic’s importance and actuality is getting more relevant. The key of the successful diabetes treatment is the education. In the course of that it is important to choose a strategy, with that the patient can get as much special skills as she can and will be able to keep the ideal and progressive balance of metabolism. Through to the personal education here is a chance to put an end to the patient’s fears, to increase their motivation and to encourage them. ]

Journal of Nursing Theory and Practice

APRIL 30, 2019

[Smoking habits and predicting factors of smoking cessation among health care workers ]

SZELKÓ Olajosné Katalin, SIKET Ujváriné Adrienn, SÁRVÁRY Attila, ZRÍNYI Miklós

[The aim of the study: The aims of the study were to determine the prevalence of smoking and identify factors that predict smoking cessation motivation among health workers. Material and method: Cross-sectional, self-reported survey filled out by all healthcare workers of Jósa András Teaching Hospital. Statistical analyses were performed by chi-square analysis and Mann-Whitney tests. Results: Of all responses (N =1561), 29.9% reported actively smoking, 52.0% smoked between 11-20 cigarettes a day. A total of 20.4% had tried to quit smoking before. Those who would not participate in a smoking cessation program outweighed those who favored participation (43.2% vs. 35.6%). Significant relationships were found between the technique of smoking cessation and intent to quit smoking (χ2 = 7,73; p = 0,02) and between smoking cessation and stress induced smoking habits (r = 0,1; p = 0,12). Those not wanting to quit smoking appraised smoking as a social link to others (Z = -2.34; p = 0,02). Conclusion: Besides putting a stronger emphasis on smoking cessation and on negative health effects of smoking, nurse managers should promote working environments where improvement in stress management and collegial relationships will minimize the need for smoke related groups.. ]

Journal of Nursing Theory and Practice

AUGUST 30, 2018

[Career Model of Primary Care Workers]

HIRDI Henriett Éva, BALOGH Zoltán

[The aim of the study: To assess the working conditions and level of job satisfaction of health professionals in primary care, and to explore key elements for a succesful career model. Methods: The cross-sectional survey was conducted between 12 March 2018 and 06 April 2018 among health professionals working in primary care, selected using a random, sampling method. The data gathering took place using a web-based, anonymous, self-completion questionnaire. For data analysis they used SPSS version 25.0 with Chi square test (p<0,05). Results: The sample size of the research comprised of 3740 persons, the average age was 44.87 years. The heath professionals are generally satisfied with their work schedule (74.8%), but they expressed the least satisfaction (81.5%) with their financial compensation. According to these survey results, pay is significant. 96.2% of respondents would like to be compensated according to new government-regulated pay scales. Conclusions: It can be stated that increasing the job satisfaction of health professionals and to elaborate the career model of them would be of crucial importance. Key elements of a successful career model offers benefits that are essential for health professionals retention: direction and motivation. ]

Lege Artis Medicinae

FEBRUARY 12, 2017

[Behavioral therapy of diabetes mellitus]

SAL István, KOHLNÉ Papp Ildikó

[Diabetes is a model disease of behavior therapy. Its treatment is in the hands of patients for the most part, who must make decisions about their treatment every day, which affect their health status, prognosis and risk of developing complications of the disease. This common and complex treatment represents a significant burden for the majority of patients. In practice, a significant number of patients do not follow one or more cornerstones of self-management: physical activity, healthy diet, and use of medication. Based on research results diabetic patients' quality of life and psychological state is significantly worse than those of non-diabetics, which tend to deteriorate the medical collaboration and health status. In addition, certain psychiatric disorders (depression, anxiety, eating disorders), are also more common, which impair the quality of self-treatment as well. Early detection and treatment is of great importance, but in practice, only 10% of patients get psychological treatment, despite the fact that nearly 40% of them experience psychological symptoms. Based on the above, behavior remedial methods are highly recommended to be applied in the field of diabetes care in order upgrade quality of life, although they are not yet considered as commonly accepted in psychoeducation. Our aim is to summarise the practical and proven methods of behavioral remedies in addition to the literature review. In the case study demonstrate the authors the addition of transtheoretical model. The first order condition of self-management is the adoption of the disease and motivation, afterwards comes the teaching of theoretical and practical knowledge, and the ongoing diabetes education. ]

Clinical Neuroscience

MAY 30, 2016

[New opportunities in neuro-rehabilitation: Robot mediated therapy in conditons post central nervous system impairments]

FAZEKAS Gábor, TAVASZI Ibolya, TÓTH András

[Decreasing the often-seen multiple disabilities as a consequence of central nervous system impairments requires broadening of the tools of rehabilitation. A promising opportunity for this purpose is the application of physiotherapy robots. The development of such devices goes back a quarter of century. Nowadays several robots are commercially available both for supporting upper and lower limb therapy. The aim is never to replace the therapists, but rather to support and supplement their work. It is worthwhile applying these devices for goal-oriented exercises in high repetition, which one physically fatiguing for the therapist or for the correction of functional movement by various strategies. Robot mediated therapy is also useful for motivation of the patient and making the rehabilitation programme more versatile. Robots can be used for assessment of the neuromotor status as well. Several clinical studies have been executed in this field, all over the world. Meta-analyses based on randomized, controlled trials show that supplementing the traditional physiotherapy with a robot-mediated component presents advantage for the patients. Further studies are necessary to clarify which modality and intensity of the exercises, in which group of patients, in which stage lead to the expected outcome.]

Journal of Nursing Theory and Practice

APRIL 30, 2015

[The role of self-help groups in the treatment of alcoholism]

PRÍMA Erika

[Alcoholism is one of the best-known addictions. The results of both international and national surveys illustrate the health consequences of the excessive consumption of alcoholic beverages, and its link with alcoholic disease and the associated dangers, but we still find a high proportion of people who show unrestrained consumption. Is there a genuine desire to recover, is there motivation, and where should one look for help? Such assistance could take the form of a self-help group, where addicts who want to quit, those in the various stages of recovery, or those who have already recovered, can meet up. The aim is to achieve and maintain abstinence, and prevent a relapse. The author presents the process and benefits of self-help, from the perspective of addiction. Her study proves that the treatment of alcoholism requires a complex approach, and one in which we can ascribe a key role to self-help groups.]

Lege Artis Medicinae

SEPTEMBER 20, 2015

[Evaluation of body image by means of body shape test and the priming phenomenon]

KOVÁCS Gyöngyvér Xénia, PRIEVARA Dóra Katalin, PIKÓ Bettina

[INTRODUCTION - Body image plays a significant role in the way how the individuals evaluate their own health and in the motivation for health promotion and disease prevention. Consumer culture provides controversial messages for the population, on one hand it motivates to try foods of high calories, on the other hand it also supports the thin body for the ideal. Not surprisingly, besides obesity, eating disorders and distorted body image disorders also tended to increase during the past decades. Therefore, it would be relevant to investigate the background variables of body image. METHODS - One hundred and sixty seven healthy working adults participated in our study that included a self-completed, voluntary and anonymous questionnaire with a focus on the so called body shape test. First, based on projecting figures on slides, the participants evaluated their own figure and the ideal one as perceived by them. Then we projected figures of skinny models. After this they re-evaluated themselves. The goal of this investigation was to detect the priming effect of projecting slim figures that is frequently used in the media. RESULTS - Based on the projection of the skinny models, there was a change in 55.6% of the sample in the evaluation of one’s own figure. On a Likert-type scale of 1-7 points, previously they had evaluated themselves with an average of 3.23 points (thinness scale) that turned into 3.35 after the projection of the skinny models. In addition, their view about their own ideal body (4.57 points), and about female and male ideal body also changed into a slimmer one. These changes were statistically significant (p < .001) by paired t-test both for men and women. Finally, men and women did not show significant difference in the evaluation of female and male ideal body. CONCLUSIONS - These results justified the role of the pictures’ priming effect in body image both in terms of the perception of one’s own figure and the ideal body. The change was particularly relevant in the case of evaluation of one’s own figure due to the choice of the slimmer body as compared to the view of the ideal body. Evaluation of female and male ideal body was similar to the first projection of the pictures as compared to what they would think as ideal for themselves. After the projection images of the female and male ideal body moved to the slimmer figures in a smaller account as compared to the own ideal body image. All these suggest that pictures projected by the media may have a significant role in the population’s body image. Clarifying the phenomenon may help in health promotion and dieting related disease prevention. ]

Journal of Nursing Theory and Practice

FEBRUARY 28, 2015

[Value research of students in the patient care sector. Research carried out in a vocational secondary school]

KOVÁCSNÉ MELHER Marianna

[Aim of the study: Mapping out the value system, the professional motivation and the socio-cultural background of care provider students at the Zsuzsanna Kossuth Vocational Secondary School Sample and methods: Descriptive type research, number of elements 169 (n=169). The data was synthesized with Microsoft Office Excel 2007. Results: Taking into consideration the influence of the parents’ educational and professional background it can be stated that the parents’s influence gains control of their children’s school choice. In every analyzed group students are backed by strong family support. Regarding their career choice most students were motivated by the desire to help people. Graduate students demonstrate a more consistent career choice than younger students. The most important values of the care provider career proved to be: professional knowledge, know-how, responsibility and precision. An increase in career values related to age has not been demonstrated. Conclusions: It is very important to know the students’s value system because the values gained in the family and at school play a determining role in the care providers’s job. ]

Lege Artis Medicinae

JUNE 01, 2015

[The changing face of carrier choice: Chances and opportunities in Hungary]

GYŐRFFY Zsuzsa, SUSÁNSZKY Éva, SUSÁNSZKY Anna, SZÁNTÓ Zsuzsa

[BACKGROUND - In the 21st century, medicine has changed. As a part of this transformation we observe the phenomenon of deprofessionalisation, change of the recruitment and alteration of the carrier motivation. METHODS - The quantitative study included 733 medical students of four Medical Universities in Hungary. Data for the qualitative study was collected from interviews of 45 medical students. RESULTS - Both research methods confirmed the changing of the medical profession. Besides, the number of medical school applicants are decreasing, and the number of women students are increasing. The impact of the doctor parents showed a decrease. Students reported late carrier choice and that they don’t become exclusively clinicians. The most important factor of carrier choice is altruism, but scientific interest and controllable lifestyle also appears as a motivation factor. CONCLUSIONS - Results suggest challenge of the „feminization of medical profession”. The medical curriculum and the conditions of work environment need to respond to these „metamorphoses”.]

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.]