Sestrinska vizija最新文献_第2页

Etičke dileme u medicinskom tretmanu novorođenčadi sa teškim kongenitalnim malformacijama - zaostavština bebe Doe

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2109022q

D. Živanović, J. Javorac, B. Filipovic, A. Doronjski, A. Milenkovic, Zvonko Dimoski, Mirjana Smuđa

{"title":"Etičke dileme u medicinskom tretmanu novorođenčadi sa teškim kongenitalnim malformacijama - zaostavština bebe Doe","authors":"D. Živanović, J. Javorac, B. Filipovic, A. Doronjski, A. Milenkovic, Zvonko Dimoski, Mirjana Smuđa","doi":"10.5937/sestrviz2109022q","DOIUrl":"https://doi.org/10.5937/sestrviz2109022q","url":null,"abstract":"Regardless of the differences in the neonatological practice of different countries in the world, ethical decisions of medical professionals in this field of clinical medicine should be based solely on a comprehensive The approach to the treatment of newborns with life-threatening body malformations has historically been the subject of numerous ethical dilemmas among the medical professionals and the general public. \"The case of baby Doe\" is certainly the most notable example in the recent medical history of the previously mentioned ethical dilemmas and was the first to result in an official juridical epilogue in a form of a series of legal provisions regarding the medical treatment of severely damaged newborns and objective assessment of the health of the newborn, consideration of indications for potential treatment or palliative care, and always guided by the best interests of the newborn. Eythanasia in any form is an unnecessary solution, dangerous for society in general and medical practice, and instead of its legalization in neonatology, the development of palliative care, as a humanistic approach in the health care of the most challenging patients, should be emphasised.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132615123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Istraživanje depresije kod starih osoba u institucionalnim i vaninstitucionalnim uslovima na teritoriji Beograda

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2312004m

Gordana Milosavljević, Vojin Vidanović

{"title":"Istraživanje depresije kod starih osoba u institucionalnim i vaninstitucionalnim uslovima na teritoriji Beograda","authors":"Gordana Milosavljević, Vojin Vidanović","doi":"10.5937/sestrviz2312004m","DOIUrl":"https://doi.org/10.5937/sestrviz2312004m","url":null,"abstract":"Introduction: Depressive disorders (depression) represent one of the most common mental disorders today, which is manifested by moodiness, loss of interest and pleasure, feelings of guilt and inferiority, sleep and appetite disorders, loss of energy and poor concentration. Depression is one of the most common disorders encountered by doctors in the practice of primary health care and represents a serious medical and social problem. In elderly age, it most often occurs with other health conditions and diseases and lasts longer than in younger people. Given that 10-15% of the elderly suffer from depression, depression is recognized as the most common mental health disorder of the elderly. It is very import-ant to recognize the symptoms of depression because they can often be unrecognizable due to somatic symptoms. The aim of the work is to examine depression in old people in the area of the city of Belgrade. Method: An anonymous questionnaire was used as a research instrument. The time of the conducted research is July-August 2022. The total number of respondents is 80 old people, and they answered 24 questions. Results: Persons over 85 years old (83.3%) have depressive symptoms. Depressive symptoms are more frequent in women than in men (M:F 88.8%:48.5%). Subjects with a vocational qualification most often have depressive symptoms (75%). Respondents who are single (73.7%), divorced (60%) in institutions (75%), live on the floor (55.6%) alone (62.5%) and receive social assistance (73.5%)) more often have depressive symptoms compared to respondents who are married (79.5%), live in a house/apartment (71.7%) with their spouse (77.5%) and receive a pension (80.9%). We can conclude that the largest number of depressed people is over 85 years old, where every third female person has depression in our sample. Conclusion: The study showed that most often, depressive symptoms appear in subjects with incomplete elementary school, single/unmarried, in institutions, living alone and receiving social assistance.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133440657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frequency and characteristics of multi-resistant bacteria in the intensive care unit 重症监护病房多重耐药菌的频率和特点

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2108013k

D. Knezevic, Silvana Trifunović, Duška Jović, Jadranka Stanisavić-Šimić

{"title":"Frequency and characteristics of multi-resistant bacteria in the intensive care unit","authors":"D. Knezevic, Silvana Trifunović, Duška Jović, Jadranka Stanisavić-Šimić","doi":"10.5937/sestrviz2108013k","DOIUrl":"https://doi.org/10.5937/sestrviz2108013k","url":null,"abstract":"Introduction: Patients in intensive care units (ICUs) are at higher risk of infections due to invasive procedures and antibiotic therapy. Infections caused by multidrug-resistant (MDR) bacteria represent a global problem, limiting the choice of antimicrobial therapy. Objective: To determine the rate of infections in ICUs, as well as the type of MDR bacteria associated with such infections. Material and methods: The study included strains of MDR bacteria isolated from laboratory samples of hospitalized patients in surgical ICUs in a one-year period. All strains of MDR bacteria were isolated and identified by standard microbiological methods for aerobic bacteria according to the recommendations and guidelines are given by the Clinical and Laboratory Standards Institute (CLSI). Results: Infections caused by MDR bacterial isolates were confirmed in 199 (19.17%) patients in ICUs. The frequency of Gram-negative isolates was significantly higher than Gram-positive (88.35% and 11.65%, p <0.001). The most common infections in ICUs caused by MDR bacteria were respiratory tract infections (49%), followed by soft tissue and skin infections. The CDI incidence density 1.13 cases/10,000 patient-days. Conclusion: A high frequency of infections caused by MDR bacteria was found with patients in ICUs, and respiratory tract infections dominated. Information on the types of infections and pathogens can help develop policies for prevention, diagnosis, treatment, and resource allocation.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114299066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Zdravstvena nega obolelih od karcinoma dojke sa metastatskim promenama na endokranijumu

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2109014m

Gora Miljanović, Vida Čolaković, Dragana Terzić-Marković, Vesna Jovanović, Mirjana Smuđa, Biljana Jakovljević

{"title":"Zdravstvena nega obolelih od karcinoma dojke sa metastatskim promenama na endokranijumu","authors":"Gora Miljanović, Vida Čolaković, Dragana Terzić-Marković, Vesna Jovanović, Mirjana Smuđa, Biljana Jakovljević","doi":"10.5937/sestrviz2109014m","DOIUrl":"https://doi.org/10.5937/sestrviz2109014m","url":null,"abstract":"Introduction: Breast cancer is the transformation of healthy breast cells into malignant cells. The disease is characterized by metastases that can range from limited bone metastases to wide-spread and life-threatening metastases. The main goal of caring for these patients is to successfully control the symptoms of the disease, the side effects of the tumor while preserving the quality of life and surviving as long as possible. Objective was to show the specifics of interventions in the health care of a patient with breast cancer with metastatic changes in the endocranium Methods: We used a descriptive method and a conservative direct method: case study of a patient with breast cancer and metastatic changes in the brain according to the method of the Nursing Care Process (NCP). Discussion: Modern nursing care implies patient care according to a scientifically based method, universal in the nursing practice NCP, according to which care is focused on the patient/family, re-specting their preferences. NCP includes: continuous assessment of the patient's condition and defining problems and care needs, setting goals and selecting optimal care strategies. The most COM-mon collaborative problems for our patient were: pain, fatigue, anemia, insomnia. The problems that the nurses solved through independent interventions were: deficit in self-care, prevention of falls and injuries, lack of knowledge regarding the radiation pro-cedure, risk of infection, and the possibility of excess fluid volume. Conclusion: Patients with advanced breast cancer and their families have complex needs, the failure of which can result in impaired quality of life. An individual approach is needed in as-sessing the patient's condition, identifying needs, and planning interventions based on scientific evidence, available health re-sources, and preferences of patient/family. Patient care according to the NCP method promises a more comprehensive approach, improved patient experience as well as improved medical out-comes.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131332634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bezglutenska ishrana i sportska aktivnost

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2312024d

Ivana Đordjević, Olivera Đurović

{"title":"Bezglutenska ishrana i sportska aktivnost","authors":"Ivana Đordjević, Olivera Đurović","doi":"10.5937/sestrviz2312024d","DOIUrl":"https://doi.org/10.5937/sestrviz2312024d","url":null,"abstract":"\"Gluten-free\" is now becoming a catchphrase that has spread rapidly over the past few years and is often used in food advertising to entice individual consumers to join the diet of prominent sports figures. Certainly, a gluten-free diet for some people is a necessity in case of illness, but very often it is a product of striving for a healthier and different way of life carried out through nutrition. This way of eating is often represented by professional athletes, who have to compensate for their increased need for carbohydrates in a different way, when the regime of training and activities is completely adapted to a gluten-free diet. In this way, eliminating gluten quickly becomes a way of life after a short period of time. It is essential to note that a gluten-free diet is not necessary for a \"healthy\" diet -there is a much more efficient way to achieve such a style of eating, but still, you should know that some people must avoid gluten if they have celiac disease or an intolerance ie. gluten sensitivity. How and in what way a gluten-free diet affects sports activities, as well as what training method is recommended with such a diet, through a research review of the literature and previous research, the work follows the general indicators of what gluten is and how its exclusion from the diet manifests itself in sports activities.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125460457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Information and personal experiences of pregnant women in relation to the application of drugs in pregnancy 孕妇关于孕期用药的信息和个人经历

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2007019m

A. Miletić, N. Savić, Zoran Jokić, I. Damnjanovic

{"title":"Information and personal experiences of pregnant women in relation to the application of drugs in pregnancy","authors":"A. Miletić, N. Savić, Zoran Jokić, I. Damnjanovic","doi":"10.5937/sestrviz2007019m","DOIUrl":"https://doi.org/10.5937/sestrviz2007019m","url":null,"abstract":"Introduction: Pregnancy is a specific period of a woman's life in which she should pay special attention to her health potential. Certain health risks, such as drug abuse during pregnancy, can have fatal consequences for the outcome of pregnancy and the health of women and newborns. Drugs are classified into several categories according to their risk of harm to the fetus. The classification of the American Food and Drug Administration (FDA) is most often used, which is the purpose of drugs in the categories for pets (A, B, C, D, H). Aim: Examine the information and personal experiences of pregnant women regarding the use of drugs in pregnancy. Methods: The research was conducted in the form of cross-sectional studies. As a research instrument, a questionnaire for pregnant women was constructed, which assesses their level of information about aspects of drug use in pregnancy, as well as personal experiences. The study included a sample of 60 pregnant women, the sample was intentional, the study was conducted at the Jokić Polyclinic, in the period January-June 2020. Participation in the studies was voluntary and anonymous, the research was approved by the competent authorities of the institution. Results: The subjects in the observed sample were pregnant women aged 21 to 35 years. The majority of pregnant women are uninformed about the use of drugs during pregnancy. The most commonly used drugs in pregnancy are antibiotics. A large number of respondents believe that gynecologists and pharmacists should inform pregnant women more on this topic. Descriptive statistics methods were used in the analysis of the results. Conclusion: The results of the research indicate the need for a higher level of education on the safe use of drugs in pregnancy. It is necessary to intensify health education work in cooperation with health institutions of all levels. This need is also felt by pregnant women who feel that they do not know enough about this topic.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117098781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of life in medical students of High school of professional studies 'Medica' 专业学习高中 "Medica "医科学生的生活质量

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2108019k

Anita Kovačević-Popović, Vojin Vidanović, I. Đorđević, Ž. Vlaisavljević

{"title":"Quality of life in medical students of High school of professional studies 'Medica'","authors":"Anita Kovačević-Popović, Vojin Vidanović, I. Đorđević, Ž. Vlaisavljević","doi":"10.5937/sestrviz2108019k","DOIUrl":"https://doi.org/10.5937/sestrviz2108019k","url":null,"abstract":"Self-assessment of quality of students life gives a feedback information on perception of physical health, psychological state of being, social relations, environment as well as of general quality of life. Aim research is to assess quality of life of students of vocational college school, and then to cross-examine with social demography of students sample. Methodology: Sample consists of 50 students of higher medical school of vocational studies \"Medika\" in Belgrade, Loznica, Krusevac and Vrbas. Questionnaire of social and demographical characteristics and Questionnaire on quality of life of World Health Organization (WHOQOL-BREF) have been used. Statistical interpretation of results uses descriptive statistics, Kolmogorov-Smirnov test, interquartile range, Kruskal-Wallis H test and Mann-Whitney test. Results indicate a relatively high quality of students life. Significant difference has been established between students of the first and second year of studies, in domain of general life quality and psychological state (p<0,05). In domains of general life quality, psychological and social functioning, difference can be observed between students that study in Belgrade and in other towns. Statistically significant difference has not been established between four quality of life domains (Physical health, Conclusion: Psychological, Social relationships, Environment) and sample stratifications: gender, age, studies, work status and marriage status. Quality of life can influence daily functioning of individuals in various life domains.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126375495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stavovi zdravstvenih profesionalaca prema radu u inostranstvu

Sestrinska vizija Pub Date : 1900-01-01 DOI: 10.5937/sestrviz2312010v

Vesna Vuković, Vesna Maksimović, Verica Trbović, Zvonko Dimoski, S. Krsmanović, V. Jovanović

{"title":"Stavovi zdravstvenih profesionalaca prema radu u inostranstvu","authors":"Vesna Vuković, Vesna Maksimović, Verica Trbović, Zvonko Dimoski, S. Krsmanović, V. Jovanović","doi":"10.5937/sestrviz2312010v","DOIUrl":"https://doi.org/10.5937/sestrviz2312010v","url":null,"abstract":"Insight: The subject of this paper is a better understanding of the most important aspects of the emigration of professional nurses, professional nurse-midwives, health workers for work. In the first decade of this century, \"brain drain\" became one of the key elements of world globalization. The aim of the work: The aim of this research was to investigate the attitudes towards working abroad of the students of the State School for Applied Health Studies by profiles. Method of work: The research was carried out on a sample of 85% of nurses-technicians, 633 students of the College of Health Professional Studies in Belgrade, as a cross-sectional study examining the attitudes of professional nurses, professional nurses-midwives, and health workers towards working abroad. Results: Based on the results of the work, it was established that the most common reasons for students to go to work abroad are: lack of jobs for the appropriate nursing profession in the country, more opportunities for better professional placement, and achieving a higher quality of life. Conclusion: Looking at the attitudes towards working abroad of the students of the State Medical College, it can be concluded that 70% want to work abroad, mostly after graduation and permanently, and 14% of the respondents have a ready plan to leave for employment abroad.","PeriodicalId":190735,"journal":{"name":"Sestrinska vizija","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130817402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0