Sestrinska rec最新文献

{"title":"The impact of the COVID 19 pandemic on the occurrence of anxiety and depression in nursing students","authors":"Gordana Dujlović, Milena Mikić, Branimirka Aranđelović, Marijana Gajić, Sanja D Tomić, Slobodan Tomić, Sonja Peričević-Medić","doi":"10.5937/sestrec2386011d","DOIUrl":"https://doi.org/10.5937/sestrec2386011d","url":null,"abstract":"Introduction: The COVID-19 pandemic has increased the symptoms of significant psychological burdens for the entire population. However, little is known about the psychological effect of COVID-19 on healthcare students. Objective: The research aimed to determine whether and to what degree healthcare students exhibit signs and symptoms of anxiety and depression during the second year of the pandemic. Material and methods: The study was conducted as an online cross-sectional study, by surveying 133 healthcare students of the Faculty of Medicine. The questionnaire for the assessment of anxiety (General Anxiety Disorder - GAD-7) and the questionnaire for the assessment of depression (Patient Health Questionnaire - PHQ-9) were used as research instruments. Descriptive and inferential statistical methods were used for statistical data processing, and statistical significance was determined at the p≤ 0.05 level. Results: The highest percentage of students showed minimal symptoms of depression (40.6%), i.e. symptoms of minimal anxiety (45.1%), while the total average score of the GAD-7 questionnaire was 6.35±5.27(SD), and the average value of the total PHQ-9 score was 7.42±5.59(SD). Conclusion: The COVID-19 pandemic had an impact on healthcare students, who during the second year of the pandemic showed mild depression and mild anxiety.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90695352","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}

{"title":"Effect of Health educational intervention in the form of counseling on changes in anthropometric and biochemical parameters of type 2 diabetes mellitus","authors":"Dijana Stantić-Romić, Hajnalka Požar, Sanja Šumonja","doi":"10.5937/sestrec2386017s","DOIUrl":"https://doi.org/10.5937/sestrec2386017s","url":null,"abstract":"Introduction: Diabetes is a significant public health problem. In Serbia, 12% of the population suffers dominantly from type 2 diabetes, the development of which is associated with an inadequate diet and lack of physical activity. The treatment of patients involves the application of diet therapy in combination with medical treatment. The aim of this paper is to evaluate the differences in anthropometric and biochemical parameters in patients with type 2 diabetes after the counseling work. Respondents and methods: The research was conducted as a retrospective evaluation study through the analysis of medical records of users of the Nutrition Counseling Service of the Public Health Institute of Subotica. The sample included 34 patients with type 2 diabetes, mostly women (71%). Results: The average body weight of the patients was 87.6 kg, waist circumference 105 cm, the average glycemima was 7.14 mmol/l, and the blood pressure level was 140/84 mmHg. After counseling, at the first control measurement 2-4 months after the first examination, the patients lost an average of 3 kg, the waist circumference decreased by an average of 2 cm, and the percentage of fat in the body decreased by 1.6%. There was a decrease in glycemia by 0.6 mmol/l and systolic blood pressure by 5 mmHg. Although the second control examination was attended by a much smaller number of patients, based on the results, it was observed that the average values of the observed parameters were significantly lower compared to the initial values (body mass decreased by 1 kg, waist circumference by 4 cm, glycemia level by an additional 1 mmol/l). Conclusion: Based on the results of the research, it can be concluded that after the counseling work, there was a significant improvement in the nutritional status and glycemia in patients with type 2 diabetes.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86873233","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}

{"title":"Analysis of the frequency and characteristics of the most common predictors of anxiety in adolescents","authors":"Bratislav Zivic, Goran Stojanović, Jelena Krstić, Negra Terzić, Milica Vasiljević-Blagojević, Milena Maričić","doi":"10.5937/sestrec2386030z","DOIUrl":"https://doi.org/10.5937/sestrec2386030z","url":null,"abstract":"Anxiety represents the behavioral, emotional and cognitive response of the person on experience if potential or future danger. Pathological anxiety occurs when this reaction is unreasonable, that is it is not proportionate to the stress or challenge, and it leads to intense fear, nervousness and impaired functioning. Anxiety can occur in any period of life. Adolescence is a turbulent developmental period that increases the risk of young people to develop numerous mental disorders. Numerous predictors determinate the development of anxiety in adolescents. Prevention of anxiety disorders in adolescents is a public health priority, therefore it is necessary to identify risk factors and implement activities to suppress these factors.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81206329","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}

{"title":"Diet habits of employees in higher education","authors":"Hajnalka Požar, Sanja Šumonja, Nataša Sekulić, Nataša Čamprag-Sabo, Valentin Puškaš","doi":"10.5937/sestrec2386005p","DOIUrl":"https://doi.org/10.5937/sestrec2386005p","url":null,"abstract":"Introduction: Inadequate nutrition, excessive use of alcohol and tobacco can significantly increase the risk of chronic mass non-communicable diseases, which are responsible for more than two-thirds of deaths in the adult population globally. The aim of this paper is to analyze the risk factors for chronic non-communicable diseases among employees in higher education. Material and methods: The research was conducted in the form of a cross-sectional study during May 2022. The surveyed population consists of 31 employees of the College of Vocational Studies in Subotica. The research instrument consists of a survey questionnaire created for research purposes. The data analysis was performed using the statistical package SPSS 20. The methods of descriptive statistical analysis, cross-tabulation analysis were applied, and the parametric ch2 test was used to confirm the correlation. Results: A third of the employees have been diagnosed with a chronic disease, most often hypertension and hypercholesterolemia. More than half (58%) of employees eat breakfast, 87% eat lunch and 52% eat dinner regularly. About 60% of employees consume fruits and vegetables at least 5-6 days a week, significantly more often employees over 45. Almost half (42%) of employees consume sweets at least 5-7 days a week, or more often. A quarter (24%) of employees consume alcoholic beverages on a weekly basis. Conclusion: The results of the study show that among employees in higher education there are inadequate eating habits that can increase the risk of chronic mass non-communicable diseases.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85041551","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}

{"title":"Development and implementation of a protocol for the prevention of Clostridioides difficile infections aimed at the improvement of nursing skills","authors":"D. Knezevic, Duška Jović, Nataša Egeljić-Mihailović, Daniela Dobrovoljski","doi":"10.5937/sestrec2386024k","DOIUrl":"https://doi.org/10.5937/sestrec2386024k","url":null,"abstract":"Introduction: Hospitalized patients have an increased risk of developing infections caused by Clostridioides difficile. Due to the changing epidemiology of C. difficile, it is necessary to educate nurses about the implementation of prevention measures, but also about the criteria for obtaining a quality sample of feces in order to establish an etiological diagnosis in a timely manner. The aim of the study was to assess gaps and flaws in C. difficile infection (CDI) prevention policies and practices, and to determine whether a nurses knowledge about early identification and isolation of CDI patients improved after education. Methods: The research was conducted in a quasi-experimental study at the University Clinical Center of the Republka Srpska (UKC RS) in the period from May 2020 to December 2021 on a sample of 60 nurses. A survey questionnaire Centers for Disease Control and Prevention (CDC) was used as a research instrument and it was intended for the assessment of knowledge, attitudes and understanding about procedures for the prevention of infection with C. difficile. The applied strategy to prevent hospital CDI was based on the introduction of the concept of \"package of care\", which was based on scientific evidence. For the education of nurses, interactive educational modules were used that contained detailed prevention measures CDI in hospital conditions in accordance with the guidelines. Before and after the education, the participants completed a knowledge test about C. difficile and prevention CDI.The study was approved by the Ethics Committee of the UKC RS. Results: Only 5 (8.3%) respondents stated that they were informed about CDI prevention during the visit of a nurse from the infection control team. Most of the shortcomings during the assessment of CDI prevention at the observed clinics were related to the practice of sending feces samples for laboratory testing for C. difficile. Nurses showed highly statistically significant (p<0.001) better knowledge about the importance of early identification of C. difficile and isolation of CDI patients in the post-education test. Conclusions: The implementation of a CDI prevention protocol intended for nurses can be one of the algorithms that will precisely identify C. difficile, and thus successfully implement CDI prevention measures.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77926835","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}

{"title":"The most common diagnoses of care and nursing activities in children with congenital heart defects","authors":"Đurđina Veselinović","doi":"10.5937/sestrec2386038v","DOIUrl":"https://doi.org/10.5937/sestrec2386038v","url":null,"abstract":"Congenital heart defects are the most common chronic congenital anomalies in childhood. They occur as a consequence of the action of genetic and multifactorial factors. Feasibility is present in both sexes, regardless of the economic situation of the country. They lead to structural and functional changes in the heart muscle, thus interfering with its normal functioning. The most effective method of treating and solving the problem of heart defects is surgery. By being exposed to an invasive procedure, they encounter numerous postoperative risks, and it is necessary to provide maximum care and support. The formation of a care team, the application of the health care process, ensures adequate conditions during the stay in the tertiary level health institution. This paper presents all the necessary segments of nursing care, in children with a diagnosis of congenital heart defect. The segments arise from the process of health care. Professional action is based on independent and interdependent nursing interventions. Key words: congenital heart defect, cardiac intensive care, nursing diagnoses of heart defects in children, postoperative care of heart defects.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85042057","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}

{"title":"Applicability and prognostic significance of geriatric assessment","authors":"Srđan Živanović, Jelena Pavlović, Natalija Hadživuković, Olivera Kalajdžić, Ljubiša Kucurski, V. Kulić, Mile Despotović","doi":"10.5937/sestrec2386034z","DOIUrl":"https://doi.org/10.5937/sestrec2386034z","url":null,"abstract":"Aging implies a process during which changes occur in the function of all organic systems in the human body. For a detailed assessment of the health status of an elderly person, a comprehensive geriatric assessment (CGA) is recommended. CGA is defined as a multidisciplinary diagnostic and therapeutic approach that enables the identification of medical, psychosocial and functional limitations of an elderly person, all with the aim of developing a coordinated plan to improve the health of the elderly person. The aim of this review was to point out the significance, comprehensiveness, applicability and prognostic significance of geriatric assessment based on data from recent literature and by searching available electronic databases. Studies were collected from the electronic databases MEDLINE (via Ovid), Pubmed, COBSON database and Google Scholar database, as well as by manual search of relevant studies cited in the references of key articles. The search for papers as a whole is limited to the English language. All studies that used a comprehensive geriatric assessment in their methodology, in elderly people over 65 years of age, were included. CGA is very important for the elderly, for their families, health systems of countries, health professionals as well as the social community. Interventions resulting from a CGA are one way to improve the performance of activities of daily living in elderly patients. CGA has numerous advantages in practice, it is comprehensive, applicable, economically relatively acceptable and as such can be routinely implemented at different levels of health care. CGA has a high prognostic significance for the early detection of multimodal problems in the geriatric population.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82338955","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}

{"title":"Subjective aspect of quality of life of patients with diabetes mellitus","authors":"Srđan Živanović, V. Kulić, Natalija Hadživukuvić, J. Pavlović, Sandra Matović, Marija Vasiljević, M. Despotović","doi":"10.5937/sestrec2284022q","DOIUrl":"https://doi.org/10.5937/sestrec2284022q","url":null,"abstract":"Introduction: Diabetes mellitus (DM) is a global public health problem. It is a complex illness which affects on the medical, psychological and social aspects of life. The aims of this research were to determine the subjective sense quality of life of patients with diabetes mellitus, to determine whether or not there are differences in the quality of life of patients with diabetes mellitus compared to sex, age and place of residence, as well as to determine factors the quality of life of patients with DM. Material and methods: The study was conducted as a crosssectional study of the population of persons with (DM). The sample consisted of 100 respondents, who in the observed period were treated at the Department of Internal Medicine of the University Hospital in Foča. A combined questionnaire consisting of 40 questions was used. The questions in the questionnaire were related to socio-demographic characteristics, hobbies, support of family and friends of patients, eating habits, as well as the presence of comorbidities. The HolmesRahe Stress Scale and the Subjective Assessment of Well-Being Scale (SVB Life Satisfaction Scale) were also included in the questionnaire. Results: Among the respondents there were 48 (48%) men and 52 (52%) women. Respondents rated their satisfaction with the quality of life, with an average score of 6.68 ± 1.72. Younger respondents have significantly better quality of life (7.09 ± 1.91) compared to the older group of subjects 6.35 ± 1.50. Also, respondents who living in the city are significantly satisfied with their quality of life (6.95 ± 1.80) compared to respondents who lives in the countryside (6.14 ± 1.45). Respondents with secondary education (30%) are significantly satisfied with their quality of life compared to respondents without primary school (13%), with elementary school (3%) or with higher education (12%). Conclusion: People with diabetes their own quality of life estimates with satisfactory grades.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88066263","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}

{"title":"Participation of parents in the humanization of children's stay in hospitals","authors":"Dragica Ranković, Ljiljana Jovčić, Verica Trbović, D. Jezdimirović","doi":"10.5937/sestrec2284033r","DOIUrl":"https://doi.org/10.5937/sestrec2284033r","url":null,"abstract":"Successful treatment of a child depends not only on the severity of the disease, but also on the child's attitude towards the disease and its treatment. In this regard, in addition to the treatment and health care of the child, it is necessary to provide psycho-social support, which is also needed by their parents, through the availability of information and counseling. Having in mind the specificity of the hospital context, it is considered that children suffering from chronic diseases have a higher level of awareness and understanding in relation to the population of the same age in the outpatient environment. Parents and health workers are the first to notice the concept of humanization of children in hospitals and give more importance to the characteristics of children with chronic diseases compared to those who have an acute emergency. Although the legal framework regulates children's health care in terms of decision-making, parents are traditionally considered key actors in decision-making on behalf of the child, primarily because they know what is best in his interest. Special attention in this paper is focused on the positive effects of involving parents, as members of the health team, in the psychological preparation of children for hospitalization or for some other medical procedures that await them in the hospital context.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76618865","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}

{"title":"Supportive care needs of patients after breast cancer surgery","authors":"Slobodan Tomić, S. Tomić, M. Mikić, G. Malenković","doi":"10.5937/sestrec2284004t","DOIUrl":"https://doi.org/10.5937/sestrec2284004t","url":null,"abstract":"Introduction: Supporative care includes detection and providing necessary interventions to prevent, control or alleviate complications and side effects in order to improve the comfort and quality of life of cancer patients to meet their needs. The aim of this research was to determine the level of unsatisfied needs of patients after breast cancer surgery and also to determine connection with social demographic characteristics and risk factors. Material and methods: This study was conducted as a cros-ssectional study, on a sample of 40 patients that have undergone surgical breast cancer treatment at the Oncology Institute of Vojvodina in Sremska Kamenica during 2019. The instrument used in this research was Short form of the Supportive Care Needs Survey questionnaire (SCNS-SF34). It was used to determine the level and type of healthcare assistance needed by the patients. The questionnaire consisted of 34 questions that are divided through five domains. The higher score (min=1, max=5) indicates a higher need for support. Results: The average age of the patients was 61.5±12.8 years. The highest level of required healthcare support was determined in the domain of the Healthcare system and information, while the domain with lowest value was Sexuality. Statistically significant difference was discovered between the values of the Healthcare system and information and the educational level (p=0.03), which indicates that patients with a higher level of education have a bigger level of needs from this domain. Conclusion: This study provides information about patient needs for supportive care in daily life activities, after breast cancer surgery. The results of the research clearly indicate that patients after breast cancer surgery face unmet needs in all domains except sexuality.","PeriodicalId":32587,"journal":{"name":"Sestrinska rec","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79426821","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}