Zdravstveno Varstvo最新文献

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Physical Inactivity - the Human Health's Greatest Enemy. 缺乏运动——人类健康最大的敌人。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0002
Rado Pišot
{"title":"Physical Inactivity - the Human Health's Greatest Enemy.","authors":"Rado Pišot","doi":"10.2478/sjph-2022-0002","DOIUrl":"https://doi.org/10.2478/sjph-2022-0002","url":null,"abstract":"<p><p>For decades, research has been highlighting the positive impact of physical activity on health. Despite the immense efforts made by many professional and scientific organizations to raise individual and societal awareness about the role of a sufficient quantity and intensity of physical activity in everyday life and to increase the level of adherence, the situation is still very worrying. Even more worrying is the fact that increasingly prolonged periods of physical inactivity are insidiously and aggressively taking over modern people's lives - at school, at work, at home, even at leisure. It is probably incomprehensible and difficult for many to accept, but physical inactivity is becoming the first and worst enemy of health in today's society.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/0b/sjph-61-001.PMC8776290.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Health-related Quality of Life Increases After First-time Acute Myocardial Infarction: a Population-based Study. 首次急性心肌梗死后健康相关生活质量的提高:一项基于人群的研究。
IF 1.6 4区 医学
Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0005
Aleksandra Gąsecka, Bartholomew Rzepa, Aleksandra Skwarek, Agata Ćwiek, Kinga Pluta, Łukasz Szarpak, Miłosz J Jaguszewski, Tomasz Mazurek, Janusz Kochman, Grzegorz Opolski, Krzysztof J Filipiak, Krzysztof Gąsecki
{"title":"Health-related Quality of Life Increases After First-time Acute Myocardial Infarction: a Population-based Study.","authors":"Aleksandra Gąsecka, Bartholomew Rzepa, Aleksandra Skwarek, Agata Ćwiek, Kinga Pluta, Łukasz Szarpak, Miłosz J Jaguszewski, Tomasz Mazurek, Janusz Kochman, Grzegorz Opolski, Krzysztof J Filipiak, Krzysztof Gąsecki","doi":"10.2478/sjph-2022-0005","DOIUrl":"10.2478/sjph-2022-0005","url":null,"abstract":"<p><strong>Introduction: </strong>Acute myocardial infarction (AMI) affects patients' health-related quality of life (HRQOL). AMI may decrease HRQOL, thus negatively affecting QOL. However, the improvements in interventional treatment and early rehabilitation after AMI may have a positive effect on HRQOL.</p><p><strong>Aim: </strong>We evaluated HRQOL in patients after the first AMI treated in a reference cardiology centre in Poland and assessed which clinical variables affect HRQOL after AMI.</p><p><strong>Material and methods: </strong>We prospectively evaluated HRQOL in 60 consecutive patients suffering after their first AMI during the index hospitalisation and again after 6 months, using: (i) MacNew, (ii) World Health Organization Quality of Life (WHOQOL) BREF, and (iii) Short Form (SF) 36.</p><p><strong>Results: </strong>As measured by the MacNew questionnaire, global, social, and physical functioning did not change (p≥0.063), whereas emotional functioning improved 6 months after AMI, compared to index hospitalisation (p=0.002). As measured by WHOQOL BREF, physical health, psychological health, and environmental functioning did not change (p≥0.321), whereas social relationships improved 6 months after AMI (p=0.042). As assessed by SF-36, the global HRQOL improved after AMI (p=0.044). Patients with improved HRQOL in SF-36 often had a higher baseline body mass index (p=0.046), dyslipidaemia (p=0.046), and lower left ventricle ejection fraction (LVEF; p=0.013). LVEF<50% was the only variable associated with improved HRQOL in multivariate analysis (OR 4.463, 95% CI 1.045 - 19.059, p=0.043).</p><p><strong>Conclusions: </strong>HRQOL increased 6 months after the first AMI, especially in terms of emotional functioning and social relationships. Patients with LVEF<50% were likely to have improved HRQOL.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"24-31"},"PeriodicalIF":1.6,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/16/sjph-61-024.PMC8776287.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Standardization of Quality of Diagnoses, Interventions, and Outcomes (Q-DIO) Measurement Instrument for Use in Slovenia. 斯洛文尼亚使用的诊断、干预和结果质量标准化(Q-DIO)测量仪器。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0004
Maja Klančnik Gruden, Maria Müller-Staub, Majda Pajnkihar, Gregor Štiglic
{"title":"Standardization of Quality of Diagnoses, Interventions, and Outcomes (Q-DIO) Measurement Instrument for Use in Slovenia.","authors":"Maja Klančnik Gruden,&nbsp;Maria Müller-Staub,&nbsp;Majda Pajnkihar,&nbsp;Gregor Štiglic","doi":"10.2478/sjph-2022-0004","DOIUrl":"10.2478/sjph-2022-0004","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the cross-cultural adaptation of the Quality of Diagnoses, Interventions and Outcomes (Q-DIO) Instrument into the Slovene language.</p><p><strong>Methods: </strong>Based on general international guidelines, a six-step process of localization to translate and adjust the instrument from English into the Slovene language was used. Content validity was quantified based on an agreement of eight experts. The instrument was tested using a sample of 140 nursing documentations from two Slovenian tertiary hospitals.</p><p><strong>Results: </strong>26 of 29 items showed an excellent content validity index ranging from 0.857 to 1.000, and a modified kappa index above 0.856. The content validity indexes of the three remaining items adjusted based on experts' comments were subsequently estimated at 1.000. Construct validity was significantly different between the two groups of documentations. The Cronbach coefficient for the whole questionnaire was 0.860. Cronbach's alpha if item deleted reamins above 0.80 for all items. The criteria for the difficulty grades of items and discrimination validity were acceptably met for more than 75% of items.</p><p><strong>Conclusion: </strong>Based on the results of the study, it may be concluded that Q-DIO is a reliable instrument for measuring the quality of nursing documentation. The deviations in the results of some items are due to poor nursing documentation quality, and indicate that nursing classifications have not yet been fully implemented into practice in the study setting. Additional testing of the instrument is recommended.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"14-23"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/3b/sjph-61-014.PMC8776288.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency of Four-dimensional Oral Health Problems across Dental Fields - a Comparative Survey of Slovenian and International Dentists. 各牙科领域四维口腔健康问题的发生频率--斯洛文尼亚和国际牙医比较调查。
IF 1.6 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0029
Stella Sekulić, Mike T John, Katrin Bekes, Mohammad H Al-Harthy, Ambra Michelotti, Daniel R Reissmann, Julijana Nikolovska, Sahityaveera Sanivarapu, Folake B Lawal, Thomas List, Asja Čelebić, Ljiljana Strajnić, Rodrigo Casassus, Kazuyoshi Baba, Martin Schimmel, Ama Amuasi, Ruwan D Jayasinghe, Sanela Strujić-Porović, Christopher C Peck, Han Xie, Karina Haugaard Bendixen, Miguel Angel Simancas-Pallares, Eka Perez-Franco, Mohammad Mehdi Naghibi Sistan, Patricia Valerio, Natalia Letunova, Nazik M Nurelhuda, David W Bartlett, Ikeoluwa A Oluwafemi, Saloua Dghoughi, Joao N Ferreira, Pathamas Chantaracherd, Ksenija Rener-Sitar
{"title":"Frequency of Four-dimensional Oral Health Problems across Dental Fields - a Comparative Survey of Slovenian and International Dentists.","authors":"Stella Sekulić, Mike T John, Katrin Bekes, Mohammad H Al-Harthy, Ambra Michelotti, Daniel R Reissmann, Julijana Nikolovska, Sahityaveera Sanivarapu, Folake B Lawal, Thomas List, Asja Čelebić, Ljiljana Strajnić, Rodrigo Casassus, Kazuyoshi Baba, Martin Schimmel, Ama Amuasi, Ruwan D Jayasinghe, Sanela Strujić-Porović, Christopher C Peck, Han Xie, Karina Haugaard Bendixen, Miguel Angel Simancas-Pallares, Eka Perez-Franco, Mohammad Mehdi Naghibi Sistan, Patricia Valerio, Natalia Letunova, Nazik M Nurelhuda, David W Bartlett, Ikeoluwa A Oluwafemi, Saloua Dghoughi, Joao N Ferreira, Pathamas Chantaracherd, Ksenija Rener-Sitar","doi":"10.2478/sjph-2021-0029","DOIUrl":"10.2478/sjph-2021-0029","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the frequency of patients' oral health problems and prevention needs among Slovenian and international dentists with the aim to validate the four oral health-related quality of life (OHRQoL) dimensions across six clinical dental fields in all World Health Organization (WHO) regions.</p><p><strong>Methods: </strong>An anonymous electronic survey in the English language was designed using Qualtrics software. A probability sampling for Slovenia and a convenience sampling strategy for dentist recruitment was applied for 31 countries. Dentists engaged in six dental fields were asked to categorize their patients' oral health problems and prevention needs into the four OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact). Proportions of patients' problems and prevention needs were calculated together with the significance of Slovenian and international dentists' differences based on dental fields and WHO regions.</p><p><strong>Results: </strong>Dentists (n=1,580) from 32 countries completed the survey. There were 223 Slovenian dentists (females: 68%) with a mean age (SD) of 41 (10.6) years and 1,358 international dentists (females: 51%) with a mean age (SD) of 38 (10.4). Pain-related problems and prevention needs were the most prevalent among all six dental fields reported by dentists; Slovenian (37%) and 31 countries (45%). According to Cohen, differences between Slovenia, the broader European Region, and 31 countries were considered non-significant (<0.1).</p><p><strong>Conclusion: </strong>According to the dentists' responses, the frequency of patients' oral health problems and prevention needs are proportionate between Slovenia and 31 countries, regionally and globally. The four OHRQoL dimensions can be considered universal across all dental fields.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"210-220"},"PeriodicalIF":1.6,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/af/sjph-60-210.PMC8643111.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development Dynamics of Health and Social Infrastructure for the Long-term Care - the Case of the Posavje Region. 长期护理卫生和社会基础设施的发展动态--波萨夫耶地区的案例。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0036
David Bogataj, Marija Bogataj, Marta Kavšek
{"title":"Development Dynamics of Health and Social Infrastructure for the Long-term Care - the Case of the Posavje Region.","authors":"David Bogataj, Marija Bogataj, Marta Kavšek","doi":"10.2478/sjph-2021-0036","DOIUrl":"10.2478/sjph-2021-0036","url":null,"abstract":"<p><strong>Background and purpose: </strong>The populations of rural areas across Europe, especially Slovenia, are ageing rapidly and the areas themselves are becoming depopulated. Therefore, this study aims to contribute to our understanding of the population dynamics and provide a method for forecasting housing and other long-term care needs.</p><p><strong>Method: </strong>The surveys questioned those responsible for long-term care, the caretakers in institutional care, and current and potential homecare users in rural areas of Slovenia. We wanted to discover what they considered as crucial in the process of long-term care deinstitutionalization. Our 2020-2050 projections are based on the surveys conducted across 38 municipalities in the Eastern Slovenian region and an in-depth empirical study in Posavje. The results are embedded in the demographic projections and the multistate transition model of the declining functional capacities to forecast the needed housing facilities and human resources.</p><p><strong>Results: </strong>The results are the time series of required capacities. Around 60% of respondents in Slovenian rural areas believe that even a better organization of homecare would not allow them to stay at home until death due to inadequately built housing and the absence of a continuous presence of caregivers. These findings were included in the projections. Therefore, community care in the network of Smart Silver Villages was proposed.</p><p><strong>Discussion: </strong>Investments are needed to renovate the housing stock of older adults and construct sheltered, assisted living housing and specialized households in the community. Moreover, proper education and training of human resources would increase the output. In addition, financial solutions are advised to develop Smart Silver Villages.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"269-277"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/bc/sjph-60-269.PMC8643109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39594867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Questionnaire for Rating Health-related Quality of Life. 健康相关生活质量评定问卷。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0035
Slobodan M Janković, Nataša Bogavac-Stanojević, Iva Mikulić, Sebija Izetbegović, Ivana Iličković, Dušanka Krajnović, Enra Suljic Mehmedika, Refet Gojak, Admir Mehičević, Belma Gazibera, Nevena Mahmutbegović, Milorad Stojadinović, Nikola Janković, Sanja K Miljković, Slađana Popović, Bojan Blidarević, Snežana Mugoša, Zorana Đorđević
{"title":"A Questionnaire for Rating Health-related Quality of Life.","authors":"Slobodan M Janković,&nbsp;Nataša Bogavac-Stanojević,&nbsp;Iva Mikulić,&nbsp;Sebija Izetbegović,&nbsp;Ivana Iličković,&nbsp;Dušanka Krajnović,&nbsp;Enra Suljic Mehmedika,&nbsp;Refet Gojak,&nbsp;Admir Mehičević,&nbsp;Belma Gazibera,&nbsp;Nevena Mahmutbegović,&nbsp;Milorad Stojadinović,&nbsp;Nikola Janković,&nbsp;Sanja K Miljković,&nbsp;Slađana Popović,&nbsp;Bojan Blidarević,&nbsp;Snežana Mugoša,&nbsp;Zorana Đorđević","doi":"10.2478/sjph-2021-0035","DOIUrl":"https://doi.org/10.2478/sjph-2021-0035","url":null,"abstract":"<p><strong>Background: </strong>Translations of instruments for measuring quality of life developed in certain, mostly more developed, parts of the world usually do not cover regionally specific aspects of health-related quality of life, even after transcultural validation. The aim of this study was to develop and validate a reliable questionnaire in Serbian, Croatian, Bosnian, and Montenegrin languages suitable for measuring health-related quality of life in adults.</p><p><strong>Methods: </strong>The study was of a cross-sectional type, assessing the reliability and validity of a newly developed questionnaire for measuring health-related quality of life (HRQoL) in adults residing in western Balkan states (WB-HRQoL). It was conducted on a sample of 489 adults from Serbia, Croatia, Bosnia & Herzegovina, and Montenegro, with a mean age of 52.2±14.4 years and a male/female ratio of 195/294 (39.9%/60.1%).</p><p><strong>Result: </strong>The definitive version of the WB-HRQoL scale with 19 items showed very good reliability, with Cronbach's alpha 0.905. The scale was temporally stable, and satisfactory results were obtained for divergent and convergent validity tests. Exploratory factorial analysis brought to the surface four domains of health-related quality of life, namely the physical, psychical, social, and environmental.</p><p><strong>Conclusion: </strong>The WB-HRQoL scale is a reliable and valid generic instrument for measuring HRQoL that takes into account the cultural specifics of the western Balkan region.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"260-268"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/55/sjph-60-260.PMC8643113.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39594866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Students in Danger: Binge Drinking Behaviour and Associated Factors in Hungary. 危险中的学生:匈牙利的酗酒行为和相关因素。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0033
Anita Lukács, Andrea Szabó, Edina Horváth, Zsuzsanna Máté, Csaba Erdős, Regina Molnár, Edit Paulik
{"title":"Students in Danger: Binge Drinking Behaviour and Associated Factors in Hungary.","authors":"Anita Lukács,&nbsp;Andrea Szabó,&nbsp;Edina Horváth,&nbsp;Zsuzsanna Máté,&nbsp;Csaba Erdős,&nbsp;Regina Molnár,&nbsp;Edit Paulik","doi":"10.2478/sjph-2021-0033","DOIUrl":"https://doi.org/10.2478/sjph-2021-0033","url":null,"abstract":"<p><strong>Introduction: </strong>Among young adults, high rates of binge drinking were observed in certain European countries. Binge drinking is associated with several health problems (unplanned pregnancy, HIV infections, problems with memory, and injuries). The aim of this questionnaire-based study was to measure the frequency of binge drinking and its association with sociodemographic, familial, lifestyle factors and school performance among secondary and university students (n=2449) in Csongrád County, Hungary.</p><p><strong>Methods: </strong>In this cross-sectional study the students' sociodemographic data, parents' educational and economic level, and students' academic performance and self-reported use of tobacco, drugs, and alcohol were collected by a questionnaire. Descriptive statistics and multivariable binary logistic regression analyses were applied using SPSS 24.0 software.</p><p><strong>Results: </strong>Altogether 2449 Hungarian secondary school students and university students participated in the study. Nearly one-third of the students were classified as binge drinkers, significantly more male university students. Tobacco or illicit drug use resulted in higher odds of being a binge drinker in both subgroups. Poor school performance and binge drinking were significantly correlated especially among secondary school students.</p><p><strong>Conclusions: </strong>Targeting alcohol, tobacco, and illicit drug use together, including education, parent interventions, and public health policies, are crucial in the prevention of possible serious consequences.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"244-252"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/d1/sjph-60-244.PMC8643116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
E-learning as an Effective Method in the Prevention of Patient Falls. 电子学习是预防患者跌倒的有效方法。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0034
Jana Horová, Iva Brabcová, Petra Bejvančická
{"title":"E-learning as an Effective Method in the Prevention of Patient Falls.","authors":"Jana Horová,&nbsp;Iva Brabcová,&nbsp;Petra Bejvančická","doi":"10.2478/sjph-2021-0034","DOIUrl":"https://doi.org/10.2478/sjph-2021-0034","url":null,"abstract":"<p><strong>Objectives: </strong>Patient falls deteriorate patients' functional condition and quality of life, and increase their treatment costs. E-learning is considered an effective way to gain knowledge and competencies for quality and safety in nursing practice. The aim of the study is to evaluate the effectiveness of an e-learning course for nurses in preventing in-patient falls.</p><p><strong>Methods: </strong>The research design was mixed. In the first phase of the study, a five-year retrospective analysis of 2,280 in-patient falls was performed. Based on the analysis of risk factors for patient falls and group interviews with clinic managers an e-learning course was designed and completed by 250 nurses from five surgical and internal departments. The course's effectiveness was evaluated based on the incidence of patient falls and the consequences of the falls before and after e-learning.</p><p><strong>Results: </strong>At surgical departments, there was a statistically significant decrease in patient fall indices after the implementation of the e-learning course (from 4.4 to 2.6 falls per 1,000 patients; p=0.022). On the contrary, in internal departments, this index increased in the monitored period (from 19.0 to 26.9 falls per 1,000 patients; p=0.001). In all departments, there was a decrease in the incidence of patient injuries caused by falls after the implementation of the e-learning course; in internal medicine, this decrease was statistically significant (from 54.5% to 33.3%; p=0.014).</p><p><strong>Conclusions: </strong>The study confirmed that e-learning forms of education for healthcare professionals have a positive effect in preventing patient falls.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"253-259"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/0d/sjph-60-253.PMC8643112.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Self-reported Sexually Transmitted Infections and Healthcare in Slovenia: Findings from the Second National Survey of Sexual Lifestyles, Attitudes and Health, 2016-2017. 斯洛文尼亚自我报告的性传播感染和保健:2016-2017年第二次全国性生活方式、态度和健康调查的结果。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0030
Irena Klavs, Lina Berlot, Maja Milavec, Tanja Kustec, Marta Grgič-Vitek, Darja Lavtar, Metka Zaletel
{"title":"Self-reported Sexually Transmitted Infections and Healthcare in Slovenia: Findings from the Second National Survey of Sexual Lifestyles, Attitudes and Health, 2016-2017.","authors":"Irena Klavs,&nbsp;Lina Berlot,&nbsp;Maja Milavec,&nbsp;Tanja Kustec,&nbsp;Marta Grgič-Vitek,&nbsp;Darja Lavtar,&nbsp;Metka Zaletel","doi":"10.2478/sjph-2021-0030","DOIUrl":"https://doi.org/10.2478/sjph-2021-0030","url":null,"abstract":"<p><strong>Introduction: </strong>Objectives were to estimate the lifetime prevalence of self-reported sexually transmitted infections (STIs) and describe STIs healthcare.</p><p><strong>Methods: </strong>Data was collected in the period 2016-2017 from a probability sample of the general population, 18-49 years old, at respondents' homes by a combination of face-to-face interviews and self-administration of more sensitive questions. Statistical methods for complex survey data were used to account for stratification, clustered sampling, and weighting.</p><p><strong>Results: </strong>Approximately every tenth sexually experienced individual reported to have had genitourinary symptoms suggestive of STIs, but only a minority of them reported to have had those respective STIs diagnosed. The proportion of sexually experienced individuals that reported to have ever been diagnosed with an STI (excluding trichomoniasis, pubic lice for men and women, and pelvic inflammatory disease, vaginal thrush, bacterial vaginosis for women) was 2.4% for men and 6.7% for women (p<0.001). Independent risk factors associated with self-reported STIs in women included at least 10 lifetime sexual partners and having been forced into sex. The majority of the last STI episodes in women were treated by gynaecologists accessible at the primary healthcare level and in men by a dermatovenerologist, after referral by a general practitioner. Approximately half of STI patients were counselled for safer sex and majority reported to have notified their sexual contacts.</p><p><strong>Conclusions: </strong>Our estimates for lifetime prevalence of self-reported STIs in a probability sample of Slovenian sexually experienced men and women, 18-49 years old, indicate a substantial national burden of STIs. The results will inform national STI prevention and control policies and strategies.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"221-229"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/7c/sjph-60-221.PMC8643108.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working Conditions and Satisfaction with Working Conditions among Slovenian Family Medicine Trainees: A Cross-sectional Study. 斯洛文尼亚家庭医学实习生的工作条件和工作条件满意度:一项横断面研究。
IF 1.5 4区 医学
Zdravstveno Varstvo Pub Date : 2021-10-20 eCollection Date: 2021-12-01 DOI: 10.2478/sjph-2021-0032
Klemen Pašić, Vojislav Ivetić
{"title":"Working Conditions and Satisfaction with Working Conditions among Slovenian Family Medicine Trainees: A Cross-sectional Study.","authors":"Klemen Pašić,&nbsp;Vojislav Ivetić","doi":"10.2478/sjph-2021-0032","DOIUrl":"https://doi.org/10.2478/sjph-2021-0032","url":null,"abstract":"<p><strong>Introduction: </strong>In order to achieve a high standard in training programmes for future family medicine specialists, it is essential to have good tutors with well-organised family medicine practices. Proper working conditions for young doctors are essential for their satisfaction and future professional development. The aim of our study was to check the current working conditions of family medicine trainees in the practical modular part of the training programme in Slovenia, and to determine their satisfaction with working conditions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted. The data was collected through a questionnaire distributed to 105 family medicine trainees undergoing the practical modular part of their training programme.</p><p><strong>Results: </strong>The study showed that the following 7 out of 25 organisational and labour law factors are significantly associated with a trainee's general satisfaction with working conditions: the location where work with patients takes place, the privacy of the premises, the accessibility of the main tutor, a constant patient population, suitable places for rest, paid out-of-hours substitutions, and appropriate pay grade.</p><p><strong>Conclusion: </strong>The results we obtained can be used to address certain aspects of trainees' working conditions in Slovenia that need improvement. By determining which working conditions significantly affect a trainee's satisfaction, we have the opportunity to modify these conditions and thereby improve the training programme. This could result in a less stressful and more efficient residency programme.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"237-243"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/75/sjph-60-237.PMC8643115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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