Uvod: Diplomirane medicinske sestre v patronažnem varstvu se vse pogosteje srečujejo z vse hitrejšimi odpusti iz bolnišnične obravnave. Če je poročanje o odpustu neustrezno, je nadaljevanje ...zdravstvene obravnave na domu oteženo. Namen raziskave je bil ugotoviti, kako poteka kontinuiteta zdravstvene obravnave v patronažnem varstvu po bolnišnični obravnavi otročnice, novorojenčka in ostalih pacientov ter kako diskontinuiteta vpliva na delo diplomiranih medicinskih sester v patronažnem varstvu.Metode: Uporabljena je bila kvalitativna metodologija raziskovanja. Na namenskem vzorcu sedmih diplomiranih medicinskih sester v patronažnem varstvu so bili izvedeni delno strukturirani intervjuji. Raziskava je potekala med decembrom 2018 in januarjem 2019. Podatke smo obdelali po metodi analize vsebine.Rezultati: Strukturo opisa sestavljajo trije tematski sklopi, ki opredeljujejo poročanje o odpustu iz bolnišnične obravnave: (1) Poročanje o odpustu pacientov iz bolnišnične obravnave; (2) Poročanje o odpustu otročnice in novorojenčka iz porodnišnice; (3) Diskontinuiteta zdravstvene obravnave.Diskusija in zaključek: Izsledki kažejo, da je treba za nadaljevanje zdravstvene obravnave na domu vzpostaviti enoten način obveščanja pri odpustu iz bolnišnične obravnave. Smiselno bi bilo vzpostaviti enoten informacijski sistem na nacionalni ravni. Lahko bi nadgradili že obstoječ sistem »e-Zdravje«, v katerem bi diplomiranim medicinskim sestram v patronažnem varstvu omogočili dostop do zdravstvene dokumentacije.
Over the last decade, the inadequacy and unsustainability of current healthcare services for managing long-term co-morbid and multi-morbid diseases have become evident.
This study, involving 426 ...adults with at least one non-communicable disease in Slovenia, aimed to explore the link between quality of life, life satisfaction, person-centred care, and non-communicable disease management.
Results indicated generally positive perceptions of quality of life, general health, and life satisfaction of individuals with non-communicable diseases. Participants assessed their physical health as the highest of the four quality of life domains, followed by the environment, social relations, and psychological health. Significant differences occurred in life satisfaction, general health, quality of life, and person-centred care for managing non-communicable diseases. But, there were no significant differences in person-centred care according to the living environment. The study revealed a positive association between person-centred care and effective non-communicable disease management, which is also positively associated with quality of life, general health, and life satisfaction.
Person-centred care is currently the most compassionate and scientific practice conceived, representing a high ethical standard. However, implementing this approach in healthcare systems requires a cohesive national strategy led by capable individuals to foster stakeholder collaboration. Such an approach is crucial to address the deficiencies of existing healthcare services and ensure person-centred care sustainability in non-communicable disease management.
Uvod: Vse pogosteje zaznavamo različne težave z načinom prehranjevanja pri otrocih. Otroci med 10. in 14. letom intenzivno rastejo in se razvijajo. Namen raziskave je bil ugotoviti vpliv izbirčnosti ...v prehrani otrok na njihovo prehranjenost v omenjeni starosti.Metode: Uporabljena je bila presečna opisna raziskava. Zajet je bil priložnostni vzorec osnovnošolcev zadnjega triletja. V raziskavi je sodelovalo 62 (49,2 %) učencev moškega in 64 (50,8 %) učencev ženskega spola zadnjega triletja ene izmed osnovnih šol v Sloveniji. Za zbiranje podatkov smo uporabili anketni vprašalnik, pridobili pa smo tudi podatke o telesni masi in višini. Uporabili smo opisno in sklepno statistiko (dvostranski test ANOVA).Rezultati: 37 (53,6 %) deklet in 28 (44,4 %) fantov je trdilo, da so izbirčni. Z dvostranskim testom ANOVA smo ugotovili, da obstaja povezava med izbirčnostjo in prehranjenostjo (p = 0,014). Pri dekletih je vidno večje odstopanje od prehranjenosti kot pri fantih.Diskusija in zaključek: Izbirčno prehranjevanje je v današnjem času zelo pogost problem, saj se je v njem prepoznala skoraj polovica vključenih učencev. Izbirčnost ima lahko negativne posledice v odrasli dobi. V starosti 10–14 let se ustvarjajo prehranjevalne navade, ki so lahko prisotne celotno življenje, zato je bistveno, da delujemo preventivno in s tem preprečimo negativne posledice. V prihodnosti bi bilo treba raziskovanje usmeriti v preventivne dejavnosti in promocijo zdravega prehranjevanja.
Uvod: Diplomirana medicinska sestra v patronažni dejavnosti opravlja oceno tveganja za padce pri starejših odraslih in svetuje o ustreznih ukrepih za preprečevanje padcev doma. Namen raziskave je bil ...raziskati najučinkovitejše ukrepe za preprečevanje padcev in najpogostejše dejavnike tveganja za padce v domačem okolju.Metode:: Izveden je bil pregled znanstvene literature v podatkovnih bazah PubMed, Science Direct in SAGE s kvalitativno vsebinsko analizo in sintezo. Iskanje literature je potekalo od aprila do oktobra 2019. Za prikaz poteka pregleda literature smo uporabili priporočila PRISMA.Rezultati: Izmed 347 zadetkov je bilo v končno analizo vključenih 11 izvirnih znanstvenih člankov in pregledov literature. En članek smo razvrstili v nivo 1, deset pa v nivo 4. Identificirane so bile glavna kategorija »padci pri starejših odraslih« in tri podkategorije: »pogostost padcev«, »dejavniki tveganja« in »ukrepi za preprečevanje padcev«. Pri odraslih, starejših od 65 let, smo ugotovili veliko dejavnikov, ki prispevajo k večjemu tveganju za padce, ter tudi učinkovite ukrepe za preprečevanje padcev v domačem okolju.Diskusija in zaključek: Padci imajo lahko zdravstvene, socialne in ekonomske posledice na ljudi in družbo, zato je na tem področju še veliko možnosti za raziskovanje. Dobro poznavanje dejavnikov tveganja in ukrepov za preprečevanje padcev je za diplomirano medicinsko sestro v patronažni dejavnosti izredno pomembno, saj je taka obravnava kakovostna, celostna in varna. Raziskava prispeva k izboljševanju klinične prakse pri delu s starejšimi odraslimi v domačem okolju.
Uvod: Diplomirana medicinska sestra v patronažni dejavnosti opravlja oceno tveganja za padce pri starejših odraslih in svetuje o ustreznih ukrepih za preprečevanje padcev doma. Namen raziskave je bil ...raziskati najučinkovitejše ukrepe za preprečevanje padcev in najpogostejše dejavnike tveganja za padce v domačem okolju. Metode:: Izveden je bil pregled znanstvene literature v podatkovnih bazah PubMed, Science Direct in SAGE s kvalitativno vsebinsko analizo in sintezo. Iskanje literature je potekalo od aprila do oktobra 2019. Za prikaz poteka pregleda literature smo uporabili priporočila PRISMA. Rezultati: Izmed 347 zadetkov je bilo v končno analizo vključenih 11 izvirnih znanstvenih člankov in pregledov literature. En članek smo razvrstili v nivo 1, deset pa v nivo 4. Identificirane so bile glavna kategorija »padci pri starejših odraslih« in tri podkategorije: »pogostost padcev«, »dejavniki tveganja« in »ukrepi za preprečevanje padcev«. Pri odraslih, starejših od 65 let, smo ugotovili veliko dejavnikov, ki prispevajo k večjemu tveganju za padce, ter tudi učinkovite ukrepe za preprečevanje padcev v domačem okolju. Diskusija in zaključek: Padci imajo lahko zdravstvene, socialne in ekonomske posledice na ljudi in družbo, zato je na tem področju še veliko možnosti za raziskovanje. Dobro poznavanje dejavnikov tveganja in ukrepov za preprečevanje padcev je za diplomirano medicinsko sestro v patronažni dejavnosti izredno pomembno, saj je taka obravnava kakovostna, celostna in varna. Raziskava prispeva k izboljševanju klinične prakse pri delu s starejšimi odraslimi v domačem okolju.
The aim of this was to psychometrically adapt and evaluate the Tilburg Frailty Indicator to assess frailty among older people living in Slovenia's community and nursing home settings.
A ...cross-cultural adaptation and validation of instruments throughout the cross-sectional study.
Older people living in the community and nursing homes throughout Slovenia were recruited between March and August 2021. Among 831 participants were 330 people living in nursing homes and 501 people living in the community, and all were older than 65 years.
All items were translated into the Slovene language, and a slight cultural adjustment was made to improve the clarity of the meaning of all items. The average scale validity index of the scale was rated as good, which indicates satisfactory content validity. Cronbach's α was acceptable for the total items and subitems.
The Slovenian questionnaire version demonstrated adequate internal consistency, reliability, and construct and criterion validity. The questionnaire is suitable for investigating frailty in nursing homes, community dwelling and other settings where older people live.
The Slovenian questionnaire version can be used to measure and evaluate frailty among older adults. We have found that careful translation and adaptation processes have maintained the instrument's strong reliability and validity for use in a new cultural context. The instrument can foster international collaboration to identify and manage frailty among older people in nursing homes and community-dwelling homes.
The Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting cross-sectional studies was used.
No patient or public involvement in the design or conduct of the study. Head nurses from nursing homes and community nurses helped recruit older adults. Older adults only contributed to the data collection and were collected from nursing homes and community dwelling.
Poor sleep quality is prevalent among older adults, but limited data document associations between frailty and quality of life comparing individuals living in the community with those in nursing ...homes. This cross-sectional study (conducted between August and November 2019) included 831 older adults (mean age 76.5 years) from Slovenia's community and nursing home settings. The results showed comorbidity in 38% of community-dwelling older adults and 31% of older adults in nursing homes. The prevalence of frailty among community-dwelling older adults was 36.5%, and among older adults in a nursing home was 58.5%. A total of 76% of community-dwelling older adults and 95.8% of nursing home residents reported poor sleep quality. Sleep quality and frailty predict 42.3% of the total variability of quality of life for older adults in nursing homes and 34.8% for community-dwelling older adults. The study's results indicate that the quality of life can be affected by factors (e.g., worse sleep quality and frailty) among older adults, regardless of being a resident or from the community. Understanding how sleep quality is affected by social, environmental, and biological factors can help improve sleep quality and potentially the quality of life of older adults.
Aim
To explore nurses' perceptions on caring for children and adolescents who are victims of domestic violence, medical treatment of a victim of domestic violence and social aspects of recognizing ...this problem.
Background
Nurses are often first to recognize family violence; thus, they must have appropriate knowledge, skills and experience. Caring for child victims of domestic violence can be very stressful and emotional and nurses must have support when caring for them.
Methods
A qualitative study was conducted between June and August 2020. Interviews were conducted with paediatric nurses in a university hospital in Slovenia. Interviews were transcribed, coded and synthesized.
Results
We identified four main categories: violence against children; nurses' perception of caring for a child victim of domestic violence; medical treatment of a child who is a victim of domestic violence; the social aspect of recognizing violence against a child.
Conclusions
Domestic violence is present regardless of country, language and nationality. Early interventions should be directed towards recognition of the signs of domestic violence and care for victims of violence and caregivers.
Implications for Nursing Management
It is the responsibility of healthcare systems, hospital managers and nurses themselves to provide nursing care for children and adolescent victims of domestic violence based on the newest and best evidence.
Uvod: Diplomirane medicinske sestre v patronažnem varstvu se vse pogosteje srečujejo z vse hitrejšimi odpusti iz bolnišnične obravnave. Če je poročanje o odpustu neustrezno, je nadaljevanje ...zdravstvene obravnave na domu oteženo. Namen raziskave je bil ugotoviti, kako poteka kontinuiteta zdravstvene obravnave v patronažnem varstvu po bolnišnični obravnavi otročnice, novorojenčka in ostalih pacientov ter kako diskontinuiteta vpliva na delo diplomiranih medicinskih sester v patronažnem varstvu. Metode: Uporabljena je bila kvalitativna metodologija raziskovanja. Na namenskem vzorcu sedmih diplomiranih medicinskih sester v patronažnem varstvu so bili izvedeni delno strukturirani intervjuji. Raziskava je potekala med decembrom 2018 in januarjem 2019. Podatke smo obdelali po metodi analize vsebine. Rezultati: Strukturo opisa sestavljajo trije tematski sklopi, ki opredeljujejo poročanje o odpustu iz bolnišnične obravnave: (1) Poročanje o odpustu pacientov iz bolnišnične obravnave; (2) Poročanje o odpustu otročnice in novorojenčka iz porodnišnice; (3) Diskontinuiteta zdravstvene obravnave. Diskusija in zaključek: Izsledki kažejo, da je treba za nadaljevanje zdravstvene obravnave na domu vzpostaviti enoten način obveščanja pri odpustu iz bolnišnične obravnave. Smiselno bi bilo vzpostaviti enoten informacijski sistem na nacionalni ravni. Lahko bi nadgradili že obstoječ sistem »e-Zdravje«, v katerem bi diplomiranim medicinskim sestram v patronažnem varstvu omogočili dostop do zdravstvene dokumentacije.
Good psychological well-being contributes to a satisfying life, reduces loneliness, and enables a better quality of life. Due to the COVID-19 pandemic, people worldwide have faced various challenges, ...which manifest in mental health problems, dissatisfaction with life and increased loneliness. This study aimed to investigate the influence of loneliness on mental well-being and life satisfaction among the adult population during the COVID-19 pandemic. A cross-sectional study was conducted between October 2021 and January 2022. A total of 664 participants took part in the survey, of whom 484 (73%) were female and 180 (27%) were male. Our results show that loneliness can explain 48% of the total variability in mental well-being and 52% of the variability in life satisfaction. The results show a higher level of loneliness and use of information and communication technology and a lower level of contact with relatives and friends, life satisfaction, and well-being during COVID-19 than they considered before the time of COVID-19. Study findings can help improve loneliness and mental well-being, and, consequently, life satisfaction.
PDF
