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Knowledge of midwifery and physiotherapy students about the importance of regular gynecological examinations: research
Spolno zdravlje je bitan dio ljudskog života koji utječe i na općenito zdravlje cijelog organizma. Ginekološki pregled je iz tog razloga bitan čin kako bi se zdravlje očuvalo. Isto tako uz ginekološki pregled jednom godišnje bi se trebao raditi i PAPA test. Ukoliko su nalazi loši ili postoje neke komplikacije, na ginekološki pregled bi onda trebalo ići češće po savjetu odabranog ginekologa. Iako većina žena misli da bi na prvi pregled trebalo ići nakon prvog spolnog odnosa, preporuča se otići nakon prve menstruacije radi edukacije i savjetovanja s ginekologom. Ginekološki pregled osim razgovora i uzimanja anamneze se sastoji od bimanualnog pregleda, pregleda u spekulima tokom kojeg se uzima PAPA test ili se testiraju spolne bolesti te ultrazvuk. Pregledavaju se vanjski i unutarnji spolni organi. Na temelju nalaza ginekolog određuje terapiju ukoliko je ona potrebna. Bitno je dijagnosticirati bolest na njenom samom početku kako bi se što prije počelo sa liječenjem i oporavkom.
Spolno prenosive bolesti (SPB) su zarazne bolesti koje se prenose direktnim kontaktom tokom spolnog odnosa. Postoje razne spolne infekcije, a jednu od najpoznatijih i najčešćih je HPV infekcija. Postoje dvije skupine tipova HPV-a visokorizične i niže rizične. Jednako je zastupljena i kod žena i kod muškaraca, ali najviše kod mladih ljudi zbog njihovog neodgovornog načina života, sve ranije stupanja u spolne odnose i čestog mijenjanja partnera. Potrebno je 15-20 godina od infekcije do pojave prvih simptoma. Simptomi su nevidljivi, nespecifični i rijetki. No infekcija može gradirati od lagane ili teške displazije do raka vrata maternice. Kako bi se preveniralo preporučuje se cijepljenje.
U ovom istraživanju cilj je bio ispitati tj. usporediti znanje studentica Fakulteta zdravstvenog studija u Rijeci, studija primaljstva i fizioterapije o važnosti redovitih ginekoloških pregleda. Sudjelovalo je 100 ispitanika prve, druge i treće godine studija. Ispitivanje je provedeno preko online ankete koja je napravljeno isključivo u svrhu ovog istraživanja. Sudjelovalo je 42 (42%) studentica druge godine studija kojih je bilo najviše, zatim treća godina njih 31(31%) te prva godina studija njih 27(27%). Većina ispitanica je završilo medicinsku srednju školu njih 73(73%) dok je njih 27(27%) dolazi iz neke druge srednje škole.
Rezultati istraživanja pokazuju kako znanje studentica primaljstva je znatno veće nego znanje studentica fizioterapije. Znanje studentica treće godine primaljstva nije znatno veće od znanja studentica prve i druge godine isto kao i znanje studentica fizioterapije treće godine gdje se znanje ne razlikuje od nižih godina. Studentice koje su završile srednju medicinsku školu imaju znatno veće znanje nego studentice koje su završile neku drugu srednju školu.Sexual health is an important part of human life that also affects the general health of the whole organism. For this reason, a gynecological examination is an important act in order to preserve health. Likewise, along with a gynecological examination, a PAPA test should be done once a year. If the findings are bad or there are some complications, you should go for a gynecological examination more often on the advice of your chosen gynecologist. Although most women think that the first examination should be done after the first sexual intercourse, it is recommended to go after the first period for education and consultation with a gynecologist. In addition to the interview and history taking, the gynecological examination consists of a bimanual examination, a speculum examination during which a PAPA tets is taken or sexually transmitted diseases are tested for, and an ultrasound. External and internal genitals are examined. Based on the findings, the gynecologist determines the therapy if it is necessary. It is important to diagnose the disease at its very beginning in order to start treatment and recovery as soon as possible.
Sexually transmitted diseases (STDs) are infectious diseases that are transmitted by direct contact during sexual intercourse. There are various sexually transmitted infections, and one of the most well-known and common is HPV infection. There are two groups of HPV types, high-risk and low-risk. It is equally common in women and men, but mostly in young people due to their irresponsible lifestyle, starting sexual relations earlier and often changing partners. It takes 15-20 years from infection to the appearance of the first symptoms. Symptoms are invisible, non-specific and rare. But the infection can range from mild or severe dysplasia to cervical cancer. In order to prevent it, vaccination is recommended.
In this research, the goal was to examine, i.e. compare, the knowledge of female students of the Faculty of Health Studies in Rijeka, Midwifery and Physiotherapy, about the importance of regular gynecological examinations. 100 respondents from the first, second and third year of study participated. The survey was conducted through an online survey that was created exclusively for the purpose of this research. 42 (42%) second-year students took part, of which there were the most, followed by 31 (31%) third-year students and 27 (27%) first-year students. Most of the respondents graduated from medical high school, 73 of them (73%), while 27 of them (27%) came from another high school.
The research results show that the knowledge of midwifery students is significantly higher than the knowledge of physiotherapy students. The knowledge of third-year midwifery students is not significantly higher than the knowledge of first- and second-year students, as well as the knowledge of third-year physiotherapy students, where the knowledge does not differ from lower years. Female students who graduated from secondary medical school have significantly greater knowledge than female students who graduated from another secondary school
Students’ understanding on microscopic models of electrical and thermal conductivity: Findings within the development of a multiple-choice concept inventory
Solid-state physics has important applications in the development of modern technologies. Although solid-state concepts, such as electric and thermal conductivity, are included in the curricula at all educational levels, even university students have many incorrect ideas about them. The incorrect ideas identified in previous studies are mainly related to macroscopic aspects of solid-state physics. With the aim of gaining a more comprehensive insight into students’ understanding of solid-state physics, we have developed a multiple-choice concept inventory on microscopic models of electric and thermal conductivity of solids (METCS). The inventory has been field-tested with a sample consisting of 233 first-year medical faculty and engineering students from the University of Rijeka (Croatia). METCS proved to have good psychometric features and it helped to uncover many incorrect ideas that have not been reported in the earlier physics education literature. The findings from this study could be a good starting point for the development of evidence-based, university-level tutorials on microscopic models of electric and thermal conductivity
Frequency of variable cardiovascular risk factors associated with lifestyle habits in student age
SAŽETAK
Uvod: Kardiovaskularne bolesti su danas jedan od glavnih uzročnika pobola u svijetu. Glavni uzročnici pojave kardiovaskularnih bolesti su čimbenici koji su povezani sa životnim navikama, odnosno stilom života. Pušenje, tjelesna neaktivnost i pretilost uvelike utječu na pojavu bolesti, a urbanizacijom i modernizacijom broj osoba kod kojih su zastupljeni ovi čimbenici sve je veći. Cilj ovog istraživanja je utvrditi učestalost promjenjivih kardiovaskularnih čimbenika u studentskoj dobi koje su povezane sa životnim navikama.
Materijali i metode: Istraživanje je provedeno među studentima različitih smjerova Fakulteta zdravstvenih studija u Rijeci primjenom međunarodno validiranog upitnika „EHIS wave 1 guidelines 2010“ Odbora za statistiku (Eurostat) Europske komisije, u istraživanju je sudjelovalo 100 ispitanika.
Rezultati: Rezultati istraživanja su pokazali da većina studenata ima normalnu tjelesnu masu. Pušenje je više zastupljeno kod studenata nego kod studentica. Nedovoljna tjelesna aktivnost prisutna je kod svih studenata, iako su studenti tjelesno aktivniji od studentica.
Zaključak: Nezdrave životne navike, pretilost među mladim ljudima, navika pušenja stvorena tijekom adolescencije i sjedilački način života postali su uobičajeni problemi među studentima, što potvrđuje i ovo istraživanje. To stvara širok raspon čimbenika rizika za potencijalni razvoj kardiovaskularnih bolesti u starijoj dobi. Stoga je tijekom fakultetskog obrazovanja ključno poduzeti preventivne mjere za bolju kontrolu čimbenika kardiovaskularnog rizika i promicanje zdravijeg i duljeg života.ABSTRACT
Introduction: Cardiovascular diseases are currently one of the main causes of morbidity worldwide. The main causes of cardiovascular diseases are factors associated with lifestyle habits. Smoking, physical inactivity, and obesity greatly influence the occurrence of these diseases, and with urbanization and modernization, the number of people with these factors is increasing. The aim of this study is to determine the prevalence of modifiable cardiovascular factors among students that are associated with lifestyle habits.
Materials and Methods: The research was conducted among students of various departments at the Faculty of Health Studies in Rijeka using the internationally validated questionnaire "EHIS wave 1 guidelines 2010" by the Statistical Office (Eurostat) of the European Commission. A total of 100 respondents participated in the study.
Results: The research results showed that the majority of students have a normal body mass. Smoking is more prevalent among male students than female students. Insufficient physical activity is present among all students, although male students are more physically active than female students.
Conclusion: Unhealthy lifestyle habits, obesity among young people, smoking habit created during adolescence and a sedentary lifestyle have become common problems among students, which is confirmed by this research. This creates a wide range of risk factors for the potential development of cardiovascular disease in old age. Therefore, during college education, it is crucial to take preventive measures to better control cardiovascular risk factors and promote a healthier and longer life
RESPIRATORY THERAPY IN PATIENTS WITH POST-COVID-19 SYNDROME: research
Uvod: Coronavirusna bolest (COVID-19) je uzrokovana SARS-CoV-2 (teški akutni respiratorni sindrom koronavirus-2). Bolest se širi kapljičnim prijenosom s čovjeka na čovjeka. Nakon ozdravljenja akutnog oblika bolesti, osobe mogu razviti post-COVID-19 sindrom. Post-COVID-19 sindrom karakteriziraju specifični simptomi koji mogu trajati duži period vremena.
Cilj istraživanja: odrediti učinak respiratorne fizioterapije nad pacijentima s post-COVID-19 sindromom. Usporedile su se vrijednosti 6 minutnog testa hoda, jakosti stiska lijeve i desne šake i MIP-a (maksimalni udisajni tlak) prije i poslije respiratorne fizioterapije.
Ispitanici i metode: u ovome istraživanju sudjelovalo je 40 ispitanika s dijagnozom postCOVID-19 sindromom. Simptomi koji su zahvaćali pacijente su: osjećaj gubitka daha, smanjenje kondicije i zaduha. Istraživanje je retrospektivnog tipa. Uzeti su podatci MIP-a, 6 minutnog testa hoda i jakosti lijeve i desne šake prije i poslije respiratorne fizioterapije.
Rezultati: pronađena je statistički značajna razlika 6 minutnog testa hoda izraženih u metrima prije i poslije respiratorne fizioterapije (p=0.014). Mjerenjem jakosti stiska lijeve šake pronađena je statistički značajna razlika (p=0.000), i desne šake (p=0.000) prije i poslije respiratorne fizioterapije. Mjerenjem MIP-a (maksimalni udisajni tlak) također je pronađena statistički značajna razlika (p=0.000) prije i poslije respiratorne fizioterapije. Vrijednosti pokazuju poboljšanje nakon respiratorne fizioterapije.
Zaključak: rezultati pokazuju uspješnost respiratorne fizioterapije kod pacijenata koji boluju od post-COVID-19 sindroma.Introduction: The coronavirus disease (COVID-19) is caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2). The disease is spread by droplet transmission from person to person. After recovering from the acute form of the disease, people may develop post-COVID-19 syndrome. Post-COVID-19 syndrome is characterized by specific symptoms that can last for a long time.
The aim of the research: to determine the effect of respiratory physiotherapy in patients with post-COVID-19 syndrome. The values of the 6-minute walk test, left and right hand grip strength and MIP (maximum inspiratory pressure) before and after respiratory physiotherapy were compared.
Subjects and methods: 40 subjects diagnosed with post-COVID-19 syndrome participated in this study. The symptoms that affected the patients were: a feeling of loss of breath, a decrease in fitness and shortness of breath. The research is retrospective. The data of MIP, 6-minute walking test and left and right hand strength test were taken before and after respiratory physiotherapy.
Results: a statistically significant difference was found in the 6-minute walking test expressed in meters before and after respiratory physiotherapy (p=0.014). A statistically significant difference was found by measuring the grip strength of the left hand (p=0.000) and the right hand (p=0.000) before and after respiratory physiotherapy. By measuring MIP (maximum inspiratory pressure), a statistically significant difference (p=0.000) was also found before and after respiratory physiotherapy. Values show improvement after respiratory physiotherapy.
Conclusion: the results show the success of respiratory physiotherapy in patients suffering from post-COVID-19 syndrome
THE RELATIONSHIP BETWEEN PARENTAL KNOWLEDGE OF PROPER NUTRITION AND OBESITY IN PRESCHOOL CHILDREN
UVOD: Učestalost pretilosti kod djece je u porastu na globalnoj razini, a povezuje se s brojnim čimbenicima rizika za bolesti srca i krvnih žila te drugih kroničnih nezaraznih bolesti u odrasloj dobi. CILJ: Glavni cilj istraživanja bio je procijeniti znanje roditelja predškolske djece o zdravoj prehrani, a specifični ciljevi istraživanja bili su analizirani ITM djece te ispitati povezanost znanja roditelja o pravilnoj prehrani, ITM roditelja, financijskog statusa roditelja i stupnja obrazovanja majke s ITM djece. METODE: U istraživanju je sudjelovalo 101 dijete predškolske dobi (3-7 godina) i jedan od njihovih roditelja, koji su svojevoljno odlučili sudjelovati u istraživanju. Podaci o dobi, visini i masi djece prikupljeni su iz dokumentacije vrtića, dok su upitnikom prikupljeni sociodemografski podaci roditelja i procijenjeno znanje o prehrani pomoću skraćene verzije Upitnika o generalnom znanju o prehrani.ABSTRACT INTRODUCTION: The prevalence of obesity in children is increasing globally, and it is associated with numerous risk factors for cardiovascular diseases and other chronic non-communicable diseases in adulthood. OBJECTIVE: The main objective of the research was to assess the knowledge of parents of preschool children about healthy nutrition, and the specific objectives of the research were to analyze the BMI of children and examine the connection between parents' knowledge of proper nutrition, BMI of parents, financial status of parents and level of education of mothers and BMI of children. METHODS: 101 preschool children (3-7 years old) and one of their parents participated in the research, who voluntarily decided to participate in the research. Data on the children's age, height and weight were collected from the kindergarten documentation, while the sociodemographic data of the parents were collected using a questionnaire and knowledge about nutrition was assessed using a shortened version of the Questionnaire on general knowledge about nutrition
THE INCIDENCE OF KNEE INJURIES IN THE SPECIAL ORTHOPEDIC HOSPITAL BIOGRAD NA MORU IN THE PERIOD 2021. – 2023.: research
Uvod i cilj istraživanja: Ozljede koljena predstavljaju značajan zdravstveni problem s raznolikim uzrocima i vrstama, uključujući akutne ligamentne ozljede, meniskealna oštećenja i kronična stanja poput tendinitisa. Cilj istraživanja je ispitati incidenciju i karakteristike ozljeda koljena kod bolesnika u Specijalnoj bolnici za ortopediju Biograd na Moru tijekom 2021. - 2023. godine. Specifični ciljevi uključuju proučavanje učestalosti, distribucije prema spolu, trajanja hospitalizacije, metode liječenja i trajanja oporavka ovisno o vrsti ozljede.
Materijali i metode: Istraživanje je provedeno retrospektivnim pregledom medicinskih zapisa bolesnika starijih od 18 godina s ozljedama koljena u Specijalnoj bolnici za ortopediju Biograd na Moru tijekom 2021.-2023. godine. Podaci su prikupljeni i obrađeni koristeći standardizirane postupke kako bi se osigurala točnost, a statistička obrada uključivala je metode poput Mann-Whitneyjevog U testa i Kruskal-Wallisovog testa. Istraživanje je provedeno etički, uz odobrenje Etičkog povjerenstva, s anonimizacijom podataka i zaštitom privatnosti bolesnika.
Rezultati: Istraživanje je obuhvatilo 1142 ispitanika s ozljedama koljena, među kojima su 43,5 % muškarci i 56,5 % žene, većinom stariji od 50 godina. Najčešća dijagnoza bila je M17 (88,6 %), a 97,1 % ispitanika bilo je podvrgnuto operaciji, s prosječnim trajanjem hospitalizacije od 7,37 dana. Statistički značajne razlike u raspodjeli dijagnoza prema spolu, dobi i broju dana hospitalizacije ukazuju na različite obrasce ozljeda i liječenja među različitim skupinama bolesnika.
Zaključak: Istraživanje je pokazalo da je osteoartritis koljena (M17) najčešća dijagnoza, češća kod starijih i žena, dok su dislokacije i uganuća koljena češći kod muškaraca. Bolesnici s težim ozljedama poput prijeloma imaju dulje trajanje hospitalizacije i češće su podvrgnuti operativnom liječenju. Statistički značajna razlika u duljini hospitalizacije između spolova ukazuje na potrebu za prilagođenim pristupima liječenju i prevenciji ozljeda koljena.Introduction and research objectives: Knee injuries are a major health problem with various causes and types, including acute ligament injuries, meniscus damage and chronic conditions such as tendinitis. The aim of this study is to investigate the incidence and characteristics of knee injuries in patients of the Specialized Orthopedic Hospital Biograd na Moru in the period from 2021 to 2023. The specific objectives include analyzing the frequency, distribution by gender, length of hospital stay, treatment methods and recovery time depending on the type of injury.
Materials and methods: The research was conducted through a retrospective review of medical records of patients over 18 years of age with knee injuries at the Specialized Orthopedic Hospital Biograd na Moru in the period 2021-2023. Data were collected and analyzed using standardized procedures to ensure accuracy, and statistical analysis included methods such as the Mann-Whitney U test and the Kruskal-Wallis test. The study was conducted ethically, with ethics committee approval, and data anonymization and patient privacy were ensured.
Results: The study involved 1142 patients with knee injuries, 43.5 % of whom were men and 56.5 % women, most of whom were over 50 years old. The most common diagnosis was M17 (88.6 %), and 97.1 % of patients underwent surgery, with an average hospital stay of 7.37 days. Statistically significant differences in the distribution of diagnoses by gender, age and hospitalization days indicate different injury and treatment patterns in the different patient groups.
Conclusion: The study found that knee osteoarthritis (M17) is the most common diagnosis and is more common in older adults and women, while dislocations and sprains are more common in men. Patients with serious injuries such as fractures need to stay in hospital longer and are more likely to undergo surgery. Statistically significant differences in the duration of hospitalization between the sexes point to the need for tailored concepts for the treatment and prevention of knee injuries
Patient satisfaction after installation of dental implants
Zubni implantat je struktura izrađena od aloplastičnih materijala ugrađenih u oralna tkiva ispod sluznice i/ili periosta ili kroz kost kako bi se osigurala retencija i potpora za fiksnu ili uklonjivu zubnu protezu (1). Implantologija je druga najstarija stomatološka profesija; a egzodoncija (oralna kirurgija) je najstarija. Zubni implantati postali su znanstveni kamen temeljac nakon slučajnog izuma dr. Branemarka koji je pomogao u evoluciji koncepta oseointegracije, a to je izravno, kruto pričvršćivanje implantata za kost bez ikakvog intervenirajućeg tkiva između dva implantata (2). Ispravno poznavanje anatomskih obilježja i njihovih varijacija prije postavljanja implantata neophodno je kako bi se osigurao precizan kirurški postupak i zaštitio pacijenta od jatrogenih komplikacija (3). Precizna procjena pojedinih anatomskih čimbenika kao što su položaj mandibularnog kanala, maksilarnog sinusa, širina kortikalnih ploča, postojeća gustoća kosti i sl. vrlo je važna u pravilnom odabiru implantata i planiranju najprikladnijeg položaja implantata u postojećem kliničkom stanju. Važne anatomske strukture u maksili su dno nosa, nazopalatinalni kanal sprijeda i maksilarni sinus straga. Jatrogena perforacija sinusa česta je komplikacija. Ovaj se problem može riješiti izborom kratkih implantata te zahvatom sinus lifta i augmentacije kosti (4).
Najvažnije anatomsko razmatranje pri postavljanju implantata u luk mandibule je mjesto inferiornog alveolarnog kanala koji sadrži inferiorni alveolarni živac i arteriju. Ozljeda ovih vitalnih struktura tijekom ugradnje implantata može uzrokovati bol, promjenu osjeta, prekomjerno krvarenje itd. Stoga je važno odrediti lokaciju kao i konfiguraciju mandibularnog kanala prije ugradnje implantata (5).
Cilj rada je istražiti, prikazati i opisati zadovoljstvo pacijenata nakon ugradnje dentalnih implantanata i povezanost zadovoljstva sa spolom, životnom dobi, kroničnim bolestima i mogućim komplikacijama. Rad doprinosi znanosti i struci kroz prikaz uzroka zadovoljstva pacijenata u odnosu na spol, životnu dob, bolesti i komplikacije. Rezultati istraživanja upućuju na intervencije kojima bi se potencijalno umanjili uzroci koji dovode do nezadovoljstva te smanjile komplikacije do kojih može doći. Rad može poslužiti kao izvor podataka za izradu drugih stručnih te znanstvenih radova.A dental implant is a structure made of alloplastic materials embedded in the oral tissues under the mucosa and/or periosteum or through the bone to provide retention and support for a fixed or removable dental prosthesis (1). Implantology is the second oldest dental profession; and exodontia (oral surgery) is the oldest. Dental implants became a scientific cornerstone after Dr. Branemark's accidental invention that helped evolve the concept of osseointegration, which is the direct, rigid attachment of an implant to bone without any intervening tissue between the two implants (2). Correct knowledge of anatomical features and their variations before implant placement is necessary to ensure a precise surgical procedure and protect the patient from iatrogenic complications (3). A precise assessment of individual anatomical factors such as the position of the mandibular canal, maxillary sinus, width of the cortical plates, existing bone density, etc. is very important in the correct selection of implants and planning the most suitable position of the implant in the existing clinical condition. Important anatomical structures in the maxilla are the floor of the nose, the nasopalatine canal anteriorly and the maxillary sinus posteriorly. Iatrogenic sinus perforation is a common complication. This problem can be solved by choosing short implants and sinus lift and bone augmentation (4).
The most important anatomical consideration when placing an implant in the mandibular arch is the location of the inferior alveolar canal containing the inferior alveolar nerve and artery. Injury to these vital structures during implant placement can cause pain, altered sensation, excessive bleeding, etc. Therefore, it is important to determine the location as well as the configuration of the mandibular canal before implant placement (5).
The aim of the work is to investigate, present and describe the satisfaction of patients after the installation of dental implants and the connection of satisfaction with gender, age, chronic diseases and possible complications. The work contributes to science and the profession by showing the causes of patient satisfaction in relation to gender, age, diseases and complications. The results of the research point to interventions that could potentially reduce the causes that lead to dissatisfaction and reduce the complications that may occur. The paper can serve as a source of data for the preparation of other professional and scientific works
Knowledge and attitudes of undergraduate nursing students about vaccination
Uvod
Cijepljenje ili aktivna imunizacija postupak je u kojem se u ljudsko tijelo unosi određene tvari, te se pomoću njega imunosni sustav obavještava o uzročniku s kojim još nije došao u kontakt. Cilj ovog istraživanja bio je ispitati znanja i stavove studenata prijediplomskog stručnog studija sestrinstva Fakulteta zdravstvenih studija u Rijeci o cijepljenju.
Materijali i metode
U istraživanju su sudjelovali studenti prijediplomskog stručnog studija sestrinstva Fakulteta zdravstvenih studija u Rijeci. Upitnik je proveden putem Google Formsa, te ga je ispunilo 100 ispitanika. U istraživanju su bili uključeni ispitanici oba spola podijeljeni u 4 starosne skupine od 18 godina do preko 50 godina.
Rezultati
Od 100 ispitanika koji su sudjelovali u istraživanju, ženskog spola bilo je 93 ispitanika (93%) i 7 ispitanika muškog spola (7%). Rezultati su pokazali kako nema značajne statističke razlike u znanju (redovni - Me (IQR) i stavovima (redovni - Me (IQR) 7 (6 – 8); izvanredni - Me (IQR) 7 (5 – 8)) stavovima (redovni - Me (IQR) 59 (56 – 65); izvanredni - Me (IQR) 60 (55 – 65)) studenata ovisno o njihovom studentskom statusu (redovni ili izvanredni). Rezultati su pokazali kako nema značajne statističke razlika u znanju studenata prema njihovom statusu (χ2 test; p > 0,05), te kako nema značajne statističke razlike u stavovima prema statusu studiranja (Mann Whitney test; p > 0,05).
Zaključak
Tema cijepljenja među studentima potiče raspravu, te je izrazito bitna jer su medicinske sestre prve u kontaktu s pacijentima. Tijekom ovog istraživanja dokazana je značajna statistička razlika u znaju studenata ovisno o završenom srednjoškolskom obrazovanju. Rezultati su pokazali kako studenti s završenom srednjom medicinskom školom imaju značajno bolje znanje od studenata s završenom gimnazijom. Isto tako dokazano je kako postoji povezanost između znanja i stavova studenata. Rezultati pokazuju što je bolje znanje studenta o cijepljenju, to su pozitivniji stavovi.Introduction
Vaccination or active immunization is a procedure in which certain substances are introduced into the human body, and by means of which the immune system is informed about the causative agent with which it has not yet come into contact. The aim of this research was to examine the knowledge and attitudes of undergraduate professional nursing students at the Faculty of Health Studies in Rijeka about vaccination.
Materials and methods
The students of the undergraduate professional study of nursing at the Faculty of Health Studies in Rijeka participated in the research. The questionnaire was administered via Google Forms, and 100 respondents filled it out. Respondents of both sexes, divided into 4 age groups from 18 years old to over 50 years old, were included in the research.
Results
Out of 100 respondents who participated in the research, 93 respondents (93%) were female and 7 respondents were male (7%). The results showed that there is no significant statistical difference in knowledge (regular - Me (IQR)) and attitudes (regular - Me (IQR) 7 (6 – 8); extraordinary - Me (IQR) 7 (5 – 8)) attitudes (regular - Me (IQR) 59 (56 – 65); part-time - Me (IQR) 60 (55 – 65)) of students depending on their student status (full-time or part-time). The results showed that there were no significant statistical differences in the students' knowledge according to their status (χ2 test; p > 0.05), and that there is no significant statistical difference in attitudes towards study status (Mann Whitney test; p > 0.05).
Conclusion
The topic of vaccination among students encourages discussion, and is extremely important because nurses are the first in contact with patients. During this research, a significant statistical difference in students' knowledge was demonstrated depending on theirs high school education. The results showed that students who completed secondary medical school have significantly better knowledge than students who completed gymnasium. It has also been proven that there is a connection between students' knowledge and attitudes. The results show that the better the student's knowledge about vaccination the more positive the attitudes
YOUTHFUL-PEER RELATIONSHIPS- BEAUTY OR VIOLENCE?
Posebna ljepota mladenačkih veza jest u lakoći s kojom se stvaraju planovi, zamišlja budućnost i planiraju zajednički pothvati. U razdoblju adolescencije događaju se mnoge promjene te započinju prve ljubavne veze. Zbog nedovoljnog iskustva u rješavanju problema u vezi mogu nastupiti razni oblici nasilog ponašanja partnera. Ovaj istraživački rad na temu “Mladenačke-vršnjačke veze” na početku definira obilježja adolescencije i mladenačkih veza, nadalje definira nasilje, govori o oblicima nasilja u mladenačkim vezama, rizičnim čimbenicima i prevetivnim programima nasilja. Oblici nasilja koji se javljaju mogu biti fizički, psihički, emocionalni a praćeni su verbalnim ili tjelesnim zlostavljanjem, prisilama i manipulacijama. Cilj ovog istraživačkog rada jest osvijestiti problem o zastupljenosti nasilja koje se javlja među vršnjacima u mladenačkim vezama. Istraživanje među ispitanicima se provodilo na Fakultetu zdravstvenih studija u Rijeci. Ispitanici koji su bili uključeni u istraživanje jesu redovni i izvanredni studenti prve, druge i treće godine prijediplomskog stručnog i sveučilišnog studija sestrinstva. Metoda uzorkovanja bio je uzorak, a broj ispitanika 103. Najviše je najmlađih ispitanika starih do 25 godina. Za ovo istraživanje je korišten upitnik za koji je unaprijed dobivena dozvola za njegovo korištenje. Rezultati istraživanja pokazuju da ispitanici nemaju poteškoća u prepoznavanju nasilnog ponašanja kao takvog, te različite oblike zlostavljajućih ponašanja poput kontrolirajućih ponašanja, ljubomore, i sličnog ne percipiraju kao znakove ljubavi.The special beauty of youthful relationships lies in the ease with which plans are made, the future is imagined, and joint ventures are planned. In the period of adolescence, many changes occur and the first love relationships begin. Due to insufficient experience in solving problems in a relationship, different forms of partner behavior may occur. This research paper on the topic "Youth-peer relationships" initially defines the characteristics of adolescence and youth relationships, further defines violence, talks about forms of violence in youth relationships, risk factors and violence prevention programs. The forms of violence that occur can be physical, psychological, emotional and accompanied by verbal or physical abuse, coercion and manipulation. The goal of this research work is to raise awareness of the problem of violence that occurs among peers in youth relationships. The survey among respondents was conducted at the Faculty of Health Studies in Rijeka. The respondents who were included in the research are full-time and part-time students of the first, second and third year of undergraduate professional and university nursing studies. The sampling method was a sample, and the number was 103. Most of the youngest respondents were under the age of 25. For this research, a questionnaire is used, for which permission for its use has been obtained in advance. The research results show that the respondents have no difficulty in recognizing violent behavior as such, and do not perceive different forms of abusive behavior (controlling behavior, love, etc.) as signs of love
Postoperative pain monitoring in the intensive care unit after total knee arthroplasty: research
Postoperativna bol definira se kao akutna bol koja nastaje kao direktna posljedica kirurške intervencije i traje od nekoliko sati do nekoliko dana nakon operacije. Može se reći kako se radi o vrlo složenom fiziološkom i psihološkom fenomenu s nizom neurofizioloških procesa uslijed oštećenja tkiva, upale i percepcije boli u središnjem živčanom sustavu. Postoperativna bol može značajno varirati u intenzitetu, trajanju i subjektivnom doživljaju među pacijentima, te je stoga bitno prilagoditi pristup svakom pojedincu. Adekvatno praćenje i upravljanje postoperativnom boli od kritične je važnosti za optimizaciju oporavka pacijenata i prevenciju komplikacija. Empirijsko istraživanje provedeno je na uzorku pacijenata koji su u razdoblju do 01.01.2020. do 31.12.2023. godine podvrgnuti operaciji totalne endoproteze koljena u Specijalnoj bolnici za ortopediju Biograd na Moru. Osnovni cilj rada je iIstražiti metode i načine praćenja postoperativne boli u jedinici intenzivnog liječenja nakon totalne endoproteze koljena.Postoperative pain is defined as acute pain that occurs as a direct consequence of surgical intervention and lasts from a few hours to a few days after the operation. It can be said that it is a very complex physiological and psychological phenomenon with a series of neurophysiological processes due to tissue damage, inflammation and pain perception in the central nervous system. Postoperative pain can vary significantly in intensity, duration and subjective experience among patients, and therefore it is important to adapt the approach to each individual. Adequate monitoring and management of postoperative pain is critical to optimizing patient recovery and preventing complications. Empirical research was conducted on a sample of patients who, in the period until January 1, 2020. until December 31, 2023. underwent total knee endoprosthesis surgery at the Special Orthopedic Hospital in Biograd na Moru. The main goal of the work is to investigate the methods and ways of monitoring postoperative pain in the intensive care unit after total knee arthroplasty