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    SELF-ASSESSMENT OF THE QUALITY OF LIFE IN CHRONIC PATIENTS THROUGH THE COMPONENT OF PHYSICAL HEALTH

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    Kvaliteta života odnosi se na dobrobit pojedinaca ili populacije, uključujući pozitivne i negativne aspekte njihovog života u određenom trenutku. U posljednja dva desetljeća, interes za proučavanje kvalitete života znatno je porastao, dijelom zbog nove definicije zdravlja SZO, koja sada obuhvaća ne samo odsutnost bolesti, već i cjelokupno fizičko, mentalno i socijalno blagostanje. Uz to, sve je veća potreba za procjenom učinkovitosti, sigurnosti i isplativosti novih terapija, pri čemu se u obzir uzima i pacijentov subjektivni osjećaj zdravlja. Cilj rada je utvrditi kako komponenta tjelesnog zdravlja i njegova samoprocjena utječu na kvalitetu života bolesnika s obzirom na vrstu kronične bolesti, te ispitati povezanost samoprocjene kvalitete života i zdravlja, kao i razliku u mobilnosti i zadovoljstvu u obavljanju svakodnevnih aktivnosti između ispitanika s kardiovaskularnim i reumatskim bolestima. U istraživanju je sudjelovao 391 ispitanik s kroničnim bolestima, a istraživanje je bilo anonimno i dobrovoljno. Podaci su prikupljeni putem validiranog WHOQOL-BREF upitnika SZO. Statistička obrada podataka provedena je u programu Statistica 14.0.0.15. Varijable iz upitnika izražene su na intervalnoj, a sociodemografski podaci na nominalnoj ljestvici. U analizi podataka korišteni su odgovarajući parametrijski i neparametrijski testovi, uz razinu značajnosti p<0,05. Istraživanje je pokazalo da postoji značajna povezanost samoprocjene kvalitete života i zdravlja među ispitanicima s kardiovaskularnim i reumatskim bolestima. Prilikom ispitivanja mobilnosti i ispitivanja razlika u obavljanju svakodnevnih aktivnosti između ispitanika nisu pronađene statistički značajne razlike. Mjerenje kvalitete života povezano s tjelesnim zdravljem važno je za zdravstvenu politiku. Temeljem istraživanja dobiveni su podatci kako samoprocjena kvalitete života poboljšava ishode liječenja, optimizira troškove i pruža ključne informacije za razvoj zdravstvenih usluga.Quality of life refers to the well-being of individuals or populations, encompassing both positive and negative aspects of their lives at a given moment. Over the past two decades, interest in studying quality of life has significantly increased, partly due to the World Health Organization's (WHO) revised definition of health, which now includes not only the absence of disease but also overall physical, mental, and social well-being. Additionally, there is a growing need to assess the effectiveness, safety, and cost-effectiveness of new therapies, taking into account the patient's subjective sense of health. The aim of this study is to determine how the component of physical health and self-assessment affect the quality of life of patients with various chronic diseases. The study examined the relationship between self-assessment of quality of life and health, differences in mobility, and satisfaction with performing daily activities among patients with cardiovascular and rheumatic diseases. The study involved 391 participants with chronic diseases, and participation was anonymous and voluntary. Data were collected using the validated WHOQOL-BREF questionnaire from the World Health Organization, which assesses four domains of quality of life through 26 questions. Statistical analysis was conducted using Statistica 14.0.0.15 (TIBCO Software Inc.). Variables from the questionnaire were expressed on an interval scale, while sociodemographic data were on a nominal scale. Hypotheses were tested using the Kolmogorov-Smirnov test, followed by parametric and non-parametric Mann-Whitney U tests, with a significance level of p<0.05. : The results indicated a significant correlation between self-assessment of quality of life and health among participants with cardiovascular and rheumatic diseases. No statistically significant differences were found in mobility or in performing daily activities between the groups. Measuring quality of life related to physical health is important for shaping health policy. Self-assessment of quality of life enhances treatment outcomes, optimizes costs, and provides crucial information for the development of health services

    INCIDENCE OF PAINFUL VERTEBRAL SYNDROMES IN THE HEALTH CENTER OF PRIMORSKO-GORANSKA COUNTY IN THE PERIOD FROM 2018 TO 2023

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    Uvod: Bolni sindromi kralježnice su jedni od vodećih bolesti modernog društva, a značajno utječu na kvalitetu života pojedine osobe i opterećuju zdravstveni sustav. Kralježnica, kao ključna struktura mišićno-koštanog sustava, omogućava pokretljivost i stabilnost tijela te štiti leđnu moždinu. Bolni sindromi kralježnice mogu se javljati u različitim dijelovima kralježnice, pa se shodno tome dijele na vratni ili cervikalni bolni sindrom, prsni ili torakalni bolni sindrom te slabinski ili lumbalni bolni sindrom. Uzroci ovih sindroma su višestruki i mogu uključivati mehaničke faktore, degenerativne promjene, ozljede, nepravilno držanje te fizičku neaktivnost. Glavni cilj ovoga istraživanja je bilo ispitati učestalost pojavljivanja bolnih sindroma kralježnice u Domu zdravlja Primorsko-goranske županije u razdoblju od 2018. godine do 2023. godine. Ispitanici i metode: Ovo istraživanje je retrospektivno te je obuhvatilo 350 ispitanika iz baze podataka fizikalne terapije i rehabilitacije u Domu Zdravlja Primorsko-goranske županije, lokalitet Vežica. Zbog nepotpunih fizioterapeutskih kartona, iz istraživanja je moralo biti isključeno 63 ispitanika, što znači da je istraživanje provedeno na uzorku od 287 ispitanika. Prikupljanje potrebnih podataka se provodilo u prostorijama Doma Zdravlja, lokalitet Vežica, tijekom travnja i svibnja 2024. godine, a pretraživala se baza podataka u razdoblju od 1.4.2018. do 1.4.2023. godine. Kriteriji uključenja u istraživanje su bili ispitanici stariji od 18 godina, prisutnosti bolnih sindroma kralježnice (vratni, prsni ili slabinski bolni sindrom) u anamnezi te potpuno ispunjeni podaci u fizioterapijskom kartonu. S druge strane, kriteriji isključenja su bile osobe mlađe od 18 godina te osobe s radikulopatijama, prijelomima i tumorima. Rezultati: Dobiveni rezultati su pokazali kako se bolni sindromi kralježnice javljaju češće kod osoba ženskog spola-198 puta (68,99%), a 89 puta (31,01%) kod osoba muškog spola. Cervikalni bolni sindrom se javio 180 puta (62,72%), lumbalni bolni sindrom 72 puta (25,09%), a torakalni bolni sindrom 35 puta (12,19%). Zaključak: Istraživanjem se dokazalo da su bolni sindromi kralježnice, posebno cervikalni i lumbalni, zastupljeni u velikom broju, a također predstavljaju značajan zdravstveni problem u općoj populaciji. Najveću incidenciju imale su žene srednje i starije životne dobi, te osobe koje se bave sjedilačkim vrstama zanimanja.Introduction: Pain syndromes of the queen are one of the leading diseases of modern society, and they significantly affect the quality of life of an individual and burden the health system. The spine, as a key structure of the musculoskeletal system, enables the mobility and stability of the body and protects the spinal cord. Pain syndromes of the spine can occur in different parts of the spine, and accordingly, they are divided into neck or cervical pain syndrome, chest or thoracic pain syndrome, and lumbar or lumbar pain syndrome. The causes of these syndromes are multiple and may include mechanical factors, degenerative changes, injuries, improper posture, and physical inactivity. The main goal of this research was to examine the frequency of occurrence of painful syndromes of the queen in the Health Center of the Primorje-Gorski Kotar County from 2018 to 2023. Respondents and methods: This research is retrospective and included 350 respondents from the database of physical therapy and rehabilitation in the Primorje-Gorski Kotar County Health Center, Vežica locality. Due to incomplete physiotherapy records, 63 subjects had to be excluded from the study, which means the study was conducted on a sample of 287 subjects. The collection of the necessary data was carried out in the premises of the Health Center, Vežica locality, during April and May 2024, and the database was requested in the period from 04/01/2018. until 1.4.2023. year. The criteria for inclusion in the research were subjects over 18 years of age, the presence of painful spine syndromes (neck, chest, or lumbar pain syndrome) in the anamnesis and filled-out data in the physiotherapy record. On the other hand, the exclusion criteria were persons under 18 years of age and persons with radiculopathy, fractures, and tumors. Results: The results showed that painful spine syndromes occur more often in women - 198 times (68.99%), and 89 times (31.01%) in men. Cervical pain syndrome occurred 180 times (62.72%), lumbar pain syndrome 72 times (25.09%), and thoracic pain syndrome 35 times (12.19%). Conclusion: The research showed that pain syndromes of the spine, especially cervical and lumbar, are represented in large numbers, and also represent a significant health problem in the general population. The highest incidence was among middle-aged and elderly women, and people engaged in sedentary occupations

    ORAL HEALTH AS A PUBLIC HEALTH CHALLENGE

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    Uvod: Oralno zdravlje vitalni je aspekt sveukupnog blagostanja i kvalitete života pojedinca. Ono je pod utjecajem raznolikog niza sociodemografskih čimbenika i čimbenika načina života. Danas se oralno zdravlje smatra jednako važnim u odnosu na opće zdravlje. Prevencija oralnih bolesti je najučinkovitija metoda osiguranja dobrog oralnog zdravlja Cilj: Glavni cilj ovog istraživanja je ispitati razinu oralnog zdravlja pacijenata liječenih u Ortonova centru dentalne medicine Metode: U istraživanju je sudjelovalo 103 ispitanika. Uz sociodemografski upitnik korišten je HUDBI upitnik za ispitivanje razine oralnog zdravlja. Rezultati: Prosječni rezultat koji su ispitanici postigli na HUDBI upitniku iznosio je 5,1±2,81. Razina oralnog zdravlja se nije statistički značajno razlikovala između muškaraca i žena (p=0,605). Dokazana je statistički značajna razlika u razini oralnog zdravlja među ispitanicima u odnosu na dob (p=0,000) i zaposlenje, najviši rezultat postigli su ispitanici u dobnoj skupini od 31 do 40 godina (6.81±2.45) i ispitanici koji su stalno zaposleni. Ispitanici sa visokom stručnom spremom su imali statistički značajno najviši rezultat (5,90±2,71). Najvišu razinu oralnog zdravlja imali ispitanici koji prosječno zarađuju od 1001,00 do 1500,00 (6,02±2,45) dok su ispitanici koji mjesečno zarađuju više od 2000,00 (3,85±2,79) eura imali statistički značajno najniži rezultat (p=0,007). Zaključak: Istraživanje potvrđuje snažne odnose između sociodemografskih varijabli i oralnog zdravlja u ispitivanom uzorku. Dobiveni rezultati naglašavaju potrebu za prilagođenim intervencijama oralnog zdravlja koje uzimaju u obzir ove odrednice, posebno usredotočujući se na, dob, stupanj obrazovanja i socioekonomski status.Introduction: Oral health is a vital aspect of an individual's overall well-being and quality of life. It is influenced by a diverse set of sociodemographic and lifestyle factors. Today, oral health is considered as important as general health. Prevention of oral diseases is the most effective method of ensuring good oral health. Objective: The main objective of this research is to examine the level of oral health of patients treated at the Orton Center for Dental Medicine. Methods: 103 respondents participated in the research. In addition to the sociodemographic questionnaire, the HUDBI questionnaire was used to examine the level of oral health. Results: The average score that the respondents achieved on the HUDBI questionnaire was 5.1±2.81. The level of oral health was not statistically significantly different between men and women (p=0.605). A statistically significant difference in the level of oral health among respondents was demonstrated in relation to age (p=0.000) and employment, the highest score was achieved by respondents in the age group of 31 to 40 years (6.81±2.45) and respondents who are permanently employed. Respondents with a university degree had the statistically significantly highest score (5.90±2.71). The highest level of oral health was experienced by respondents who earn an average of 1,001.00 to 1,500.00 (6.02±2.45), while respondents who earn more than 2,000.00 (3.85±2.79) euros per month had a statistically significant the lowest score (p=0.007). Conclusion: The research confirms strong relationships between sociodemographic variables and oral health in the examined sample. The obtained results emphasize the need for adapted oral health interventions that take into account these determinants, especially focusing on age, level of education and socioeconomic status

    DEPRESSION, ANXIETY AND STRESS AMONG STUDENTS OF MEDICAL SCHOOLS IN ZADAR AND RIJEKA

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    Uvod: Mentalno zdravlje adolescenata, posebno učenika medicinskih škola, ključno je za njihov akademski uspjeh i opću dobrobit. Cilj istraživanja: Ispitati učestalost javljanja depresivnosti, anksioznosti i stresa među učenicima medicinskih škola u Zadru i Rijeci. Usporediti učestalost javljanja depresivnosti, anksioznosti i stresa među učenicima medicinskih škola u odnosu na mjesto stanovanja. Ispitati postoje li spolne razlike u odnosu na pojavu depresivnosti, anksioznosti i stresa. Ispitati postoji li povezanost između pojave depresivnosti, anksioznosti i stresa vezane uz zadovoljstvo učenika školskim uspjehom. Ispitanici i metode: U istraživanju je sudjelovalo 120 učenika iz medicinskih škola u Zadru i Rijeci, 60 učenika iz svake škole. U istraživanju su sudjelovali učenici 3., 4., i 5. razreda srednje škole. Primijenjena je DASS-21 skala za procjenu depresivnosti, anksioznosti i stresa. Također, prikupljena su pitanja u svezi sociodemografskih podataka, te pitanja koja se odnose na zadovoljstvo učenika u svezi školskog uspjeha. Rezultati: Istraživanje nije potvrdilo hipotezu da učenici medicinske škole u Rijeci imaju višu razinu depresivnosti, anksioznosti i stresa u usporedbi s učenicama iz Zadra. Hipoteza da postoje značajne razlike u razinama depresivnosti, anksioznosti i stresa između učenika i učenica medicinskih škola nije potvrđena, budući da rezultati nisu pokazali statistički značajnu razliku u sveukupnim bodovima na DASS-21 skali između spolova. Hipoteza da učenici s višim razinama depresivnosti, anksioznosti i stresa imaju niže zadovoljstvo školskim uspjehom potvrđena je, jer je uočena negativna povezanost između rezultata na DASS-21 skali i zadovoljstva školskim uspjehom Zaključak: Depresivnost, anksioznost i stres predstavljaju značajne izazove za učenike medicinskih škola, a utječu na njihovo zadovoljstvo školskim uspjehom i opću dobrobit. Kako bi se poboljšalo mentalno zdravlje učenika, škole trebaju poduzeti konkretne mjere koje uključuju uvođenje programa prevencije i intervencije usmjerenih na smanjenje depresivnosti, anksioznosti i stresa.Introduction: Adolescent mental health, particularly among medical school students, is critical to their academic success and overall well-being. Objective: To examine the frequency of depression, anxiety and stress among students of medical schools in Zadar and Rijeka. To compare the frequency of depression, anxiety and stress among medical school students based on their place of residence. To examine whether there are gender differences in relation to the occurrence of depression, anxiety and stress. To examine whether there is a connection between the occurrence of depression, anxiety and stress related to satisfaction with school performance. Subjects and methods: 120 students from medical schools in Zadar and Rijeka participated in the research, 60 students from each school. 3rd, 4th, and 5th grade high school students participated in the research. The DASS-21 scale was used to assess depression, anxiety and stress. Additionally, sociodemographic data and five related to student satisfaction with school success were collected. Results: The research did not confirm the hypothesis that female students of medical schools in Rijeka have a higher level of depression, anxiety and stress compared to female students from Zadar. The hypothesis that there are significant differences in the levels of depression, anxiety and stress between male and female medical school students was not confirmed, since the results did not show a statistically significant difference in the overall scores on the DASS-21 scale between the sexes. The hypothesis that female students with higher levels of depression, anxiety and stress have lower satisfaction with school performance was confirmed, as a negative correlation was observed between results on the DASS-21 scale and satisfaction with school performance. Conclusion: Depression, anxiety and stress represent significant challenges for medical school students, affecting their satisfaction with school performance and overall well-being. In order to improve the mental health of students, schools should take concrete measures that include the introduction of prevention and intervention programs aimed at reducing depression, anxiety and stress

    The importance of physiotherapists as kindergarten workers in workinig with children with motor disabilities

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    Djeca s teškoćama u razvoju, a tako i djeca s motoričkim teškoćama, trebaju imati pristup odgojno-obrazovnim programima zajedno sa svojim vršnjacima. Uključivanjem u redovni odgojno-obrazovni program, djeca s motoričkim teškoćama u razvoju postaju dijelom aktivnog procesa učenja te stječu potrebne vještine za daljnji život – dobivaju mogućnost učenja, igranja, razumijevanja i poštivanja okoline. Istraživanje je pokazalo da roditelji djece s motoričkim teškoćama u razvoju fizioterapeuta smatraju ključnim u radu s njihovom djecom, kako u dječjem vrtiću tako i izvan njega. Također, kroz odgovore ispitanika prikazano je s kojim se situacijama roditelji svakodnevno suočavaju te se na taj način dobio vjerodostojniji prikaz slike u Republici Hrvatskoj vezan uz važnost fizioterapeuta

    The connection of COVID-19 pandemic and inflammatory bowel diseases

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    Pandemija koronavirusne bolesti 2019. je proglašena 11. ožujka 2020. godine. Ona je izazvala globalnu zdravstvenu krizu bez presedana. Istovremeno, osobe koje boluju od upalnih bolesti crijeva, kao što su Crohnova bolest i ulcerozni kolitis, suočavaju se s izazovima vlastitih kroničnih bolesti. Oni se već tretiraju i prate zbog svojih specifičnih zdravstvenih stanja, ali se pojavilo pitanje kako bi ta pandemija mogla utjecati na tijek njihovih upalnih bolesti crijeva, i na razvoj novih slučajeva bolesti. Glavni cilj ovog rada je ispitati razliku u broju osoba s dijagnozom upalnih bolesti crijeva, točnije Crohnove bolesti i ulceroznog kolitisa, prije i nakon proglašenja pandemije koronavirusne bolesti 2019. Za potrebe ovog rada provelo se retrospektivno istraživanje unutar bolničkog informatičkog sustava (BIS-a) Opće bolnice Karlovac. Iz sustava su izvučeni podaci o broju pacijenata s dijagnozom upalnih bolesti crijeva (Crohnova bolest i ulcerozni kolitis) koji su bili liječeni u toj ustanovi. Istraživanje je uključivalo 368 pacijenata oboljelih od upalnih bolesti crijeva koji su liječili u periodu od ožujka 2017. godine do ožujka 2023. godine. Rezultati su dokazali da je od ukupnog broja osoba uključenih u istraživanje, 54% liječeno prije proglašenja pandemije COVID-19, čime nije dokazana direktna povezanost između pandemije COVID 19 i upalnih bolesti crijeva. Također, rezulati su prikazali da nema spolne dominacije među osobama s dijagnozom upalnih bolesti crijeva, da je većina osoba starija od 40 godina, te da velika većina, odnosno 79% stanuje u urbanoj sredini.The 2019 coronavirus disease pandemic was declared on March 11, 2020. It has caused an unprecedented global health crisis. At the same time, people suffering from inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis, face the challenges of their own chronic diseases. They are already being treated and monitored for their specific health conditions, but the question arose of how this pandemic could affect the course of their inflammatory bowel diseases, and the development of new cases of the disease. The main goal of this thesis is to examine the difference in the number of people diagnosed with inflammatory bowel diseases, specifically Crohn's disease and ulcerative colitis, before and after the declaration of the 2019 coronavirus pandemic. For the purposes of this thesis, a retrospective study was conducted within the hospital information system (BIS) of the Karlovac General Hospital. Data on the number of patients diagnosed with inflammatory bowel diseases (Crohn's disease and ulcerative colitis) who were treated at that institution were extracted from the system. The research included 368 patients suffering from inflammatory bowel diseases who were treated between March 2017 and March 2023. The results proved that of the total number of people included in the research, 54% were treated before the declaration of the COVID-19 pandemic, which did not prove a direct connection between the COVID-19 pandemic and inflammatory bowel diseases. Also, the results showed that there is no gender predominance among people diagnosed with inflammatory bowel disease, that the majority of people are over 40 years old, and that the vast majority, or 79%, live in urban areas

    Can We Influence Habit and Motivation for Proper Hand Disinfection Technique Trough Education? An Experimental Pilot Study

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    Cilj: Higijena ruku ključna je za prevenciju infekcija povezanih sa zdravstvenom skrbi, ali zdravstveni djelatnici je često nepravilno prakticiraju. Cilj je ovog istraživanja ispitati učinke različitih poticaja na ispravnost tehnike dezinfekcije ruku i motivaciju za pravilno korištenje te tehnike. Ispitanici i metode: Eksperiment je proveden tijekom tri različita dana s 36 studenata zdravstvenih studija, podijeljenih u četiri skupine. Postupak je bio isti za sve četiri skupine (sa slučajno izabranim sudionicima) prvog i trećeg dana (samo povratna informacija). Drugog dana, skupine su dobile različite poticaje (1. skupina: povratna informacija + demonstracija + kreativni timski rad; 2. skupina: povratna informacija + demonstracija + predavanje; 3. skupina: povratna informacija + demonstracija; 4. skupina: samo povratna informacija). Ispravnost (postotak pokrivenosti dezinfekcijskog gela) i motivacija izmjereni su i uspoređivani između triju mjerenja. Rezultati: Na početku je samo 25 % sudionika postiglo pokrivenost od barem 95 %, a samo 55,56 % se potrudilo da "prilično" pravilno koriste tehniku. Pokrivenost je porasla nakon pruženog poticaja u skupinama: 1. (χ2(2) = 6,0; P = 0,050), 2. (χ2(2) = 7,750; P = 0,021) i 3. (χ2(2) = 15,273; P = 0,001). Motivacija se povećala u skupinama 1. (χ2(2) = 10,571; P = 0,005) i 3. (χ2(2) = 7,515; P = 0,023). Pokrivenost dorzuma bila je značajno manja od pokrivenosti dlana obiju ruku. Zaključak: Demonstracija tehnike dezinfekcije ruku, kreativan timski rad i predavanje bili su učinkoviti u usvajanju navike dezinfekcije ruku i jačanju motivacije za dezinfekciju, ali povratna informacija skenera sama po sebi nije bila učinkovita na taj način. Buduća istraživanja trebala bi obuhvatiti dulje razdoblje praćenja i ove rezultate testirati u kliničkim okruženjima.Aim: Hand hygiene is critical for the prevention of healthcare-associated infections, yet it is poorly practiced by healthcare workers. The aim of this study is to examine the effects of various incentives on the correctness of hand disinfection technique and motivation to use the technique correctly. Participants and Methods: The experiment was performed on three different days with 36 healthcare students. The procedure on the first and third day was the same and equal for all four groups (feedback alone). On the second day, the groups received different incentives (1: feedback + demonstration + creative teamwork; 2: feedback + demonstration + lecture; 3: feedback + demonstration; 4: feedback alone). Correctness (gel coverage percentage) and motivation were measured and compared between the three measurements. Results: Initially, only 25% of participants achieved at least 95% coverage, and only 55.56% tried at least "quite a bit" to use the technique correctly. Coverage increased after the incentive in groups 1 (χ2(2) = 6.000; P = 0.050), 2 (χ2(2) = 7.750; p = 0.021), and 3 (χ2(2) = 15.273; P = 0.001). Motivation increased in groups 1 (χ2(2) = 10.571; P = 0.005) and 3 (χ2(2) = 7.515; P = 0.023). Dorsum coverage was significantly smaller than palm coverage in both hands. Conclusion: Demonstration of hand disinfection technique, creative teamwork, and lecture were effective in adopting the habit of hand disinfection and reinforcing motivation to do so, but scanner feedback alone wasn't effective in this way. Future studies should examine longer follow-up period and testing these results in clinical settings

    The Commitment to Excellence: Understanding Nurses’ Perspectives on Continuous Professional Development

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    Continuous Professional Development (CPD) is essential for nurses to maintain up-to-date knowledge and skills in the evolving healthcare sector. This study explores nurses’ attitudes toward CPD, its necessity, and the challenges encountered. The aim is to examine nurses’ perspectives on CPD, focusing on their participation and motivation, in relation to their workplace, workplace function, and form of work. A cross-sectional study design was employed with 151 nurses from University Hospital Centre Split, Croatia. Data were collected using the “Professional Development of Nurses questionnaire (Q-PDN)” and analyzed using descriptive statistical methods, the Kolmogorov–Smirnov test, Pearson’s correlation, ANOVA test, and t-test. The average level of participation in CPD activities was 4.27 (±0.63), indicating a positive inclination towards CPD. The study identified a statistically significant difference in activities related to CPD (t = 2.12; p = 0.036) among employees of surgical and intensive care units compared to other departments, where a higher level of engagement was present among employees of other departments. Notably, nurses without managerial roles showed 0.16 points higher participation in CPD activities compared to their managerial counterparts, though this was not statistically significant (t = 0.92; p = 0.357). Nurses in managerial roles valued CPD for professional development more highly, with a significant difference (t = 2.77; p = 0.006). Full-time nurses demonstrated a higher perception of the importance of personal professional development compared to part-time nurses, with a significant difference (F = 2.88; p = 0.038). The study reveals a strong commitment to CPD among nurses, with variations based on workplace roles and schedules. It underscores the need for role-specific and adaptable CPD programs to meet diverse needs and enhance professional competence in the nursing workforce

    Physical activity and mental health among students of health studies in Rijeka

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    Cilj: Glavni cilj ovog istraživanja je istražiti osobitosti tjelesne aktivnosti i povezanost s mentalnim zdravljem kod studenata zdravstvenih studija u Rijeci. Metode: Istraživanje je provedeno na prigodnom uzorku studenata koji pohađaju Fakultet zdravstvenih studija Sveučilišta u Rijeci. Anketni upitnik sastoji se od 4 dijela: 1. dio ispituje općenite demografske podatke, 2. dio sastoji se od upitnika za mjerenje anksioznosti, depresivnosti i stresa (DASS-21), 3. dio uključuje skalu odnosno upitnik zadovoljstva životom te posljednji 4. dio sastoji se od upitnika o tjelesnoj aktivnosti unazad 7 dana (engl. The International Physical Activity Questionnaires, IPAQ). Rezultati: U istraživanju je sudjelovalo 170 (39,2%) ispitanika od kojih više prevladava ženska populacija 138 (81,2%), dok je prosječna dob ispitanika iznosila 28 godina. Najveći odziv bilježe studenti diplomskog sveučilišnog studija smjera Fizioterapije (N=46, 27,1%) te je najzastupljenije mjesto rada bolnica (N=108, 63,5%). Također, njih 87 (51,8%) izjavilo je da se bavi nekom vrstom sportske aktivnosti, a aktivnosti najviše prakticiraju 2 – 3 puta tjedno (N=51, 58,6%). Međutim, istraživanjem nije pronađena značajna povezanost tjelesne aktivnosti s DASS-21, anksioznosti, depresije i stresa kao ni sa zadovoljstvom života gdje je koeficijent korelacije slab (rho = -0,135) te nije statistički značajan (Spearmanov test korelacije, P = 0,08). Zaključak: Istraživanje nije potvrdilo činjenicu da tjelesna aktivnost ima utjecaj na mentalno zdravlje te su potrebna daljnja istraživanja kako bi se bolje ispitao odnos između te dvije varijable.Aim: The main objective of this research is to investigate the peculiarities of physical activity and the connection with mental health among students of health studies in Rijeka. Methods: The research was conducted on a random sample of students attending the Faculty of Health Studies at the University of Rijeka. The questionnaire consists of 4 parts: the 1st part examines general demographic data, the 2nd part consists of a questionnaire for measuring anxiety, depression and stress (DASS-21), the 3rd part includes a scale, i.e. a life satisfaction questionnaire, and the last part 4 consists of a questionnaire on physical activity over the last 7 days (The International Physical Activity Questionnaires, IPAQ). Results: 170 (39.2%) respondents participated in the research, of which the female population predominates, 138 (81.2%), while the average age of the respondents was 28 years. The highest response was recorded by students of graduate university studies in Physiotherapy (N=46, 27.1%) and the most represented place of work was hospitals (N=108, 63.5%). Also, 87 of them (51.8%) stated that they are engaged in some kind of sports activity, and they mostly practice the activities 2-3 times a week (N=51, 58.6%). However, the research found no significant association of physical activity with DASS-21, anxiety, depression and stress, nor with life satisfaction, where the correlation coefficient is weak (rho = -0.135) and not statistically significant (Spearman's correlation test, P = 0.08) . Conclusion: The research did not confirm the fact that physical activity has an impact on mental health, and further research is needed to better examine the relationship between these two variables

    The empathy of nurses working in haemodialysis

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    SAŽETAK Empatija se definira kao osjećaj za druge. U kognitivnom smislu emaptija je sposobnost da razumijemo želje, namjere i vjerovanja druge osobe. U afektivnom smislu, ona je pozitivna ljudska reakcija potaknuta emocionalnim stanjem druge osobe (1). Hemodijaliza je izbor liječenja kod bolesnika sa kroničnim bubrežnim zatajenjem. Kronični tijek bolesti zahtijeva tretmane tri puta tjedno u trajanju od četiri sata u centrima za dijalizu. S obzirom na specifičnost dijagnoze, važna je komunikacija i suradljivost u relaciji pacijent - medicinska sestra. Empatija se ističe kao jedna od poželjnih pozitivnih osobina koju bi medicinske sestre trebale posjedovati u svakodnevnom radu (2). Cilj istraživanja je bio ispitati postojanje empatije medicinskih sestara prema pacijentima na hemodijalizi, ispitati povezanost dobi, spola, razine obrazovanja i godina staža s empatičnim ophođenjem medicinskih sestara prema pacijentima te jesu li medicinske sestre dovoljno educirane o empatičnoj komunikaciji. Ispitanici su bili medicinske sestre i tehničari koji rade na dijalizi u Fresenius centrima u Hrvatskoj (Poliklinika Sv. Duh II, Poliklinika FMC- Đakovo, Poliklinika IDC- Zabok i Poliklinika Interdial). Ispitivanje je bilo provedeno u srpnju i kolovozu 2022. godine. Za istraživanje se koristio anketni upitnik od dva dijela. U prvom dijelu su sociodemografski podatci a u drugom dijelu korištena je prevedena Toronto skala empatije, služi za procjenu empatije kao emocionalnog procesa (3). Dobiveni rezultati istraživanja ukazuju da se medicinske sestre često ophode s empatijom prema pacijentima na hemodijalizi. Iskazivanje empatije statistički se razlikuje s obzirom na dob, spol, razinu obrazovanja i godine radnog staža na hemodijalizi u odnosu na empatično ophođenje medicinskih sestara prema pacijentima.ABSTRACT Empathy is defined as feeling for others. In a cognitive sense, empathy is the ability to understand another person's wishes, intentions and beliefs (1). Hemodialysis is the treatment choice for patients with chronic renal failure. The chronic course of the disease requires treatments 3 times a week lasting 4 hours in dialysis centres. Given the specificity of the diagnosis, communication and cooperation between the patient and the nurses-technicians are important. Empathy is one of the desirable positive qualities nurses should possess in their daily work (2). The research aimed to examine the existence of empathy of nurses towards hemodialysis patients, to examine the relationship between age, gender, level of education and years of experience with empathic treatment of nurses-technicians towards patients, and whether nurses are sufficiently educated on empathic communication. The respondents were nurses and technicians who work on dialysis in Fresenius centres in Croatia (Sv. Duh II Polyclinic, FMC Polyclinic Đakovo, IDC Polyclinic Zabok and Interdial Polyclinic). The test was conducted in July and August 2022. A two-part questionnaire was used for the research. In the first part, there is sociodemographic data, and in the second part, the translated Toronto scale of empathy was used, it serves to assess empathy as an emotional process (3). The obtained research results indicate that nurse technicians often treat patients on hemodialysis with empathy. The expression of empathy differs statistically in age, gender, level of education and years of work experience in hemodialysis about nurses' empathetic behavior towards patients

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