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Digitalna zrelost zdravstvenih djelatnika
No full textDigitalna zrelost je sposobnost primjene znanja i vještina kod uporabe novih digitalnih tehnologija. Digitalna zrelost zdravstvenih djelatnika doprinosi modernizaciji i unaprjeđenju zdravstvenih sustava, a obuhvaća računalne vještine i znanja, pozitivan stav prema digitalnim tehnologijama te poznavanje koncepata poput sigurnosti podataka i etičkih aspekata
digitalizacije. U vremenu ubrzanog razvoja tehnologije, digitalna zrelost zdravstvenih djelatnika bitno utječe na kvalitetu zdravstvene skrbi i pristupa informacijama te učinkovitost zdravstvenog sustava.
Cilj istraživanja bio je analizirati zadovoljstvo zdravstvenih djelatnika vlastitim digitalnim kompetencijama i digitalizacijom u radnom okruženju s obzirom na pripadnost generacijskoj skupini Z, Y ili X.
U istraživanju je sudjelovalo 125 izvanrednih studenata Fakulteta zdravstvenih studija Sveučilišta u Rijeci. Za potrebe istraživanja izrađen je upitnik Procjena digitalne zrelosti zdravstvenih djelatnika.
Zadovoljstvo ispitanika vlastitim digitalnim kompetencijama, kao i zadovoljstvo digitalizacijom u radnom okruženju, umjereno je, bez obzira na pripadnost generacijskoj skupini Z, Y ili X.
Između zadovoljstva digitalizacijom u radnom okruženju i zadovoljstva vlastitim digitalnim kompetencijama nađena je umjerena pozitivna povezanost.
Rezultati mogu biti korisni u planiranju kolegija kod kojih su u nastavni proces implementirane informacijsko-komunikacijske tehnologije i edukacija zdravstvenih djelatnika u zdravstvenim ustanovama. Uz manje prilagodbe upitnika slično se istraživanje može provesti i s ispitanicima čija profesija nije zdravstvena
Functional mobility and depression negatively impact quality of life in older adults with stroke
No full textBackground: The quality of life (QoL) in elderly post-stroke patients may deteriorate due to an interplay of physical and psychological impairments, compounded by social challenges stemming from these issues. Objective: This study aimed to identify predictors of QoL in elderly post-stroke patients by evaluating their functional capabilities, depressive symptoms, and levels of social support. Methods: A cohort of 122 individuals aged 65 and older, who had experienced a stroke, was assessed. Functional independence was gauged using the Functional Independence Measure (FIM), depressive states were evaluated with the Geriatric Depression Scale (GDS), and social support was quantified through the Social Support Scale (SSS). The WHOQOL-BREF questionnaire was employed to measure QoL. Results: The FIM and GDS scores were significant predictors for WHOQOL-BREF domains 1 and 2 (adjusted R² = 0.522, p < 0.01; and adjusted R² = 0.586, p < 0.01, respectively). GDS alone was a significant predictor for domain 3 (adjusted R² = 0.236, p < 0.01), while all variables were significant predictors for domain 4 (adjusted R² = 0.315, p < 0.01). Conclusions: Depression, motor function, and social support were identified as the primary predictors of QoL in elderly individuals after suffering a strok
Funkcionalni poremećaji pokreta i fizioterapija
No full textUvod: Funkcionalni poremećaji pokreta onesposobljavajuće
su neuropsihijatrijsko stanje koje predstavlja dijagnostički
i terapijski izazov. U zbrinjavanju osoba s funkcionalnim
poremećajem pokreta bitan je multidisciplinarni pristup,
a fizioterapija se pokazala kao jedna od ključnih
komponenti.
Cilj: Istražiti utjecaj fizioterapije kod funkcionalnih
poremećaja pokreta
Materijali i metode: Literatura je pretraživana u
elektronskim bazama podataka Medline i PubMed,
a korištene su ključne riječi: functional movement
disorder, psychogenic movement disorder, physical
therapy, multidisciplinary team.
Rezultati: Nakon pretraživanja i filtriranja radova
sukladno navedenom cilju u obzir je uzeto 10 radova
koji daju relevantne i detaljne podatke te tematikom
odgovaraju cilju istraživanja.
Zaključak: Uloga fizioterapeuta neophodna je u
fizioterapijskoj procjeni i provođenju fizioterapijskih
postupak kod pacijenata s funkcionalnim poremećajima
pokreta. Fizioterapija doprinosi smanjena simptoma i
poboljšanja kvalitete života kod osoba s funkcionalnim
poremećajem pokreta
INCIDENCE OF A HODGKIN'S LYMPHOMA INGENERAL HOSPITAL ZADAR : RESEARCH
No full textUvod i cilj istraživanja:Hodgkinov limfom je rijedak, ali dobro istražen maligni tumor limfnog sustava, s karakterističnom pojavnosti u mlađoj i starijoj odrasloj dobi. Cilj rada bio je usporediti lokalnu incidenciju Hodgkinovog limfoma u Općoj bolnici Zadar s nacionalnim podacima, analizirajući učestalost prema dobi, spolu i prisutnosti komorbiditeta kod oboljelih osoba.
Materijali i metode:U istraživanju su analizirani podaci bolesnika s dijagnozom Hodgkinova limfoma u Općoj bolnici Zadar (2018.–2021.), prikupljeni iz Bolničkog informacijskog sustava. Korištena je deskriptivna i inferencijalna statistika, uključujući hi-kvadrat test. Istraživanje je provedeno uz strogo poštivanje etičkih načela i zaštite podataka, uz suglasnost Etičkog povjerenstva i anonimnost ispitanika.
Rezultati:U ispitivanom razdoblju u Općoj bolnici Zadar zabilježeno je 66 slučajeva Hodgkinovog limfoma. Većina bolesnika bila je mlađa od 60 godina, s ravnomjernom spolnom raspodjelom. Komorbiditet je bio prisutan u 90,1 % slučajeva. Usporedba s nacionalnim podacima pokazala je višu lokalnu incidenciju HL-a, s više statistički značajnih razlika prema dobi i komorbiditetima.
Zaključak:Istraživanje je pokazalo višu incidenciju Hodgkinovog limfoma u Općoj bolnici Zadar u odnosu na nacionalne podatke. Većina oboljelih bili su mlađe osobe, bez značajne razlike prema spolu. Komorbiditeti su bili prisutni u visokom udjelu slučajeva, uz značajnu povezanost s pojavom bolesti. Dobiveni rezultati upućuju na važnost lokalnog praćenja i prilagodbe terapijskih pristupa.Introduction and research objectives: Hodgkin's lymphoma is a rare but well-studied malignant tumor of the lymphatic system that characteristically occurs in both younger and older adults. The aim of this study was to compare the local incidence of Hodgkin's lymphoma in Zadar General Hospital with national data and to analyze the incidence of Hodgkin's lymphoma in relation to age, gender and the presence of comorbidities in affected individuals.
Materials and methods:The study analyzed data from patients diagnosed with Hodgkin's lymphoma at the Zadar General Hospital (2018–2021) obtained from the hospital information system. Descriptive and inferential statistics, including the chi-square test, were applied. The study was conducted in strict compliance with ethical principles and data protection, with ethics committee approval and ensuring patient anonymity.
Results:During the observation period, 66 cases of Hodgkin's lymphoma were registered at the Zadar General Hospital. The majority of patients were under 60 years of age, with a balanced gender distribution. Comorbidities were present in 90.1% of cases. Compared to national data, a higher local incidence of Hodgkin's lymphoma was found, with several statistically significant differences in age and comorbidities.
Conclusion:The study found a higher incidence of Hodgkin's lymphoma in Zadar General Hospital compared to the national data. Most patients were younger adults, with no significant differences between genders. Comorbidities were prevalent and significantly associated with disease incidence. The results emphasise the importance of local epidemiological surveillance and the need to adapt therapeutic approaches accordingly
The protective effect of chestnut honey against oxidative stress and cyto/genotoxicity produced by UVB irradiation established in vitro
No full textIntroduction: Ultraviolet B (UVB) radiation is a physical agent ubiquitously present in the environment that triggers inflammatory processes, oxidative stress, and DNA instability, potentially leading to various pathological conditions and diseases. In this study, we assessed whether Croatian certified organic chestnut honey (CH), with high polyphenol content, has protective properties against UVB-induced oxidative and cyto/genotoxic effects and, if it could therefore be considered as a functional food or functional ingredient in cosmetic formulations. Methods: Whole human peripheral blood and isolated lymphocytes were treated with CH in an amount relevant for potential dietary use and 10-fold higher before (pre-treatment) and after (post-treatment) exposure to UVB radiation at 2 kJ/m2. Oxidative stress markers [reactive oxygen species (ROS), glutathione (GSH), and lipid peroxidation] were measured in separated plasma. Cytotoxic effects in lymphocytes were studied using the fluorescent assay with acridine orange and ethidium bromide, including identification and quantification of apoptotic and necrotic cells. DNA damage in lymphocytes was evaluated using the alkaline comet assay. Results: The tested CH showed a tendency to reduce oxidative stress in plasma induced by UVB radiation and reduced DNA damage in UVB-irradiated lymphocytes protecting them from cell death. Overall, these observed beneficial effects of CH were achieved at 1 mg/mL, which corresponds to the average daily intake both when applied as pre-treatment and post-treatment following UVB exposure. Conclusion: The findings of this study provide preliminary evidence on the in vitro protective effects of the tested organic CH; however, further confirmatory research is needed
An international study of clinical, demographic, and competence-related determinants of communication with professionals
No full textPurposeThis study aims to identify a combination of clinical, demographic, and patient competence determinants of patients' communication with doctors and nurses in an international sample of cancer patients.MethodsFor our cross-sectional study, cancer patients assessed their communication with their doctors or nurses at the start of their treatment. Patients completed EORTC communication questionnaire QLQ-COMU26 to assess ten areas of communication with their doctor or nurses plus another item to assess how competent they felt when communicating with professionals. Bivariable analyses and multivariable linear regression models were performed separately for each QLQ-COMU26 area.ResultsIncluded in the study were 988 patients from 15 centres in 13 countries (five cultural areas). Higher age was related to higher level of communication in eight QLQ-COMU26 areas. Males reported higher level of communication in three areas. Lower levels of studies and higher level of perceived competence when communicating with professionals were related to higher level of communication in the ten QLQ-COMU26 areas. Communication was of a higher level with nurses than with doctors in four areas. Having received previous treatment with the same doctor or group of nurses was related to higher communication levels in seven areas. Lack of comorbidity was related to higher communication levels in two areas. Various differences in determinants were found among tumour sites.ConclusionOur regression model has shown several relationships between communication and the demographic and clinical variables that may help identify patients at risk of poor communication. Future studies could focus on communication at diagnosis and in follow-up, and on areas such as assessing the particularities of communication between patient and professionals in relation to cancer typ
Women's involvement in the process of their own childbirth in the Clinical Hospital Center Rijeka : research
No full textSvjetska zdravstvena organizacija (SZO) je 2018. godine propisala smjernice pod nazivom Intrapartalna skrb za pozitivno iskustvo porođaja (engl. WHO recommendations: Intrapartum care for a positive childbirth experience). Ključni elementi smjernica su skrb za rodilje s poštovanjem, učinkovita komunikacija, mogućnost pratnje za vrijeme porođaja te kontinuitet skrbi. Kroz smjernice se želi naglasiti važnost uključivanja rodilja u proces vlastitog porođaja što podrazumijeva pružanje jasnih i razumljivih informacija o tijeku porođaja i aktivno sudjelovanje rodilja u donošenju odluka tijekom procesa vlastitog porođaja.
Glavni cilj istraživanja bio je ispitati uključenost rodilja u proces vlastitog porođaja u rodilištu Kliničkog bolničkog centra Rijeka (KBC Rijeka). Ispitana je provedba međunarodnih smjernica SZO, povezanost između uključenosti rodilja u proces porođaja kroz informiranje i donošenje odluka sa zadovoljstvom cjelokupnog iskustva porođaja te mogući razlozi neuključenosti u donošenje odluka u procesu vlastitog porođaja.
Prikupljanje podataka provedeno je u razdoblju od 1. ožujka do 30. travnja 2025. godine putem online anonimnog upitnika distribuiranog na Facebook stranicama koji je izrađen za potrebe ovog istraživanja na temelju smjernica SZO. Uzorak čini 185 ispitanica odabranih metodom prigodnog uzorkovanja. Nisu uključene rodilje koje nisu govornice hrvatskog jezika te rodilje koje su rodile elektivnim carskim rezom.
Prema prikupljenim podacima, provedba smjernica prema smjernicama SZO za intrapartalnu skrb u rodilištu KBC-a Rijeka iznosi 68,29%. Utvrđena je pozitivna i statistički značajna umjerena korelacija između razine uključenosti rodilje u proces vlastitog porođaja i razine zadovoljstva cjelokupnim iskustvom porođaja (ρ = 0,53; p<0,001). Najčešći razlozi neuključenosti u donošenje odluka tijekom procesa vlastitog porođaja su nedovoljna vjera u vlastito tijelo i njegove mogućnosti te iscrpljenost.
Zaključno, unatoč naizgled pozitivnim rezultatima provedenog istraživanja, detaljnom analizom prikupljenih podataka može se uočiti model skrbi za rodilju koji nije potpunosti u skladu sa propisanim međunarodnim smjernicama.In 2018, the World Health Organization issued recommendations for intrapartum care entitled WHO recommendations: Intrapartum care for a positive childbirth experience. The key elements of the recommendations include respectful care of the birthing woman, effective communication, the possibility of companionship during labor, and continuity of care. The recommendations emphasize the importance of involving the birthing woman in the process of her own childbirth, which entails providing clear and understandable information about the course of labor and actively involving the woman in decision-making throughout her childbirth process.
The main objective of the research was to examine the involvement of birthing women in the process of their own childbirth at the maternity ward of the Clinical Hospital Center Rijeka (KBC Rijeka). The implementation of the WHO international recommendations was examined, as well as the association between the involvement of women through information and decision-making during childbirth and their satisfaction with the overall childbirth experience and possible reasons for non-involvement in decision-making during their own childbirth process.
Data were collected from March 1 to April 30, 2025, through an anonymous online questionnaire distributed on Facebook pages. The sample consisted of 185 respondents selected by convenience sampling. Exclusion criteria included women who were not Croatian speakers, as well as women who delivered by elective cesarean section.
According to the collected data, the implementation of the WHO intrapartum care recommendations at the KBC Rijeka maternity ward stands at 68.3%. A positive and statistically significant correlation was found between the level of involvement of the birthing woman in her childbirth process and the level of satisfaction with the overall childbirth experience (ρ = 0.53; p<0.001). The most frequently reported reasons for non-involvement in decision-making during childbirth were insufficient trust in their own body and its capabilities, as well as physical exhaustion.
In conclusion, although the findings initially appear positive, a more in-depth analysis of the data indicates that the current model of care is not fully aligned with the prescribed international recommendations
WOMEN'S SATISFACTION WITH MIDWIFERY CARE AFTER CHILDBIRTH IN CROATIA
No full textUvod i cilj istraživanja: zadovoljstvo žena pruženom primaljskom skrbi u postporođajnom
razdoblju važan je pokazatelj kvalitete zdravstvene usluge. Cilj istraživanja bio je ispitati razinu
zadovoljstva žena primaljskom skrbi nakon poroda u bolničkim ustanovama u Republici
Hrvatskoj te utvrditi postoje li razlike s obzirom na određena sociodemografska obilježja i
čimbenike poroda.
Materijali i metode: istraživanje je provedeno u ožujku i travnju 2025. godine, na prigodnom
uzorku od 131 ispitanice koje su rodile u hrvatskim bolnicama. Podaci su prikupljeni online
anketom putem platforme Google Forms. Korišten je validirani MMAYpostpartum upitnik za
procjenu kvalitete primaljske skrbi, uz dodatni demografski upitnik. Statistička analiza
uključivala je deskriptivne metode i neparametrijske testove za usporedbe.
Rezultati: istraživanje je provedeno na prigodnom uzorku od 131 ispitanice koje su rodile
unazad tri godine. Medijan dobi ispitanica iznosio je 31 godinu (interkvartilni raspon: 28–34).
Najveći broj ispitanica, njih 70 (53,4 %), imalo je visoku stručnu spremu, dok je srednju stručnu
spremu imalo njih 43 (32,8 %). Više od jednog poroda imalo je 56 ispitanica (42,7 %), a 80
(61,1 %) rodilo je vaginalnim putem. Porod je dovršen hitnim carskim rezom kod 48 ispitanica
(36,6 %). Velika većina, 129 ispitanica (98,5 %), rodila je u državnim bolnicama, dok su samo
dvije ispitanice (1,5 %) rodile u privatnim ustanovama. Prijevremeni porod (prije 37. tjedna
gestacije) zabilježen je kod 10 ispitanica (7,6 %). Hospitalizacija dulja od dva dana bila je
prisutna kod 80 ispitanica (61,1 %), dok je dojenje u rodilištu uspostavilo 86 ispitanica (65,6 %).
Korištenjem MMAYpostpartum upitnika mjerena je razina zadovoljstva primaljskom skrbi, s
maksimalnim mogućim zbrojem 80 bodova. Medijan ukupne skale zadovoljstva iznosio je 51
bod, što ukazuje na umjereno do visoko zadovoljstvo ispitanica postporođajnom skrbi. Najvišu
ocjenu postigla je domena "odnos povjerenja", dok je najniža bila u domeni "orijentacija i
sigurnost". Statističkom analizom utvrđena je značajna povezanost između uspostavljenog
dojenja u rodilištu i više ukupne ocjene zadovoljstva primaljskom skrbi (P = 0,001). Također,
starije ispitanice pokazale su niže vrijednosti na svim trima domenama MMAY skale, uz
negativnu korelaciju dobi i ukupnog zadovoljstva (Rho = -0,203; P < 0,05). Nisu pronađene
statistički značajne razlike u zadovoljstvu s obzirom na paritet i način dovršenja poroda
(vaginalno ili carski rez). Nije bilo moguće testirati razlike između privatnih i državnih bolnica
zbog premalog broja ispitanica iz privatnih ustanova (n=2).
Zaključak: zadovoljstvo primaljskom skrbi među rodiljama u Hrvatskoj je općenito visoko, a
osobito je povezano s kvalitetnom podrškom u dojenju i emocionalnim pristupom primalja.
Rezultati naglašavaju potrebu za jačanjem individualne skrbi, kao i kontinuiranim praćenjem
zadovoljstva žena nakon poroda u svim bolnicama, sve u svrhu poboljšanja porođajnog iskustva
i zadovoljstva žena.Introduction and Aim: women's satisfaction with midwifery care in the postpartum period is an
important indicator of the quality of healthcare services. The aim of this study was to assess the
level of satisfaction with midwifery care after childbirth in maternity hospitals across the
Republic of Croatia and to determine whether differences exist based on selected
sociodemographic and birth-related factors.
Materials and Methods: the study was conducted in March and April 2025 on a convenience
sample of 131 women who gave birth in Croatian hospitals. Data were collected via an online
questionnaire distributed through Google Forms. The validated MMAYpostpartum
questionnaire was used to assess the quality of midwifery care, along with a general
demographic survey. Statistical analysis included descriptive methods and nonparametric tests.
Results: the study was conducted on a convenience sample of 131 women who had given birth
within the past three years. The median age of participants was 31 years (interquartile range:
28–34). The majority of respondents, 70 (53.4%), had a university-level education, while 43
(32.8%) had completed secondary education. A total of 56 participants (42.7%) had given birth
more than once, and 80 (61.1%) had delivered vaginally. An emergency cesarean section was
performed in 48 cases (36.6%). The vast majority, 129 participants (98.5%), gave birth in public
hospitals, while only two participants (1.5%) delivered in private facilities. Preterm birth
(before 37 weeks of gestation) was recorded in 10 cases (7.6%). Hospitalization lasting more
than two days was reported by 80 participants (61.1%), and breastfeeding was initiated in the
hospital by 86 participants (65.6%). The MMAYpostpartum questionnaire was used to assess
the quality of midwifery care, with a maximum possible score of 80 points. The median total
satisfaction score was 51, indicating a moderate to high level of satisfaction with postpartum
care. The highest-rated domain was “trusting relationship,” while the lowest was “orientation
and safety.”Statistical analysis showed a significant association between the initiation of
breastfeeding in the hospital and a higher overall satisfaction score with midwifery care
(P = 0.001). In addition, older participants showed lower values across all three MMAY
domains, with a negative correlation between age and overall satisfaction (Rho = -0.203; P <
0.05). No statistically significant differences in satisfaction were found based on parity or mode
of delivery (vaginal vs. cesarean). Differences between private and public hospitals could not
be tested due to the very small number of participants from private institutions (n=2).
Conclusion: overall satisfaction with midwifery care among postpartum women in Croatia is
high, particularly when associated with breastfeeding support and a compassionate approach
from midwives. These findings highlight the need to strengthen individualized, empathetic care
and ensure ongoing monitoring of women's satisfaction in all maternity hospitals
THE RELATIONSHIP OF SARCOPENIA AND DYSFAGIA IN PATIENTS WITH MALIGNANT TUMORS OF THE HEAD AND NECK AND THE IMPORTANCE OF ENTERAL NUTRITION
No full textUVOD I CILJ ISTRAŽIVANJA: Sarkopenija i disfagija česti su komorbiditeti kod bolesnika s karcinomom glave i vrata koji značajno utječu na prognozu i kvalitetu života. Cilj istraživanja bio je utvrditi prevalenciju sarkopenije među bolesnicima s karcinomom glave i vrata koji pate od disfagije, istražiti uzročno-posljedične veze između ovih stanja, procijeniti njihov utjecaj na kliničke ishode te evaluirati učinkovitost enteralne prehrane na nutricionistički status i funkcionalne ishode.
METODE: Provedeno je retrospektivno istraživanje na uzorku od 34 bolesnika s karcinomom glave i vrata liječenih u KBC Rijeka tijekom svibnja-rujna 2024. godine. Korišteni su validirani upitnici SARC-F (≥4 za sarkopeniju) i EAT-10 (≥3 za disfagiju) te bioelektrička impedancijska analiza. Podatci su prikupljani na početku radioterapije, na kraju liječenja i tri mjeseca nakon završetka. Statistička analiza uključivala je hi-kvadrat test, Spearmanov koeficijent korelacije, logističku regresiju, Mann-Whitney U test i Wilcoxon test.
REZULTATI: Prevalencija sarkopenije iznosila je 44,1% na početku radioterapije s porastom na 73,5% tijekom liječenja. Kod teške disfagije prevalencija sarkopenije dosegla je 88,9%. Bolesnici s početnom sarkopenijom imali su 2,67 puta veći relativni rizik razvoja teške disfagije (p=0,048). Kombinacija teške disfagije i sarkopenije povezana je s 77,8% stopom progresije bolesti (OR=4,67, p=0,028). Enteralna prehrana rezultirala je očuvanjem ITM-a s prosječnim padom od samo 3,2% te statistički značajnim korelacijama između poboljšanja tjelesnog sastava i funkcionalnih ishoda.
ZAKLJUČAK: Istraživanje potvrđuje značajnu prevalenciju sarkopenije kod bolesnika s karcinomom glave i vrata s disfagijom te uzročno-posljedične veze između ovih stanja. Kombinacija sarkopenije i disfagije predstavlja snažan prediktor lošijih kliničkih ishoda. Enteralna prehrana pokazuje obećavajuće rezultate u očuvanju nutritivnog statusa, što naglašava potrebu za integrirani pristup liječenju koji uključuje ranu identifikaciju rizika i proaktivnu nutritivnu podršku.BACKGROUND AND AIM: Sarcopenia and dysphagia are common comorbidities in patients with head and neck cancer that significantly affect prognosis and quality of life. The aim of this study was to find the prevalence of sarcopenia among patients with head and neck cancer suffering from dysphagia, investigate the causal relationships between these conditions, assess their impact on clinical outcomes, and evaluate the effectiveness of enteral nutrition on nutritional status and functional outcomes.
METHODS: A retrospective study was conducted on a sample of 34 patients with head and neck cancer treated at University Hospital Centre Rijeka during May-September 2024. Validated questionnaires SARC-F (≥4 for sarcopenia) and EAT-10 (≥3 for dysphagia) were used, along with bioelectrical impedance analysis. Data were collected at the beginning of radiotherapy, at the end of treatment, and three months after completion. Statistical analysis included chi-square test, Spearman's correlation coefficient, logistic regression, Mann-Whitney U test, and Wilcoxon test.
RESULTS: The prevalence of sarcopenia was 44.1% at the beginning of radiotherapy, increasing to 73.5% during treatment. In severe dysphagia, the prevalence of sarcopenia reached 88.9%. Patients with initial sarcopenia had a 2.67-fold higher relative risk of developing severe dysphagia (p=0.048). The combination of severe dysphagia and sarcopenia was associated with a 77.8% disease progression rate (OR=4.67, p=0.028). Enteral nutrition resulted in BMI preservation with an average decrease of only 3.2% and statistically significant correlations between improved body composition and functional outcomes.
CONCLUSION: This study confirms the significant prevalence of sarcopenia in patients with head and neck cancer with dysphagia and proves causal relationships between these conditions. The combination of sarcopenia and dysphagia is a strong predictor of worse clinical outcomes. Enteral nutrition shows promising results in preserving nutritional status, emphasizing the need for an integrated treatment approach that includes early risk identification and proactive nutritional support
Satisfaction of users with the quality of health care in the Health center of Karlovac county
No full textUvod: Zadovoljstvo pacijenata ključan je pokazatelj kvalitete zdravstvene skrbi. U kontekstu primarne zdravstvene zaštite, važnost korisničkog iskustva posebno dolazi do izražaja zbog prvog kontakta pacijenta sa zdravstvenim sustavom. U današnjem društvu, gdje su informacije lako dostupne, očekivanja korisnika sve su veća, stoga je nužno kontinuirano pratiti i analizirati njihovo zadovoljstvo pruženim uslugama.
Cilj: Cilj rada bio je ispitati razinu zadovoljstva pacijenata kvalitetom pružene zdravstvene zaštite u Domu zdravlja Karlovačke županije, s posebnim naglaskom na Organizacijsku jedinicu Duga Resa. Istraživanjem su se željele identificirati moguće razlike u zadovoljstvu s obzirom na dob, spol i općenito korisničko iskustvo.
Materijali i metode: U istraživanju je sudjelovalo 210 ispitanika različitog spola, dobi i obrazovanja. Anketa je provedena anonimno u travnju i svibnju 2025. godine. Korišten je instrument u obliku anketnog upitnika s Likertovom ljestvicom od 1 do 5. Podaci su analizirani pomoću statističkog programa SPSS.
Rezultati: Najveći broj ispitanika bili su žene (63,8%) u dobi 21–40 godina. Najveće zadovoljstvo pacijenti su izrazili čistoćom ordinacija (x̅=4,88) i znanjem medicinskog osoblja (x̅=4,86), dok je najmanje zadovoljstvo izraženo u području telefonske dostupnosti (x̅=4,18) i pristupa ustanovi (x̅=4,26). Statistički značajna razlika u zadovoljstvu uočena je između spolova i dobnih skupina, pri čemu su žene i stariji pacijenti iskazivali nešto veće zadovoljstvo.
Zaključak: Dobiveni rezultati ukazuju na visok stupanj zadovoljstva korisnika uslugama primarne zdravstvene zaštite u Domu zdravlja Karlovačke županije, osobito u segmentima stručnosti djelatnika i opće urednosti prostora. Iako su određeni aspekti, poput telefonske dostupnosti i infrastrukturnih uvjeta, ocijenjeni nešto nižim ocjenama, ukupni dojam korisnika je pozitivan. Rezultati ovog istraživanja mogu poslužiti kao vrijedan pokazatelj kvalitete i temelj za daljnje unapređenje zdravstvenih usluga.Background: Patient satisfaction is a key indicator of health care quality. In the field of primary care, the importance of user experience becomes especially relevant as it represents the first contact with the health system. In today’s information-driven society, where expectations are rising, continuous assessment of service satisfaction is necessary to improve overall care.
Aim: The aim of this paper was to assess the level of patient satisfaction with the quality of healthcare services provided at the Health Center of Karlovac County, with a focus on the Duga Resa unit. The research aimed to identify potential differences in satisfaction based on age, gender, and general experience.
Materials and methods: The study included 210 respondents of different genders, ages, and education levels. A structured, anonymous survey was conducted in april and may 2025 using a 5-point Likert scale. Data were analyzed using the SPSS statistical software.
Results: The majority of respondents were women (63.8%) aged 21–40. The highest satisfaction scores were related to clinic cleanliness (x̅=4.88) and staff expertise (x̅=4.86), while the lowest were in telephone access (x̅=4.18) and facility surroundings (x̅=4.26). Statistically significant differences were observed among age and gender groups, with women and older respondents showing greater satisfaction.
Conclusion: The results indicate a high level of user satisfaction with primary health care services at the Health Center of Karlovac County, particularly in terms of staff expertise and facility cleanliness. Although some aspects such as telephone access and infrastructure received slightly lower ratings, the overall impression of service users was positive. These findings can serve as a valuable quality indicator and a basis for further improvement of healthcare services