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    2119 research outputs found

    A Multinational Observational Study of Nurse Work Wellbeing: A Research Protocol for the Caring Science International Collaborative

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    ABSTRACT Background: Work wellbeing, also known as workplace wellbeing, is a global concern for nurses, particularly because excessive stress and exhaustion contribute to burnout. Objective: The Caring Science International Collaborative (CSIC), an international research network, empirically investigates nurse work wellbeing using the Profile of Caring, a psychometrically validated and reliable instrument. Framework: The CSIC framework defines wellbeing intrinsically—as caring and clarity—and extrinsically—as the social and technical resources needed to work efficiently and effectively. The Profile of Caring explains 80% of work wellbeing in nursing without bias across 10 countries. Study Design: This research protocol describes an international multicenter observational study that measures nurse work wellbeing using the Profile of Caring and other concepts and outcomes measure

    Hypoalbuminemia as an Unusual Presentation of Undiagnosed Atypical Celiac Disease in an 84-Year-Old Woman

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    Celiac disease is a chronic, immune-mediated enteropathy that is precipitated by dietary gluten in genetically predisposed individuals. Gastrointestinal symptoms and signs of malabsorption characterize a classical form of the disease, while patients with nonclassical celiac disease lack significant gastrointestinal symptoms. We report an uncommon case of celiac disease in an 84-year-old oligosymptomatic female with a recently treated colon tumor, diagnosed during the investigation of profound hypoproteinemia and hypoalbuminemia. In this case, two factors could have been misleading about the cause of hypoalbuminemia: malignant tumor and advanced age. Since the oncological disease was in remission, and the albumin concentration in the healthy elderly people in the community usually exceeds 38 g/L until after the age of 90, we pursued an alternative cause, leading to the diagnosis of celiac disease. Even in the absence of intestinal symptoms, advanced age, or other diagnoses, celiac disease should be considered a potential differential diagnosis in every patient presenting with hypoalbuminemia

    SATISFACTION OF STUDENTS AND COACHES WITH PROJECT IMPLEMENTATION: STUDENTS IN THE IMPLEMENTATION OF ORGANIZED REGIONAL COMPETITIONS

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    U zadnjih nekoliko godina podiže se svijest o prevenciji ozljeda i pravovremenoj intervenciji ukoliko se iste i dogode. Radi se na uvođenju medicinskog osoblja na svako sportsko natjecanje neovisno o uzrastu, spolu ili vrsti sporta što uvelike pomaže da se što prije utvrdi i sanira postojanje ozljede. Studenti fizioterapije Fakulteta zdravstvenih studija u Rijeci već od prve godine studija sudjeluju na školskim sportskim natjecanjima diljem Primorsko-goranska županije u svojstvu medicinskog tima. Mogućnost sudjelovanja ostvarena je kroz projekt naziva „Studenti u provedbi organiziranih regionalnih takmičenja“ (SUPORT) . Sudjelovanje u projektu je na volonterskoj bazi, a studentima volonterski sati smanjuju broj obaveznih sati kliničke prakse. Kako bi se utvrdilo zadovoljstvo projektom onih koji sudjeluju u njemu, a to su studenti i treneri koji vode ekipe na natjecanja, provedeno je istraživanje bazirano na anketnim upitnicima. Izrađen je jedan upitnik za trenere, a drugi za studente. Osim upitnika o zadovoljstvu, studentima je podijeljen i upitnik kojim se procjenjuje znanje o osnovnom održavanju života. U projektu sudjeluju studenti prve, druge i treće godine prijediplomskog studija fizioterapije te se zbog toga pretpostavljalo da postoji i razlika u zadovoljstvu studenata različitih godina studija te znanje o BLS-u jer su studenti viših godina prošli tečaj više puta. Analizom rezultata upitnika podijeljenih studentima utvrdila se razlika u pojedinim aspektima, ali ne koliko se očekivalo. Analiza rezultata odgovora trenera potvrđuje da su svi treneri u potpunosti zadovoljni realizacijom koju su ostvarili studenti. SUPORT projekt daje za primjer kako kroz volonterske aktivnosti i mogućnosti širenja znanja u struci potaknuti studente na izvannastavne aktivnosti, širi svijest o važnosti medicinskih timova na sportskim natjecanjima i da nisu nužna financijska sredstva kako bi se to ostvarilo.In the last few years, awareness has been raised about injury prevention and timely intervention if they do occur. Work is underway to introduce medical staff to every sports competition, regardless of age, gender or type of sport, which greatly helps to determine and repair the existence of an injury as soon as possible. Physiotherapy students at the Faculty of Health Studies in Rijeka have been participating in school sports competitions throughout the Primorje-Gorski Kotar County as a medical team since their first year of study. The opportunity to participate was made possible through a project called "Students in the Implementation of Organized Regional Competitions" (SUPORT). Participation in the project is on a voluntary basis, and volunteer hours reduce the number of mandatory clinical practice hours for students. In order to determine the satisfaction with the project of those participating in it, namely students and coaches who lead teams to competitions, a survey-based research was conducted. One questionnaire was designed for coaches and another for students. In addition to the satisfaction questionnaire, students were also given a questionnaire assessing their knowledge of basic life support. The project involves first, second and third year undergraduate physiotherapy students, and therefore it was assumed that there would be differences in student satisfaction and knowledge of BLS between different years of study, as senior students had taken the course multiple times. Analysis of the results of the questionnaires distributed to the students revealed differences in some aspects, but not to the extent expected. The results obtained from the analysis of the trainers' responses show that almost all of them were completely satisfied with the implementation of the project by the students. The SUPORT project provides an example of how, through volunteer activities and opportunities to expand knowledge in the profession, students can be encouraged to participate in extracurricular activities, spreading awareness of the importance of medical teams at sports competitions and that financial resources are not necessary to achieve this

    BURNOUT SYNDROME IN MIDWIVES

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    Sindrom sagorijevanja prvi put je opisan 1974. godine. Herbert Freudenberg opisao ga je kao skup simptoma poput gubitka energije, iscrpljenosti, tjeskobe, depresije, demotiviranosti i agresije. Godinu dana nakon, Christina Maslach je definirala sindrom sagorijevanja kao neadekvatan odgovor na kronični emocionalni stres koji se ogleda u tri čimbenika: emocionalna iscrpljenost, depersonalizacija i smanjeno osobno postignuće. Glavni cilj ovog istraživanja je bio istražiti razinu sindroma sagorijevanja kod primalja. Također se istraživala razina sagorijevanja po dimenzijama upitnika, povezanost duljine radnog staža, rad na određenom odjelu i partnerski status na intenzitet sagorijevanja primalja. U istraživanju je sudjelovalo 133 ispitanika, od čega je bilo 131 ženskog roda i 2 muškog roda. Ispitanici su grupirani prema godinama, te je u skupini do 30 godina bilo njih 75, dok starijih od 30 godina je bilo 58 ispitanika. Prema radnom stažu prevladavali su ispitanici koji su imali do 10 godina radnog staža. Osim toga prevladavali su ispitanici koji imaju završeno prvostupništvo primaljstva. Rezultati istraživanja su pokazali da je sagorijevanje prisutno kod primalja u Republici Hrvatskoj. Osim što je prikazana razlika koja je povezana na osobnoj razini (M – 60,50) i povezanoj s poslom (M- 53,98) , postojale su i druge karakteristike. Intenzitet sagorijevanja prisutan je kod primalja s više od 10 godina radnog staža povezanog s kolegama (t(129)=-2,569, p=0,011). Također intenzitet sagorijevanja prisutan je kod primalja s više od 10 godina radnog staža povezanog s klijentima (t(129)=-2,355, p=0,020). Intenzitet sagorijevanja prisutan je kod primalja koje su same i nemaju partnersku podršku (t(129)=2,25, p=0,028). Sindrom sagorijevanja prisutan je kod primalja u Republici Hrvatskoj. S obzirom na to da je sve veći broj primalja koje napuštaju struku i izlaze iz zdravstvenih sustava, preporuka je provesti daljnja istraživanja te raditi na prevenciji i liječenju mentalnog zdravlja.Burnout syndrome was first described in 1974. Herbert Freudenberg described it as a set of symptoms such as loss of energy, exhaustion, anxiety, depression, demotivation and aggression. A year later, Christina Maclach defined burnout syndrome as an inadequate response to chronic emotional stress, which is reflected in three factors: emotional exhaustion, depersonalization and reduced personal achievement. The main aim of this study was to investigate the level of burnout syndrome in midwives. The level of burnout according to the dimensions of the questionnaire was also investigated, the relationship between length of service, work in a particular department and partner status on the intensity of midwifery burnout. 133 respondents participated in the study, of which 131 were female and 2 were male. The respondents were grouped by age, and in the group up to 30 years there were 75 of them, while 58 respondents were older than 30 years. According to the length of service, respondents with up to 10 years of service prevailed. In addition, respondents with a bachelor's degree in midwifery prevailed. The results of the study showed that burnout is present among midwives in the Republic of Croatia. In addition to the difference shown at the personal level (M - 60.50) and related to work (M- 53.98), there were other characteristics. The intensity of burnout is present in midwives with more than 10 years of service related to colleagues (t(129) = -2.569, p = 0.011). The intensity of burnout is also present in midwives with more than 10 years of service related to clients (t(129) = -2.355, p = 0.020). The intensity of burnout is present in midwives who are alone and do not have partner support (t(129) = 2.25, p = 0.028). Burnout syndrome is present among midwives in the Republic of Croatia. Given the increasing number of midwives leaving the profession and leaving the healthcare system, it is recommended to conduct further research and work on the prevention and treatment of mental health

    COMPARISON OF KNOWLEDGE ABOUT SEXUALLY TRANSMITTED DISEASES AMONG NURSING STUDENTS OF THE FACULTY OF HEALTH STUDIES IN RIJEKA AND STUDENTS OF EARLY AND PRESCHOOL EDUCATION IN RIJEKA: Research

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    Spolno prenosive bolesti predstavljaju značajan javnozdravstveni izazov, osobito među mladima, zbog često asimptomatskog tijeka, nedovoljne educiranosti i izražene društvene stigme. Cilj ovog rada bio je ispitati i usporediti razinu znanja i stavove o spolno prenosivim bolestima među studentima sestrinstva Fakulteta zdravstvenih studija i studentima ranog i predškolskog odgoja i obrazovanja Učiteljskog fakulteta u Rijeci. U istraživanju je sudjelovalo 56 studenata, pri čemu su korišteni anonimni online upitnici. Anketa je provedena u razdoblju od 1. ožujka do 1. travnja 2025. godine. Ispitanici su odgovarali na pitanja o znanju, edukaciji, izvorima informacija te stavovima prema testiranju i prevenciji spolno prenosivih bolesti. Podaci su analizirani pomoću deskriptivne statistike u programu Microsoft Excel. Rezultati su pokazali da većina studenata prepoznaje osnovne načine prijenosa i važne simptome, no još uvijek postoji znatan broj onih koji nemaju dovoljno informacija o simptomima i prevenciji. Studenti sestrinstva, očekivano, iskazuju višu razinu znanja u usporedbi s kolegama iz odgojno-obrazovnog područja. Pokazala se potreba za više edukativnih sadržaja u obrazovnom sustavu te za lakšim i dostupnijim testiranjem. Dobiveni podaci ukazuju na važnost sustavne edukacije, ranog educiranja i otvorene komunikacije o spolnom zdravlju među mladima, kako bi se smanjio rizik od infekcija i promicala odgovornost u spolnom ponašanju.Sexually transmitted diseases represent a significant public health challenge, especially among young people, due to their often asymptomatic course, insufficient information, and pronounced social stigma. The aim of this study was to examine and compare the level of knowledge and attitudes regarding sexually transmitted diseases among nursing students at the Faculty of Health Studies and early childhood education students at the Faculty of Teacher Education in Rijeka. A total of 56 students participated in the research, using anonymous online questionnaires. The survey was conducted between March 1st and April 1st, 2025. Respondents answered questions related to their knowledge, education, sources of information, and attitudes towards testing and prevention of sexually transmitted diseases. Data were analyzed using descriptive statistics in Microsoft Excel. The results showed that most students recognized the main modes of transmission and important symptoms, yet a significant number still lacked sufficient information about symptoms and prevention. Nursing students, as expected, demonstrated a higher level of knowledge compared to their colleagues from the education field. There is a need for more educational content within the education system and for easier and more accessible testing. The findings highlight the importance of systematic education, early information, and open communication about sexual health among young people, in order to reduce the risk of infections and promote responsible sexual behavior

    SOCIAL SUPPORT FOR PERSONS WHO ARE BEING TREATED FOR ALCOHOLISM

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    Uvod: Ovisnost o alkoholu je poremećaj koji uključuje nemogućnost kontroliranja konzumacije alkohola unatoč njegovim štetnim posljedicama na fizičko, mentalno i socijalno funkcioniranje. Socijalna podrška igra ključnu ulogu u procesu liječenja, jer različiti oblici podrške mogu značajno utjecati na ishod liječenja i kvalitetu života oboljelih, dok nedostatak takve podrške može dovesti do recidiva. Cilj: Cilj ovog istraživanja je ispitati razinu socijalne podrške i mentalnog zdravlja kod osoba u procesu liječenja od alkoholizma. Metode: U istraživanju je sudjelovalo ukupno 54 ispitanika koji su članovi klubova liječenih alkoholičara (KLA) te 12 voditelja KLA. Podaci su prikupljeni pisanim upitnikom za članove klubova i online obrascem za voditelje. Percipirana socijalna podrška mjerena je Multidimenzionalnom skalom percipirane socijalne podrške (MSPSS). Podrška šire zajednice ispitana je putem tri samokreirana pitanja na Likertovoj skali od 1 do 5. Mentalno dobrostanje mjereno je Upitnikom mentalnog zdravlja MHC-SF. Za voditelje klubova kreiran je polustrukturirani upitnik o važnosti socijalne podrške i izazovima u radu. Rezultati: Ispitanici percipiraju umjereno visoku razinu socijalne podrške, pri čemu je podrška značajnih drugih najizraženija (M=24,09), slijedi podrška obitelji (M=23,33), a podrška prijatelja je najniža (M=20,48). Postoji statistički značajna razlika između tri oblika podrške (p=0,001), gdje je podrška prijatelja značajno niža od ostale dvije. Najveći udio ispitanika (64,8%) percipira umjerenu razinu podrške šire zajednice (p=0,024). Utvrđena je značajna pozitivna povezanost između mentalnog dobrostanja i ukupne socijalne podrške (r=0,432, p=0,001). Životna zajednica je jedina sociodemografska varijabla značajno povezana s podrškom obitelji (p=0,039) i značajnih drugih (p=0,049). Voditelji klubova procjenjuju obiteljsku podršku kao najvišu (M=4,82), a 58,3% ih percipira zajednicu kao zatvorenu prema liječenju ovisnosti. Glavni nedostaci u radu klubova su nedostatak financija (72,7%) i prostor za rad (54,5%), dok su najveći izazovi motivacija članova (27,3%) i problemi s povjerenjem u grupi (18,2%). Zaključak: Rezultati istraživanja potvrđuje važnost obiteljske podrške i podrške značajnih drugih u procesu oporavka od alkohola. Nalazi su u skladu s postojećim istraživanjima koja naglašavaju ključnu ulogu socijalne podrške u očuvanju mentalnog zdravlja i poboljšanju kvalitete života tijekom liječenja. Međutim, identificirani nedostaci u podršci šire zajednice i resursima klubova liječenih alkoholičara ukazuju na potrebu za jačanjem zajedničkih napora u pružanju sveobuhvatne podrške osobama koje se suočavaju s ovisnošću o alkoholu.Introduction: Alcohol dependence is a disorder that involves the inability to control alcohol consumption despite its harmful effects on physical, mental and social functioning. Social support plays a key role in the treatment process, as different forms of support can significantly affect the outcome of treatment and the quality of life of patients, while the lack of such support can lead to relapse. Objective: The aim of this study is to examine the level of social support and mental health in people undergoing treatment for alcoholism. Methods: A total of 54 respondents who are members of clubs for treated alcoholics (KLA) and 12 KLA leaders participated in the study. Data were collected using a written questionnaire for club members and an online survey form for leaders. Perceived social support was measured using the Multidimensional Scale of Perceived Social Support (MSPSS). Support from the wider community was examined using three self-created questions on a Likert scale from 1 to 5. Mental well-being was measured using the MHC-SF Mental Health Questionnaire. A semi-structured questionnaire on the importance of social support and challenges at work was created for club leaders. Results: Respondents perceive a moderately high level of social support, with support from significant others being the most pronounced (M=24.09), followed by support from family (M=23.33), and support from friends being the lowest (M=20.48). There is a statistically significant difference between the three forms of support (p=0.001), with support from friends being significantly lower than the other two. The largest proportion of respondents (64.8%) perceives a moderate level of support from the wider community (p=0.024). A significant positive correlation was found between mental well-being and total social support (r=0.432, p=0.001). Living community is the only sociodemographic variable significantly associated with support from family (p=0.039) and significant others (p=0.049). Club leaders assess family support as the highest (M=4.82), and 58.3% perceive the community as closed to addiction treatment. The main shortcomings in the work of the clubs are financial resources (72.7%) and space for work (54.5%), while the biggest challenges are motivation of members (27.3%) and problems with trust in the group (18.2%). Conclusion: Our research confirms the importance of family support and support of significant others in the process of alcohol recovery. The findings are in line with existing research that emphasizes the key role of social support in maintaining mental health and improving quality of life during treatment. However, the identified shortcomings in the support of the wider community and the resources of the clubs of treated alcoholics indicate the need to strengthen joint efforts in providing comprehensive support to people facing alcohol addiction

    Burnout syndrome among nurses in emergency hospital admissions

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    UVOD: Sindrom sagorijevanja među medicinskim sestrama-tehničarima (MS/MT) na objedinjenom hitnom bolničkom prijemu (OHBP) manifestira se kroz emocionalnu iscrpljenost, depersonalizaciju i smanjeni osjećaj osobnog postignuća, te predstavlja značajan profesionalni rizik. Istraživanja pokazuju zabrinjavajuću prevalenciju ovog sindroma, s približno 30% MS/MT na OHBP-u koji pokazuju barem jednu od tri dimenzije sagorijevanja, što naglašava potrebu za razumijevanjem ovog fenomena kako bi se razvile učinkovite strategije za smanjenje stresa i poboljšanje radnih uvjeta u ovom zahtjevnom radnom okruženju. CILJ ISTRAŽIVANJA: Cilj ovog istraživanja bio je utvrditi razinu sindroma sagorijevanja među MS/MT na OHBP-u, s posebnim naglaskom na procjenu razine ukupnog percipiranog sagorijevanja te njegovih specifičnih komponenti - iscrpljenosti i otuđenosti. METODE: Istraživanje je provedeno na uzorku od 80 MS/MT zaposlenih u OHBP-u, pri čemu su podaci prikupljeni tijekom lipnja 2025. godine primjenom hrvatske verzije Oldenburškog upitnika sagorijevanja putem anonimne online ankete. Za procjenu razina percipiranog sagorijevanja, iscrpljenosti i otuđenosti korištena je četverostupanjska ljestvica, a podaci su analizirani metodama deskriptivne statistike. REZULTATI: Istraživanje provedeno na 80 medicinskih sestara i tehničara zaposlenih u OHBP-u, s dominantnim udjelom žena (75%) i pretežno mlađom populacijom (51,25% mlađih od 36 godina), pokazalo je visoke razine profesionalnog sagorijevanja na svim mjerenim dimenzijama. Rezultati Oldenburškog upitnika sagorijevanja potvrđuju da čak 75% ispitanika iskazuje visoku razinu ukupnog sagorijevanja (Q1=2,62) i iscrpljenosti (Q1=2,75), dok više od polovice sudionika doživljava značajnu razinu otuđenosti od posla (medijan=2,75), čime su potvrđene hipoteze o visokoj razini percipiranog sagorijevanja i iscrpljenosti među medicinskim sestrama i tehničarima u OHBP-u. ZAKLJUČAK: Istraživanje je potvrdilo hipoteze o visokoj razini sagorijevanja i iscrpljenosti među medicinskim sestrama i tehničarima u OHBP-u, dok je razina otuđenosti također visoka umjesto očekivane umjerene, što naglašava potrebu za sustavnim pristupom prevenciji sagorijevanja kroz moguće organizacijske promjene i podršku medicinskom timu.INTRODUCTION: Burnout syndrome among nurses and technicians in emergency hospital admissions manifests through emotional exhaustion, depersonalization, and reduced sense of personal achievement, being a significant professional risk. Research shows an alarming prevalence of this syndrome, with approximately 30% of nurses and technicians in EDs exhibiting at least one of the three burnout dimensions, highlighting the need to understand this phenomenon to develop effective strategies for stress reduction and improvement of working conditions in this demanding work environment. RESEARCH OBJECTIVE: This study aimed to determine the level of burnout syndrome among nurses and technicians in emergency hospital admissions, with special emphasis on assessing the level of overall perceived burnout and its specific components - exhaustion and disengagement. METHODS: The research was conducted on a sample of 80 nurses and technicians employed in emergency hospital admissions, with data collected during June 2025 using the Croatian version of the Oldenburg Burnout Inventory through an anonymous online survey created on the Google Forms platform. A four-point scale was used to assess levels of perceived burnout, exhaustion, and disengagement, and the data were analysed using descriptive statistics methods. RESULTS: The study, conducted among 80 nurses and technicians employed in emergency hospital admissions, revealed a high level of professional burnout across all measured dimensions, with a dominant proportion of women (75%) and a predominantly younger population (51.25% younger than 36 years). The results of the Oldenburg Burnout Inventory confirm that as many as 75% of respondents express a high level of overall burnout (Q1=2.62) and exhaustion (Q1=2.75), while more than half of the participants experience a significant level of disengagement from work (median=2.75), thus confirming the hypotheses about high levels of perceived burnout and exhaustion among nurses and technicians in emergency hospital admissions. CONCLUSION: The study confirmed the hypotheses, high levels of burnout and exhaustion among nurses and technicians in emergency hospital admissions, while the level of disengagement is also high, instead of the expected moderate level, emphasising the need for a systematic approach to burnout prevention through organisational changes needed and support to the medical team

    Satisfaction of the families of patients treated in the Intensive Care Unit with the relationship of healthcare workers

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    Kritično oboljenje velika je promjena za samog bolesnika, ali i za njegovu bližnju obitelj. Razna traumatska stanja, prometne nesreće, opsežne operacije i sl., zahtijevaju prijem bolesnika na Odjel intenzivnog liječenja (OIL). Vitalno ugroženi bolesnici često su analgosedirani, strojno ventilirani i zahtijevaju invazivno mjerenje krvnog tlaka. O njima brinu medicinske sestre specijalisti u djelatnosti intenzivne medicine, liječnici specijalisti intenzivne medicine, fizioterapeuti, farmakolozi, radiolozi te djelatnici ostalih medicinskih i nemedicinskih struka koji su uključeni u liječenje bolesnika. Sama spoznaja da se bliski član obitelji nalazi na OIL-u za obitelj može biti vrlo stresna i uznemirujuća. S obzirom na to da je od životno ugroženih bolesnika teško ili nemoguće dobiti informacije zbog sedacije ili poremećaja svijesti, u istraživanjima ovakvog tipa često sudjeluje njihova bliska obitelj. Cilj ovog diplomskog rada bio je ispitati zadovoljstvo obitelji bolesnika liječenih na OIL-u Sušak i Rijeka s odnosom zdravstvenih djelatnika prema njima i prema bolesniku, te ispitati zadovoljstvo dobivenim informacijama o bolesnicima od strane zdravstvenih djelatnika. U istraživanju je korišten upitnik Family Satisfaction with the ICU questionnaire (FS-ICU 24R), a sudjelovalo je 60 ispitanika. Rezultati istraživanja pokazuju da su ispitanici potpuno zadovoljni odnosom zdravstvenih djelatnika prema bolesniku, ali i prema njima.Becoming terminally ill is a major change for the patient, but also for their immediate family. Various traumatic conditions, traffic accidents, extensive surgeries, etc., require admission to the Intensive Care Unit (ICU). Vitally endangered patients are often analgosedated, mechanically ventilated, or require invasive blood pressure measurement. They are cared for by nurses specializing in intensive care, intensive care specialists, physiotherapists, pharmacologists, radiologists, or specialists from all other medical branches involved in the treatment of the patient. The mere knowledge that a close family member is in ICU can be very stressful and disturbing for the family. Since it is difficult or impossible to obtain information from life-threatening patients due to sedation or impaired consciousness, so their close relatives often participate in this type of research. The aim of this study was to examine the satisfaction of families of patients treated at OIL Sušak and Rijeka with the attitude of healthcare professionals towards themselves and the patient, and satisfaction with the information received about patients by healthcare professionals. The Family Satisfaction with the ICU questionnaire (FS-ICU 24R) was used in the study, and 60 respondents participated. The results of the study show that the respondents are completely satisfied with the attitude of healthcare professionals towards the patient and towards them

    THE INFLUENCE OF MODERN TECHNOLOGY ON THE MOTOR DEVELOPMENT OF CHILDREN OF EARLY AND PRESCHOOL AGE

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    Ovaj završni rad istražuje utjecaj moderne tehnologije na motorički razvoj djece rane i predškolske dobi, s posebnim naglaskom na korelaciju između vremena provedenog pred ekranima i razvijenosti osnovnih motoričkih vještina. U suvremenom društvu, digitalni uređaji poput pametnih telefona, tableta i televizora sve su prisutniji u svakodnevici djece, što otvara pitanje mogućih negativnih posljedica njihove pretjerane uporabe, osobito u kontekstu tjelesnog i neurološkog razvoja. Cilj istraživanja bio je ispitati razlike u motoričkom funkcioniranju između djece s ograničenom i učestalom upotrebom tehnologije te analizirati utjecaj tjelesne aktivnosti kao zaštitnog faktora. U istraživanju je sudjelovalo 60 ispitanika, podijeljenih u eksperimentalnu i kontrolnu skupinu, prema kriteriju dnevnog vremena provedenog pred ekranima. Za prikupljanje podataka korišteni su validirani instrumenti: Screen Time Questionnaire (STQ) za procjenu izloženosti tehnologiji te Peabody Developmental Motor Scales – Second Edition (PDMS-2) za procjenu motoričkih sposobnosti. Rezultati statističke obrade pokazali su značajnu razliku u razini motoričkih vještina između dviju skupina, pri čemu su djeca iz kontrolne skupine postigla bolje rezultate u usporedbi s djecom iz eksperimentalne skupine. Također, utvrđena je snažna pozitivna korelacija između vremena provedenog u tjelesnoj aktivnosti i rezultata na testovima motoričkih vještina. Rezultati potvrđuju hipotezu o negativnom utjecaju prekomjerne upotrebe moderne tehnologije na motorički razvoj djece te ističu važnost sustavnog poticanja fizičke aktivnosti u ranom djetinjstvu u svrhu optimalnog neuromotoričkog sazrijevanja.This final thesis explores the impact of modern technology on the motor development of early and preschool-aged children, with a particular focus on the correlation between screen time and the development of fundamental motor skills. In contemporary society, digital devices such as smartphones, tablets, and televisions are increasingly present in children's daily lives, raising concerns about the potential negative consequences of their excessive use, especially in the context of physical and neurological development. The aim of this research was to examine the differences in motor functioning between children with limited and frequent use of technology, as well as to analyze the influence of physical activity as a protective factor. The study included 60 participants, divided into experimental and control groups based on their daily screen time. For data collection, validated instruments were used: the Screen Time Questionnaire (STQ) to assess technology exposure and the Peabody Developmental Motor Scales – Second Edition (PDMS-2) to evaluate motor skills. Statistical analysis revealed a significant difference in motor skill levels between the two groups, with children from the control group achieving better results compared to those in the experimental group. Additionally, a strong positive correlation was found between time spent in physical activity and performance on motor skill tests. The findings confirm the hypothesis regarding the negative impact of excessive use of modern technology on children's motor development and emphasize the importance of systematically encouraging physical activity during early childhood to ensure optimal neuromotor maturation

    THE IMPACT OF LOAD ON PLANTAR PRESSURE DISTRIBUTION IN DIFFERENT TYPES OF FOOT ARCHES: research

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    Uvod: cilj ovog istraživanja bio je ispitati utjecaj različitih tipova svoda stopala na raspodjelu plantarnog pritiska, s dodatnim opterećenjem i bez njega, koristeći metodu pedobarografije. Materijali i metode: u istraživanju je sudjelovalo 30 studenata fizioterapije Fakulteta zdravstvenih studija u Rijeci, podijeljenih u dvije skupine (normalni i povišeni svod). Mjerenja su provedena u statičkim uvjetima na Biomech pedobarografskoj platformi, s dodatnim opterećenjem od 15 kg i bez njega Rezultati: rezultati su pokazali statistički značajnu razliku u distribuciji plantarnog pritiska i površini oslonca u srednjem dijelu stopala, gdje su ispitanici s povišenim svodom imali značajno manji oslonac i niži tlak. U prednjem i stražnjem dijelu stopala razlike nisu bile statistički značajne, neovisno o opterećenju. Zaključak: povišeni svod stopala uzrokuje biomehaničku neučinkovitost, posebno u srednjem dijelu stopala, što može povećati rizik od boli i ozljeda, posebno pod opterećenjem. Pedobarografija se pokazala kao koristan alat za detekciju tih razlika i može pomoći u personalizaciji preventivnih i terapijskih pristupa.Introduction: the aim of this study was to investigate the effect of different foot arch types on plantar pressure distribution, both with and without additional load, using pedobarography. Materials and Methods: the study included 30 physiotherapy students from the Faculty of Health Studies in Rijeka, divided into two groups (normal and high arches). Measurements were conducted in static conditions using a Biomech pedobarographic platform, with and without an additional load of 15 kg. Results: statistically significant differences in plantar pressure and contact surface were observed in the midfoot, with participants with high arches showing less contact area and lower pressure values. No significant differences were observed in the forefoot and rearfoot regions, regardless of load. Conclusion: high-arched feet demonstrate biomechanical inefficiency in load distribution, particularly in the midfoot, increasing the risk of pain and injury, especially under load. Pedobarographic analysis proved valuable in quantifying these differences and supports a personalized approach to prevention and therapy

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