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Adverse reactions and events among voluntary blood donors at Department of Transfusion Medicine University Hospital Center Split for a period of four years (2020-2023.)
No full textUVOD: Dobrovoljno darivanje krvi je kratak i jednostavan postupak koji većina zdravih osoba dobro podnosi. Kod određenog broja darivatelja tijekom i nakon darivanja krvi javljaju se neželjene reakcije koje se mogu podijeliti na lokalne i sustavne reakcije, a prema težini simptoma na blage, srednje teške i teške. Medicinska sestra kontinuirano nadzire darivatelja i poduzima aktivnosti s ciljem prevencije, prepoznavanja, tretiranja i bilježenja svih štetnih reakcija i događaja.
CILJ: Prikazati ulogu medicinske sestre u postupku darivanja krvi te analizirati stopu pojavnosti neželjenih reakcija i komplikacija u Zavodu za transfuzijsku medicinu KBC Split od 2020. do 2023. godine, s naglaskom na čimbenike rizika prema dobi, spolu, prethodnim neželjenim reakcijama davanja krvi, prema mjesecima u godini te prema mjestu održavanja akcija.
MATERIJALI I METODE: Provedeno je retrospektivno četverogodišnje istraživanje. Podaci o donacijama pune krvi i krvnih sastojaka u promatranom razdoblju prikupljeni su uvidom u transfuzijski informatički sustav e-Delphyn te prema izvješćima Odsjeka za kontrolu i osiguranje kvalitete.
REZULTATI: Istraživanje je uključilo 81.684 dobrovoljna davatelja krvi koji su dali krv u razdoblju od 2020. do 2023. Tijekom studije zabilježeno je 355 neželjenih reakcija, odnosno 0,4% od ukupnog broja donacija, od kojih su 8 (2%) bile lokalne, a 347 (98%) sustavne. Blagih vazovagalnih reakcija bilo je 243 (68%) od ukupnog broja prijavljenih reakcija. U 2022. godini zabilježeno je najviše prijavljenih reakcija i komplikacija (n=119), dok je u 2020. godini broj prijavljenih reakcija bio najmanji (n=58). Lokalne reakcije su zabilježene u malom broju, a najčešće su to bili hematomi, uz povrede živca i arterijske punkcije. Prosječna dob darivatelja koji su imali reakcije iznosila je 31,02 godine. Najveći broj reakcija i komplikacija prijavljen je kod darivatelja koji su darivali krv prvi put, s ukupno 125 prijavljenih neželjenih reakcija i komplikacija. Pojavnost reakcija smanjuje se s povećanjem broja darivanja.
ZAKLJUČAK: Darivanje krvi je postupak s niskom incidencijom neželjenih reakcija i događaja. Čimbenici rizika za pojavnost reakcija su mlađa dob te darivanje krvi prvi put. Najčešće se evidentiraju blage vazovagalne reakcije koje ne zahtijevaju medicinsku intervenciju. Medicinska sestra je ključna u praćenju postupka, uočavanju reakcija, njihovom zbrinjavanju i prijavljivanju.INTRODUCTION: Voluntary blood donation is a short and simple procedure that most healthy individuals tolerate well. However, a certain number of donors experience adverse reactions during and after blood donation, which can be classified as local or systemic reactions, and according to symptom severity, as mild, moderate, or severe. The nurse continuously monitors the donor and takes action to prevent, recognize, treat, and document any adverse reactions and events.
AIM: To present the role of the nurse in the blood donation process and to analyze the incidence of adverse reactions and complications at the Department of Transfusion Medicine, KBC Split, from 2020 to 2023, with a focus on risk factors by age, gender, previous adverse reactions, months of the year, and location of blood donation campaigns.
MATERIALS AND METHODS: A retrospective four-year study was conducted. Data on whole blood and blood component donations in the observed period were collected through the e-Delphyn transfusion information system and based on reports from the Department of Quality Control and Assurance.
RESULTS: The study included 81,684 voluntary blood donors who donated blood between 2020 and 2023. A total of 355 adverse reactions were recorded, representing 0.4% of all donations, of which 8 (2%) were local and 347 (98%) were systemic. Mild vasovagal reactions accounted for 243 (68%) of all reported reactions. The highest number of reported reactions and complications was in 2022 (n=119), while the lowest was in 2020 (n=58). Local reactions were recorded in small numbers, most commonly hematomas, followed by nerve injuries and arterial punctures. The average age of donors who experienced reactions was 31.02 years. The highest number of reactions and complications was reported among first-time donors, with a total of 125 adverse reactions and complications. The incidence of reactions decreases with an increasing number of donations.
CONCLUSION: Blood donation is a procedure with a low incidence of adverse reactions and events. Risk factors for reactions include younger age and first-time donation. Mild vasovagal reactions, which do not require medical intervention, are the most commonly recorded. The nurse plays a crucial role in monitoring the procedure, identifying reactions, managing them, and reporting them
Nursing care od a patients with a port catheter
No full textCentralni venski kateteri se koriste u svakodnevnoj praksi i znatno olakšavaju liječenje i skrb posebice kod onkoloških pacijenata. Ovi uređaji osiguravaju direktan vaskularni pristup za primjenu intravenozne terapije, kemoterapije, imunoterapije, potpune parenteralne prehrane, krvnih pripravaka te se koriste i za redovito uzorkovanje krvi. Najzastupljeniji među njima su CVK (centralni venski kateter), PICC kateteri (periferni intravenski kateteri) te port kateteri (port-a-cath). Postavljanje CVK odvija se u operacijskoj dvorani pod vodstvom ultrazvuka. Kirurg ili interventni radiolog postavlja kateter u za to predviđena mjesta koja predstavljaju unutarnja jugularna vena (lat. vena jugularis interna), femoralna (lat. vena femoralis) i subklavijalna vena (lat. vena subclavia). Port kateter vrsta je CVK koja ne sadrži vanjski dio već je potpuno implantiran pod kožu, sastoji se od lumena i porta na koje je spojen kateter kojeg čini tanka, savitljiva cijev uvučena u veliku venu iznad desne strane srca koja se naziva gornja šuplja vena. Implantirani port priključak može se postaviti na prsa ili nadlakticu ovisno o odluci kirurga i individualnom pristupu pacijentu, a najčešće vene za uvođenje port kateter čine subklavijalne, unutarnje jugularne i brahijalne vene ili vene podlaktice. Port kateter zbog svojih prednosti i manjoj mogućnosti nastanka komplikacija u usporedbi s drugim CVK kao i dužem roku trajanja sve je češći izbor u skrbi pacijenata posebice onih koji zahtijevaju velike količine intravenozne terapije, potpune parenteralne prehrane te kod onkoloških pacijenata kod kojih je potrebna primjena kemoterapije. Medicinska sestra je uz pacijenta prije samog postavljanja port katetera pa sve do otpusta pacijenta kući, te je prva koja rukuje i administrira lijekove putem postavljenog katetera, zato je iznimno važno da posjeduje potrebne vještine i znanja o skrbi ovih pacijenata. Sestra svojom empatijom, dobrom komunikacijom i strpljenjem stvara ugodnu i sigurnu okolinu za pacijenta i time razvija odnos temeljen na povjerenju i međusobnom poštovanju. Također, medicinska sestra educira pacijenta i njegovu obitelj o skrbi port katetera prije i nakon njegovog postavljanja te stalnim praćenjem pacijenta tijekom njegovog boravka u bolnici prevenira nastanak mogućih komplikacija.Central venous catheters are used in everyday practice and significantly facilitate treatment and care, especially in oncology patients. These devices provide direct vascular access for the application of intravenous therapy, chemotherapy, immunotherapy, complete parenteral nutrition, blood products and are also used for regular blood sampling. The most common among them are CVK (central venous catheter), PICC catheters (peripheral intravenous catheters) and port catheters (port-a-cath). CVK placement takes place in the operating theater under ultrasound guidance. The surgeon or interventional radiologist places the catheter in the designated places representing the internal jugular vein (lat. vena jugularis interna), femoral (lat. vena femoralis) and subclavian vein (lat. vena subclavia). A port catheter is a type of CVK that does not contain an external part but is completely implanted under the skin, consisting of a lumen and a port to which a catheter is connected, consisting of a thin, flexible tube inserted into a large vein above the right side of the heart, called the superior vena cava. The implanted port connection can be placed on the chest or upper arm depending on the decision of the surgeon and the individual approach to the patient, and the most common veins for introducing the port catheter are the subclavian, internal jugular and brachial veins or forearm veins. Due to it advantages and the lower possibility of complications compared to other CVKs, the port catheter is an increasingly common choice in the care of patients, especially those who require large amounts of intravenous therapy, complete parenteral nutrition, and in oncology patients who require the use of chemotherapy. The nurse is with the patient before the placement of the port catheter until the patient is discharged home, and is the first to handle and administer drugs through the catheter, so it is extremely important that she has the necessary skills and knowledge about the care of these patients. The nurse educates the patient and his family before and after the port catheter is placed, and by monitoring and caring for the patient during his stay in the hospital, she prevents possible complications
Self-harm in children and young people: rewiev
No full textCilj ovog rada je prema pregledanoj literaturi utvrditi koj rizični čimbenici utječu na pojavnost samoozljeđivanja kod djece i mladih, koji su zaštitni čimbenici samoozljeđivanja te na koji način društvene mreže utječu na samoozljeđivanje. Za izradu rada korištena je baza podataka MEDLINE putem PubMed-a. Filtriranjem podataka preostalo je 18, odnosno 4 istraživanja među kojima su odabrane 3 meta analize odnosno sustavna pregleda. Te je dodatno odabrano istraživanje „ Risk and protective factors for self-harm in adolescentes and young adults; an umbrella review od systematic reviews“. Utvrđeni su najčešći i najjači rizični čimbenici samoozljeđivanja te zaštitni čimbenici koji pozitivno djeluju općenito na mentalno zdravlje i na samoozljeđivanje. Također pomoću izabranih istraživanja dokazana je povezanost između korištenja društvenih mreža i internetskog zlostavljanja sa samoozljeđivanjem kod djece i mladih. Stjecanjem znanja o rizičnim i zaštitnim čimbenicima omogućeno je bolje osmišljavanje i provođenje preventivnih programa te probir rizičnih skupina za samoozljeđivanje. Medicinska sestra kao dio zdravstvenog tima ima ulogu i odgovornost u provođenju prevencije samoozljeđivanja i podizanju kvalitete života kod osoba koje se samoozljeđuje.The aim of this paper is to determine, based on the reviewed literature, which risk factors influence the occurrence of self harm in children and adolescents, what protective factors exist against self-harm and how social media and online bullying impact self-harm. For the preparation of this paper, the MEDILINE database via PubMed was used. After filtering the date, 18 studies remained, of whic 4 was selected, including 3 meta-analyses or systematic reviews and an additional study was selected on “Risk and protective factors for self-harm in adolescents and young adults; an umbrella review of systematic reviews”. The most common and strongest risk factors for self-harm werw identified, as well as the protective factors that have a positive effect on mental health in general and on self-harm. The selected studies also demonstrated a connection between the use of social media an online bullying with self-harm among children and adolescents. Gaining knowledge about risk and protective factors enables the design and implementation of preventive programs, as well as the screening of at risk groups for self-harm and in improving the quality of life for individuals who engage in self-harm
Midwifery care of infertile patients
No full textRasprava: Primaljska skrb kod neplodnih pacijentica obuhvaća sveobuhvatnu podršku i njegu usmjerenu
na žene koje se suočavaju s problemima plodnosti. Uloga primalje uključuje pružanje emocionalne podrške,
informiranje o mogućnostima liječenja, kao i asistiranje tijekom medicinskih postupaka poput umjetne
oplodnje. Primalje također educiraju pacijentice o zdravom načinu života, koji može poboljšati šanse za
trudnoću, te pružaju kontinuiranu psihološku podršku kako bi se smanjio stres povezan s neplodnošću.
Sveobuhvatna i empatična skrb ključna je za unaprjeđenje kvalitete života i izglede za uspješno začeće.
Zaključak: Primaljska skrb ključna je za neplodne pacijentice, pružajući im medicinsku i emocionalnu
podršku. Kontinuirano educiranje o psihološkoj pomoći i općenito reproduktivnoj medicini bit je za
poboljšanje kvalitete skrbi i ishoda liječenja.Discussion: Midwifery care for infertile patients encompasses comprehensive support and care focused on
women facing fertility issues. The role of the midwife includes providing emotional support, informing
patients about treatment options, and assisting during medical procedures such as in vitro fertilization.
Midwives also educate patients on a healthy lifestyle that can improve their chances of pregnancy and
provide continuous psychological support to reduce the stress associated with infertility. Comprehensive
and empathetic care is essential for enhancing the quality of life and improving the prospects for successful
conception.
Conclusion: Midwifery care is essential for infertile patients, providing them with medical and emotional
support. Continuous education about psychological help and reproductive medicine in general is essential
for improving the quality of care and treatment outcomes
The frequency of interventions in the pediatric population in the Split-Dalmatia County Department of Emergency Medicine before and during the COVID-19 pandemic
No full textCILJ ISTRAŽIVANJA: Cilj ovog završnog rada je prikazati učestalost intervencija u pedijatrijskoj populaciji u
periodu prije i za vrijeme COVID-19 pandemije u Zavodu za hitnu medicinu Splitsko-dalmatinske županije.
MATERIJALI I METODE: Kriterij uključenja u ovo istraživanje je pedijatrijska populacija (0-18 godina života)
koja je zatražila pomoć na Zavodu za hitnu medicinu Splitsko-dalmatinske županije u vremenskom razdoblju od
01. ožujka 2019. do 01. ožujka 2021. godine. Korišteni su podaci prikupljeni putem informacijskog sustava eHitna Zavoda za hitnu medicinu Splitsko-dalmatinske županije, a zadovoljavali su kriterij uključenja prema
godinama života te je obuhvaćen određeni vremenski period.
REZULTATI: Temeljem analize prikupljenih podataka u promatranom razdoblju ukupni broj provedenih
intervencija bio je 35743, a najveći broj intervencija bio je u pretpandemijskom razdoblju. Broj ispitanika u obje
skupine bio je skoro podjednak, udio muškog spola iznosio je 55,74%, dok je 44,26% bilo ženskog spola. Najveći
broj intervencija proveden je tijekom ljetnih mjeseci (lipanj, srpanj, kolovoz) prije i tijekom pandemije COVID19 bolesti.
ZAKLJUČCI: Tijekom trajanja COVID-19 pandemije evidentiran je manji broj intervencija za razliku od
razdoblja prije. Veći broj intervencija zabilježen je u bolesnika muškog spola. Primijećena je veća učestalost
intervencija tijekom ljetnih mjeseciAIM: The aim of this bachelor thesis is to show the frequency of interventions in the pediatric population in the
period before and during the COVID-19 pandemic in the Institute for Emergency Medicine of the Split-Dalmatia
County.
MATERIALS AND METHODS: The criterion for inclusion in this research is the pediatric population (0-18
years of age) who requested help at the Department of Emergency Medicine of the Split-Dalmatia County in the
period from March 1, 2019 to March 1, 2021. The data collected through the e-Emergency Department of the
Split-Dalmatia County information system were used, and they met the criteria of inclusion according to age of
life and a certain period of time was covered.
RESULTS: Based on the analysis of collected data in the observed period, the total number of implemented
interventions was 35,743, and the largest number of interventions was in the pre-pandemic period. The number of
subjects in both groups was almost equal, the proportion of males was 55.74%, while 44.26% were females. The
largest number of interventions was carried out during the summer months (June, July, August) before and during
the COVID-19 pandemic.
CONCLUSIONS: During the duration of the COVID-19 pandemic, a smaller number of interventions were
recorded, in contrast to the period before. A greater number of interventions was recorded in male patients. A
higher frequency of interventions was observed during the summer month
Attitudes and factors that affect Croatian nursing students' choice of thesis type: A cross-sectional study
No full textBackground Research in nursing, as in other biomedical professions, is of paramount importance. Nursing students are required to attend research methodology courses during their studies. However, nursing research is lagging behind other biomedical fields. Objectives This study aimed to examine attitudes and factors that influence the choice of thesis type (original research versus essay-type literature review) among Croatian nursing students. Methods This cross-sectional study included nursing students from 8 health sciences studies in Croatia in the 2020/2021 academic year. Data were collected using the Students' Attitudes Toward Research (SAR) questionnaire and questions assessing potential barriers toward research. Results There were 912 students (25 % response rate) included in the study. In the regression analysis of the total sample, mentor encouragement (β 0.200; P < 0.001), knowledge (β 0.137; P = 0.011), and sense of ability to conduct research (β 0.191; P < 0.001) were positively associated with the SAR score, while the expectation that a research-based thesis will extend the study duration was negatively associated with the SAR score (β −0.124; P = 0.036). Among bachelor's students, the sense of ability to conduct research (β 0.255; P < 0.001) was positively associated, while the expectation that a research-based thesis will extend the study duration was negatively associated with the SAR score (β −0.157; P = 0.053). Among master's students, mentor encouragement (β 0.415; P < 0.001), knowledge (β 0.261; P < 0.001), and sense of ability to conduct research (β 0.151; P = 0.045) were positively associated with the SAR score. A higher SAR score was associated with a higher likelihood of selecting a research thesis (OR [95 % CI]; P: 1.026 [1.014–1.038]; P < 0.001). Conclusions Our study revealed modifiable factors associated with positive attitudes toward scientific research and preference for a research-based thesis among nursing students. Policy-makers should consider our results and change nursing studies' curricula and mentors should encourage students to engage in research and conduct research-based thesis even if there are other thesis options available
The effect of exercise on improving the functionality of adults with autistic spectrum disorders
No full textCilj: Cilj ovog istraživanja bio je ispitati utjecaj tjelovježbe na poboljšanje funkcionalnosti odraslih osoba s poremećajima iz autističnog spektra.
Metode: Rad s ispitanicima obavljao se tijekom radnog vremena ispitivača-fizioterapeuta u Centru za odgoj i obrazovanje Juraj Bonači u Splitu, na Odjelu za pružanje socijalnih usluga osobama iz spektra autizma. Vježbe su se provodile individualno kod 24 ispitanika. Svaki ispitanik sudjelovao je u terapiji minimalno jednom tjedno, u trajanju od 5 do 45 minuta. Fizioterapeut je procjenjivao posturu, mogućnost izvođenja pokreta i hod te na temelju te procjene planirao odgovarajući tip vježbi za svakog ispitanika. Utjecaj tjelovježbe na funkcionalnost ispitanika praćen je u razdoblju od svibnja 2018. godine do svibnja 2023. godine. Zbog nemogućnosti razumijevanja zahtjeva, evaluacija utjecaja tjelovježbe na funkcionalnost ispitanika putem testova nije bila moguća. Tijekom navedenog razdoblja pratilo se je vrijeme aktivnog sudjelovanja ispitanika u terapiji, koje se mjerilo dva puta godišnje, u svibnju i listopadu.
Rezultati: Uočeno je značajno povećanje vremena provedenog u tjelovježbi kod ispitanika tijekom promatranog razdoblja. U skupini muškaraca došlo je do značajnog povećanja vremena provedenog u tjelovježbi, dok je kod žena uočeno povećanje vremena, ali ono nije bilo statistički značajno. Nije uočena značajna razlika u vremenu provedenom u tjelovježbi s obzirom na dobne skupine, što ukazuje na to da su koristi od tjelovježbe prisutne neovisno o dobi.
Zaključak: Istraživanje je pokazalo značajno povećanje vremena provedenog u tjelovježbi tijekom određenog razdoblja. Praćenje trajanja sudjelovanja u tjelovježbi otkrilo je pozitivne pomake u socijalnoj interakciji, izražavanju emocija, vokalizaciji i socijalizaciji. Indirektno se može zaključiti da tjelovježba ima pozitivan učinak na navedene aspekte autizma te da poboljšanja u tim aspektima dodatno pridonese povećanju vremena posvećenog vježbanju tijekom vremena.Objective: The aim of this research was to examine the impact of exercise on improving the functionality of adults with autism spectrum disorders.
Methods: The work with the respondents was done during the working hours of the examiner-physiotherapist at the Center for education Juraj Bonači in Split, at the Department for providing social service to people on the autism spectrum. The exercises were performed individually by 24 subject. Each subject participated in therapy at least once a week, lasting from 5 to 45 minutes. The physiotherapist assessed the posture, ability to perform movements and gait, and based on this assessment, planned the appropriate type of exercises for each subject. The impact of exercise on the subject functionally was monitore din the period from May 2018 to May 2023. due to the impossibility of understanding the requirements, it was not possible to evaluate the impact of exercise on the functionally of the subject through tests. During the mentioned period, the time of active participation of the subject in the therapy was monitored, which was measured twice a year, in May and October.
Results: A significant increase in the time spent in exercise was observed among the subject during the observed period. In the group of man, there was a significant increase in the time spent in exercise, while in woman an increase in the time was observed, but it was not statistically significant. No significant difference was observed in the time spent in exercise with regard to age groups.
Conclusion: The research showed a significant increase in time spent in exercise during a certain period. Monitoring the duration of exercise participation revealed positive changes in social interaction, expression of emotions, vocalization and socialization. Indirectly, it can be concluded that exercise has a positive effect on the mentioned aspects of autism and that improvements in these aspects additionally contribute to an increase in the time devoted to exercise over time
Incidence of central venous catheter infection regarding its placement, in the ICU Clinical hospital centre Split, in 2023.
No full textCilj: Cilj istraživanja je analizirati pojavnost infekcija središnjeg venskog katetera i utvrditi incidenciju infekcije s obzirom na mjesto postavljanja ( v. subclavia, v. femoralis, v. jugularis) u jedinici intenzivnog liječenja Kliničkog bolničkog centra Split u 2023 godini.
Metode: Podaci su prikupljeni uvidom u povijest bolesnika kroz bolnički informacijski sustav te kroz podatke o mikrobiološkim testiranjima Kliničkog zavoda za mikrobiologiju i parazitologiju Kliničkog bolničkog centra Split..
Rezultati: Uočeno je kako je učestalost infekcija povezanih s postavljanjem SVK-a u v. femoralis viša u usporedbi s drugim mjestima poput v. subclavia ili v. jugularis interna. Razlog tome je što je područje prepona, gdje se femoralna vena nalazi, sklonije kontaminaciji zbog blizine genitalnog i perianalnog područja, kao i zbog veće vlažnosti kože, što pogoduje razmnožavanju bakterija.
Zaključak: Infekcije povezane saSVK-om predstavljaju ozbiljan problem jer mogu dovesti do sepse, produljenog bolničkog liječenja i povećane smrtnosti. Iako se primjenom strogih aseptičnih tehnika i odgovarajućim održavanjem katetera može značajno smanjiti učestalost infekcija, one i dalje predstavlja-ju jednu od najčešćih komplikacija kod bolesnika s dugotrajnom kateterizacijom. Edukacija medicinskog osoblja i standardizacija postupaka ključni su koraci u smanjenju incidencije ovih komplikacija.Objective: The research aims to analyse the incidence of central venous catheter infection and determine the incidence of infection with regard to the place of placement (v. subclavian, v. femoralis, v. jugularis) in the intensive care unit of the Split Clinical Hospital Centre in 2023.
Methods: The data were collected by looking at the patient's history through the hospital information system and data on microbiological testing of the Clinical Institute for Microbiology and Parasitology of the Split Clinical Hospital Centre.
Results: It was observed that the frequency of infections associated with CVC placement in the femoral vein is higher than that in other sites, such as the subclavian or internal jugular vein. The reason for this is that the groin area, where the femoral vein is located, is more prone to contamination due to the proximity of the genital and perianal areas and the greater moisture of the skin, which favours the reproduction of bacteria.
Conclusion: CVC-related infections are a serious problem as they can lead to sepsis, prolonged hospital stays, and increased mortality. Although the frequency of infection can be significantly reduced by applying strict aseptic techniques and proper catheter maintenance, it is still one of the most common complications in patients with long-term catheterisation. Medical staff education and standardisation are critical steps in reducing the incidence of these complications
Comparison of endoscopic and surgical treatment of vesicoureteral reflux in children
No full textCilj: usporediti endoskopsko i kirurško liječenje VUR-a u djece s Klinike za dječju kirurgiju KBC-a Split od 2017. do 2024. godine.
Izvori podataka i metode: U istraživanju je sudjelovalo 206 djece s Klinike za dječju kirurgiju KBC-a Split koja su liječena između 2017. i 2024., od čega je 151 dijete liječeno endoskopskom metodom, a 55 djece nekom od metoda otvorenog kirurškog liječenja. Prikupljeni podatci obrađeni su korištenjem statističkog softvera STATISTICA 13. Numeričke varijable prezentirane su upotrebom metoda deskriptivne statistike, dok je normalnost razdiobe prethodno ispitana Kolmogorov-Smirnov testom. Korišteni su i Hi kvadrat test i Fisherov egzaktni test, dok su numeričke varijable uspoređivane upotrebom Mann-Whitney U testa.
Rezultati: Istraživanjem je utvrđena statistički značajna razlika u zastupljenosti endoskopskog i kirurškog liječenja, u duljini trajanja hospitalizacije i primjeni analgetika te statistički značajna povezanost između pokušaja endoskopskog liječenja VUR-a te provedenog kirurškog liječenja u ispitanom uzorku. Dokazano je i da postoji statistički značajna povezanost između višeg stupnja VUR-a i kirurškog načina liječenja u ispitane djece te statistički značajna razlika između ektravezikalnih i intravezikalnih metoda otvorenog kirurškog liječenja u ispitane djece. Nije uočena statistički značajna razlika ovisno o modalitetu liječenja VUR-a u ispitane djece s obzirom na spol.
Zaključak: Endoskopsko liječenje VUR-a u pedijatrijskih bolesnika zbog manje invazivnosti, kraće hospitalizacije te rjeđe primjene analgetika ima prednost u odnosu na otvoreno kirurško liječenje. Ipak, endoskopsko liječenje nije uvijek uspješno, posebno kada je riječ o višim stupnjevima VUR-a.U liječenju bolesnika s VUR-om posebno je važna uloga medicinske sestre/medicinskog tehničara koja/i s ciljem učinkovitog pružanja zdravstvene skrbi treba znati komunicirati s djetetom i njegovim roditeljima te im pružati podršku, educirati roditelje o važnosti pravilne prehrane po otpustu djeteta iz bolnice te efikasno obavljati ostale sestrinske zadaće u prijeoperacijskom razdoblju, tijekom operacijskog zahvata i nakon njega.Objective: to compare endoscopic and surgical treatment of VUR in children from the Children's Surgery Clinic of KBC Split from 2017 to 2024.
Data sources and methods: 206 children from the Children's Surgery Clinic of KBC Split who were treated between 2017 and 2024 participated in the research, of which 151 children were treated with the endoscopic method, and 55 children with one of the methods of open surgical treatment. The collected data were processed using the statistical software STATISTICA 13. Numerical variables were presented using the methods of descriptive statistics, while the normality of the distribution was previously tested with the Kolmogorov-Smirnov test. Both the Chi-square test and Fisher's exact test were used, while numerical variables were compared using the Mann-Whitney U test.
Results: The research showed a statistically significant difference in the representation of endoscopic and surgical treatment, in the duration of hospitalization and the use of analgesics, and a statistically significant association between attempts at endoscopic treatment of VUR and performed surgical treatment in the examined sample. It was also proven that there is a statistically significant association between a higher degree of VUR and surgical treatment in the examined children and a statistically significant difference between extravesical and intravesical methods of open surgical treatment in the examined children. No statistically significant difference was observed depending on the treatment modality of VUR in the examined children with regard to gender.
Conclusion: Endoscopic treatment of VUR in pediatric patients has an advantage over open surgical treatment bacause is less invasive and due to shorter hospitalization and less use of analgesics. However, endoscopic treatment is not always successful, especially when it comes to higher degrees of VUR. In the treatment of patients with VUR, the role of the nurse/medical technician is particularly important in order to effectively provide health care should know how to communicate and supportchild and his parents, educate parents about the importance of proper nutrition after the child's discharge from the hospital and efficiently perform other nursing tasks in the pre-operative period, during operation and after it
Incidence of the neck pain and its severity measured by Neck Disability Index
No full textCilj ovoga rada je bio provesti istraživanje incidencije i stupnja onesposobljenosti zbog vratobolje u
fizioterapeuta podijeljenih prema dobi, spolu i radnom mjestu tj. instituciji koristeći validiranu hrvatsku
verziju upitnika indeksa onesposobljenosti vratne kralježnice (eng. Neck Disability index-NDI).
Fizioterapeuti su grupa zdravstvenih radnika koji su skloni razvoju poremećaja mišićno-koštanog sustava
povezanih s radnim mjestom. Analizom podataka smo utvrdili da najveći stupanj onesposobljenosti imaju
ispitanici u dobi od 60 do 69 godina, također značajno veći stupanj onesposobljenosti imaju žene u odnosu
na muškarce dok se nije pokazala razlika između ustanova zaposlenja. Buduća istraživanja bi trebala uz
osnovne podatke odraditi i kliničke testove procjene gibljivosti vratne kralježnice kako bi se odredili
isključni faktori za sudjelovanje u istraživanju. Također trebala bi se raditi dodatna analiza između privatnih
i državnih ustanova kako bi se vidjelo postoji li razlika u stupnju onesposobljenosti. Nadalje dodatna
istraživanja bi mogla dati informacije o preventivnom djelovanju kako bi se izbjegao razvoj poremećaja
mišićno-koštanog sustava povezanih s radnim mjestom.The aim of this work was to conduct research on the incidence and degree of disability due to neck pain in
physiotherapists divided by age, gender and workplace, i.e. institution using the validated Croatian version
of the cervical spine disability index (Neck Disability index-NDI) questionnaire. Physiotherapists are a
group of health workers who are prone to developing workplace-related musculoskeletal disorders.
Analyzing the data, we found that respondents aged 60 to 69 have the highest degree of disability, women
also have a significantly higher degree of disability compared to men, while no difference between
employment institutions was shown. Future research should include basic data and clinical tests to assess
the mobility of the cervical spine in order to determine exclusion factors for participation in the research,
and additional analysis should be done between private and state institutions to see if there is a difference
in the degree of disability. Furthermore, additional research could provide information on preventive action
to avoid the development of workplace-related musculoskeletal disorders