SESTRINSKI ŽURNAL

Knowledge and attitudes of high school students on sexually transmitted diseases // Znanja i stavovi srednjoškolaca o polno prenosivim bolestima

Srđan Živanović — 2018-11-28

Introduction A fully portable infection is a public-health problem of great importance in most of the world. Infections that are transmitted by sexual contact make up a large group of diseases caused by various microorganisms: bacteria, viruses, parasites, fungi and protozoa. The most common sexually transmitted infections (PPIs) are: chlamydia, gonorrhea, Hepatitis B, AIDS, HPV infections, and others.
Method The conducted research is a type of cross section study. In December of the month, 113 students of Foča SSC were interviewed from the first to the fourth year. The survey used an anonymous character questionnaire.
Results 35.4% of respondents were sexually active. Young men are sexually considerably more active than girls (χ2 = 30,447; p = 0,000). The majority of sexually active students stated that the first sexual intercourse was at the age of 15 (10.6%). Men and girls have diametrically opposite attitudes to the age in which they consider optimal time to start sexual activity (χ2 = 20,252; p = 0,000). Students in the third and fourth grade have a significantly higher level of knowledge than students of the first and second (χ2 = 31,791; p = 0,000). Most students would continue to associate with a person who knows that she has one of sexually transmitted diseases (64.6%).
Conclusion The results of this paper show that the sexual activity of the adolescents examined is not a mass phenomenon, but that the knowledge of pupils of the first and second grades is insufficient, and that there is a need for education of this target group, considering the importance of preserving the reproductive health of adolescents, which are the future of preserving the population.

HAS-BLED scor system for the assessment of risk of breathing of patients on oral anticoagulant therapy // HAS-BLED skor sistem bodovanja za procjenu rizika od krvarenja pacijenata na oralnoj antikoagulantnoj terapiji

Daniela Dobrovoljski — 2018-11-28

Oral anticoagulant drugs (OALs) are effective agents in the prevention and treatment of thromboembolic complications. However, despite standardization and application progression, OALs represent a significant clinical problem because they are small-therapeutic medicines that easily interact with food and medicine, which can substantially affect the increased or weakened therapeutic effect. Oral anticoagulants are 4-hydroxycoumarin derivatives and vitamin K antagonists, and their pharmacological activity is based on inhibition of the synthesis of coagulation factors in the liver. These drugs are effective in the prevention of venous thromboembolism, acute myocardial infarction (AIM), heart rhythm disorders by type of atrial fibrillation, stroke prevention, and the like. The most important and clinically commonly undesirable effect of OAL is bleeding. The risk of bleeding is greatest during the introduction of the drug in therapy and for the first few months of the onset of therapy. HAS-BLED scor is a skoring system developed to estimate the 1-year risk of major bleeding in patients with atrial fibrillation and is also used for other indications.

Development and tendencies of education of nurses-technicians in the process of reforming the educational system of the Republic of Serbia // Razvoj i tendencije obrazovanja medicinskih sestara-tehničara u procesu reformi obrazovnog sistema Republike Srbije

Marijana Dabić — 2018-11-28

Education of nurses in Serbia as in developed countries must follow the development and needs of the health system. This is still very difficult to implement because of the multi-week ‘hyperproduction’ of healthcare staff, and insufficiently basic systematization of jobs, mismatch of professional titles, as well as the ever more intensive departure of our healthcare workers abroad, primarily in the countries of the European Union. Also, the development of society, the political and economic situation, significantly disturb the development of sisterly practice as well as education that plays a key role.
The issue of education and harmonization with European standards also entails the question of the competencies and competencies of teaching staff dealing with the education of future nurses, which still, at least in terms of secondary education, shows quite a strong resistance to change.
The results of this research indicate that reforming the educational system in Serbia is present in higher education of nurses while in secondary education continues to stagnate. There is no complete harmonization of the education system with respect to the lesson of hours, the structure of study programs, or the unique nomenclature of vocational titles.
The level of the pre-term for enrollment in the secondary medical school as well as the continuation of education is incompatible with European frameworks and makes it difficult to integrate into the European system of secondary education.
Teaching and study programs are not fully comparable to the European ones, except for ESPB credits and study levels.
There is a tendency for the development of nursing education in Serbia, but there is only partial preparation of nursing teachers in terms of upgrading professional titles and competences for the new education system.

Quality of Life Assessment in Alcohol Dependent Patients // Procena kvaliteta života kod zavisnika od alkohola

Slobodanka Todorović — 2018-11-28

Alcohol addiction is an illness, health and social problem which appears as a result of a regular and uncontroled consumation of alcoholic drinks on a level on which the addict does harm to his or her health, to inner peace and to the wellbeing of the environment in which he or she lives and works. The quality of life represents the one’s awarenes about his or her own position in terms of culture and a system of value in which the one lives. It also represents one’s relations to his or her own goals, expectations, standards and problems.
The aim of this research is to state the level of satisfaction with one’s life on behalf of the treated alcohol addicts in relation to global population in domains as they fallow: Professional and financial functioning, Social functioning, Emotional functioning and functioning inside of a family and Health state.
The survey was conducted in March 2015, according to the type of cross section study, among alcohol addicts who are being treated at the Special Hospital for Psychiatric Diseases “Dr Slavoljub Bakalović” in Vršac, while the control group consisted of employees of Zannini East doo in Vršcu. In the end, the sample consisted of 50 alcohol addicts who were examined within the judicial group and 50 employees who were examined within the control group. The data were collected by an anonymous questionnaire, which the respondents were self-completing.
The results show that alcohol addicts are generally less satisfied with their lives compared to the general population. They are considerably less satisfied with their social, professional and financial functioning, as well as emotional and family functioning, as well as health status. The average length of drinking is 21.48 years; while the number of previous treatments is 3.48 times on average. Alcohol addicts are equally dissatisfied with the quality of life regardless of the length of their drinking.

High blood pressure in pregnancy // Hipertenzija u trudnoći

Marijana Bucalo — 2018-11-28

High blood pressure in pregnancy is a significant problem and has long been causing the attention of perinatologists. Hypertensive disorders in pregnancy are the leading cause of morbidity and mortality of mothers and fetuses. About 8% of pregnancies complicate high blood pressure. It is estimated that 192 women die daily due to hypertensive complications during pregnancy. Hypertension in pregnancy is not a single entity but it includes: pre-existing hypertension; gestational hypertension; pre-pregnancy existing hypertension complicated by gestational hypertension with proteinuria; prenatally unclassified hypertension. The aim of this paper is to point to the problem of hypertension in pregnancy and the importance of its early detection.
It’s a literature review. The literature review period is from 2003-2013. The literature review was carried out in the Hinari, Pubmed and Google Scholar databases.
A total of 50 scientific and professional papers in English and Serbian have been examined, of which work is included. 17. By reviewing the summary of each paper, all articles that did not report hypertension in pregnancy were excluded. Through research that was conducted, it was concluded that pregnancy is a significant problem in pregnancy and is therefore the leading cause of morbidity and mortality of both mothers and fetuses. However, the decision to introduce antihypertensive therapy and the choice of an adequate drug during pregnancy should be based on the assessment of the benefits and risks for each pregnant woman individually. Thus, the role of the health care nurse in gynecology and obstetrics has the primary goal and task to preserve and improve the health of women through a series of preventive-promotional activities, all of which are covered through primary, secondary, and tertiary prevention.
A literature review lists the risk factors that can cause hypertension in pregnancy, including: age of the patient - under 20 and over 35 years, vascular and renal pathology, gestational diabetes, obesity or malnutrition, pheochromocytoma, systemic lupus, poor living conditions, there is and increased risk in first-born patients. Women who have been hypertensive during their first pregnancy have a higher risk of subsequent pregnancy.

Epidemiology cancer of the cervix, uterine body and ovary in Republic of Srpska // Epidemiloška situacija raka grlića materice, tijela materice i jajnika u Republici Srpskoj

Darijana Antonić — 2018-11-28

Introduction: Cancer of the cervix, uterine body and ovary together with cancer of the breast account more the 1/3 female’s cancer cases in the Republic of Srpska. Cancer of the cervix, uterine body and ovary are responsible for 13.82% cancer death females, and the leading cause of cancer death females is cancer of the ovary (5.62%).
Sources and methods: Mediana age diagnosed new cases of the cervix cancer is 47 years and uterin body and ovary the median age is in sixties. Relationship beetwen age-standardized rate prevalence (world) and age-standardized rate incidence cancer of the cervix, uterin body and ovary and confirm that high rate of incidence determines high rate of prevalence, this correlation is positive and relationship statistical significant (p<0.01). Relative five years survival rates of the cervix and uterin body cancer are over 80% and cancer of the ovary have almost 2.5 times lower relative five years survival rate.

The satisfaction of the users of health services with the work of nurses at the Rosulje Family Medicine Clinic // Zadovoljstvo korisnika zdravstvenih usluga radom medicinskih sestara u Ambulanti porodične medicine „Rosulje“

Darija Jović — 2018-11-28

The quality of health care is a very complex feature of the condition and functioning of the health care system, and one of the elements of quality is the satisfaction of the users (patients) provided with health care. In order to evaluate patient satisfaction, there are many opportunities that are provided in order to obtain information about what they think and feel about the healthcare provided. In some institutions there are books of impressions, cases for remarks and praise, nursing surveys, telephone surveys, etc. In this paper, the questionnaire examined the satisfaction of patients with the work of nurses in the Rosulje Family Medicine Clinic.
The results of the study show that the patients are very satisfied with the work of the staff in APM Rosulje. Positive attitude towards the work of the clinic is contributed by the long-standing placement of nurses and doctors in the outpatient clinic, the knowledge of patients, their habits and thus better communication and recognition of the patient and family problem.

Nursing interventions in the treatment of syndrome Takotsubo // Zadaci kardiološke medicinske sestre u lečenju Takotsubo sindroma

Areta Ognjenović — 2018-11-28

Takostube syndrome (TS; broken heart syndrome) is described as transient reversible cardiomyopathy that occurs in older women in most cases as a result of mental or psychological suffering. It is associated with various disorders and it is defined as Takotsubo Syndrome (TS). The clinical picture is similar to acute coronary syndrome, but it must differ from acute ischemic heart disease. Ethiopathological factors have not been fully clarified, but the main role in the development of TS by catecholamine-induced spiking myocardial capillaries or the direct toxicity of catecholamines themselves.
There are no strict guidelines in the implementation of health care for patients with TS. Given the great similarity in the clinical picture between acute myocardial infarction and TS, the same procedures and tasks are used in practice as in patients with acute myocardial infarction with ST elevation, while coronarography does not prove to be the opposite. The patient under suspicion of diagnosis of TS is admitted to the coronary unit.
Healthcare goals for the treatment of patients with TS are identical to those in acute coronary syndrome and include: pain relief, tension reduction - anxiety, preservation of myocardial function, and prevention and treatment of complications.