Aim: This study aims to evaluate how a Hypoglycaemia Education Programme (HEP) affects the hypoglycaemia outcomes of patients with Type 2 Diabetes Mellitus (T2DM). Methods: This study which included a six-month follow-up was conducted with 101 patients with T2DM receiving insulin in the outpatient diabetes clinic. The patients were assigned to the HEP group (n = 51) and the control (n = 50) group. Patients in the HEP group participated in the Hypoglycaemia Education Programme. The patients in both groups were assessed at baseline, and one, three, and six months after HEP using the Clarke Hypoglycaemia Awareness Scale and the Hypoglycaemia Fear Survey in terms of frequency, self-management behaviours of hypoglycaemia, fasting and postprandial blood glucose levels, and haemoglobin A1c (HbA1c) levels. Results: The HEP group had a higher score of hypoglycaemia awareness in six months compared to the control group (p = 0.006). Fear of hypoglycaemia decreased significantly (p < 0.001) but the frequency of hypoglycaemia did not change in the HEP group compared to the control group (p > 0.05). While self-management behaviours for hypoglycaemia improved in the HEP group, no change was observed in the control group (p = 0.005). Moreover, HbA1c lowered significantly in the HEP group (p < 0.01). Conclusion: As a unique first programme on hypoglycaemia management in T2DM in Turkey, HEP is effective for improving self-management behaviours for hypoglycaemia, hypoglycaemia awareness, and glycaemic control.
- MeSH
- diabetes mellitus 2. typu MeSH
- hypoglykemie * prevence a kontrola MeSH
- lidé MeSH
- self-management MeSH
- vzdělávání pacientů jako téma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- klinická studie MeSH
Background: Diabetes mellitus (DM) is one of the most prevalent metabolic disorders, with type 2 DM being the most common form. It ranks as the sixth-leading cause of death worldwide, yet medication adherence and self-care remain low. Given that knowledge significantly influences these outcomes, this paper aims to evaluate the effect of mobile phone-assisted health education programs on patients with type 2 DM. Methods: A comprehensive literature search was conducted using databases such as Scopus, Web of Science, PubMed, and EBSCOhost, employing keywords relevant to the research topic. The research question was structured using the PICOS framework: (1) Population: patients with type 2 diabetes mellitus; (2) Intervention: health education via mobile phone; (3) Comparison: conventional health education; (4) Outcome: diabetes self-management, glycemic control, and medication adherence; (5) Study design: randomized controlled trials. Results: The search identified approximately 678 articles discussing health education interventions using mobile phones. After a thorough screening process, 10 articles met the inclusion criteria. The findings suggest that mobile phone-based education interventions can enhance adherence to diabetes self-management, improve glycemic control, and positively impact clinical parameters such as lipid levels, body mass index, blood pressure, and medication adherence. Conclusion: Health education interventions delivered by healthcare professionals through mobile phones can significantly improve self-care management and prevent complications in patients with type 2 diabetes who maintain controlled blood glucose levels.
Introduction: Pressure injuries have been identified as a problem in adults, but there is increasing recognition that they also occur in pediatric patients. Specific prevention in this population is essential because a high percentage of pressure injuries can be prevented. Objective: To identify interventions that prevent pressure injuries in the clinical pediatric care setting. Methods: Systematic review with a conducted search in CINAHL, PubMed, and Cochrane databases. A total of 301 articles were found, 225 were excluded after reviewing the title and abstract. The remaining papers were subjected to a full-text screening. Eligible studies were those that (a) described interventions to prevent pressure injuries, (b) were specifically aimed at pediatric patients (0-18 years), (c) were published in English or German, and (d) were conducted in a hospital. Results: A total of 37 studies were included. The data on interventions from the studies were extracted and clustered. The following eight categories of interventions for the prevention of pressure injury in pediatric patients were identified: (1) (Skin)Assessments, (2) Medical devices, (3) Positioning, (4) Education, (5) Moisture Management, (6) Nutrition Management, (7) Surfaces, and (8) Intervention bundles. The included studies described various interventions for pressure injury prevention. Most reported a significant reduction in pressure injury rates when intervention bundles were implemented. Conclusion: Nurses have to know about pressure injury causation, risk factors, and prevention strategies to implement the identified interventions and prevent pressure injuries in pediatric patients during hospital stays.
Goal: This study aims to discover the interest of foster parents in cooperating with the school social workers in elementary schools to support the children's school success during foster care. Methods: The quantitative survey was based on a non-standardised questionnaire validated for comprehensibility and relevance by professionals in non-profit organisations who conducted a pilot survey with cooperating foster parents. The research group was created by purposive sampling (n = 102). Descriptive statistics and exploratory analysis methods were used to evaluate the obtained data. Results: Foster parents are provided with expert advice by a non-profit organisation supporting foster families in social services, child rearing, education, and health. In schools, they use the entire spectrum of consulting services of pedagogical staff. They are somewhat satisfied with the support services provided, but show an interest in working with the school social worker to support the children's school success, health, and well-being. Conclusion: The need to institutionalise the profession of a school social worker in a Czech primary school appears to be a desirable prospective support of a child's school success and healthy growth, and a necessary help for parents regarding health and social counselling and services, especially when dealing with challenging life situations associated with school attendance. The social worker's global role has already been institutionalised in many countries around the world.
- MeSH
- dostupnost zdravotnických služeb MeSH
- integrované poskytování zdravotní péče * MeSH
- lidé MeSH
- sociální práce MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- úvodníky MeSH
Introduction: Nurse activities play an important role in the prevention of falls in old age, both in home care and institutional care. Objective: The aim of this study is to investigate nurses' falls prevention practices and the factors influencing them. Methods: A cross-sectional descriptive study was conducted between December 1, 2022, and February 16, 2023, using a self-designed questionnaire that included a knowledge test of falling and an attitude scale related to falling. Results: 442 nurses working in health or social care in Csongrád-Csanád county, Hungary, participated in the survey. Significant differences in fall prevention practices were found by sex (p = 0.03), age (p = 0.02), work experience (p = 0.03), fall experience (p = 0.001), information received at work (p < 0.001), presence of a risk assessment scale (p < 0.001), and presence of a fall prevention protocol (p < 0.001). Positive correlations were detected between practical activity and attitude (r = 0.42, p < 0.001), and knowledge and attitude (r = 0.40, p < 0.001). Nurses' fall prevention activities were significantly influenced by their attitudes towards falls (β = 0.43, p < 0.001). Conclusion: Our study highlights the need to improve fall prevention practice with the help of further education and case discussions. This may improve attitudes and communication within the team regarding fall prevention.
- MeSH
- lidé MeSH
- ošetřovatelská péče MeSH
- průzkumy a dotazníky MeSH
- úrazy pádem * prevence a kontrola MeSH
- Check Tag
- lidé MeSH
Objectives: The main objective was to determine the prevalence of depression and anxiety in older adults living in the Moravian-Silesian region. Methods: Empirical data was collected using a set of questionnaires and a personal data form. These tools were the Geriatric Scale of Depression, the Inventory of Geriatric Anxiety, the OPQoL-brief questionnaire, the Rosenberger Self-Esteem Scale, and the Social Support Questionnaire. A total of 935 older adults participated in the research. Results: Depression symptoms were found in 17.2% of older adults and anxiety symptoms in 22.8%. A correlation was shown between a higher prevalence of depression and anxiety and between the number of diseases and low social support. A higher prevalence of depression was also associated with older age (r = 0.162, p = 0.039). Older adults with depression and anxiety also showed a lower quality of life (r = -0.529, p < 0.001; r = -0.362, p < 0.001), lower self-assessment (r = -0.464, p < 0.001; r = -0.429, p < 0.001), and little social support (r = -0.260, p < 0.001; r = -0.211, p < 0.001). Conclusion: Depression and anxiety in older people is underdiagnosed and treated in primary care settings, although it significantly affects morbidity and quality of life in affected persons.
- MeSH
- deprese * diagnóza epidemiologie MeSH
- duševní zdraví MeSH
- lidé středního věku MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- senioři MeSH
- sociální opora MeSH
- úzkost diagnóza epidemiologie psychologie MeSH
- Check Tag
- lidé středního věku MeSH
- senioři MeSH
- Publikační typ
- práce podpořená grantem MeSH
Aim: The study aims to determine the level of family burden and psychological symptoms in mothers who have children with Cerebral Palsy (CP) in Turkey. Methods: The descriptive study was completed with 200 mothers of children with CP. Results: Depression was found in mothers (1.11 ± 0.79) and the Family Burden Assessment Scale (FBAS) mean score was also high (143.71 ± 22.68). A statistically significant difference was found between mothers who received support to care for their children and their level of depression (p = 0.003). A positive and significant relationship was also found between emotional burden and psychiatric symptoms, such as anxiety, depression, negative self-perception, somatization, and hostility (r = 0.458, p = 0.001; r = 0.552, p = 0.001; r = 0.494, p = 0.001; r = 0.376, p = 0.001; r = 0.404, p = 0.001), respectively. A weak and positive relationship was determined between time requirement and psychiatric symptoms, such as anxiety, depression, and negative self-perception (r = 0.166, p = 0.019; r = 0.259, p = 0.001; r = 0.223, p = 0.001, respectively). Conclusion: The main factor affecting depression in caregivers was lack of support. As the mothers' emotional burden increases, their psychiatric symptom scores also increase. In our study, mothers' anxiety, depression, and negative self-perception scores increase as their time requirements increase. Mothers should be supported with certain interventions, such as education and instruction, to meet the necessities while caring for their children. Policymakers should support mothers with low-income levels to ensure that the required services reach their recipients. Psychological support and counseling services can be provided to the children and mothers following the diagnosis of CP.
Introduction: Cultural challenges in clinical practice can directly affect the quality and effectiveness of care for patients from different cultures. Aim: To find out and compare Czech and Slovak nurses' cultural challenges in their clinical practice. Methods: This cross-sectional comparative study used a non-standard questionnaire to explore cultural challenges in nurses' clinical practice in the Czech Republic and Slovakia. This study followed the guidelines provided by the STROBE checklist. The statistical analysis was conducted using SASD 1.5.8 and IBM SPSS Statistics version 28.0.0. Results: The study sample comprised 202 nurses from the Czech Republic and 222 nurses from Slovakia. The findings suggest that the most significant cultural challenge identified by nurses in both countries is the language barrier, which is compounded by staff shortages. It was found that nurses who are proficient in multiple languages demonstrated increased sensitivity to cultural challenges, which may indicate a correlation between multilingual ability and the perception of cultural barriers. The results suggest that factors such as gender, role within the healthcare setting, years of experience, and educational level may have an impact on the perception of cultural challenges. Conclusion: As a result, it may be important to develop targeted interventions to improve cultural competence. Interventions such as education about cultures, training, and policy adjustments could be considered to create a more equitable and effective care environment for patients from diverse cultural backgrounds. This approach may lead to improved healthcare outcomes and increased patient satisfaction.
- MeSH
- komunikační bariéry MeSH
- kontinuální vzdělávání zdravotních sester MeSH
- kulturně kompetentní péče * MeSH
- kulturní různorodost MeSH
- lidé MeSH
- ošetřovatelská péče MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- zdravotní sestry MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- srovnávací studie MeSH
Background: An update of the nursing core curriculum was released in 2019 and revised to meet the challenges of the Israeli health system. The revision was based on the Advisory Committee's (2017) recommendations and outcomes of a Nursing Administration Inspection (2018). The implementation process of the nursing core curriculum has never been broadly evaluated in Israel. This study aimed to examine factors associated with concerns of nursing educators during the implementation process. Methods: A cross-sectional study was performed on a representative sample of nursing educators in Israel. 107 nursing educators answered two questionnaires distributed from November 2019 until September 2020: Stages of Concern Questionnaire (SOCQ) and a questionnaire designed for the current research. The statistical analysis included Pearson and Spearman correlations and multiple linear regressions. Results: The findings revealed several associations regarding nursing and educational experience, familiarity, perception, and use of the current (2012) and new (2020) core curriculum, as well as organizational climate, with the nursing faculty members' concerns during innovation implementation. Training was positively related to the final stages of concern, supporting the effectiveness of educators' preparation in the implementation process. Conclusion: A comprehensive approach to the core curriculum revision based on collaboration with educators and advance training on innovation involves the educators in the task and reduces their concerns during the implementation process.
- MeSH
- kurikulum MeSH
- organizační inovace MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- rozšiřování inovací MeSH
- studium ošetřovatelství * metody MeSH
- Geografické názvy
- Izrael MeSH
