Actual number: 4/2020

ISSN 1339-5017 (Online)

Archive:


No. 3

IMPORTANCE OF VARIABILITY OF LABORATORY PARAMETERS AND UNCERTAINTY OF LABORATORY EXAMINATION METHODS IN CLINICAL PRACTICE

Author: Lívia ZÁLEŠIKOVÁ, Jana SLOBODNÍKOVÁ, Zdenka KRAJČOVIČOVÁ, Katarína KAŠLÍKOVÁ, Vladimír MELUŠ

Abstract: The methodology of laboratory examination methods is also influenced by the biological variability of the determined parameter and by the uncertainty of the methodology used for its determination in the laboratory. At the model example of the dynamics of the concentration of the Ca15-3 tumor marker, we have demonstrated the limits of the informational contribution of laboratory analyzes. We note that the value of laboratory examination methods is significantly multiplied with other diagnostic methods, especially imaging techniques. Their common informational power thus makes it possible to reach the right diagnostic decision at an earlier time, which increases the success rate of patient therapy.

Keywords: Variability. Reference limit. Coefficient of variation. Tumor marker.

Vol. 14, 2020, No. 3, p. 1-3

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PATIENT SATISFACTION WITH INPATIENT HEALTH CARE IN THE HOSPITALS OF THE SELF-GOVERNING REGION OF TRENČÍN

Author: Ján BIELIK, Elena ŠTEFÍKOVÁ

Abstract:

Background: The assessment of patient satisfaction with institutional health care is becoming an important element in assessing the quality of this care.

Goal: The purpose of this pilot study was to determine the level of satisfaction of patients with hospitalization
in the hospitals of the Self-Governing Region of Trenčín (SGRT), followed by putting into practice the final form of the satisfaction questionnaire.

Methods: Determining the satisfaction of patients with hospitalization was carried out by the questionnaire of sa-tisfaction of own construction. The questionnaire contained 40 questions and consisted of a total of 6 parts:  demographic, socio-economic, anamnestic, pre-hospital, hospital (26 questions) and a quality of life part. The results were evaluated by descriptive statistics methods in Excel 2013.

Results:The care of medical doctors (a), nurses (b), and disease awareness (c) was rated on the scale of 1 to 5 (1 - best, 5 - worst) as follows: a, 1.4-1.6; b, 1.3-1.7; c, 1.7-1.96. So called hotel services were also rated on a scale of 1 to 5 (1 - best, 5 - worst): d, media availability: internet: 1.7-4.3; e, cleanliness (floors, toilets, bathrooms and so on): from 1.65-2.35; f, food quality, quantity, dining culture: 2.0-2.3. On a scale of 0 to 10 (0 - worst, 10 - best) were rated: g , overall satisfaction with the stay: 8.15-8.9. The overall quality of the provided institutional care was evaluated as a measure of improvement of one's health condition at the beginning of hospitalization and before discharge from the ward: NsP Považská Bystrica improved by 2.9, NsP Prievidza by 2.8, and NsP Myjava by 3.76 (rated from 0 to 10).

Conclusions: The survey of patient satisfaction with hospitalization in SGRT hospitals yielded valuable results in the pilot phase. Slightly critically were evaluated the so-called hotel services such as cleanliness in the department and food. The care of doctors, nursing care and awareness of the disease was evaluated highly . A high level of satisfaction was also achieved in the summary evaluation of the stay and the quality of the health care itself.

Keywords: Patient satisfaction. Hospitalization. Self-Governing Region of Trenčín.

Vol. 14, 2020, No. 3, p. 4-7

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THE CONDITION AND PROSPECTS OF WELLNESS TOURISM IN THE SUMY REGION

Author: Oleksandr KOVALENKO, Tetiana DEREKA

Abstract:

Introduction: Wellness tourism is a quite new concept that has emerged relatively recently and has become another consequence of globalization. However, every year, wellness tourism is gaining momentum and more and more people around the world are discovering new opportunities. In the Sumy region, there are all prerequisites and factors for development of health (wellness) tourism, but this area is not yet sufficiently researched and analyzed. It is this complexity and lack of studies on the topic that determined the choice of research subject and confirmed its relevance.

Objectives: The aim of this article was to investigate the situation and identify the prospects for development
of health tourism in Sumy region of Ukraine.

Methods: During literature review for this work textbooks, scientific manuals, works of domestic and foreign authors, articles, as well as publications in periodicals, electronic publications and the World Wide Web were used. The data and materials provided by the studied entities (sanatoriums), travel agencies, medical centers) were analyzed. In the process of research and analysis of the health tourism market of Sumy region of Ukraine various methods of research were used, such as: observation method, comparison method, abstract-logical method (theoretical generalizations and formulation of conclusions), questionnaires and sociological studies.

Results: The result of our study is formulation of the theoretical foundations of wellness tourism; research
of the factors that form the prerequisites for the successful development of health tourism in Ukraine; research
of the health tourism market in Ukraine in general and Sumy region in particular; searching for ways to overcome the problems that exist in the sphere of health tourism in Sumy region, as well as developing recommendations
for improving the current state of tourism.

Conclusions: In general Ukraine, and in particular Sumy region, have significant medical and recreational tourism potential, but the level of development of health tourism is unsatisfactory. For health tourism to become a full-fledged part of the tourist space of the region, it is necessary, at the state as well as at the regional level, to focus efforts on solving the tasks listed in these articles.

Keywords: Health tourism. Sumy region of Ukraine. Inbound tourism. Resorts. Medicine and treatment.

Vol. 14, 2020, No. 3, p. 8-12

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INFORMAL LONG-TERM CARE FOR THE ELDERLY WITH DEMENTIA IN SLOVAKIA

Author: Nikoleta POLIAKOVÁ, Eva KRÁLOVÁ, Juliana KOHÚTOVÁ

Abstract:

Background: Dementia is one of the key reasons of disability and cause of the dependency of the elderly on another person. An elderly with dementia needs assistance in every aspect of their lives and their family members hold an important role as informal care givers. The complexity of the diseases and a wide range of life changes associated with long-term care in their homes provides a variety of physical, psychological, and also social and economic demands for them to cope with. Specific requirements and demands associated with dementia, high rates of workload carers, provided support and assistance from professionals are the factors that directly affect the quality of nursing care and thus the quality of life of the elderly with dementia.

Objective: The main objective is to provide a comprehensive perspective at the theme of long-term care for
the elderly with dementia in their home environments. We focused on the quality of informal care provided by the closest relatives to people with special needs.

Method: The research method was a questionnaire of our own design. The part of it was a short knowledge test for informal carers and a test to assess the sufficiency of the elderly in ADL and IADL.

Sample: Research sample consisted of 96 respondents who took care of their loved ones in their social environment.

Results: Based on the analysis of the research results it is evident that the quality of long-term care in the social environment is relatively low. Informal care givers lack the theoretical knowledge and practical skills that are necessary for the implementation of quality and specific care for the elderly with dementia. There is not an integrated cooperation of experts from the health, social and legislative sectors, which would help them to improve the quality of informal care.

Conclusion: Providing informal care to people with dementia at their home environments is difficult, and evolving process. Physical demands and mental stress of everyday care elicit a high degree of congestion of informal carers. Management of long-term care in the social environment is weak and ineffective. There we need team, multidisciplinary and various spheres in the care of professionals who significantly affect the quality of informal care.

Keywords: Dementia. Elderly. Informal care. Long-term care (LTC). Quality.

Vol. 14, 2020, No. 3, p. 13-19

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CONTEMPORARY COMMUNITY NURSING CARE FOR CHILDREN IN PROFESSIONAL FAMILIES IN SLOVAKIA – CHALLENGES AND PARADOXES

Author: Eva KRÁLOVÁ, Nikoleta POLIAKOVÁ, Monika VLASÁKOVÁ

Abstract:

Theoretical Background: In Slovakia there is no functional model of community nursing care for children in professional families that is why the authors focus on the creation of a community nurse in this specific area. Preventing traumas and supporting children to heal from adverse childhood experiences promotes and protects health throughout life.

Objective: To examine the possibilities of community nursing to improve nursing care for children in professional families.

Method: We applied the method of a semi-structured interview with professional parents. An important source
of information was the categorisation of their statements according to three exploratory questions.

Sample: Four professional mothers aged from 26 to 46, selected by deliberate choice. The main criterion was their professional experience as a professional parent, willingness to cooperate, openness to provide information, consent to a personal meeting and processing the information in accord with the ethics of research and privacy.

Results: We summarised the beneficial and questionable factors in nursing care for children in professional families. The interviews with professional parents show that a community nurse is needed in professional families in Slovakia.

Conclusion: Even if community nursing focused on childcare in a professional family does not exist there
in Slovakia, there is a possibility for the job of a community nurse in our country. The core goal is raising awareness about this theme in our society. It is important to make an investment in high-quality community nursing care for children, with the greatest impact on increasing the health literacy of Slovak population.

Keywords: Attachment. Childcare. Community nursing. Health condition. Professional family.

Vol. 14, 2020, No. 3, p. 20-26

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HEALTH PROBLEMS OF PROFESSIONAL MUSICIANS AND MUSIC STUDENTS

Author: Mária STRENÁČIKOVÁ

Abstract: The article focuses on various health problems of professional musicians. Based on the literature, it briefly describes Playing related musculoskeletal disorder (PRMD) and the most common auditory problems, and it outlines the possibilities of preventing them. It stresses the need to conduct a research among Slovak musicians. In addition, it brings preliminary results from a pilot questionnaire distributed to music students at the Academy of Arts in Banská Bystrica. The aim of the article is to highlight the importance of musicians´ health problems, and the need to create a preventive or intervention program for music students.

Keywords: Musician. Playing related musculoskeletal disorder. Hearing disorder. Intervention.

Vol. 14, 2020, No. 3, p. 27-30

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