A Pakai

Narrative Group Therapy for Alcohol Dependent Patients

A group therapy method was developed based on the results of previous research using narrative psychological approaches. Our primary technique was narrative restructuring. Alcohol addicted patients treated at our department were instructed to restructure their autobiography in a way that their linguistic expressions become more similar to those of recovering patients’. We presumed that it would have positive therapeutic effects, which could be measured with the Hopelessness Scale (HS) and the Means-Ends Problem Solving Procedure (MEPS). We recorded the tests before and after the group therapy sessions and the changes in results were compared (t-test) to those of control persons, who participated in other types of group therapy. We found significant difference between the case and control groups. Our therapeutic method reduced hopelessness and increased problem solving ability more effectively than other group therapies.

Postpartum Mental State of Mothers of Twins.

Abstract Twin birth is a relevant risk factor for postnatal depression (PND). The primary objective of our study is to reveal the prevalence of suspected cases of depression and to identify some background factors among mothers of twins. We applied convenience sampling method within a retrospective, quantitative study among mothers given birth to twins for six months, but, at least, three years. The participants completed the self-administered, modular questionnaire and the standard EPDS questionnaire anonymously. 35% of mothers of twins reached or exceeded the threshold value for depression following the first six months after delivery. No significant difference was found in the prevalence of the suspected cases among the primipara and multipara (p=1.000). At the same time, artificial conception proved to be a significant risk factor (p= 0.019). Distraught family life (p=0.001) and unfavorable changes in a domestic partnership (p=0.009) increased the prevalence of the suspected cases of depression significantly. The health visitor is the only person who knows the hierarchy of families with their weaknesses and strengths in the Hungarian primary health care; therefore, her role is unquestionable in the recognition of maternal mood disorders. The health visitor compares the scores of the EPDS questionnaire with the experiences during family visits, and with all of these facts, she refers the person in need to a specialist.

Reasons for Non-Appearance on Organized Cervical Screening in Hungary.

Abstract The occurrence of cervix cancer is outstandingly high in Zala County, which is situated in the Western Transdanubian region of Hungary. The aim of our study was to reveal why women do not take the opportunity offered by the state and what reasons there are for the nonattendance at screenings. A total of 1000 Hungarian women aged 15 to 60 years were included in the sample. The results of our study revealed that 13.8% of women participating in our research program have never been to a gynaecological cancer screening. Concerning this fact, the following groups deserve greater attention: 15-19 years old, those only with basic school qualifications, the unmarried and the unemployed. To improve our national mortality indexes, it is necessary to continue the cancer screenings in a well motivated target population. Achieving this in cervix cancer screening, there are available conception and infrastructure alike provided by the health administration. The weakness of the system is the low participation rate of the population.

Attitude Examination Related to Breast Cancer Among Women in Bács-Kiskun County, Hungary

Abstract Breast cancer is the most commonly diagnosed type of cancer and a leading cause of mortality among women both in developed and developing countries all over the world. Our research questions were the following: 1. What is the ratio of women participating in mammography screening? 2. What factors influence the attendance of the screening? A quantitative, cross-sectional, and descriptive study (2013) examined women aged 35-65 without a history of breast cancer from Kecskemét City and its region. Non-random, convenience sampling method was applied in the study. The self-edited and self-administered questionnaire included the following groups of questions: socio-demographic data, attitude examination related to screening, reasons for absence. Besides SPSS Statistics, 20.00 test, x2 test, t-test, and ANOVA were used (p<0.05). During the Principal Component Analysis, 23 variables of the motivational scale were grouped into six theoretical subgroups, and the Cronbach-alpha value was 0.758. The mean age of the participants was 49.96±8.91 years.71% of the interviewees never attended breast cancer screening. Regarding the sample, the mean age of women participating in the screening for the first time was 39.66±12.21 years. Women with college/university degree attained high scores on the knowledge test (p<0.05). A significant part of women went to the screening because they feel responsibility for their health status or due to the family history of breast cancer. Fear, shame, or inconveniencies during examination did not affect participation in screening. Prevention programs play a significant role in the improvement of the health status of the Hungarian population. Mortality and morbidity indicators can be reduced by regularly organized, preventive activities based on appropriate knowledge. Thus, the number of healthy years can be increased.

Munkahelyi stressz és megküzdési stratégiák vizsgálata földi és légi mentésben dolgozók körében

Absztrakt Bevezetes: A magyar egeszsegugyi szferaban dolgozok koreben koztudott a magas foku stresszhatas jelenlete, amely kihathat az egyenre. Celkitűzes: A foldi es legi mentesben dolgozok koreben feltarni a munkahelyi stresszt, annak merteket, illetve a pozitiv es negativ megkuzdesi strategiaikat. Modszer: 2015. juniustol oktoberig vizsgaltak Magyarorszagon a foldi es legi mentesben dolgozokat. Az adatgyűjtest sajat szerkesztesű, illetve a Rahe-fele, Roviditett Stressz- es Megkuzdesi Kerdőiv segitsegevel online formaban vegeztek. A kutatas keresztmetszeti tipusu, kvantitativ jellegű volt (n = 141). Az adatelemzes SPSS 20.0 statisztikai szoftverrel tortent. Szignifikanciahatar p<0,05 volt. Eredmenyek: Nagyobb a munkahelyi stresszhatas jelenlete a foldi mentesben dolgozoknal (p<0,01), nagyobb mertekben jelentkeznek naluk testi es pszichologiai tunetek (p<0,05). A Globalis Stressz es Megkuzdesi Index alapjan hatekonyabb copingmechanizmus figyelhető meg a legi mentesben dolgozoknal (p<0,01). Kovetkeztetese...

Munkarendek a hazai egészségügyi rendszerben, és az ápolók alvásminősége

Absztrakt Bevezetes: A folyamatos egeszsegugyi ellatas biztositasanak egyik eszkoze a műszakbeosztas szerinti munkarend, amely megterhelő es alvaszavarhoz is vezethet. Celkitűzes: A hazai fekvőbeteg-szakellatasra jellemző apoloi munkarendek tipusainak felmerese, a szabalytalan munkarendek okainak elemzese, tovabba a kulonboző tipusu munkarendek es alvasproblemak osszefuggeseinek vizsgalata volt a tanulmany celja. Modszer: Az orszagos online felmeres soran 236 vezető apolo toltotte ki a sajat szerkesztesű kerdőivet, valamint a Pecsi Tudomanyegyetem klinikain 217 apolo a Bergen Valtott Műszak Alvas Kerdőivet. Eredmenyek: Az apolovezetők 8697 apolo munkarendjeről nyilatkoztak, akiknek 51,89%-a flexibilis valtott műszakos munkarendben dolgozik. Szabalyos munkarendben az apolok 22,35%-a dolgozik, kozuluk a legtobben az alabbi rendben: 12 oras nappali műszak utan 12 oras ejszakai műszak, majd 1–2 pihenőnap. Ahol nincs rendszer a műszakok soraban, annak leggyakoribb oka az apolok igenyei es az apolohiany. A szab...

Hand Hygiene Compliance or the Influencing Factors of Efficiency in the Scope of Students

PIN99 HaNd HygIeNe ComPlIaNCe or tHe INflueNCINg faCtors of effICIeNCy IN tHe sCoPe of studeNts Szebeni-Kovács G.1, Horváth-Hegyi K.2, Pakai A.3, Kalamár-Birinyi E.4, Boncz I.5, Fullér N.1, Müller Á.1, Oláh A.1 1University of Pécs, Pécs, Hungary, 2University of Pécs, Szombathely, Hungary, 3University of Pécs, Zalaegerszeg, Hungary, 4County Hospital of Zalaegerszeg, Zalaegerszeg, Hungary, 5Faculty of Health Sciences, University of Pécs, Pécs, Hungary Objectives: The prevalence of nosocomial infections is between 5-15%. Reduction of nosocomial infections, recognition in time and adequate treatment are all emphasised activities of patient security. The aim of this examination is to measure theoretical and practical knowledge of hand hygiene of nursing students in secondary education. MethOds: Cross-sectional qualitative and quantitative was made, with non-random, accidental samples in 2014 January with the participation of students in secondary nursing education (N= 116) to whom the rules of sepsis, asepsis and antisepsis, and correct hand hygiene knowledge were taught according to the number of lessons in the curriculum. Self-made opened and closed questionnaires were applied, with a focus on the knowledge of hand hygiene. The technique and efficiency of hygienic hand disinfection was measured with an infrared lamp. χ 2test, t-test, ANOVA were performed as a statistical method besides 95% probability (p< 0.05). Data analysis was performed with SPSS 20.0 programs. Results: The concept of disinfection was known correctly by 78% of the students, the exact terminology of nosocomial infection was known by 44%. Only 42 students thought that hands have the highest relevance in the transfer if infections. The preconditions of proper hand hygiene were indicated correctly by 11%. Examination with infrared lamp showed that 4 students implemented hand disinfection perfectly. The most common missed areas were: the back of the hand, phalanges, nails, thumb. cOnclusiOns: Significant reduction of nosocomial infections may and must be reached, to which accurate theoretical and practical education of the students is required, and the acquirement has to be monitored continuously and strictly.