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Background and objective: The successful adoption of technology is becoming increasingly important to functional independence and successful ageing in place. A better understanding of technology usage amongst older people may help to direct future interventions aimed at improving their healthcare. We aimed to obtain the first data regarding technology use, including gerontechnologies, represented by fall detectors, from older adults in Lithuania. Material and methods: The research was carried out in the framework of the project Smart Gerontechnology for Healthy Ageing, which involved assessing the use of technologies and the readiness to use gerontechnologies, as represented by fall detectors. A total of 375 individuals that were more than 60 years of age were enrolled in the study. The self-reporting questionnaires were completed by geriatric in-patients, hospitalized in the geriatric department, and also by community-dwelling older adults. Results: Geriatric in-patients&rsquo, use of computers and the internet was associated with age (every year of age decreased the probability of computer and internet use by 0.9-times) and a positive attitude towards new technologies&mdash, this predictor increased the use of a computer by six-times in comparison with people who did not have such an attitude. Sex and education had no influence on computer use for geriatric in-patients. For community-dwelling older adults, the use of computers and internet was associated with age, education (a university education increased the use of computers and the internet by four times), and a positive attitude towards technologies. Conclusions: Lithuanian older women in the study used computers, the internet, and cell phones equally with men. Increasing age was a strong negative predictor of technology use. A positive attitude to new technologies was a strong positive predictor of technology use. Most geriatric patients and community-dwelling older adults were ready to use technologies that permit ageing in place.

Dementia with Lewy bodies was first recognized as a separate entity about 30 years ago. The prevalence varies from 0% to 5% in the general population, and this disease accounts for 0% to 30.5% of all dementia cases. Dementia with Lewy bodies is considered the second most common cause of degenerative dementia after Alzheimer’s disease. The disease is characterized by alpha-synuclein immunoreactive protein deposits in both neurons and glial cells. The protein deposits are especially prominent in dopaminergic neurons, where they can be detected using conventional histological stains, such as hematoxylin and eosin, and are commonly referred to as Lewy bodies. The diagnosis of dementia with Lewy bodies is based on the presence of dementia as well as 2 of the following 3 core diagnostic features: 1) fl uctuating cognition, 2) visual hallucinations, and 3) movement disorder. Diagnostic tests include laboratory data, structural and functional imaging, electroencephalography. Differential diagnosis of dementia with Lewy bodies focuses on other later life dementia syndromes, other parkinsonian diseases (Parkinson’s disease, progressive supranuclear palsy, corticobasal degeneration), and primary psychiatric illnesses. There is type 1b evidence to support treatment with cholinesterase inhibitors. Glutamatergic and dopaminergic therapies are used as well. Standard neuroleptics are contraindicated, and atypical agents should be used cautiously. Nonpharmacologic measures – therapeutic environment, psychological and social support, physical activity, behavioral management strategies, caregivers’ education and support, and different services – could be suggested.

The aim of this study was to identify and evaluate the prevalence of urinary incontinence and risk factors that influenced it among inpatients treated in the departments of internal medicine. Material and methods. A total of 151 inpatients were questioned using a standardized geriatric questionnaire (InterRAI-Acute Care). Inpatients aged 65 years and more and who gave written informed consent were enrolled into the study. The mean age of the inpatients was 78±0.6 years. There were 58.9% of women and 41.06% of men. Results. Urinary incontinence was significantly influenced by the age of the inpatients. Inpatients with urinary incontinence were 3 years older on the average as compared to those without urinary continence (P

The aim of this study was to assess nutritional status of aged surgical patients, to determine the prevalence of malnutrition and factors associated with it. Material and methods. A total of 156 patients aged 45 years and more, treated at the Departments of Surgery and Urology of Kaunas 2nd Clinical Hospital, were enrolled in the study. Elderly group (aged 65 years and more) consisted of 99 patients, and middle-aged group (45 to 64 years old) of 57 patients. The following anthropometric measurements were performed: weight, height, mid-arm circumference; hemoglobin, serum albumin level, and total lymphocyte count were determined. Standard assessment scales included Instrumental Activities of Daily Living, Geriatric Depression Scale, and Mini Mental State Exam. Statistical analysis was performed with the help of SPSS 12.0. Results. Malnutrition was diagnosed in 53.5% of older patients and in 15.8% of middle-aged patients (P0.05)[...].

Mini Nutritional Assessment has been specifically designed to assess the nutritional status of elderly patients and preoperatyve nutritional evaluation. It can be used for nutritional evaluation in patients receiving treatment for advanced prostate cancer. We assessed 80 patiens 65 year age and over. Forty patients were with prostate cancer and 40 patients with benign prostatic hyperplasia. The Mini Nutritional Assessment is a clinical score consisting of four items: anthropometric assessment, global evaluation, dietetic assessment and subjective assessment. The Mini Nutritional Assessment stratifies patients in the three categories: well – nourished patients (24£MNA£30), at risk of malnutrition (17£MNA

Novelty of the research This scientific research is significant for the improvement of the Lithuanian system of nursing services. It not only overviews scientific studies related to the experiences of Lithuania and other countries when planning social services at home but also analyses legislation on the provision of nursing services, reveals systemic shortcomings in the planning and provision of services at home and at the supportive treatment and nursing hospitals, and provides possible solutions based on scientific research. Aim of the study: to assess the independence of older people discharged from the supportive treatment and nursing hospital and the need for nursing services at home. Objectives of the study: 1. To determine the most common health disorders and the main nursing problems of older people discharged from the supportive treatment and nursing hospital. 2. To establish the independence of older people discharged from the supportive treatment and nursing hospital and the need for nursing services. 3. To identify the change in the independence of older people discharged from the nursing hospital and the continuity of the nursing services 90–120 days after the discharge. 4. To reveal the assessment of the nursing service system at the home of the person and future prospects for primary outpatient care services from the point of view of the heads of institutions providing the beforementioned services

Tto review the prevalence and problem of polypharmacy in geriatric patients, to show it clinical consequences and how it can be prevented and improve the quality of life

This is a literature review of the risk factors of falls among geriatric inpatients. Although the incidence of falls 3 times higher in elderly inpatients compared to community-dwelling elderly, there is comparatively less research done on the in-hospital risk factors of falls. Therefore, In this review, the most common extrinsic and intrinsic risk factors of falls during hospitalisation were identified and analysed. During hospitalisation, the most prevalent risk factors identified were; impaired mobility, history of falls, cognitive impairment and use of psychoactive medications.

Research aim: to identify the relationships between the drugs used and the renal function in elderly patients. Research objectives: 1. To establish the frequency of kidney failure among hospitalised geriatric patients. 2. To identify the association between the characteristics of use of medication (the quantity and type of medication) and the renal function. 3. To determine the types and frequency of side effects of medication taking into account the renal function. 4. To assess prescription and dosage of medication taking into account the glomerular filtration rate. Methods: the subjects were interviewed by means of an anonymous questionnaire. The following software was used for the analysis of research data: SPSS 23 and Office Excel 2007. The level of statistical significance selected for the research was 0.05. In order to fulfil the research objectives, the normal distribution was examined at first. In accordance with the Kolmogorov-Smirnov criteria, almost all distributions were statistically significantly different from the normal distribution. Therefore, in identifying links and comparing samples, the Spearman correlation coefficient and the non-parametric Chi-Square and Kruskal-Wallis criteria were applied for the purpose of comparing a few independent samples. Outcomes: according to Cockroft-Gault, stage 3 kidney failure was identified to be the most common among the patients hospitalised in the geriatrics department. Patients diagnosed with stage 3 kidney failure amounted to 64.1%, stage 2 - 10.26% and stage 4 - 4.10%. The research subjects were taking 2-7 medications - 5.03±1.59 on average. The number of medications was directly related to the stage of kidney failure. The use of medications was highest in patients with stage 4 kidney failure (5.5 medications on average) and lowest in patients with stage 2 kidney failure (4.1 medications on average). Gastrointestinal side effects occurred in 43.6% of the respondents, general and local - in 20.5%, mental - in 14.9%, nervous system side effects - in 15.4%, and ear and labyrinth side effects - in 5.1% of the respondents. Gastrointestinal reactions were dependent on the stage of kidney failure (p

Literature review about treatment of hypertension in the elderly. We searched electronically in e-Medline (PubMed), ResearchGate, Google Scholar, and Cochrane Library, for relevant studies and guidelines published over the past twenty years (1997-2017) and reformulated treatment recommendations for elderly with hypertension.

The aim of research. To identify the knowledge of nursing staff in challenging behaviour prevention management in long – term care institutions. Objectives. 1. To assess the frequency of behavioural and psychological symptoms of dementia patients. 2. To identify nursing staff knowledge in behavioural methods. 3. To identify nursing staff knowledge and the use of nonpharmacological interventions. Methods. The study was conducted in four long – term institutions in Kaunas, in October, 2015 – February, 2016. A random selection of participants was used for this study. In this study participated 56 nursing staff of long – term institutions. The mean age of participants was 42.5 ± 11.7 years. To investigate the frequency of behavioural and psychological symptoms a questionnaire was filled out by a nursing staff for each resident in the four long – term institutions. In total 145 questionnaires were filled out for each resident. For this research three instruments were used: Behavioral and Psychological Symptoms of Dementia Measure, Knowledge of Behavioural Methods with Inpatient Adults Inventory and Non-Pharmacological Interventions Questionnaire. Results. Three themes were identified for this study: the frequency of behavioural and psychological symptoms of dementia patients, nursing staff knowledge in behavioural methods, nursing staff knowledge and the use of nonpharmacological interventions. At least one of behavioural and psychological symptoms of dementia were present in 99. 3 % of the sample studied. Most often were seen (81.4 %) reduction of interest, 77.2 % changeable mood, 69.0 % sleep disturbance/need to be watched out, 67.6 % residents appeared unhappy or depressed, 52.4 % confusion between present and past, 54.5 % delusions, 49.0 % misrecognition of acquaintance, 49.7 % misinterpretation for caregiver‘s contact, 58.6 % inability of managing money, 56.6 % restlessness, 45.5 % inability of finding the way home, 44.8 % loud voice, 42.1 % verbal and non – verbal abuse, 60.7 % repeated story, 54.5 % compulsive and handling around persistency, repetitive questions behaviour, 51.0 % confabulation, 48.3 % disturbing conversation behaviour, 71.0 % urinary incontinence and 51.7 % faecal incontinence. None of the sample study respondents had completed dementia and challenging behaviour or nonpharmacological interventions training courses before. Other training did not have any impact on the knowledge of dementia patients’ behavioural problems and their correction. Staff with university education and longer work experience had better knowledge of behavioural methods. Almost 80 % of the nursing staff were aware and used nonpharmacological interventions, such as calming music, doll therapy, table games, physical activity, singing, assisted daily living interventions, hand massage, cognitive games, reminiscence therapy, humour, and reading groups. There was minimal knowledge about social restraint, thermal bath, bright light, multi – sensory therapy and horticulture. 26.8 % of respondents knew and used physical restraints. On average respondents knew slightly more than ten out of twenty presented interventions. The better part of nonpharmacological interventions use was associated with longer work practise and experience in long – term institutions. Conclusions. The frequency of behavioural and psychological symptoms of dementia patients was found to be high and was present in almost all long – term institution’s residents. Agitation was one of the main symptom of challenging behaviour; The advanced knowledge of behavioural methods by nursing staff was associated with university education and longer work experience. Nursing staff who attended general training courses did not gain the specialised knowledge; The use of nonpharmacological interventions was associated with longer work practise and experience in long – term institutions. Simple interventions were mostly used because they were well known, low cost and easy to implement. The study showed the importance of behavioural and psychological dementia symptoms and the need of knowledge for nursing staff in challenging behaviour prevention management in long – term institutions.

The aim of the work. To analyse the most common complications of cerebral insult and define its impact on the patients‘ physical and emotional status. Objectives: 1. To identify the frequency of risk factors of cerebral insult. 2. To identify the frequency of complications in cerebral insult. 3. To identify the impact of cerebral insult on every day activities, cognitive and emotional status. Conclusions. 1. Modifiable risk factors were quite widely spreead both in the research and in the control group, the difference was rather insignificant (accordingly - 55,2 % and48,5 %, p>0,05).The most common modifiable risk factors of the insult were coronary heart disease and hypertension. 2. All patients of the research group had complications after being ill with the cerebral insult. The most common complications were pain (taliamic pain of the central origin, shoulder ache), aphasia and dysphagia. 3. MMSE and Barthel index, indicating the cognitive function of the patients and their ability to fulfill daily activities, were worse in the research group than in the control group but the patients in but the patients in both groups were barely able to fulfill daily activities. Bad mood was common among the patients in both groups but depression more commonly appeared in the research group. Recomendations. It is easier to prevent cerebral insult than to cure it. In order to reduce the possibility of the first or repeated cerebral insult the general physician should pay more attention to prevention of this disease and corrections of the modifiable risk factors. A bigger attention should also be paid to the treatment and observation of the patients with coronary heart disease and hypertension.

The aim: to identify the quality of life, health status and needs of non-Hodgkin's diffuse major B-cell lymphoma (NH DLBCL) patients during chemotherapy. The objectives:1)to identify quality of life of NH DLBCL patients during chemotherapy; 2) to identify the health status of NH DLBCL patients during chemotherapy; 3) to identify the needs of NH DLBCL patients during chemotherapy. Methodology. The study was conducted from December 2nd, 2013 to December 31st, 2014 in the LUHS Hospital Kaunas Clinic Department of Hematology and Chemotherapy day unit. 119 subjects were interwied. Quality of life was assessed using a EORTC QLQ-C30 questionnaire, state of health - EQ - 5D - 3L, questionnaire needs - Needs Assessment Questionnaire. Permission to use questionnaires was received from authors; permision from LUHS Bioethics Center was also received (No. BEC-KS (M) -86, 11th November, 2013). Results: general indicators of the quality of life and health status indicators were low, when compred with results other foreign authors had received, they were extremely low. The biggest negative impact on the quality of life had the symptom of fatigue. In the EQ - 5D - 3L questionnaire, the lowest evaluated dimensions were anxiety/depression. Older subjects statistically significantly lower rated both their quality of life and health status. The most important need expressed was not to feel pity from others. Conclusions: The quality of life during chemotherapy is poor. The biggest negative impact on the quality of life is made by bad social, emotional functioning, fatigue, anxiety, financial problems. Health status indicators were statistically significantly lower among older subjects and widows. Subjects’ needs during chemotherapy was associated with emotional aspects and highlighted the most important need – not to feel pity from others. Comfort, information from the medical staff were also very important needs

Saugos kultūra – pacientų saugos elementas nukreiptas sumažinti žalą pacientui, kuri gali būti padaryta teikiant jam sveikatos priežiūros paslaugas. Tikslas – Įvertinti Kauno regiono greitosios medicinos pagalbos tarnybų darbo vietos saugos kultūrą. Tyrimo metodas: 2012 metų kovo–gegužės mėnesiais atlikta vienmomentinė anoniminė apklausa. Tyrime dalyvavo aštuonių Kauno regiono greitosios medicinos pagalbos tarnybų darbuotojai (N=325, atsako dažnis 82,9 proc.). Tyrimui naudotas Požiūrio į saugą klausimynas (The Emergency Medical Services Safety Attitudes Questionnaire – EMS–SAQ). Nustatyta GMP Požiūrio į saugą klausimyno pakankamai aukštas vidinis nuoseklumas (α=0,822). Rezultatai: Kauno regiono greitosios medicinos pagalbos tarnybų specialistai, vertindami septynias saugos kultūros sritis, aukščiausiais teigiamais įverčiais vertino komandinio darbo (76,34 balai), pasitenkinimo darbu (76,49 balai) ir vadovų požiūrio į saugą sritis (75,98 balai). Žemiausiais balais darbuotojai vertino streso pripažinimo ir nepageidaujamų įvykių raiškos sritis, atitinkamai – 49,62 ir 37,24 balai. Komandinį darbą ir vadovų požiūrį į saugą dažniau teigiamai vertino slaugytojai, lyginant su GMP vairuotojais, o paramedikai labiau teigiamai vertino pasitenkinimą darbu, lyginant su gydytojais (p

Darbo tikslas – įvertinti gimdyvių ir akušerių nuomonę apie teikiamą priežiūrą mažos rizikos gimdyvių atvejais. Darbo uždaviniai – įvertinti akušerių bei gimdyvių nuomonę apie mažos rizikos gimdymo priežiūrą ir palyginti Vilniaus bei Kauno perinatologijos centruose akušerių nuomones apie mažos rizikos gimdymo priežiūrą. Tyrimo metodika. Tyrimo objektas – gimdyvių ir akušerių nuomonė apie gimdyvėms teikiamą priežiūrą mažos rizikos gimdymų atvejais. Tyrimo metodai – anoniminė anketinė akušerių ir gimdyvių apklausa, vykdyta 2013 11 01 – 2013 11 30 Vilniaus ir Kauno perinatologijos centruose. Tyrime dalyvavo 66 akušerės ir 306 gimdyvės. Statistinė duomenų analizė atlikta, panaudojant „SPSS 17.0“ kompiuterinę programą. Tyrimo rezultatai. Akušerės, kurios prižiūri ir teikia pagalbą mažos rizikos gimdymų metu visada ir dažnai, savo profesines žinias įvertino vidutiniškai 8,56±0,94 balo, o akušerės, darančios tai retai arba niekada, savo žinias įvertino vidutiniškai 7,19±2,62 balo iš 10 galimų (p

Tyrimo tikslas – atskleisti artimųjų, slaugiusių sunkiai sergantį šeimos narį iki jo/jos mirties namuose, patirtį. Tiriamas reiškinys – slaugymas iki mirties namuose. Tyrimo klausimai. 1) Kokia yra artimųjų slaugymo namuose sunkiai sergantį šeimos narį patirtis? 2) Kokia yra artimųjų budėjimo namuose šalia mirštančio šeimos nario patirtis? Tyrimo metodai. Kokybinis tyrimas, taikant aprašomosios fenomenologijos strategiją, pagal P. Colaizzi metodą. Duomenys rinkti taikant individualųjį giluminį interviu. Tyrimo dalyviai. 5 artimieji (1 vyras, 4 moterys). Atranka – tikslinė. Atrankos kriterijai: a) artimieji, slaugę sunkiai sergantį suaugusį šeimos narį ir budėję jo/jos mirties momentu namuose; b) artimieji, slaugę šeimos narį ir budėję jo/jos mirties momentu namuose, ne anksčiau nei praėjus vieneriems metams po mirties. Tyrimo rezultatai. Tyrime išryškėjusios temos, kurios atskleidė patirčių esmę – tiriamą reiškinį: 1) Šeimos narys: nesvarbu koks, svarbu, kad tik būtų kartu?; 2) Slaugos namuose motyvai: „namai lieka namais“; 3) Artimųjų palaikymas ir pagalba – „pats svarbiausias dalykas“; 4) Pokyčiai gyvenime: nuo momentinės pagalbos iki priežiūros 24 valandas per parą; 5) Susitaikymas ir „paleidimas“; 6) Mirties akimirka: nuo „visiška ramybė“ iki „blogiausias momentas“; 7) Sveikatos priežiūros specialistai – padedantys arba apsunkinantys esamą situaciją; 8) Sugrįžimas į gyvenimą „be artimųjų slaugymo“. Išvados. Artimieji nusprendę slaugyti sunkiai sergantį šeimos narį... [toliau žr. visą tekstą] Reseach purpose – to reveal the family caregivers’ experience of caring a seriously ill family member till his/her death at home. Studied phenomenon – caring a seriously ill family member till his/her death at home. Research questions. 1) What kind of experience have the family caregivers got of caring a seriously ill family member till his/her death at home? 2) What kind of experience have family caregivers got while caring a dying family member? Research methods. Qualitative research, with applied descriptive phenomenology strategy, on the base of P. Colaizzi method. Data has been collected by in-depth interviewing, asking two research questions. Research participants. 5 family caregivers (1 male, 4 female). Selection – target, selection criteria: a) family caregivers who took care of a seriously ill adult family member till his/her death at home; b) family caregivers who took care of a seriously ill adult family member at home, no earlier than a year after he/she had passed. Research results. The following themes have emerged: 1) Family Member: no matter how he or she is, it is important to have one beside; 2) Home care motivation: “home is home”; 3) Family members’ assistance and support – “the most important thing”; 4) Changes in care needs: from instant help to care 24 hours a day; 5) Reconciliation and acknowledging the full reality of the loss; 6) The moment of death: from “total peace” to the “worst moment”; 7) Health care professionals – whether they help or hinder... [to full text]

Čalko T. Organų persodinimo operacijose dalyvaujančių operacinės slaugytojų darbo motyvacijos aspektai, magistranto baigiamasis darbas / mokslinė vadovė dr. D. Zagurskienė; Lietuvos sveikatos mokslų universitetas, Slaugos fakultetas, Slaugos ir rūpybos katedra. – Kaunas, 2014. – 92 p. Organų persodinimas – didžiausias chirurgijos ir medikų komandos profesinio meistriškumo pasiekimas. Operacinės slaugytojai, dalyvaujantys organų persodinimo procese, yra svarbūs komandos nariai, jų atliekamas darbas – atsakingas, sudėtingas, reikalaujantis naujų žinių, didelio profesionalumo. Nors nemonotoniškas darbo pobūdis galėtų būti suvokiamas kaip patraukli veikla, tačiau personalo trūkumas, nepasitenkinimas atlyginimu, skubėjimas, viršvalandžiai, neįprastos procedūros, daug fizinių bei emocinių pastangų – veiksniai, išvedantys iš pusiausvyros ir darantys neigiamą įtaką operacinės slaugytojų darbo motyvacijai. Tyrimo tikslas – išanalizuoti organų persodinimo operacijose dalyvaujančių operacinės slaugytojų darbo motyvacijos aspektus. Tyrimo uždaviniai: įvertinti psichosocialinių veiksnių raišką operacinės slaugytojų darbe; ištirti darbo motyvacijos veiksnių raišką ir jų sąsajas su slaugytojų sociodemografinėmis savybėmis; nustatyti veiksnius, didinančius organų persodinimo operacijose dalyvaujančių operacinės slaugytojų darbo motyvaciją. Tyrimo metodas – 2013 m. rugpjūčio 25 – spalio 30 dienomis buvo atlikta anoniminė anketinė apklausa. Dalyvavo 127 operacinės slaugytojai, dirbantys... [toliau žr. visą tekstą] T. Motivational aspects at work of surgical nurses assisting at organ transplantation surgeries, final thesis for Master's Degree/ supervisor Dr. D. Zagurskienė; Nursing and Care Department, Faculty of Nursing, Lithuanian University of Health Sciences. – Kaunas, 2014. - 92 p. Organ transplantation is the highest achievement of professional excellence of the surgical and medical team. Surgical nurses assisting at organ transplantation process are important team members, their work is responsible, complicated, requiring continuously-refreshed knowledge, high-level professionalism. Lack of monotony at work could be regarded as attractive feature, but shortage of staff, dissatisfaction with remuneration, rush, overtime, unusual procedures, lots of physical and emotional efforts are the factors that break the balance and negatively impact work motivation of surgical nurses. The purpose of the research was to analyse the aspects of work motivation of surgical nurses assisting at organ transplantation surgeries. Objectives of the research included evaluation of manifestation of psychosocial factors at surgical nurses' work; examination of manifestation of work motivation factors and their links with nurses' socio demographic qualities; determination of factors increasing work motivation for surgical nurses assisting at organ transplantation surgeries. Research method: anonymous questionnaire conducted on 25 August - 30 October 2013. Respondents of the research were 127 surgical... [to full text]

Tyrimo tikslas – Ištirti skubios pagalbos skyriaus slaugytojų patiriamo smurto paplitimą ir valdymą. Tyrimo uždaviniai: 1) nustatyti skubios pagalbos skyriaus slaugytojų darbe patiriamo smurto rūšis ir dažnį, jo pasiskirstymą pagal darbą pamainomis; 2) ištirti, pagrindinius smurto šaltinius su kuriais susiduria slaugytojai dirbantys skubios pagalbos skyriuose; 3) įvertinti smurto poveikį skubios pagalbos skyrių slaugytojų emocinei sveikatai; 4) nustatyti smurto valdymo būdus skubios pagalbos skyriuose slaugytojų požiūriu. Tyrimo metodas – 2013 metų sausio 14 – vasario 28 dienomis buvo vykdoma anoniminė anketinė apklausa. Apklausoje dalyvavo Vilniaus, Kauno, Panevėžio bei Šiaulių miestų didžiūjų ligoninių, skubios pagalbos skyriuose dirbantys slaugytojai ( n=213, atsako dažnis – 88 proc.). Respondentų tarpe buvo trys vyrai, likusios moterys. Tyrimui buvo naudojamas klausimynas smurto darbo vietoje tyrimams, įvairių šalių sveikatos priežiūros sektoriuje, atlikti. Gautas sutikimas atlikti tyrimą iš Bioetikos komiteto ( 2013-01-09 Nr. BEC-KS(M)-181 ). Tyrimo rezultatai. Tyrimo rezultatai parodė, jog 20,2 proc. visų apklaustų respondentų, teigė patyrę fizinį smurtą. Apklaustieji slaugytojai (46,5 proc.) teigė, buvę fizinio smurto SPS liudininkais. Respondentai patyrė ir psichologinio smurto apraiškas, tokias kaip užgauliojimus (81,2 proc.), grasinimus (67,1 proc.), patyčias (45,1 proc.), seksualinį priekabiavimą (6,6 proc.), rasinį priekabiavimą (1,4 proc.). Tyrimo išvados... [toliau žr. visą tekstą] Aim: to investigate prevalence and management of violence experienced by nurses in emergency department. Tasks: 1) to identify types and frequency of violence experienced by nurses in emergency department, and categorize it according to work shifts; 2) to define main sources of violence experienced by nurses in emergency department; 3) to evaluate impact of violence to emotional health emergency department nurses; 4) to identify methods management of violence according to emergency department nurses. Methods. Anonymous questionnairing was performed during Jan 14 – Feb 28, 2013. Nurses of emergency department from eight biggest hospitals of Vilnius, Kaunas, Panevėžys and Šiauliai, participated the survey (n=213, response rate was 88 %). Answers of three male and rest female respondents were included into study. The questionnaire “Workplace violence in the health sector. Country case studies research instruments” was used. The Committee on Bioethics at Lithuanian University of Health Sciences approved the study. Results: Results of the study indicate that 20.2 percent of respondents affirmed their experience of physical violence. 46.5 percent of nurses questioned witnessed physical violence in ED. Respondents experienced appearances of psychological violence like abuse (81.2 percent), threats (67.1 percent), bullying (45.1 percent), sexual harassment (6.6 percent) and racial harassment (1.4 percent). Conclusions: Nurses of ED do experience physical and psychological... [to full text]

Tracheostomos priežiūros veiksmai bei sekreto išsiurbimo iš tracheostominio vamzdelio technika gali įtakoti komplikacijų dažnumą ir lemti paciento saugumą, pasveikimo galimybę, gydymo trukmę bei gydymo kainą. Svarbu, kad slaugytojai žinotų mokslo tyrimais pagrįstas rekomendacijas apie tracheostomos priežiūrą ir jas pritaikytų klinikinėje praktikoje. Tyrimo tikslas – Išanalizuoti slaugytojų žinias ir įgūdžius atliekant tracheostomos priežiūrą. Tyrimo uždaviniai. 1.Ištirti slaugytojų žinias apie tracheostomos priežiūrą prieš ir po mokymų. 2. Nustatyti slaugytojų įgūdžius atliekant tracheostomos priežiūros veiksmus. 3. Palyginti slaugytojų žinias apie tracheostomos priežiūrą ir jų taikymą praktikoje. Tyrimo metodai: Tyrimas buvo vykdomas 2013.04.20–12.20 LSMUL Kauno Klinikų keturiuose skyriuose bei vienoje iš Slaugos ir palaikomojo gydymo ligoninių. Tyrimo duomenims rinkti buvo naudojamas tyrimo autorių sukurta anketa ir slaugytojų praktikinių veiksmų stebėjimo protokolas. Slaugytojų anketinė apklausa buvo vykdoma du kartus: prieš (n=90, atsako dažnis–96,77 proc.) ir po (n=86, atsako dažnis–92,47 proc.) mokymo. Stebėtos 99 sekreto išsiurbimo iš tracheostomos vamzdelio procedūros. Tyrimui atlikti buvo gautas LSMU Bioetikos centro pritarimas BEC-KS(M)-198. Išvados. 1. Prieš mokymus didžioji dalis slaugytojų teisingai žinojo požymius, rodančius siurbimo poreikį, sekreto išsiurbimo trukmę, kiek giliai įvesti atsiurbimo kateterį, galimas sekreto siurbimo komplikacijas. Po mokymo... [toliau žr. visą tekstą] Actions of tracheostomy care as well as the technique of secretion suctioning from tracheostomy tube can influence the incidence of complications and determine patient‘s safety, possibility of recovery, the duration of treatment and the cost of treatment. It is critical for nurses to be aware of tracheostomy care recommendations based on scientific research and to apply them in clinical practice. The aim – to analyze nurses’ knowledge and skills in tracheostomy care. Objectives:1.To examine nurses’ knowledge on tracheostomy care prior to training and after the training. 2. To identify nurses’ skills while performing actions of tracheostomy care. 3. To compare nurses’ knowledge on tracheostomy care and their application in practice. Research methods: The research was conducted on 20-04-2013 - 20-12-2013 at the hospital of Lithuanian University of Health Sciences Kauno Klinikos in four departments and in one of the Nursing and supportive care hospital. A questionnaire created by the authors of the research and an observation protocol of nurses’ actions in practice was used to collect the data of the research. A survey on nurses’ was conducted twice: prior to training (n=90, response rate – 96.77%) and after the training (n=86, response rate – 92.47%). We observed 99 procedures of secretion suctioning from tracheostomy tube. The research was conducted with the approval BEC-KS (M)-198 from the center of Bioethics of Lithuanian University of Health Sciences. Conclusions. 1... [to full text]

Darbo tikslas: Įvertinti operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais riziką. Tyrimo objektas - operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais rizika. Darbo uždaviniai: 1. Įvertinti operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais dažnumą, pobūdį bei susižeidimų priežastis. 2. Išanalizuoti saugią operacinės darbo aplinką lemiančius veiksnius. 3. Ištirti operacinės slaugytojų požiūrį į susižeidimų adatomis ir kitais aštriais instrumentais pranešimą ir jų registraciją. Tyrimo metodika: Tyrimas atliktas 2013 metų sausio – balandžio mėnesiais Vilniaus ir Kauno miestų tretinio lygio ligoninėse. Tyrimui panaudota vokiečių mokslininkės dr. Sabine Wicker sudarytos anketos: „Atsitiktinis susižeidimas“ (‚,Ein stich stecktan“) ir „Sumažinti pavojų užsikrėsti – vengti adatos dūrio“ (,,Infektionsrisiken senken – Nadelstichverletzungen vermeiden“). Anketos išverstos į lietuvių kalbą. Viso buvo išdalinta 200 anketų, grižo 185 anketos, iš jų nepilnai atsakytos 10. Statistinei analizei buvo naudotos 175 užpildytos anketos. Statistiniam duomenų apdorojimui naudoti SPSS 17.0 ir Microsoft Excel programų paketai. Statistinis duomenų reikšmingumas tikrintas pagal chi kvadrato (χ2) kriterijų ir statistinį reikšmingumą (p). Duomenų skirtumas reikšmingas, kai p

Tyrimo tikslas: ištirti viršutinių galūnių lūžius patyrusių pagyvenusio amžiaus pacientų gyvenimo kokybę ir jos pokyčius ambulatorinio gydymo metu. Tyrimo uždaviniai: 1. Nustatyti viršutinių galūnių lūžius patyrusių pagyvenusio amžiaus pacientų pagrindinius slaugos poreikius ir jų kaitą vieno mėnesio laikotarpiu nuo patirtos traumos. 2. Ištirti viršutinių galūnių lūžius patyrusių pagyvenusio amžiaus pacientų gyvenimo kokybę ir jos kaitą vieno mėnesio laikotarpiu nuo patirtos traumos. 3. Nustatyti veiksnius, turinčius įtakos viršutinių galūnių lūžius patyrusių pagyvenusio amžiaus pacientų gyvenimo kokybei. Tyrimo kontingentas ir metodai. Tyrime dalyvavo 112 viršutinių galūnių lūžius patyrusių pagyvenusio amžiaus pacientų, gydytų ambulatoriškai VšĮ Kauno Klinikinės ligoninės priėmimo – skubios pagalbos ir traumų skyriuje – poliklinikoje 2013m. rugsėjo mėn. – 2014m. vasario mėn. Buvo atlikta anoniminė anketinė apklausa, kurią sudarė sociodemografiniai duomenys, slaugos poreikių klausimynas pagal gyvybines veiklas bei SF – 36 gyvenimo kokybės klausimynas, traumos dieną ir praėjus mėnesiui po jos. Tyrimui atlikti 2013-10-01 gautas Lietuvos Sveikatos Mokslų Universiteto Bioetikos centro leidimas (BEC – KS (M) – 16). Rezultatai: Po mėnesio nuo viršutinių galūnių lūžių pagyvenusio amžiaus asmenų savarankiškumas gamintis maistą, klotis lovą, valgyti, vartytis, prakaitavimas, karščiavimas, judėjimą ribojantis skausmas, sumažėjęs fizinis aktyvumas, nuskausminamųjų vartojimas, nemiga... [toliau žr. visą tekstą] Research aim: to research the quality of life and its changes of the elderly patients with upper limb fractures during out-patient treatment. Research goals 1. To identify the main nursing needs and their changes for the elderly patients with upper limb fracture in a month since incurred trauma. 2. To research the quality of life and its changes of the elderly patients with upper limb fractures in a month since incurred trauma. 3. To determine factors influencing the quality of life of the elderly patients with upper limb fractures. Research contingent and methods. There were 112 elderly patients with upper limb fractures on out-patient treatment in the reception – emergency and trauma department at VŠĮ ( public institution) Kaunas Clinical hospital participating in the research from September 2013 to February 2014. An anonymous questionnaire was conducted, including sociodemographic data, questionnaire on nursing needs according to vital activities and SF-36 health related quality of life questionnaire on the trauma day and in a month it incurred. A permission (BEC-KS(M)-16) of 01-10-2013 to conduct a research was given by the center of Bioethics at Lithuanian University of Health Sciences Results: In a month since the elderly patients incurred upper limb fractures, their independence to prepare meals, make the bed, eat, turn over, perspiration, fever, pain restricting movements, taking anesthetics, insomnia, need of other persons help in order to comb, take a bath, change... [to full text]

Darbo tikslas: Įvertinti skausmo klinikų teikiamų paslaugų prieinamumą ir pasitenkinimą pacientų požiūriu. Tyrimo metodika: Tyrimas buvo atliktas Vilniaus, Kauno, Šiaulių ir Alytaus skausmo klinikose. Tyrimas vyko 2013 gegužės – 2013 gruodžio mėnesiais. Tyrimo metu atlikta anoniminė anketinė pacientų apklausa. Statistinei analizei tinkamos grįžo 363 anketos. Atsako dažnis 95,5 proc. Statistinė tyrimo duomenų analizė atlikta SPSS 17.0 programa ir Excel 2007 programa. Rezultatai: Didžioji dalis pacientų (73,3 proc.), norėdami pasiekti artimiausią skausmo kliniką užtrunka mažiau, nei vieną valandą. Vizito pas skausmo klinikų specialistus 44,6 proc. respondentų laukė 2-4 savaites, tačiau 15,4 proc. pacientų turėjo laukti ilgiau kaip mėnesį. Atvykus konsultuotis, beveik ketvirtadaliui (23,7 proc.) konsultacija vėlavo iki 30 minučių, o 7,7 proc. už durų laukė ilgiau nei pusvalandį. Pati dažniausia problema respondentams norint pasiekti skausmo klinikas buvo sveikatos būklė. Beveik pusė tyrimo dalyvių (48,8 proc.) liko labai patenkinti, o daugiau kaip trečdalis (39,1 proc.) – patenkinti skausmo klinikų paslaugomis. Nepatenkintų skausmo klinikų paslaugomis nebuvo. Visi tyrimo dalyviai teigiamai įvertino skausmo klinikų specialistų kompetenciją ir gydymo kokybę. Labiausiai patenkinti buvo gydytojo onkologo siųsti pacientai. Kuo trumpesnis laikas nuo registracijos iki vizito pas gydytoją, ar pas gydytoją patenkama paskirtu laiku, bei trumpiau laukiama eilėje prie kabineto, tuo... [toliau žr. visą tekstą] Aim: To evaluate the pain clinics‘ provided services in terms of the accessibility and satisfaction in patients‘ opinion. Methods: The study was carried out in Vilnius, Kaunas, Siauliai and Alytus pain clinics. The study took place in May 2013 - December 2013. The study carried out an anonymous questionnaire survey of patients. For statistical analysis returned 363 suitable questionnaires. The response rate was 95.5 percent. Statistical data analysis was performed using SPSS 17.0 and Excel 2007 programs. Results: To reach the nearest pain clinic for the majority of patients (73.3 percent) takes less than one hour. For a visit to the pain clinic 44.6 percent of respondents waited for 2-4 weeks, but 15.4 percent of patients had to wait longer than a month. Upon arrival to consult, for almost a quarter (23.7 percent) of patients consultation was delayed for up to 30 minutes, and 7.7 percent of patients waited outside the door for more than half an hour. The most common problem for respondents to arrive to pain clinics was the state of health. Almost half of the survey participants (48.8 percent) were very pleased , and more than one-third (39.1 percent) were pleased with pain clinics‘ services. There was no discontentment with the services of pain clinics. All study participants positively evaluated the pain clinics‘ specialists‘ competence and quality of care. Most satisfied were patients sent by an oncologist. The shorter the time from registration to the doctor‘s visit, or... [to full text]

Darbo tikslas – įvertinti terapinio profilio slaugytojų darbo laiko sąnaudų ryšį su pacientų savarankiškumu. Uždaviniai: 1. Išanalizuoti terapinio profilio slaugytojų darbo laiko sąnaudas pagal priežiūros kategorijas ir slaugytojo veiklų grupes. 2. Nustatyti terapinio profilio pacientų savarankiškumo lygmenį. 3. Išanalizuoti terapinio profilio slaugytojų darbo laiko sąnaudas, atsižvelgiant į pacientų savarankiškumo lygmenį. Tyrimo metodika. Tyrimas atliktas VšĮ Vilkaviškio ligoninės trijuose terapinio profilio skyriuose (vidaus ligų, neurologijos, slaugos ir palaikomojo gydymo). Tyrimo trukmė - 3,5 mėn. Naudotas tiesioginis laiko ir slaugytojo veiksmų stebėjimo metodas (angl. time-and-motion studies). Iš viso atlikta 72 stebėjimai, kurie sudarė 777,2 val. slaugytojų darbo laiko sąnaudų. Pacientų savarankiškumas vertintas anketa. Rezultatai: Terapinio profilio slaugytojų didžiausios darbo laiko sąnaudos dienos (46,6 proc.) ir nakties (28,3 proc.) pamainoje skirtos tiesioginei pacientų priežiūrai. Mažiausia dalis slaugytojų darbo laiko praleista netiesioginei pacientų priežiūrai. Terapinio profilio skyriuose didžioji dalis pacientų (40,1 proc.) buvo savarankiški, 22,3 priklausomi ir 16 proc. - visiškai priklausomi. Slaugytojai per dvi darbo pamainas (dienos ir nakties), pusę savo darbo laiko skyrė visiškai priklausomiems pacientams slaugyti ir prižiūrėti, ketvirtadalį laiko - priklausomiems pacientams ir mažiausiai, t.y. 14 proc. - savarankiškiems pacientams. Išvados: 1... [toliau žr. visą tekstą] Purpose – to evaluate the relationship between time spent caring a patient by nurses on a medical unit and the patients‘ levels of independence. Objectives: 1. Analyze time spent caring for a patient by nurses on a medical unit according to care categories and nurses activity groups. 2. Determine patients‘ independence levels on a medical unit. 3. Analyze time spent caring for patients according to independence levels by nurses on a medical unit. Methods. The study was completed at Vilkaviškis Hospital, in three medical units (internal medicine, neurology and nursing and hospice care) The length of the study was 3.5 months. Data was gathered through time and motion observation. Seventy-two observations yielded 777.2 hours of observed nursing time. Patient independence was evaluated using a questionnaire. Results: On medical units, the majority of nursing time during the day (46,6%) and night (28,3%) shifts is dedicated to direct patient care. The least amount of nursing time is spent in indirect patient care. On the medical units, a large number of patients (40,1%) were independent, 22,3% needed partial care and 16%. required total care. Nurses during two shifts (day and night) spent half their time providing total care to patients, a quarter of their time providing partial care and the least amount of time, i.e., 14%, providing care to independent patients. Conclusions: 1. Almost half of the nursing shift is spent in direct patient care; much time was spent administering... [to full text]

Lilija Žemaitienė. Pacientų, kuriems taikoma trečiojo lygio neuroreabilitacija, mitybos būklės pokyčių ir su jais susijusių veiksnių vertinimas, magistro baigiamasis darbas/mokslinė vadovė doc. dr. O. Riklikienė; Lietuvos sveikatos mokslų universitetas, Medicinos akademija, Slaugos fakultetas, Slaugos ir rūpybos katedra; konsultantė doc. dr. G. Damulevičienė; Lietuvos sveikatos mokslų universitetas, Medicinos akademija, Geriatrijos klinika. ‒Kaunas, 2014‒85 p. Lilija Žemaitienė. Third level neurorehabilitation patiens nutritional status changes and related factors assesment / supervisor Ph. d. O. Riklikienė ; Lithuanian University of Health Sciences; Faculty of Nursing, Department or Nursing and Care; consultant Ph. d. G. Damulevičienė; Lithuanian University of Health Sciences, Clinic Geriatric, Kaunas, 2014, – s. 85.

The research identified its aim to determine the relations between stressogenic events and professional burnout experienced by the nurses at Surgery and Therapy departments. The following tasks were raised: 1. To ascertain and compare nurses’ professional burnout at the departments of Surgery and Therapy by socio-demographic indexes. 2. To identify and compare nurses’ professional burnout at the departments of Surgery and Therapy by the nature of stressogenic events. 3. To determine and compare nurses’ professional burnout at the departments of Surgery and Therapy by the nature of stressogenic events experienced in personal lives. Research methodology: the study was conducted in December, 2013, at the departments of Surgery and Therapy, Kaunas Clinical Hospital and Republican Hospital of Kaunas. The research used socio-demographic questionnaire and the questionnaire of stressogenic events at work (prepared by the author and coauthors – M. Antanaitienė and A. Rapulskytė), as well as the questionnaire of stressogenic events in personal life and Professional Burnout questionnaire (adapted for medical employees and prepared by N. Vodopjanova). Results: 198 nurses participated in the research. 92 of the subjects work at the Surgery departments, whereas 106 – at the Therapy departments. The means of the Surgery and Therapy employees’ burnout, depersonalization and personal achievements subscale indexes are even, but their emotional burnout subscale scores are different. The relation between workload and emotional burnout subscale was detected, which shows that due to the higher workload, the scores of emotional burnout subscales tends to increase. With the nurses’ at the Surgery departments age increase, their means of depersonalization scale tend to decrease. The increasing nurses’ age and seniority at the Surgery departments tend to decrease the means of the devaluation of their personal achievements. Withal, the increase of work posts number at the Therapy departments tends to decrease the means of depersonalization scale. The data retrieved from the Therapy departments show that those nurses, who work in night shift tend to have higher means of depersonalization scale. Aiming to explore the relations between the scales of stressogenic events and professional burnout experienced by the nurses, the study determined that insufficient salaries generally impact their professional burnout. The emotional burnout and depersonalization subscales maintain their strongest relation with overtime, patients’ complaints and colleagues’ comments on the professional accomplishments. The professional stressogenic factors had more impact on the nurses’ professional burnout at the Therapy departments. The research on the relation between the nurses’ sressogenic events in personal life and professional burnout subscales revealed that financial factors put greatest influence on their emotional burnout and depersonalization. The nurses’ at the Surgery departments subscales of stressogenic events in personal life and professional burnout have greater relations than those of the Therapy departments. Conclusions: 1. The greater nurses’ workload at the departments of Surgery and Therapy increases the risk of their professional burnout. Moreover, the research ascertained that the nurses’ devaluation of personal achievements at the Surgery departments tends to decrease when aging and getting more experienced. 2. Low salary, overtime and the patients’ complaints, as well as, the colleagues’ comments on professional accomplishments increase the risk of the nurses’ professional burnout syndrome. Withal, it was noticed that stressogenic events at work have more effect on the nurses’ professional burnout at the Therapy departments. 3. Financial factors have the greatest impact on the subjects’ emotional burnout and depersonalization. The stressogenic events in personal lives did not have relation with the devaluation of personal achievements. The nurses’ at the Surgery departments stressogenic events of personal life have greater relation with the professional burnout subscales than the nurses’ at the Therapy departments.

Tyrimo tikslas – atskleisti psichikos sveikatos slaugytojų patiriamos agresijos raišką psichiatrijos profilio ligoninėse. Tyrimo uždaviniai: ištirti psichikos sveikatos slaugytojų patiriamos agresijos pobūdį ir dažnumą Respublikinėse psichiatrijos profilio ligoninėse; Išsiaiškinti psichikos sveikatos slaugytojų elgesį patiriant agresyvaus paciento smurtą; Nustatyti psichikos ligas kuriomis sergantys pacientai dažniausiai naudoja agresiją prieš psichikos sveikatos slaugytojus. Tyrimo metodas – tyrimas buvo atliktas 2013 m. vasario - balandžio mėnesiais. Tyrimo metu buvo naudotas autoriaus Nico Oud originalus klausimynas POPAS (angl. Perception of Prevalence of Aggression Scale) ir papildomai sudarytas klausimynas. Tyrimo metu buvo apklausti 300 psichikos sveikatos slaugytojų dirbančių Respublikinėse psichiatrijos profilio ligoninėse. Tyrimo rezultatai. Tyrimo rezultatai rodo, kad dažniausiai pasireiškianti agresijos forma - žodinė agresija ir grasinanti žodinė agresija, žeminantis agresyvus pacientų elgesys ir pasireiškia dažnai ar labai dažnai. Pacientų sunkus fizinis smurtas, seksualinis priekabiavimas, įvykusios savižudybės bei bandymai nusižudyti pasireiškia dažnai ir labai dažnai. Labai dažnai eidami į palatą, kur yra agresyvus pacientas pranešama kolegoms, o įėję į palatą išlieka tarp paciento ir durų, o jei gali durys paliekamos atidarytos. Stengiasi, kad paciento aplinkoje nebūtų nereikalingų dirgiklių, triukšmo, kurie didintų frustraciją ir mažintų impulsų kontrolę... [toliau žr. visą tekstą] Goal of the research – to reveal the prevalence of aggression suffered by mental care nurses in psychiatric care hospitals. Tasks of the research: to explore the types and frequency of aggression suffered by mental care nurses in State’s psychiatric care hospitals; to clarify the behavior of mental care nurses once they experience the violence of an aggressive patient; to determine the mental illnesses which are characteristic to the patients who most often tend to use aggression towards mental care nurses. Method of the research – the research was conducted from February till April, in 2013. An original questionnaire POPAS (Perception of Prevalence of Aggression Scale) suggested by the author Nico Oud was used for the research together with an additionally created questionnaire. 300 mental care nurses working in State’s psychiatric care hospitals were participating in the research. Results of the research. The results of the research have shown that most often the nurses face verbal and threatening verbal aggression, humiliating aggressive patient behavior, which happen often or very often. Severe physical violence from the patients, sexual harassment, suicides and attempts to commit suicides happen often and very often. In many cases nurses inform their colleagues once they go to the ward in which the aggressive patient is hospitalized and once they enter, they stay between the patient and the doors and, if possible, the doors are left open. The nurses seek to ensure... [to full text]

Darbo tikslas: įvertinti slaugos ir palaikomojo gydymo skyrių slaugytojų pasitenkinimo darbu ir organizacinės kultūros sąsajas. Darbo uždaviniai: 1.Įvertinti slaugos ir palaikomojo gydymo skyrių slaugytojų pasitenkinimą darbu. 2.Ištirti slaugos ir palaikomojo gydymo skyriuose dominuojančią organizacinę kultūrą. 3.Įvertinti pasitenkinimo darbu ir dominuojančios organizacinės kultūros sąsajas slaugos ir palaikomojo gydymo skyriuose. Tyrimo metodika. Atliktas vienmomentinis anketinis – anoniminis tyrimas. Apklaustos 184 slaugos ir palaikomojo gydymo skyrių slaugytojos. Atsako dažnis 84 proc. Apklausa vyko naudojant P. Spector pasitenkinimo darbu klausimyną ir organizacinės kultūros klausimyną. Statistinė duomenų analizė atlikta naudojantis SPSS 17.0 kompiuterine programa. Atlikta aprašomoji duomenų statistika. Skirtumai statistiškai reikšmingi laikyti, kai reikšmingumo lygmuo p≤0,05, kai p