Slauga. Mokslas ir praktika
https://www.journals.vu.lt/slauga
<p>Founded in 1997. The journal of the Institute of Hygiene is designed for nursing professionals, midwives, dental care professionals as well as for rehabilitation and public health specialists.</p>Higienos institutas / Institute of HygieneltSlauga. Mokslas ir praktika1648-0570Farmacijos istorijos paveikslėliai naujausioje dr. Tauro Antano Meko knygoje
https://www.journals.vu.lt/slauga/article/view/34467
<p>Farmacijos istorikas, vaistininkas, biomedicinos mokslų daktaras Tauras Antanas Mekas pristato savo naujausią knygą ,,Žmonės ir vaistai. Farmacijos istorijos paveikslėliai“. Kukliai „istorijos paveikslėliais“ pavadintoje šimto puslapių knygoje autorius sutalpino svarbiausius Lietuvos farmacijos istorijos faktus, kurie atskleis skaitytojui paslaptingą farmacijos pasaulį.</p>
DisseminationJanina Valančiūtė
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2024-02-022024-02-02272810.47458/Neteisingai vartojami antibiotikai kelia pavojų visuomenės sveikatai
https://www.journals.vu.lt/slauga/article/view/34466
<p>Įvairiose šalyse atlikti tyrimai rodo, kad antibiotikais gydomas maždaug vienas iš trijų ligoninėse besigydančių pacientų, tačiau apie 50 proc. atvejų antibiotikai yra skiriami neracionaliai. Lapkričio 18–24 d. minint Pasaulinę supratimo apie antimikrobinį atsparumą savaitę Respublikinės Vilniaus universitetinės ligoninės Laboratorinės diagnostikos skyriaus vedėja, laboratorinės medicinos gydytoja dr. Greta Vizujė pasidalijo įžvalgomis apie perteklinį antibiotikų vartojimą ir įvardijo dažniausiai žmonių daromas klaidas vartojant šiuos vaistus.</p>
DisseminationDalia Smagurauskaitė
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2024-02-022024-02-02242610.47458/Garbingas Švedijos karalienės apdovanojimas
https://www.journals.vu.lt/slauga/article/view/34465
<p>2023 m. pabaiga Vilniaus kolegijos Sveikatos priežiūros fakulteto Slaugos katedros vedėjai, lektorei, bendrosios praktikos slaugytojai Jurgitai Stankūnienei atnešė malonių žinių. Jai paskirtas 2023 m. aukščiausias Tarptautinis Švedijos karalienės Silvijos slaugos apdovanojimas „Queen Silvia Nursing Award“ už pasiūlytą idėją sukurti sergantiems žmonėms pritaikytą higienos stalelį su prausimosi instrukcija.</p>
DisseminationTeresė Gužauskienė
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2024-02-022024-02-02212310.47458/Effects of ultrasonic cleansing on oily facial skin: a Review of the Literature
https://www.journals.vu.lt/slauga/article/view/34464
<p><strong><em>Abstract.</em></strong><em> People of all ages suffer from persistently discoloured facial skin with rashes and acne. Regular skin care, cosmetic products and skin cleansing procedures are important to tackle this problem. One of the potentials, non-traumatic skin cleansing treatments for oily facial skin is ultrasound.</em></p> <p><strong><em>Objective.</em></strong><em> To analyse from a theoretical point of view the problem of oily facial skin and the effects of ultrasonic cleansing on the skin.</em></p> <p><strong><em>Methods.</em></strong><em> A review of research articles using the keywords: oily skin, skin problems, ultrasonic facial cleansing, skin cleansing, and their combinations with the words "and", "or". The search for research articles was conducted in PubMed, Google Scholar, BMJ, Clin Dermatol electronic database. The literature review included 22 open-access and full-length articles on the topic, written in English, from 2016 to 2022.</em></p> <p><strong><em>Results of the literature review.</em></strong><em> This article covers the main problems of oily facial skin, the effects of external and internal factors on the skin, the effects of ultrasonic cleansing on oily facial skin, and the use of preventive measures to maintain a healthy pH balance in oily facial skin.</em></p> <p><strong><em>Conclusion.</em></strong><em> 1. Oily facial skin is caused by hormonal disorders that stimulate the production of sebum, making the skin prone to shine, oiliness, rashes and clogged pores. Exogenous exposure sensitises the skin. Maintaining a healthy skin balance is important for a daily facial skin routine. <br>2. The ultrasound waves, tailored to the permeability of the facial skin to electrical currents, have a positive effect on oily facial skin, adding active ingredients to the deepest layers of the skin, improving elasticity and hydration, and lowering sebum levels.</em></p>
Peer-reviewed articleoily skinskin problemsultrasonic facial cleansingeffects of cleansing on the skinKarolina SabiloZita Gierasimovič
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2024-02-022024-02-02152010.47458/Slauga.2024.5.3Patients' preoperative awareness of anesthesia
https://www.journals.vu.lt/slauga/article/view/34463
<p><strong><em>Research methods:</em></strong><em> systematic literature analysis and qualitative research – semi-structured interview. The sample of the qualitative research is 16 respondents. The data was analyzed using the method of qualitative content analysis. </em></p> <p><strong><em>Conclusions.</em></strong><em> 1. Patients know what anesthesia is and for what purpose it is performed, most patients follow the preoperative preparation recommendations. Before the operation, patients want to be informed and know about the course of the operation, anesthesia, pre-operative requirements, risks and threats of complications, the postoperative period, rehabilitation. Patients emphasize that communication with healthcare professionals (doctors and nurses) before surgery is very necessary for them. The information provided to some patients was insufficient, there was a lack of communication. Patients prefer an individual conversation and written or visual information about pre-operative preparation, anesthesia in a language they understand, without difficult medical terms. 2. Nursing roles emerged as important factors in patients' preoperative period. It has been established that the communication of health care professionals, including nurses, and the time devoted to patients in meeting their needs have a significant impact on patient awareness.</em></p>
Peer-reviewed articleanesthesiaawarenesspreoperative awarenessnurseLina BujauskienėLina Gedrimė
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2024-02-022024-02-0291410.47458/Slauga.2024.5.2Postoperative Management of Hard-to-Heal Wounds: A Review of the Literature
https://www.journals.vu.lt/slauga/article/view/34462
<p><strong><em>Abstract.</em></strong><em> According to the World Health Organisation (WHO) ‘Half the cases of post-operative hard-to-heal wounds can be avoided’ [1]. Foreign authors A. E. Boniakowski, A. S. Kimball, B. N. Jacobs, et al. (2017) state that ‘Wound monitoring and periodic post-operative wound care performed at periodically planned time are important at all stages of wound healing’ [2]. </em></p> <p><strong><em>Objective of the literature review.</em></strong><em> To analyse scientific articles on risk factors and wound management of hard-to-heal wounds. </em></p> <p><strong><em>Methods.</em></strong><em> The literature review was conducted using the PubMed, ECDC, and Google Scholar search in the electronic MEDLINE database. The search was carried out between September and December 2023. Keyword phrases and their combinations were used for the search. Twenty three articles on the examined topic were included in the literature review. </em></p> <p><strong><em>Results of the literature review.</em></strong><em> The present article discusses the main risk factors for wound infection and preventive measures. After analysing scientific articles, the causes of hard-to-heal wounds have been elucidated, which depend on the nature of the surgery, different pathogenic microorganisms, and the selection of dressings at each stage of wound healing.</em></p> <p><strong><em>Conclusions.</em></strong><em> 1. Favourable conditions must be created for wound healing. Regular assessment of the wound healing process based on clinical indicators is attributed to an important factor. 2. Topical antimicrobial agents are used when wound healing is suspected to be impaired; dressings are selected based on the type of wound healing. </em></p>
Peer-reviewed articleHard-to-heal woundsrisk factorsinfectionwound managementGustė PovilaikaitėZita Gierasimovič
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2024-02-022024-02-021810.47458/Slauga.2024.5.1Aortos aneurizma – „tylioji žudikė“
https://www.journals.vu.lt/slauga/article/view/33936
<p>Rugsėjo 19-ąją pasaulyje minima Pasaulinė aortos aneurizmos diena, skirta priminti visuomenei apie „tyliąja žudike“ vadinamą ligą. Labai dažnai aortos aneurizma nepasireiškia jokiais simptomais, o jai plyšus pusė pacientų miršta dar pakeliui į gydymo įstaigą. Respublikinės Vilniaus universitetinės ligoninės (RVUL) gydytojas kraujagyslių chirurgas Artūras Mackevičius sako, kad laiku diagnozavus ligą to galima išvengti.</p>
DisseminationDalia Smagurauskaitė
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2023-12-222023-12-22555710.47458/Lietuvos akušerių sąjungos ir anestezijos ir intensyviosios terapijos slaugytojų draugijos bendrystė atvėrė kelią mokslinei konferencijai
https://www.journals.vu.lt/slauga/article/view/33935
<p>Lietuvoje jau daugelį metų vyksta akušerių profesinio tobulinimo seminarai, kursai, konferencijos įvairiuose Lietuvos miestuose, o pandemijos laikotarpiu – nuotoliniu būdu. Tobulėjant sveikatos priežiūros paslaugoms, keičiantis specialistų ruošimo programoms, vis labiau tapdami inovatyviais, natūralu, kad siekiame ne tik išlaikyti bendrystę su jau nuo seno įsikūrusiomis skirtingomis sveikatos priežiūros paslaugų specialistų organizacijomis, bet ir įsteigti naujų. Kuriant bendrystę buvo susivienyta su Lietuvos anestezijos ir intensyviosios terapijos slaugytojų draugija. Šios bendrystės rezultatas – 2023 m. lapkričio 23 d. Klaipėdos universiteto ligoninėje surengta mokslinė praktinė konferencija „Skausmo valdymo galimybės ir poreikiai akušerijoje“, skirta akušeriams ir slaugytojams.</p>
DisseminationIngrida PoškienėDaiva DidvalėAlina Liepinaitienė
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2023-12-222023-12-22525410.47458/Insulino atradimo istorija
https://www.journals.vu.lt/slauga/article/view/33934
<p><strong>Santrauka.</strong> Insulinas – hormonas, kurį sintetina kasos (Langerhanso salelių) β ląstelės. Jo atradimas išgelbėjo milijonus cukriniu diabetu (toliau CD) sergančių žmonių gyvybių [1, 2]. Nors apie diabetą buvo žinoma dar prieš mūsų erą, tačiau jo gydymas iki 1922 m. nebuvo sėkmingas. Buvo gydoma pagal kiekvienam laikmečiui būdingą terapinę filosofiją: kraujo nuleidimu, opijaus preparatais, skirtingomis dietomis (XIX a. manyta, kad pacientui būtina kuo daugiau valgyti, rekomenduodavo net cukraus, vėliau buvo rekomenduojamas badavimas, skiriama sumažinto angliavandenių kiekio dieta) ir t. t. Palyginti visai neseniai, tik XX a. pradžioje, prieš 102 metus buvo atrastas insulinas ir jo injekcija pirmą kartą istorijoje sušvirkšta 1 tipo CD sergančiam vaikui. Nuo to laiko 1 tipo CD diagnozė nebebuvo mirties nuosprendis šia liga susirgusiems žmonėms. Keletas mokslininkų, gyvenusių skirtingu laiku ir dirbusių skirtingose šalyse, prisidėjo prie insulino atradimo, tačiau ne visų jų darbai buvo užbaigti, o rezultatai deramai įvertinti. Vieno žymiausių insulino atradėjų Frederiko Bantingo (1891–1941) gimimo dieną, lapkričio 14-ąją yra švenčiama Pasaulinė diabeto diena. Šią dieną siekiama atkreipti visuomenės dėmesį į diabeto sukeliamas problemas, sergantieji, medikai, visuomeninės organizacijos kviečiami vienytis prieš diabetą. Sergančiųjų cukriniu diabetu visame pasaulyje kasmet grėsmingai daugėja. 2021 m. visame pasaulyje CD sirgo 537 milijonai žmonių, o Lietuvoje – apie 120 tūkstančių asmenų. Prognozuojama, kad 2030 m. šia liga sirgs 643 milijonai planetos gyventojų, o 2045 m. – 783 milijonai. Pasaulio sveikatos organizacija (PSO) prognozuoja, kad iki 2030 m. diabetas taps 7-ąja dažniausia mirties priežastimi. Sergant diabetu didelis gliukozės kiekis kraujyje gali pakenkti daugeliui organų sistemų, sukeldamas infarktą, insultą, nervų pažeidimus, inkstų funkcijos nepakankamumą, aklumą, impotenciją, amputacijas, besilaukiančios moters vaisiaus patologiją. Šiuo metu insulinu gydomi visi 1 tipo CD sergantys žmonės bei dalis sergančiųjų 2 tipo CD. Ir nors insulinas neišgydo diabeto, tik padeda jį kontroliuoti, tačiau milijonams žmonių išsaugojama gyvybė [1, 3, 4].</p>
Self-educationVirginija Bulikaitė
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2023-12-222023-12-22465110.47458/Slaugos ypatumai vaikų reabilitacijoje
https://www.journals.vu.lt/slauga/article/view/33933
<p>Reabilitacija – tai gydymo priemonių kompleksas, skirtas atgauti dėl patirtų traumų, ligų ar kitų priežasčių prarastas funkcijas. Pasaulio sveikatos organizacijos (PSO) teigimu, pagrindinis reabilitacijos tikslas yra pasiekti maksimalų asmens funkcinio nepriklausomumo lygį. Ji apima fizinių, sensorinių, kognityvinių, psichologinių ir socialinių funkcijų lavinimą [1]. Vaikų reabilitacijai svarbi yra <em>abilitacija</em> – medicininių, pedagoginių, socialinių priemonių ir metodų kompleksas, skirtas ugdyti maksimalų savarankiškumą vaikams, turintiems įgimtą ar ankstyvoje vaikystėje įgytą funkcijos sutrikimą. Ir reabilitacijos, ir abilitacijos tikslas – pažeistų organizmo funkcijų atkūrimas, adaptacijos vystymas bei aktyvumo skatinimas.</p>
Self-educationViktorija SytnikovaJuozas RaistenskisNatalja Istomina
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2023-12-222023-12-22424510.47458/The Attitude of Hemodialysis Units Nurses on Factors Reducing Job Fatigue
https://www.journals.vu.lt/slauga/article/view/33932
<p><strong><em>The aim</em></strong><em> is to find out the factors that can reduce fatigue at work, from the point of view of hemodialysis unit nurses.</em></p> <p><strong><em>Methods.</em></strong><em> The study was conducted in 2021. December - May 2022 in six hemodialysis departments, clinics, and centers. 21 nurses participated in the study. A qualitative analysis of the research was performed. Bioethics approval from the Lithuanian University of Health Sciences was obtained for the study (protocol No. BEC – SL(M)-131).</em></p> <p><strong><em>Results.</em></strong><em> In the opinion of nurses who work in hemodialysis units, a lower workload, namely a lower amount available per nurse, would reduce their fatigue. Experienced physical fatigue at work would be helped by fewer opportunities for important physical activities and/or physiotherapy, psychological fatigue would be helped by reducing the opportunity to also attend physical activities, a free sports club, or yoga. One of the most important factors determining work motivation and satisfaction is salary.</em></p> <p><strong><em>Conclusions. </em></strong><em>Flexible work schedules and optimal workload, sufficient salary, and the possibility of offering employees physical or other relaxing activities organized by a physiotherapist are important factors in reducing the fatigue of hemodialysis unit nurses at work.</em></p>
Peer-reviewed articlehemodialysisnursefatigueGuoda BurneikaitėLina Spirgienė
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2023-12-222023-12-22364110.47458/Slauga.2023.4.39The Subjective Evaluation of Health Status of Multimorbid Patients in Primary Health Care
https://www.journals.vu.lt/slauga/article/view/33931
<p><strong><em>Abstract.</em></strong><em> Society who is getting older and the increase of multimorbidity spread amongst it shows that the number of patients who suffer from more than two chronic diseases will increase. Multimorbidity makes life difficult for patients because their possibilities of functioning decreases and this also determines their inferior evaluation of health status. For the self – assessment of health status of multimorbid patients in primary health care context their own perception, personal qualities and factors which not belonging from patients, such as age or gender, have huge influence. </em></p> <p><strong><em>The aim of the study</em></strong><em> – to evaluate health status of multimorbid patients in primary health care by subjective attitude of patients.</em></p> <p><strong><em>Research methods.</em></strong><em> A written survey was conducted for quantitative research. Research participants were the persons (n = 371) diagnosed with two or more chronic diseases.</em></p> <p><strong><em>Results.</em></strong><em> According to the research data, in most cases multimorbid patients in primary health care, by their subjective evaluation, did not have problems with mobility, self – care and doing usual activities, but they felt slight pain or discomfort and slight anxiety or depression. Women, older patients, patients with lower education, patients who live alone and also patients who stated being diagnosed with more chronic diseases, self – assessed their health status significantly worse.</em></p>
Peer-reviewed articleprimary health caremultimorbidityhealth statusJustina SteponkutėAsta Mažionienė
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2023-12-222023-12-22283510.47458/Slauga.2023.4.38The Role of Nurses in Preventing Hip Arthroplasty Complications in the Postoperative Period
https://www.journals.vu.lt/slauga/article/view/33930
<p><strong><em>Abstract. </em></strong><em>Hip joint replacement is one of the most popular operations in orthopedics. During the surgical procedure, the hip joint is replaced with a prosthesis, therefore, after this operation, in order to avoid complications, the role of nurses is very important, which must be reflected in professionalism and responsibility. It should be noted that nurses must not only perform general care, but also involve the patient in the nursing process, i.e. discuss the care plan, carry out training so that the patient feels safe and self-confident.</em></p> <p><strong><em>The aim of the research</em></strong><em> based on a review of the scientific literature, to analyze the role of nurses in order to prevent hip arthroplasty complications in the postoperative period.</em></p> <p><strong><em>Research methods.</em></strong><em> The systematic scientific literature review was prepared using the PRISMA (Perferred Reporting Item for Systematic Review and MetaAnalyses) method. Scientific articles were searched in the three main electronic databases PubMed, Google Scholar, Ceeol in Lithuanian and English, in the period 2011– 2021. To search for scientific publications, use terms that correspond to the purpose of the study (hip joint replacement, postoperative complications, nursing, the role of the nurse), where a total of 14 (n = 14) scientific articles were selected and included.</em></p>
Peer-reviewed articlehip joint re-placementpostoperative complicationsnursingthe role of the nurseOlga Gurskienė
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2023-12-222023-12-22232710.47458/Slauga.2023.4.37Nurses knowledge of managing patients with COVID-19 disease respiratory dysfunction in intensive care unit
https://www.journals.vu.lt/slauga/article/view/33928
<p><strong><em>Summary. </em></strong><em>Manifestations of the disease in patients with COVID-19 disease are extremely wide, which requires new nursing strategies. To better help a patient with respiratory problems with a COVID-19 disease, you need to focus not only on treatment, but also on nursing.</em></p> <p><strong><em>The aim of the research</em></strong><em> – to determine nurses knowledge of managing patients with COVID-19 disease respiratory dysfunction in intensive care unit. </em></p> <p><strong><em>The methods of the research.</em></strong><em> After analyzing the scientific literature, the quantitative study was prepared – the questionnaire survey consisting of 20 questions. The survey was carried out in November 2022 and the analysis of the survey data was carried out in December 2022. 107 intensive care unit nurses participated in the research. </em></p> <p><strong><em>Conclusions.</em></strong><em> Main results of the empirical research showed, that nurses have quite strong knowledge how to manage respiratory disorders in patients with COVID-19 disease. According to the respondents perceptions, the most effective action is the application of a face mask with reservoir.</em></p>
Peer-reviewed articleCOVID-19 diseasenurses knowledgerespiratory disordersLoreta BukartienėRūta LukianskytėKamilė MaksvytytėMantė Petkutė
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2023-12-222023-12-22152210.47458/Slauga.2023.4.36Characteristics of communication between dentists and their assistants
https://www.journals.vu.lt/slauga/article/view/33927
<p><strong><em>Summary.</em></strong><em> Effective teamwork requires communication and cooperation among team members, exchange of various knowledge, information [1]. Communication skills (both verbal and non-verbal) of dentists and their assistants with a patient, colleague or other healthcare professional are considered the basis of their professionalism [2].</em></p> <p><strong><em>Research aim</em></strong><em> – is to reveal the peculiarities of professional communication between dentists and their assistants.</em></p> <p><strong><em>Research methods:</em></strong><em> qualitative research - semi-structured interview method and content analysis.</em></p> <p><strong><em>Research results and conclusions.</em></strong><em> During the research it was established that effective communication between dentists and their assistants leads to good work results and work productivity. Poor communication leads to communicational problems and miscommunication. Based on the results of the theoretical analysis and empirical research conducted in the study, the model of communication between dentists and their assistants reveals that in order to achieve effective communication, dentists must recognize the importance of the professional role of their assistants, be tolerant, and dentists' assistants must strengthen their professional role and be able to adapt. It is also very important that both dentists and their assistants understand the importance of effective communication and that effective communication means not only sharing information, but also establishing good interpersonal relationships.</em></p>
Peer-reviewed articleprofessional communicationcooperationrelationsŠarūnė BarsevičienėViktorija PaulauskienėKristina Holland
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2023-12-222023-12-2281410.47458/Slauga.2023.4.35Preventive Health Screening of Children and Adolescents
https://www.journals.vu.lt/slauga/article/view/33926
<p><strong><em>Summary.</em></strong><em> The purpose of the preventive health check-up of children and adolescents is to assess the harmonious development of patients, identify health disorders, and prevent the occurrence of future diseases. In Lithuania, health checks of children and adolescents are carried out periodically. Family doctors or pediatricians, who suspect health disorders in a child during a preventive health check-up, can prescribe all the necessary instrumental or laboratory tests and send the necessary specialists for consultation. In foreign countries, the culture of preventive health check-ups for children and adolescents is somewhat different, as check-ups are not carried out every year.</em></p> <p><em>A literature review was performed using PubMed and Google Scholar search engines, in the MEDLINE electronic database. The search was carried out from 01.11.2022 to 01.02.2023. The systematic review included 16 articles on the topic. After analyzing the scientific articles, it can be stated that preventive health screening of children and adolescents is carried out in many countries, but with the help of different healthcare professionals and also at different time intervals. Preventive examinations in PSP are carried out by a family doctor, a pediatrician, a nurse, an ophthalmologist, a dentist, and in some countries also a physical medicine and rehabilitation doctor and a psychologist.</em></p>
Peer-reviewed articlechildren and adolescentspreventive health screeningchildren health screeningAušra BrazauskienėRasa StundžienėAgata Semionovienė
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2023-12-222023-12-221710.47458/Slauga.2023.4.34Actions of mothers during breastfeeding problems
https://www.journals.vu.lt/slauga/article/view/33704
<p><strong><em>Abstract.</em></strong><em> Breastfeeding provides many health benefits for infant and mothers. Breastfeeding problems that most women experience during the breastfeeding period influence the shorter duration of natural infant breastfeeding. It is important to help mothers solve breastfeeding problems to continue infant breastfeeding.</em></p> <p><strong><em>The aim.</em></strong><em> Analyse mothers’ actions in case of breastfeeding problems.</em></p> <p><strong><em>Methods.</em></strong><em> A quantitative scientific study was carried out using a questionnaire survey. Mothers who have infants from 6 months and children up to 2 years of age filled in the. 387 questionnaires were suitable for study data analysis. Mathematical and minimal statistical data analysis was carried out.</em></p> <p><strong><em>Results and conclusions.</em></strong><em> More than two-thirds of the mothers in the study experienced breastfeeding problems. Sore/damaged nipples and breast engorgement were the most common problems. Many mothers looked for information related to breastfeeding in the media, and more than half sought help from healthcare professionals. A significant connection was found between breastfeeding problems and shorter duration of breastfeeding. Mothers’ knowledge about the benefits of breastfeeding, better financial situation and help from healthcare professionals had a significant impact on the duration of breastfeeding.</em></p>
Peer-reviewed articlebreastfeedingbreastfeeding problemsmothers’ actionshealthcare professionalsVilita VainauskaitėRasa Stundžienė
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2023-11-242023-11-2491710.47458/Slauga.2023.4.31Gyvenimas su cukriniu diabetu: kasdieniai iššūkiai ir jų sprendimai
https://www.journals.vu.lt/slauga/article/view/33700
<p>Tarptautinės diabeto federacijos duomenimis, 2021 m. 536,6 mln. žmonių sirgo cukriniu diabetu, ir numatoma, kad 2045 m. sergančiųjų skaičius pasieks apie 783,7 mln. visame pasaulyje. Respublikinės Vilniaus universitetinės ligoninės (RVUL) gydytoja endokrinologė ir Vilniaus universiteto docentė dr. Lina Zabulienė sako, kad sergant diabetu pacientams ir jų artimiesiems kyla nemažai iššūkių – nuo reguliaraus vaistų vartojimo ir nuolatinio gliukozės rodiklių stebėjimo iki mitybos ir fizinio aktyvumo sustygavimo bei gebėjimo laiku priimti tinkamus sprendimus, ūmiai pasikeitus sveikatos būklei. Situaciją sunkina ir tai, kad sergantieji diabetu dažnai serga ir keliomis gretutinėmis lėtinėmis ligomis, todėl reikia derinti visų jų gydymą ir užtikrinti dar uolesnę savirūpą.</p>
DisseminationDalia Smagurauskaitė
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2023-11-242023-11-24454710.47458/Pacientų po klubo sąnario endoprotezavimo operacijos slaugos poreikių vertinimas
https://www.journals.vu.lt/slauga/article/view/33699
<p>Pastebėta, kad slaugytojai ankstyvuoju pooperaciniu laikotarpiu iš dalies patenkina pacientų slaugos poreikius po klubo sąnario endoprotezavimo [3, 4]. Pacientas po klubo sąnario endoprotezavimo operacijos laikinai netenka tam tikrų funkcijų, todėl turi įgyti naujų įgūdžių ir pakeisti jau nusistovėjusią kasdieninę rutiną. Dėl nepatenkintų slaugos poreikių pacientai ankstyvuoju pooperaciniu laikotarpiu patiria didesnę baimę, nerimą dėl tolimesnių pooperacinių procedūrų eigos ir būsimo gyvenimo kokybės [4].</p> <p>Pristatomo tyrimo objektas – pacientų po klubo sąnario endoprotezavimo operacijos slaugos poreikių vertinimas ankstyvuoju pooperaciniu laikotarpiu, siekiant nustatyti slaugos poreikius.</p> <p>Daugiau nei pusė pacientų savo būklę po klubo endoprotezavimo vertina gerai. Pacientai pažymėjo, kad fiziniai poreikiai (judėjimas, skausmo kontrolė, šalinimo sistemos, miego kokybė, valgymas ir gėrimas) buvo patenkinti geriausiai. Daugiau nei pusė apklaustųjų jautė nerimą (62 proc.), juos erzino kūno pokyčiai (74 proc.) ir buvo apėmęs bejėgiškumas (62 proc.). Mažiau nei pusė tiriamųjų pripažino (45 proc.), kad jaučiasi priklausomi nuo kitų asmenų, 30 proc. atsakė, kad savimi rūpintis nori labiau nei anksčiau, bet 59 proc. nelaiko savęs ligoniu. Pacientų nuomone, pooperaciniu laiku jiems greičiau sveikti padeda slaugytojų atliekamos manipuliacijos (medikamentų, žaizdų priežiūra), taip pat slaugytojų bendravimas (mokymas vaikščioti, pooperacinių komplikacijų prevencija, padrąsinimai).</p>
Self-educationAkvilė VirbalienėMarija Trijonytė
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2023-11-242023-11-24394410.47458/Pacientų, sergančių onkologine liga, informacijos poreikis apie chemoterapijos šalutinius reiškinius
https://www.journals.vu.lt/slauga/article/view/33698
<p>Prieš pradedant onkologinės ligos gydymą, pacientų turima informacija apie chemoterapiją yra skirtinga. Kad vėžiu sergantys pacientai nenutrauktų gydymo, svarbu tinkamai informuoti juos apie galimus šalutinius reiškinius taikant gydymą chemoterapija. Norint suteikti tinkamą informaciją, būtina išsiaiškinti, kokios informacijos trūksta pacientams, sergantiems onkologine liga, kokius šalutinius požymius dažniausiai patiria pacientai po chemoterapijos ir koks yra slaugytojo vaidmuo informuojant pacientus apie chemoterapiją ir jos šalutinius reiškinius?</p>
Self-educationLina LesnikovaLina GedrimėAkvilė Virbalienė
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2023-11-242023-11-24343810.47458/Attitude on euthanasia of general practice nursing students of Alytaus kolegija / University of Applied Sciences
https://www.journals.vu.lt/slauga/article/view/33697
<p><strong><em>Summary.</em></strong><em> The article reveals the attitudes of general nursing students of Alytaus kolegija / University of Applied Sciences towards euthanasia. The last two decades of this century have seen an increasing number of countries where euthanasia has become legal, which has led to a growing number of disagreements between the health care community, politicians, society, and religion, and to ethical dilemmas around the world on this issue. Euthanasia has become a topical phenomenon that has so far generated countless debates and controversies in politics, law, medicine and society at large. This article presents the views of general nursing students on euthanasia, its legalisation and the reasons that have influenced their opinions. The study used a quantitative questionnaire survey method. The sample of the study was a purposive sample of general nursing students of the 1st and 4th year of the Department of Health Sciences and Technologies of Alytaus kolegija / University of Applied Sciences. Summarising the results obtained, it emerged that almost half of both 1st and 4th year students express a neutral attitude towards euthanasia, and more than half of both 1st and 4th year students support legalisation of euthanasia in Lithuania.</em></p>
Peer-reviewed articlenursing studentseuthanasiaattitudesdeathLina ValčiukienėDiana PrieskienytėAlma Paškevičė
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2023-11-242023-11-24273310.47458/Slauga.2023.4.33Knowledge and attitudes towards organ donation among non-health science students
https://www.journals.vu.lt/slauga/article/view/33695
<p><strong><em>Abstract.</em></strong><em> Organ transplantation is the most effective and acceptable treatment for end-stage organ failure [1], but there are more people waiting for organs than donors. Each person has the freedom to decide whether or not to be an organ donor based on his or her values, beliefs and knowledge, and his or her decision can often be influenced by the knowledge and understanding of organ donation and transplantation. </em></p> <p><em>This article analyses the knowledge and attitudes towards organ donation among non-health science students. The research method used was a survey and a purposive sample was formed. The study involved 103 non-health science students from higher education institutions. The survey revealed that the majority of students are aware of the shortage of organ donors in Lithuania, and are able to identify the types of people who can become organ donors and the types of organs that can be transplanted. Students are the least aware of the methods of expressing the wish to become a potential organ donor and the individuals who can make the final decision. There are no significant, statistically significant differences in knowledge about organ donation by gender, field of study, or possession of a donor card. It appeared that the majority of the subjects do not have a donor card but do not object to organ donation after their death.</em></p>
Peer-reviewed articlestudentsdonationtransplantationGabrielė BlaževičiūtėKatažyna PilžienėSimona Paulikienė
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2023-11-242023-11-24182610.47458/Slauga.2023.4.32Evaluation about Self-Care of the Patients with Endometriosis
https://www.journals.vu.lt/slauga/article/view/33693
<p><strong><em>Abstract.</em></strong><em> Endometriosis is a chronic, estrogen-dependent, incurable gynecological disease, the causes of which are still unclear. One of the most important factors in proper disease control is patient involvement in self-care. Well-directed self-care can help reduce the symptoms and damage caused by endometriosis.</em></p> <p><strong><em>Aim.</em></strong><em> To evaluate the self-care of patients with endometriosis.</em></p> <p><em>A quantitative research was conducted, using a survey. The research was conducted on the Internet, on the social platform Facebook, in the endometriosis group. During the study, 70 adult women of childbearing age (18–49 years) with endometriosis were surveyed. 64 questionnaires were selected for data analysis. For descriptive statistics, percentage distribution of data is used. The rank and interval scales are used for analytical statistics. The Chi-square </em><em>(χ²)</em><em> criterion and a statistical significance of p<0.05 were used for the correlation between two attributes.</em></p> <p><strong><em>Results and conclusions. </em></strong><em>A higher proportion of respondents do not use any self-care at all, and a statistically significant effect was found between duration of illness and use of self-care. The longer the duration of illness, the less self-care is used. It also found that the most effective self-care interventions are heat applications, nutrition and phytotherapy, while the least effective are yoga and psychotherapy.</em></p> <p><em>The study showed that self-care is insufficient in the management of endometriosis and its symptoms.</em></p>
Peer-reviewed articleendometriosisself-careself-care actionIeva ŠakinytėDanguolė Šakalytė
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2023-11-242023-11-241810.47458/Slauga.2023.4.30Bibliotherapy for Cancer Patients and Their Families
https://www.journals.vu.lt/slauga/article/view/33393
<p>Cancer patients experience severe health issues and the resulting emotional and psychological complications; therefore, in addition to medical treatment, they also need emotional/psychological support. Bibliotherapy is one of the possible ways of support. The study is aimed at developing a concept of bibliotherapy for cancer patients and providing practical recommendations for service organizers. It uses a targeted information search on bibliotherapy services in Lithuanian public libraries and a questionnaire survey. The concept of bibliotherapy is based on the theories of nursing, social work and library of science. Bibliotherapy services for cancer patients can be provided in primary health care settings or public libraries. The bibliotherapy service in libraries must be conducted in cooperation with medical professionals. The bibliotherapy service, which can be didactic/informative bibliotherapy (recommended reading lists), personal development bibliotherapy (reading services in public libraries), and reading groups (clubs), can be organized in public libraries or in institutions that provide emotional/psychological support. A number of reading clubs with elements of bibliotherapy have been introduced in Lithuanian libraries. A similar service has been identified for a target group, i.e., cancer patients. On the one hand, naming the target audience of the club may traumatize the potential beneficiaries of the service, and on the other hand, it allows for better dissemination of information and better access for patients. Cooperation between institutions is needed to enable patients to learn about bibliotherapy and to have more confidence in the service.</p>
Peer-reviewed articleReading therapyRehabilitation and personal development bibliotherapyBook recommendationsLibrary servicesReading clubsBibliotherapy in healthcare institutionsDaiva Janavičienė
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2023-10-192023-10-19192610.47458/Slauga.2023.4.29VIRTUAL REALITY IN WOUND CARE: LITERATURE REVIEW
https://www.journals.vu.lt/slauga/article/view/33392
<p>Burns are a serious problem that causes a lot of discomfort, both for the patient and for the staff, who try to alleviate the pain and anxiety. Virtual reality is an innovative way of separating the patient from the stimulus felt, thus reducing the negative emotions experienced.</p> <p><strong>Study subject</strong> – Applying virtual reality to wound care.</p> <p><strong>Objective of the literature review.</strong> The aim was to analyse the literature on the use of Virtual Reality (VR) in wound care.</p> <p><strong>Methods.</strong> An exploratory literature review to analyse the application of virtual reality in wound care.</p> <p><strong>Results of the literature review.</strong> The scientific literature was searched in PubMed. According to the selection criteria, 10 full-text publications relevant to the topic of the study were selected. An exploratory review and analysis of the scientific literature was performed.</p> <p><strong>Conclusions.</strong> The use of VR has been shown to be an effective and important adjunct in burn wound care procedures. VR immerses the patient, separating him/her from the painful stimulus, making this distraction an effective way to reduce the pain associated with wound debridement and dressing changes.</p> <p>The most commonly used methods are inclusive and non-inclusive VR. It was also observed that the effect of using VR for wound dressing is positive and that VR itself is an effective way to distract the patient from pain, anxiety and other negative emotions during dressing.</p>
Peer-reviewed articlevirtual realitywound careburnsscoping reviewGražina RabkovskajaViktorija Kielė
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2023-10-192023-10-19101810.47458/Slauga.2023.4.28Experience of nurses in caring for patients with dementia
https://www.journals.vu.lt/slauga/article/view/33391
<p>The research reveals the positive and negative experiences of nurses in working with persons with dementia, allows to analyze the emerging problems and difficulties and to properly solve them in practical work, thereby improving the quality of healthcare services.</p> <p><strong>The purpose</strong> of the study is to analyze the experience of nurses in caring for patients with dementia.</p> <p><strong>Research methods.</strong> The applied qualitative research method of descriptive phenomenology reveals and explains the researched phenomenon as it is understood and experienced personally by each individual. The study interviewed 6 nurses working in the X nursing home.</p> <p><strong>Research results and conclusions.</strong> The study revealed that dementia requires individual care and nursing. When working with patients with dementia, nurses have positive and negative experiences, and the involvement of relatives in patient care has a positive effect on both the physical and emotional state of the patient. Dementia requires individualized care and nursing as well as support and fulfillment of basic needs.</p>
Peer-reviewed articlecareold agedementiacommunicationLukrecija LapinskienėVlastimila Kevišienė
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2023-10-192023-10-191910.47458/Slauga.2023.4.27Baltijos šalių anesteziologai-reanimatologai dalijosi patirtimi. BaltAnestIC2023
https://www.journals.vu.lt/slauga/article/view/33390
<p>2023 metų rugsėjo 27–30 dienomis Estijoje, Tartu nacionaliniame muziejuje, vyko 11-asis tarptautinis anesteziologų-reanimatologų kongresas BaltAnestIC2023. Kongreso tikslas – keistis žiniomis, idėjomis, inovatyviomis gydymo, slaugos tendencijomis bei pacientų saugos klausimais, dirbtinio intelekto panaudojimo galimybėmis, elektroninių pacientų dokumentacijos pildymo naujovėmis ir kt. Renginys pritraukė 650 dalyvių iš Suomijos, Olandijos, Danijos, Jungtinės Karalystės, Latvijos, Estijos, Lietuvos. Labai džiugu, kad slaugytojai buvo aktyvūs ir sudarė net 25 proc. visų dalyvių.</p>
DisseminationLina GedrimėDaiva Didvalė
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2023-10-192023-10-19272810.47458/Aptarti aktualūs slaugytojų darbo klausimai
https://www.journals.vu.lt/slauga/article/view/33389
<p>2023 m. spalio 6 d. Respublikinėje Panevėžio ligoninėje vyko mokslinė-praktinė slaugos specialistų konferencija „Sveikatos priežiūros paslaugų tęstinumas“.</p>
DisseminationDaiva Didvalė
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2023-10-192023-10-19292910.47458/Botulino toksino injekcijos raumenų spastiškumui gydyti – nepakeičiama neurologinių ligų gydymo dalis
https://www.journals.vu.lt/slauga/article/view/33388
<p>„Dėl nevalingo raumenų tonuso padidėjimo (spastiškumo) mažėja žmogaus gebėjimas pasirūpinti savimi, prastėja gyvenimo kokybė. Vienas efektyviausių gydymo metodų – botulino toksino injekcijos į spastiškus raumenis. Nuo šių metų Respublikinėje Vilniaus universitetinėje ligoninėje (RVUL) botulino toksino injekcijos atliekamos pritaikant ultragarsinį ir elektromiografinį tyrimus, todėl botulino toksinas suleidžiamas itin tiksliai. Šiuo metu tai vienintelė ligoninė Lietuvoje, pasitelkianti abu šiuos tyrimus vienos procedūros metu“, – apie spastiškumą ir jo gydymo galimybes pasakoja RVUL gydytojas neurologas Donatas Zailskas.</p>
DisseminationDalia Smagurauskaitė
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2023-10-192023-10-19303210.47458/Galimybė slaugyti žmones – likimo skirta dovana: diabetologės Juzefos Uleckienės knygos „Mano kelias“ sutiktuvės
https://www.journals.vu.lt/slauga/article/view/33386
<p>Rugsėjo 27 d. Lietuvos medicinos bibliotekoje pristatyta slaugytojos diabetologės Juzefos Uleckienės atsiminimų knyga ,,Mano kelias“. Pasveikinti knygos autorės susirinko gausus būrys jos artimųjų ir pacientų.</p>
DisseminationJanina Valančiūtė
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2023-10-192023-10-19333410.47458/