1. Vpliv probiotikov na kakovost življenja pri bolnikih po operaciji možganovDoroteja Pukšič, 2025, undergraduate thesis Abstract: Uvod: Komunikacijske poti med možgani in mikrobioto omogočajo, da lahko z
dodajanjem probiotikov vplivamo na črevesno mikrobioto in posledično na kognitivne sposobnosti. Namen zaključnega dela je bil raziskati vpliv probiotikov na kakovost življenja pri bolnikih po operaciji možganov.
Metode: Zaključno delo je temeljilo na pregledu literature z uporabo opisne metode dela. Literaturo smo identificirali iz mednarodnih podatkovnih baz PubMed, ScienceDirect, MEDLINE (EBSCOhost) ter Wiley Online Library. Proces iskanja literature je temeljil na vnaprej opredeljenih vključitvenih in izključitvenih kriterijih ter je prikazan z diagramom poteka v skladu s smernicami PRISMA. Kakovost vključenih raziskav smo ocenili na osnovi
hierarhije dokazov. Uporabili smo tematsko analizo in sintezo podatkov.
Rezultati: V končno analizo smo vključili 6 ustreznih člankov. Raziskave kažejo, da probiotiki prinašajo le določene koristi za kakovost življenja pri bolnikih po operaciji možganov, kot so krajši čas hospitalizacije, zmanjšanje markerjev vnetja, zmanjšanje tveganja za okužbe, nižja umrljivost ter hitrejše okrevanje črevesne funkcije po operaciji možganov.
Razprava in zaključek: Kljub številnim blagodejnim učinkom probiotikov na zdravje naš pregled literature kaže na omejen vpliv probiotikov na kakovost življenja bolnikov po operaciji možganov. Za zanesljivejše zaključke pa so potrebne nadaljnje klinične raziskave z večjim številom udeležencev in standardiziranimi metodami ocenjevanja kakovosti življenja.
Keywords: koristne črevesne bakterije, kakovost življenja, nevrološki bolniki, operacija možganov
Published in DKUM: 24.10.2025; Views: 0; Downloads: 7
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2. Duhovnost pri ženskah z rakom dojke na sistemskem zdravljenjuNina Radolič, 2025, master's thesis Abstract: Uvod: Rak dojke vpliva na telesno, čustveno in duhovno življenje žensk. Med sistemskim zdravljenjem se številne ženske zatečejo k duhovnosti kot viru opore in notranjega miru. Namen zaključnega dela je bil preučiti stopnjo duhovnega blagostanja pri ženskah z rakom dojke na sistemskem zdravljenju.
Metode: Izvedena je bila kvantitativna raziskava z metodo anketiranja. Namensko vzorčenje je zajelo 69 žensk z diagnozo rak dojke na sistemskem zdravljenju. Podatke, zbrane med oktobrom 2024 in februarjem 2025, smo analizirani s pomočjo Excela in IBM SPSS 29.0. Uporabljeni so bili opisni neparametrični statistični testi: Spearmanov koeficient korelacije, Kruskal-Wallisov test in Mann-Whitneyev U test.
Rezultati: Rezultati niso pokazali statistično značilne povezave med trajanjem diagnoze raka dojke in stopnjo duhovnega blagostanja pri ženskah na sistemskem zdravljenju (rs = -0,074; p = 0,548), prav tako ni bilo razlik glede na pripadnost religiji (U = 160,000; Z = -1,579; p = 0,114) ali stadij bolezni (U = 376,000; Z = −1,333; p = 0,182).
Razprava in zaključek: Raziskava je pokazala zmerno visoko duhovno blagostanje pri anketirankah, brez statistično značilnih povezav z dolžino bolezni, religijo ali stadijem bolezni. Duhovno blagostanje se izkazuje kot pomembna komponenta celostne oskrbe, ki jo zdravstveni delavci morajo upoštevati.
Keywords: duhovnost, rak dojke, sistemsko zdravljenje, celostna zdravstvena nega
Published in DKUM: 21.08.2025; Views: 0; Downloads: 25
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3. Pomen spiritualnosti za ženske, obolele za rakom dojkeKlavdija Brezovšek, 2025, master's thesis Abstract: Uvod: Spoprijemanje z diagnozo raka dojke za ženske predstavlja številne izzive. Spiritualnost je lahko eden izmed virov spoprijemanja z boleznijo in zdravljenjem raka dojk. V celostni obravnavi žensk z rakom dojke ima spiritualna oskrba vse večji pomen. Namen magistrskega dela je raziskati in opisati pomen spiritualnosti za ženske, obolele za rakom dojke. Metode: Z metodo pregleda smo pregledali, analizirali ter sintetizirali znanstveno in strokovno literaturo o spiritualnosti pri ženskah, ki so zbolele za rakom dojke. Literaturo smo iskali v podatkovnih bazah: PubMed, SAGE, Web of Science, CINAHL, MEDLINE. S pomočjo PRISMA diagrama smo prikazali postopek pregleda in izbora literature. Uporabljena je bila metoda vsebinske analize. Rezultati: V končno analizo smo vključili devet raziskav. Oblikovali smo glavno kategorijo »pomen spiritualnosti pri ženskah, obolelih za rakom dojke«, ki je nastala iz štirih podkategorij: (1) »razumevanje pomena spiritualnosti«, (2) »vrednote in namen v življenju«, (3) »soočanje/ spoprijemanje z diagnozo raka dojke« in (4) »vloga zdravstvenega osebja pri vključevanju spiritualnosti v celostno zdravstveno nego«. Razprava in Zaključek: Spiritualnost ženskam prestavlja vir podpore moči, zagotavlja tolažbo, daje upanje in notranji mir. Pogosto je spiritualnost omenjena kot pozitivna strategija za obvladovanje stresnih situacij v povezavi z religijo.
Keywords: maligna neoplazma, rak dojk, duhovnost, soočanje
Published in DKUM: 21.08.2025; Views: 0; Downloads: 17
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5. Review and comparative evaluation of mobile apps for cardiovascular risk estimation: usability evaluation using mHealth app usability questionnaireAdrijana Svenšek, Lucija Gosak, Mateja Lorber, Gregor Štiglic, Nino Fijačko, 2025, original scientific article Abstract: Background: Cardiovascular diseases (CVD) are the leading cause of death and disability worldwide, and their prevention is a major public health priority. Detecting health issues early and assessing risk levels can significantly improve the chances of reducing mortality. Mobile apps can help estimate and manage CVD risks by providing users with personalized feedback, education, and motivation. Incorporating visual analysis into apps is an effective method for educating society. However, the usability evaluation and inclusion of visualization of these apps are often unclear and variable. Objective: The primary objective of this study is to review and compare the usability of existing apps designed to estimate CVD risk using the mHealth App Usability Questionnaire (MAUQ). This is not a traditional usability study involving user interaction design, but rather an assessment of how effectively these applications meet usability standards as defined by the MAUQ. Methods: First, we used predefined criteria to review 16 out of 2238 apps to estimate CVD risk in the Google Play Store and the Apple App Store. Based on the apps' characteristics (ie, developed for health care professionals or patient use) and their functions (single or multiple CVD risk calculators), we conducted a descriptive analysis. Then we also compared the usability of existing apps using the MAUQ and calculated the agreement among 3 expert raters. Results: Most apps used the Framingham Risk Score (8/16, 50%) and Atherosclerotic Cardiovascular Disease Risk (7/16, 44%) prognostic models to estimate CVD risk. The app with the highest overall MAUQ score was the MDCalc Medical Calculator (mean 6.76, SD 0.25), and the lowest overall MAUQ score was obtained for the CardioRisk Calculator (mean 3.96, SD 0.21). The app with the highest overall MAUQ score in the "ease-of-use" domain was the MDCalc Medical Calculator (mean 7, SD 0); in the domain "interface and satisfaction," it was the MDCalc Medical Calculator (mean 6.67, SD 0.33); and in the domain "usefulness," it was the ASCVD Risk Estimator Plus (mean 6.80, SD 0.32). Conclusions: We found that the Framingham Risk Score is the most widely used prognostic model in apps for estimating CVD risk. The "ease-of-use" domain received the highest ratings. While more than half of the apps were suitable for both health care professionals and patients, only a few offered sophisticated visualizations for assessing CVD risk. Less than a quarter of the apps included visualizations, and those that did were single calculators. Our analysis of apps showed that they are an appropriate tool for estimating CVD risk.
Keywords: cardiovascular diseases, MAUQ, prognostic models, mobile applications, visualization, PRISMA
Published in DKUM: 21.05.2025; Views: 0; Downloads: 4
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6. Validation of a Slovenian version of the healthy lifestyle and personal control questionnaire (HLPCQ) for use with patients in family medicineAdrijana Svenšek, Gregor Štiglic, Mateja Lorber, 2025, original scientific article Abstract: Background Chronic non-communicable diseases are the world’s leading cause of death and disability. The
emerging field of lifestyle medicine requires equipping healthcare professionals with instruments, knowledge, skills
and competencies. Measuring an individual’s lifestyle with a valid and reliable instrument is the first step in promoting
it. The aim of the study was to validate the Slovenian adaptation of the Healthy Lifestyle and Personal Control
Questionnaire (HLPCQ).
Methods A cross-sectional study was conducted among 666 questionnaire participants, and they were adult
participants (aged 18 and above) from family medicine practices with cardiovascular diseases (CVDs) risk factors (e.g.,
hypertension, high cholesterol) but without a diagnosis of acute CVDs. The questionnaire included demographic
data and anthropological measures and a translated English HLPCQ questionnaire. The instrument was translated
using the forward-backwards translation method. The study was conducted in accordance with the principles of the
World Medical Association Declaration of Helsinki. In addition to assessing the construct validity of the questionnaire,
exploratory and confirmatory factor analyses were used to determine content and face validity, and internal
consistency reliability.
Results The mean age of male participants was 41.34 (± 13.220) years, the mean age of female participants was
40.31 (± 11.905) years. The Cronbach’s alpha was 0.852, and all questionnaire subscales had positive correlations.
Sampling adequacy was confirmed by the Kaiser-Meyer-Olkin (KMO) index (0.851), and Bartlett’s test of sphericity was
significant (χ² = 4647.694, p < 0.001), indicating suitability for Principal Component Analysis (PCA). PCA revealed a fivefactor solution, accounting for 50.67% of the total variance.
Conclusions The most influential factors for a healthy lifestyle were daily routine, healthy dietary choices, avoidance
of harmful dietary habits, organized physical activity, and social and mental balance. The Slovenian version had high
factor validity and reliability. It can be used in Slovenian Community Health Centre to assess an individual’s control over various lifestyle dimensions. The instrument also holds potential for use in public health initiatives, supporting
early identification of lifestyle-related risk factors and promoting preventive care strategies in the primary care setting.
Keywords: lifestyle, health behaviour, validity, public health, questionnaire, HLPCQ
Published in DKUM: 16.05.2025; Views: 0; Downloads: 3
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7. Vpiv uporabe helikopterske nujne medicinske pomoči na izide zdravljenja oseb v življenjsko ogrožajočih stanjih na terenuZala Potočnik, 2024, undergraduate thesis Abstract: Helikopterska nujna medicinska pomoč je nadgradnja in dopolnitev nujni medicinski pomoči. Je ključnega pomena za reševanje oseb v življenjsko ogrožajočih stanjih na težko dostopnih terenih. Namen zaključnega dela je ugotoviti, kako uporaba helikopterske nujne medicinske pomoči vpliva na izide zdravljenja oseb v življenjsko ogrožajočih stanjih. Zaključno delo je osnovano na pregledu, analizi in sintezi znanstvenih člankov. Znanstveno literaturo smo iskali v mednarodnih podatkovnih bazah PubMed in CINAHL Ultimate (EBSCO). Za prikaz iskanja in pregleda literature smo uporabili PRISMA diagram, za oceno moči dokazov smo uporabili hierarhijo dokazov. Analizirane raziskave smo predstavili s pomočjo evalvacijske in sintezne tabele. Od identificiranih 511 zadetkov smo za končno analizo in sintezo vključili 15 raziskav. V peti nivo moči dokazov spada 14 člankov, en članek pa v četrti nivo. Po povzetku vseh raziskav je najpogostejši izid pri helikopterski nujni medicinski pomoči večja možnost preživetja. V eni raziskavi so poročali o boljšem nevrološkem izidu, medtem ko so v dveh ugotavljali slabši nevrološki izid pri helikopterski nujni medicinski pomoči. Helikopterska nujna medicinska pomoč se je izkazala kot pomemben dejavnik za izboljšanje preživetja oseb. Raziskave potrjujejo, da je ta oblika pomoči še posebej koristna v težko dostopnih ali oddaljenih območjih. Nadaljnje raziskovanje na tem področju je ključnega pomena.
Keywords: Helikopterska nujna medicinska pomoč, izidi zdravljenja, teren.
Published in DKUM: 09.12.2024; Views: 0; Downloads: 75
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8. Assessing the incorporation of the `Five moments for hand hygiene` into nursing procedure textbooksAdrijana Svenšek, Dominika Muršec, Nino Fijačko, 2024, original scientific article Abstract: Aim
Our aim was to conduct a thorough comparison between the hand hygiene information included in international nursing textbooks and the Slovenian nursing textbook's equivalent content as it relates to nursing procedures.
Background
Hand hygiene practices are crucial in preventing healthcare-associated infections, which affect millions of patients annually. The idea behind "Five Moments for Hand Hygiene" is to encourage assessing success and boosting self-efficacy.
Design
Comparison of hand hygiene content in international nursing textbooks with the content in a Slovenian nursing textbook.
Methods
A study was conducted between March 2023 and March 2024 to compare hand hygiene content in international nursing textbooks. The study included textbooks from the USA and UK, as well as Slovenian (SI) textbooks. The final phase involved comparing hand hygiene performance practices against the WHO Five Moments for Hand Hygiene.
Results
The study reviewed 470 nursing procedures across three textbooks, identifying four common ones: female indwelling urinary catheterisation, small-bore feeding tube insertion, enema administration and subcutaneous injections. The USA textbook had the highest number of steps, while the UK textbook had the lowest. Clean protective gloves are not recommended for all nursing procedures, only for small-bore feeding tube insertion and enema administration. The US textbook omitted 12 steps for the female indwelling urinary catheter procedure, while the UK textbook included 10 steps. The SI textbook omitted 8 steps.
Conclusions
Hand hygiene is crucial for healthcare infections prevention and control. The study found differences in the frequency of hand hygiene in these nursing procedures. WHO's Five Moments for Hand Hygiene guidelines are not universally accepted, with inadequate hygiene often observed before patient contact. Future research should review foreign textbooks and update existing ones.
Keywords: WHO, hand hygiene, nursing education, nursing procedures
Published in DKUM: 26.11.2024; Views: 0; Downloads: 9
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9. The role of visualization in estimating cardiovascular disease risk : scoping reviewAdrijana Svenšek, Mateja Lorber, Lucija Gosak, Katrien Verbert, Zalika Klemenc-Ketiš, Gregor Štiglic, 2024, review article Abstract: Background: Supporting and understanding the health of patients with chronic diseases and cardiovascular disease (CVD) risk is often a major challenge. Health data are often used in providing feedback to patients, and visualization plays an important role in facilitating the interpretation and understanding of data and, thus, influencing patients’ behavior. Visual analytics enable efficient analysis and understanding of large datasets in real time. Digital health technologies can promote healthy lifestyle choices and assist in estimating CVD risk. Objective: This review aims to present the most-used visualization techniques to estimate CVD risk. Methods: In this scoping review, we followed the Joanna Briggs Institute PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The search strategy involved searching databases, including PubMed, CINAHL Ultimate, MEDLINE, and Web of Science, and gray literature from Google Scholar. This review included English-language articles on digital health, mobile health, mobile apps, images, charts, and decision support systems for estimating CVD risk, as well as empirical studies, excluding irrelevant studies and commentaries, editorials, and systematic reviews. Results: We found 774 articles and screened them against the inclusion and exclusion criteria. The final scoping review included 17 studies that used different methodologies, including descriptive, quantitative, and population-based studies. Some prognostic models, such as the Framingham Risk Profile, World Health Organization and International Society of Hypertension risk prediction charts, Cardiovascular Risk Score, and a simplified Persian atherosclerotic CVD risk stratification, were simpler and did not require laboratory tests, whereas others, including the Joint British Societies recommendations on the prevention of CVD, Systematic Coronary Risk Evaluation, and Framingham-Registre Gironí del COR, were more complex and required laboratory testing–related results. The most frequently used prognostic risk factors were age, sex, and blood pressure (16/17, 94% of the studies); smoking status (14/17, 82%); diabetes status (11/17, 65%); family history (10/17, 59%); high-density lipoprotein and total cholesterol (9/17, 53%); and triglycerides and low-density lipoprotein cholesterol (6/17, 35%). The most frequently used visualization techniques in the studies were visual cues (10/17, 59%), followed by bar charts (5/17, 29%) and graphs (4/17, 24%). Conclusions: On the basis of the scoping review, we found that visualization is very rarely included in the prognostic models themselves even though technology-based interventions improve health care worker performance, knowledge, motivation, and compliance by integrating machine learning and visual analytics into applications to identify and respond to estimation of CVD risk. Visualization aids in understanding risk factors and disease outcomes, improving bioinformatics and biomedicine. However, evidence on mobile health’s effectiveness in improving CVD outcomes is limited.
Keywords: cardiovascular disease prevention, risk factors, visual analytics, visualization, mobile phone, PRISMA
Published in DKUM: 26.11.2024; Views: 0; Downloads: 15
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10. Mobile applications for learning hand hygiene : a comparative analysisDominika Muršec, Adrijana Svenšek, Lucija Gosak, Sonja Šostar-Turk, Urška Rozman, Gregor Štiglic, Mateja Lorber, 2024, review article Abstract: Infection control is crucial for high-quality patient care. One of the most effective and commonly used infection control procedures is hand hygiene which, it is known, requires repeated refresher training. There are many ways to educate healthcare professionals about hand hygiene, including the use of mobile applications (apps). Our aim is to review such hand hygiene apps, and to identify which have been available since 2021 and to assess their quality. We conducted a review using the PRISMA diagram to document our app selection process in the Google Play Store and Apple store in March 2024. For the evaluation of apps, we used the user version of the Mobile Application Rating Scale questionnaire (uMARS). Of 16 apps only five adhere to WHO hand hygiene guidelines. Timers were included in 12 of the 16 apps and reminders were included in 10 of 16 apps. The highest overall uMARS scoring app was Give Me 5–Hand Hygiene (4.31 ± 0.28), while Wash your hands! (1.17 ± 0.14) had the lowest score. We found that more than half of the apps were unavailable from the 2021 review. We believe that app-based education could effectively sustain hand hygiene knowledge in healthcare settings.
Keywords: hand hygiene, innovative education, WHO
Published in DKUM: 25.11.2024; Views: 0; Downloads: 5
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