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Volume 53, Issue 4, 2025
Online ISSN: 2560-3310
ISSN: 0350-8773
Volume 53 , Issue 4, (2025)
Published: 30.06.2025.
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Contents
30.06.2025.
Professional paper
PROCENA ZDRAVLJA I ZDRAVSTVENIH POTREBA ODRASLE POPULACIJE NA KOSOVU I METOHIJI
Uvod: Procena zdravstvenog stanja stanovništva sa identifikacojom zdravstvenih potreba je prvi korak u ostvarivanju centralnog cilja svih razvojnih
strategija – zaštite i unapređenja zdravlja.
Cilj rada: Glavni cilj ovog ispitivanja zdravlja bio je da se, na osnovu podataka dobijenih upitnikom, proceni zdravstveno stanje i zdravstvene potrebe
odraslog stanovništva u srpskim sredinama na Kosovu i Metohiji.
Metode rada: Za prikupljanje podataka korišćen je upitnik za odrasle osobe, dizajniran u skladu sa preporukama EUROSTAT-a za sprovođenje
istraživanja zdravlja stanovništva, prema Metodološkom uputstvu Evropskog istraživanja zdravlja, drugi talas.
Rezultati: Anketirano je 1067 osoba (51,5% žena). Dve trećine ispitanika (71,2%) smatralo je da je dobrog zdravlja (dobro i veoma dobro), 23,6%
osrednjeg zdravlja, dok 5,2% ispitanika svoje zdravlje je ocenilo kao loše i veoma loše. Pozitivniju sliku o zdravlju imali su muškarci u odnosu na
žene, mlađe osobe, sa višim i visokim obrazovanjem. Svoje zdravlje kao loše ili veoma loše statistički značajno češće su ocenjivali stanovnici južno od
reke Ibar (12,7%) u odnosu na stanovnike severno od te reke (9,1%). Kao prediktori samoprocene zdravlja izdvojili su se starija životna dob, prisustvo
telesnog bola, postojanje neke od hroničnih nezaraznih bolesti, viši skor depresije, propisani lekovi u predhodne dve nedelje, povremeno ili
nerazmišljanje o zdravlju pri izboru hrane, nedostatak bliskih osoba kao oslonca. Postojanje nekog zdravstvenog problema ili dugotrajne bolesti
potvrdio je svaki četvrti ispitanik (24,3%), a ograničenost u obavljanju svakodnevnih životnih aktivnosti zbog zdravstvenih problema prijavio je skoro
svaki treći ispitanik (29,3%). Na osnovu sopstvenog iskaza, 26,3% je prijavilo neku hroničnu bolest, 23% dve ili više. Najčešća bolest bila je
hipertenzija (24,6%), koju su češće prijavljivali stanovnici opštine Zubin Potok, između 45 i 64 godine, osnovnog ili nižeg obrazovanja, udovci/ce,
nesposobni za rad i domaćice. Izabranog lekara opšte medicine ili pedijatra u državnoj zdravstvenoj ustanovi imalo je dve trećine ispitanika (75,2%),
a u privatnoj praksi svaki dvanaesti ispitanik. U godini koja je prethodila istraživanju, svaki deseti ispitanik (10,6%) je bolnički lečen. Zbog
zdravstvenih razloga sa posla je odsustvovalo 15,4% ispitanika, češće osobe sa višim i visokim obrazovanjem i osobe starosne kategorije od 56 do 65
godina. Više od polovine ispitanika (60,2% muškaraca i 55,6% žena) je zadovoljno zdravstvenom zaštitom, češće osobe sa višim ili visokim
obrazovanjem i stanovnici opštine Štrpce.
Zaključak: Dobijeni rezultati uglavnom se poklapaju sa podacima iz literature, posebno regiona. Značaj ovog istraživanja ogleda se u dobijanju
podataka koji su nedostajali i mogu pomoći kreatorima zdravstvene politike prilikom donošenja odluka u pravcu očuvanja i unapređenja zdravlja
stanovništva kao i stvaranja što efikasnije zdravstvene službe.
Ključne reči: zdravstveno stanje, zdravstvene potrebe, odraslo stanovništvo, Kosovo i Metohija
Jovana Milošević, Momčilo Mirković, Slađana Đurić
30.06.2025.
Professional paper
ZASTUPLJENOST MALIGNIH BOLESTI KOD STANOVNIKA U SRPSKIM SREDINAMA NA KOSOVU I METOHIJI
Uvod: Obzirom na specifičnosti u pogledu etiologije, rasprostranjenosti kao i mera koje se sprovode u cilju njihovog sprečavanja i lečenja, maligne
bolesti predstavljaju jedan od najtežih socijalnomedicinskih problema zajednice i zdravstvene službe. Nјihov tretman kao i posledice lečenja, često
dovode do pogoršanja kvaliteta života, promena u emotivnom i socijalnom funkcionisanju obolelih, uzrokujući izmene u svakodnevnoj porodičnoj
rutini i promene u svim aspektima porodičnog života.
Cilj rada: Osnovni cilj rada je da se sagleda socijalno-medicinski značaj, analizira struktura obolevanja i umiranja od malignih bolesti u srpskim
sredinama Kosova i Metohije.
Materijal i metode: Sprovedena je retrospektivna analiza oboljevanja i umiranja od malignih tumora u srpskim sredinama Kosova i Metohije u 2023.
godini. Kao izvor podataka korišćena je medicinska dokumentacija Epidemiološke službe nadležnog Zavoda za javno zdravlje u Kosovskoj Mitrovici.
Rezultati: Među obolelima od malignih bolesti koji su, tokom 2023. godine, otkriveni u srpskim sredinama Kosova i Metohije u većem procentu bili su
zastupljeni pacijenti muškog pola. Najveći deo novoobolelih živeo je na teritoriji opštine severna Kosovska Mitrovica i u trenutku postavljanja
dijagnoze imao je od 51 do 60 godina. U periodu istraživanja od posledica malignih bolesti u srpskim sredinama Kosova i Metohije umrlo je 22 ljudi.
Od ukupnog broja umrlih, najveći deo činili su muškarci i oboleli koji su živeli u enklavama na području centralnog Kosova i Metohije.
Zaključak: Rezultati istraživanja ukazuju da postoji naglašena potreba za sprovođenjem preventivnih mera i aktivnosti kao i potreba za mobilizacijom
svih struktura u zajednici a u cilju promocije zdravlja i prevencije nastanka malignih bolesti. Primena promotivno-edukativne aktivnosti usmerene ka
informisanju stanovništva o prepoznavanju ranih simptoma i znakova malignih bolesti predstavlja osnovu strategije u kontroli ovih oboljenja.
Ključne reči: Maligne bolesti, socijalno-medicinski značaj, novooboleli, umrli.
Slađana Đurić, Sara Miletić
01.12.2018.
Professional paper
Testing the correlation between occupational stress and occupational burnout among nurses working in public health institutions
INTRODUCTION: Stress at work is a major problem in the modern world in many areas of work, especially in health care. Occupational burnout of nurses represents a serious problem, not only for themselves. It also affects the quality of the health services provided to patients. OBJECTIVE is to examine the connection between occupational stress and occupational burnout among nurses working in public health institutions. METHODS: An examination was carried out to determine aconnection between occupational burnout and occupational stress among nurses working in the hospital, at the departments of surgery, gynecology and emergency. For the evaluation of professional burnout among nurses, the Maslach Burnout Inventory, MBI-HSS pattern, was used, and Matteson and Ivancevich Questionnaire was used to assess occupational stress. Statistical data processing was done by the SPSS 17 software.RESULTS A total of 60 examinees were included in the study, 20 of them from the Surgery, Gynecology and Emergency department. Of these, 51 (81.7%) arefemale and 9 (18.3%) are male. The average age of nurses is 41.45 years, from which 40.9on Surgery; 41.8 on Emergency; 41.65 on Gynecology, and the average years of serviceare 17.91. Descriptive statistics for the examined variables are shown and it can be seen that there is a low level of occupational stress, i.e. the result is below 21.In the occupational burnout variable, respondents show the medium level of emotional exhaustion (M=24.05), low level depersonalization (M=3.83) and low level of lack of professional achievement subscale (M=38.71). The test results confirm the first hypothesis (H1) that with the increaseof occupational stress levels, the level of occupational burnout among nurses also increases.Occupational stress correlates with occupational burnout (r=0.529, p<0.01), i.e. nurses who have higher results of occupational stress, have more occupational burnout results also. The results of the tests involving correlations between occupational burnout and occupational stress dimensions show that with the increase of occupational stress the dimension of emotional exhaustion also increases (r=0.493, p<0.01), that there is no significant correlation between occupational stress and the dimension of depersonalization, and that the dimension of occupational stress and the dimension of individual realization have significant connection (r=0.393, p=0.01). The results show that there is no statistically significant difference between departments when it comes to occupational burnout, i.e. nurses working in Surgery do not have higher results of occupational burnout than nurses working in Gynecology and Emergency F(0.679) p>0.05, and that there is no statistically significant difference between the departments in terms of occupational stress, i.e. nurses working in Surgery do not have higher occupational stress results than ones working in Gynecology and Emergency department F(0.722) p>0.05. The results do not show significant differences in the level of occupational burnout and occupational stress in relation to nurses' age and years of service. DISCUSSION AND CONCLUSION: The results of the study show that with increased occupationalstressoccupational burnout also increases and that nurses have low levels of occupationalstress, low depresonization, low level of lack of personal achievement and a medium level of emotional exhaustion. There were no significant differences in occupationalburnout and occupationalstress between nurses working in surgery, gynecology and emergency departments. No significant differences in occupationalburnout and occupationalstress were found in relation to the age and years of service of nurses working in the departments of surgery, gynecology and emergency.
Oliver Bojčeski, Milivoje Galjak, Ljiljana Kulić, Slađana Đurić, Momčilo Mirković, Jovana Milošević
01.12.2017.
Professional paper
Self-assessment health state of adults in Kosovo and Metohia
Introduction: A self-assessment health condition provides a general approach to creating a picture of the health status of the population. Aim: The aim of the paper is to show the connection between different categories of self-assessed health with socio-demographic characteristics, risk factors and with the presence of one or more chronic non-communicable disease of adults in Serbian communities in Kosovo and Metohia. Method: The research was carried out as a cross section study. As an instrument for data collection, the questionnaire was applied in the 2013 Survey of the Health of the Population of Serbia (excluding Kosovo and Metohija), which is in line with the European Health Research Questionnaire. For the purposes of our research, the following variables were used; gender, age, education, working status, marital status, the presence of chronic non-communicable diseases, smoking, alcohol use and physical activity. Results: A total of 1067 respondents (51.3% of women) responded, with an average age of 42.2 (± 16.0) years. Most respondents in the survey found that they feel very good or good, a quarter of the middle (not bad or good), while their condition was poor or very poor assessed by just under 5% of respondents. Among the respondents who rated their health condition as poor or very poor, there were significantly more female respondents, middle age and 65 years of age. Also, people with primary and secondary education, economically inactive, and who are inclined to the sedentary way of life, have a poor picture of their health. The frequency of people who assess their health status as bad or very bad is the highest among respondents with two or more chronic diseases. Conclusion: Different categories of self-assessment health show a tendency to connect with different individual characteristics of adult respondents. Our results can help in creating a strategy of action and building preventive programs in a defined area.
Jovana Milošević, Aleksandra Ilić, Slađana Đurić, Danijela Ilić, Nenad Milošević
01.01.2016.
Professional paper
The concentration of soot as a factor of change in the air quality
Introduction: Soot usually occurs as a result of incomplete combustion of fuels containing carbon (fossil fuels - wood, coal). Air pollution is one of the most serious environmental threats to the urban population, which has harmful effects on human health, regardless of age. Objective to determine the extent to which the development of concentrations of soot in the air affects the air quality in the area tested. Methods: In the period from 2007. to 2011. the soot immission was followed at two sites: in Kosovska Mitrovica and Zvecan. The concentration of soot is determined by the reflectometric method. The statistical hypotheses were tested on statistical significance level of 0.05. Results: Overall, for both measuring points, there was a statistically significant change in value of the concentration of soot in the air (F = 6.779; p = 0.009). There was a significant increase in the concentration of soot in the air during the investigated years, with the highest values in 2010. and 2011. The average value of soot concentration for the period from 2007 to 2009 was 17.7 ± 21.3 mg / m while in the period from 2010. to 2011. it was 36.7 ± 45.2 µg/m , which represents a statistically significant difference (U = 910082.5; p<0.001). The amount of average concentrations of soot in the heating 3 3 season was 32.8 ± 44.2 µg/m while out of the heating season it was 16.8 ± 15.6 µg/m which is a statistically significant difference (U = 1030936; p <0.001). The distribution of average concentrations of soot in the air represented by month 3 showed the highest value in January at both measuring locations, in Kosovska Mitrovica 86.8 µg/m , and in Zvecan 34 3 µg/m . The total number of soot over the limit value in the period surveyed was in Kosovska Mitrovica 256 days, and in Zvecan 90 days.
Danijela Ilić, Jelena Jović, Momčilo Mirković, Jovana Milošević, Slađana Đurić, Zoran Bukumirić, Aleksandar Ćorac