Professioni infermieristiche最新文献

Aim: The aim of this study was to evaluate the prevalence and characteristics of Chronic Pain (CP) in survivors of critical illness. The secondary objective was to evaluate the impact of CP on an individual's quality of life and unveiling current pain treatment practices.

Methods: This study was a cross-sectional survey. Twelve months after intensive care discharge, patients were contacted for an interview. Two questionnaires were administered (Brief Pain Inventory and Euroqol 5D instrument) to assess CP and quality of life. Data was obtained between 20 June and 20 December 2019.

Results: 118 patients participated in the study. An overall prevalence rate of 26.3% (n= 31) was found for CP in the study population. The highest prevalence of pain was observed in patients with 40-55 years (41.9%) (n= 13). The prevalence rate in males was 26.3%, similar compared to the rate in females (p=.99). The intensity of pain was similar among females (5.6) and males (5.8) (p=.35). Knees (15.3%), legs (12.7%) and minor joints (12.7%) were the most prevalent sites of pain. The perceived quality of life (EQ VAS) was 74.9 (+9.7) in patients without CP and 58.2 (+9.2) in patients with CP.

Discussion: CP has significant negative consequences for patients. Thus, we want to emphasize the need to adopt a comprehensive and multidisciplinary approach to improving the patient's condition and circumstances, contemplating both pharmacological treatments and non-pharmacological measures.

Introduction: "What was once considered an incurable disease has in many cases become a disease that can be cured or, in any case, a disease patients can live with: It is becoming more and more frequently a chronic illness that allows affected people to have an active and satisfactory life" (I numeri del cancro in Italia 2017, Associazione Italiana di Oncologia Medica). As such, the patient suffering from cancer needs important care, often undergoing daily hospitalization. At the same time, as the daily experience shows, waiting for blood withdrawal, oncology visit and therapy administration causes anxiety, stress and frustration that can compromise the quality of life and adherence to therapies. The aim of this survey is to investigate the experience of patients waiting their turn in the waiting room of an Oncology-Hematology Day Hospital in an Italian Cancer Center.

Methods: The survey was conducted using a semi-structured interview with open and closed questions. Partecipants: We considered a convenience sample of 36 patients admitted to the Oncology -Hematology Day Hospital of a Milan Research Medical Center.

Results: The analysis of the collected interviews shows that the waiting room experience involves a considerable number of sensations that can alter the psycho-physical balance of the patient. A prolonged waiting in an uncomfortable room is associated with negative emotions such as discomfort and fear.

Conclusions: The achieved results show the need to make the waiting less stressful by paying particular attention to the various observed issues. In particular a more comfortable and adequate environment for different age groups can better respond to patient needs. Also, it is necessary to reduce the waiting room crowding, establishing defined paths and controlled accesses.

Aim: Stroke is the second cause of death worldwide and the third cause of death in industrialized countries. To investigate the effectiveness of the nurse's role the management for people affected by stroke after discharge from hospital to home.

Method: A systematic review was performed. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines was carried out. MEDLINE, CINAHL, Web of Science and Scopus were searched for studies on the effectiveness of the nurse's role in managing the stroke rehabilitation process after discharge from the home hospital from 2000 to June 2018 in English. The methodological quality was assessed by the Cochrane Collaboration's tool for assessing Risk of Bias (RoB). The GRADE system was used for evaluating evidence quality of each outcome.

Results: 7,025 studies were identified, 12 met the inclusion criteria. The outcomes in the literature are quality of life related to the degree of independence and depression, to the perception and health management and to the adaptation and stress tolerance. No primary outcome is reported in the literature with a high degree of confidence.

Discussion: The nurse's role the management for people affected by stroke after discharge from hospital to home represent an effective strategy for an improvement in the functional outcome, quality of life and reduction of costs.

Introduction: Falls in hospitals are a major problem also in pediatric settings. No Pediatric Fall Risk Assessment Scales (PFRAS) are validated in Italian.

Goals: to perform the Italian validation of the Humpty-Dumpty Falls Scale (HDFS); to assess its predictive performance; to estimate the frequency of falls in hospitalized children and to analyze possible associations between children's clinical variables and falls.

Methods: The study's first step was the cultural-linguistic validation of HDFS in Italian. Second, evaluation of the Italian HDFS's performance on 1500 hospitalized children. Third, modifications of the Italian HDFS to improve its performance. Fourth, analysis of falls frequency and associations between falls and patients' clinical variables.

Results: The Italian HDFS (HDFS-ita) showed good Validity (SCVI=0.92) and inter-rater Reliability (Cohen's kappa=0.965), but poor Sensitivity (77.8%) and Specificity (36.6%). A new 3-item version of the HDFS-ita (HDFS-ita-M) was set, with a cut-off of 7, only for subjects 1 to 15 year-old. Although better, the HDFS-ita-M's performance remains poor (Sensitivity=77.8%, Specificity=53.3%, ROC curve's AOC=0.670). The frequency of pediatric falls was 6.38 per thousand children (CI95% 3.36-12.08) with a maximum frequency in children aged 3 to 6 years (11.28 per thousand children, CI95% 3.84-32.63). Motor/walking disorders (p=0.005), enuresis (p=0.0002), being in single room (p=0.04), admittance to pediatric neuropsychiatry/neurology wards (p=0.001), and neurological disorders (p=0.02) were associated to falls.

Discussion: HDFS-ita-M has a better but still poor performance than HDFS-ita. This study provides useful data about pediatric falls and their possible risk factors which will help pediatric hospitals in determining patient safety policies. Further studies are needed to determine an adequate panel of variables to estimate pediatric falls risk.