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The factors influencing COPD self-care: a mixed methods study 影响COPD自我护理的因素:一项混合方法研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2061
M. Clari, D. Ivziku, M. Matarese
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引用次数: 0
Health status among adult asthmatics – a population-based study 成人哮喘患者的健康状况——一项基于人群的研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2072
C. Stridsman, H. Backman, Britt-Marie Eklund, L. Hedman, E. Rönmark
Background: Women with asthma seem to report a worse health status then men. However, other factors associated to health have rarely been studied in population-based samples.Aim: To determine facto ...
背景:女性哮喘患者的健康状况似乎比男性更差。然而,与健康相关的其他因素很少在基于人群的样本中进行研究。目的:确定事实……
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引用次数: 0
Study on The Correlation between Alexithymia and Social Support of Nurses in ICU ICU护士述情障碍与社会支持的相关性研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1515
Zhong Xin, Hongjing Lin, Zhan Xueli
Objectives: The goal of the present study is to investigate the status of alexithymia and social support among ICU nurses,and to investigate the correlation between the alexithymia and social support of ICU nurses. Methods: From June to November 2016,400 ICU nurses were sampled from 7 general hospitals in Changchun with convenient sampling method, there were 375 valid questionnaires. The efficiency was 93.75%. The questionnaire includes the self-designed general situation questionnaire,Toronto Alexithymia Scale (TAS-20) and Social Support Rating Scale (SSRS). Results: 1. The total score of the alexithymia of ICU nurses was 55.07± 7.85,and the mean score of alexithymia was 2.75±0.39. 2. The total score of social support of ICU nurses was 37.14± 6.75,and the mean score of social support was 2.86±0.52. 3. The total score of the alexithymia was negatively correlated with the subjective support,objective support,supportive utilization and the total score of social support(P Conclusions: 1. ICU nurses generally have a certain degree of empathy, and at a moderate level. The job title,working years,with or without children, marital status were the factors that affect the ICU nurses9 alexithymia. 2. The social support of ICU nurses was at the middle level. Gender,age, job title,working years,with or without children and marital status were the factors affecting the social support of ICU nurses. 3. The alexithymia of ICU nurses was negatively correlated with the subjective support.
目的:调查ICU护士述情障碍与社会支持状况,探讨ICU护士述情障碍与社会支持的相关性。方法:2016年6 - 11月,对长春市7家综合医院的400名ICU护士采用方便抽样法进行调查,有效问卷375份。效率为93.75%。问卷包括自行设计的一般情况问卷、多伦多述情障碍量表(TAS-20)和社会支持评定量表(SSRS)。结果:1。ICU护士述情总分55.07±7.85分,平均2.75±0.39分。2. ICU护士社会支持总分为37.14±6.75分,社会支持平均分为2.86±0.52分。3.述情障碍总分与主观支持、客观支持、支持利用、社会支持总分呈负相关(P)。ICU护士普遍具有一定程度的共情,且处于中等水平。职称、工作年限、有无子女、婚姻状况是影响ICU护士述情障碍的因素。2. ICU护士的社会支持水平处于中等水平。性别、年龄、职称、工作年限、有无子女、婚姻状况是影响ICU护士社会支持的因素。3.ICU护士述情障碍与主观支持呈负相关。
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引用次数: 1
Effects of anxiety and depression on quality of life in Chronic Obstructive Pulmonary Disease patient-caregiver dyads 焦虑和抑郁对慢性阻塞性肺疾病患者-照顾者夫妇生活质量的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1511
D. Ivziku, M. Clari, M. Matarese
Introduction: People with chronic obstructive pulmonary disease (COPD) and their caregivers present symptoms of anxiety and depression that impact negatively on their quality of life. There are no studies using the dyad perspective in analyzing such effects on COPD dyads. Aims: To assess the effects of anxiety and depression on mental and physical quality of life in COPD dyads using Actor-Partner interdependence Model (APIM). Methods: We used a cross-sectional design. Eighty dyads were recruited in two outpatient clinics in Italy. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and 12-Item Short-Form Health Survey (SF-12) were used to assess depression, anxiety and quality of life respectively. The structural equation modeling (SEM) with maximum likelihood estimation was used to analyze the data. Results: Actor effects of depression and anxiety on mental SF-12 (MCS) were identified for both patients and caregivers. Depression presented partner effect only from caregivers to patients’ MCS, whereas anxiety presented partner effects for both patients and caregivers. Actor effect of depression on physical SF-12 (PCS) was observed for patients, while an actor effect of anxiety for caregivers was identified. No partner effects of anxiety and depression were identified on PCS. Conclusions: The results suggest that caregiver’s psychological distress can influence patient’s mental quality of life. Therefore, to improve quality of life of patients healthcare professionals should assess and treat the anxiety and depression not only in COPD patients but also in their caregivers.
慢性阻塞性肺疾病(COPD)患者及其照顾者表现出焦虑和抑郁症状,对其生活质量产生负面影响。目前还没有研究使用双染色体角度来分析COPD双染色体的影响。目的:应用行动者-伴侣相互依赖模型(APIM)评估焦虑和抑郁对慢性阻塞性肺病患者身心生活质量的影响。方法:采用横断面设计。在意大利的两家门诊诊所招募了80对男性。采用患者健康问卷-9、广泛性焦虑障碍问卷-7和12项简短健康调查问卷(SF-12)分别评估抑郁、焦虑和生活质量。采用最大似然估计的结构方程模型(SEM)对数据进行分析。结果:抑郁和焦虑对患者和照顾者的心理SF-12 (MCS)均有主因影响。抑郁只在照顾者对患者MCS表现出伴侣效应,而焦虑对患者和照顾者都表现出伴侣效应。抑郁对患者身体SF-12 (PCS)有行为人效应,而焦虑对照顾者有行为人效应。在PCS中没有发现焦虑和抑郁的伴侣效应。结论:护理者的心理困扰会影响患者的心理生活质量。因此,为了提高患者的生活质量,医疗保健专业人员应该评估和治疗COPD患者及其护理人员的焦虑和抑郁。
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引用次数: 0
Dyspnoea perception and FEV1 decline during Sputum Induction in Healthy Controls and COPD patients 健康对照和慢性阻塞性肺病患者诱导吸痰过程中呼吸困难感觉和FEV1下降
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2069
P. Rodrigues, K. Ostridge, K. Staples, K. Gove, Sarah Bawden, T. Wilkinson
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引用次数: 0
Real-time symptom monitoring of dyspnea via ecological momentary assessment 通过生态瞬间评估实时监测呼吸困难症状
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1513
Sarah Miller, R. Teufel, E. Silverman
Background: Dyspnea is an overwhelmingly unpleasant sensation associated with qualitative descriptors such as "suffocation," "choking," and "drowning."Like all memory recall, retrospective dyspnea symptom reports are subject to bias and may be influenced by affective components. However, real-time symptom monitoring is more accurately reflective of physiological airway changes. Evidence of real-time dyspnea symptom tracking using ecological momentary assessment (EMA) via smartphone technology is limited. The aim of this pilot study was to assess the feasibility, acceptability, and utility of a technology-enabled symptom monitoring intervention in individuals with chronic respiratory disease (including chronic obstructive pulmonary disease and asthma). Methods: An iterative design process was used by a multidisciplinary team (physicians, nurses, respiratory therapists, and respiratory psychophysiologist) to develop the Smartphone Airway Monitoring System (SAMS). A cross-sectional repeated measures design was used to evaluate EMA combined with Bluetooth-enabled inhalers for real-time smartphone monitoring (n=20). Results: Smartphone real-time respiratory symptom tracking is acceptable and feasible in adults and children with chronic respiratory disease. The majority of patients own a smartphone, but new/replacement smartphones loans are needed for some patients. Discussion: An mHealth platform (SAMS) enabled real time symptom assessment in the home environment. An iterative design enhanced engagement. Ongoing investigations focus on the accuracy of symptom perception, self-efficacy, momentary factors that impact adherence behaviors and effective monitoring approaches in both pediatric and adult populations.
背景:呼吸困难是一种非常不愉快的感觉,与“窒息”、“窒息”和“溺水”等定性描述有关。“像所有的记忆回忆一样,回顾性的呼吸困难症状报告容易受到偏见的影响,并可能受到情感因素的影响。而实时症状监测更能准确反映气道的生理变化。通过智能手机技术使用生态瞬时评估(EMA)实时追踪呼吸困难症状的证据有限。本初步研究的目的是评估慢性呼吸系统疾病(包括慢性阻塞性肺病和哮喘)患者症状监测干预技术的可行性、可接受性和实用性。方法:由多学科团队(医生、护士、呼吸治疗师和呼吸心理生理学家)采用迭代设计过程开发智能手机气道监测系统(SAMS)。采用横断面重复测量设计评估EMA与蓝牙吸入器联合用于智能手机实时监测(n=20)。结果:智能手机实时呼吸症状追踪在成人和儿童慢性呼吸道疾病中是可接受和可行的。大多数患者拥有智能手机,但一些患者需要新的/更换智能手机贷款。讨论:移动健康平台(SAMS)能够在家庭环境中进行实时症状评估。迭代设计增强了用户粘性。正在进行的调查集中在症状感知的准确性,自我效能感,影响依从性行为的瞬间因素和有效的监测方法在儿童和成人人群中。
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引用次数: 1
ECare-COPD. Self-management promotion in people with COPD: training programme ECare-COPD。促进COPD患者自我管理:培训规划
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2062
M. Padilha, P. Machado, A. I. Ribeiro, José Ramos
Background: This project aims to improve the skills of current and future nurses for the promotion of self-management of the disease in people with COPD. We have been developing an e-learning training programme (sponsored by the European Union) targeted at first and second study cycles’ students and nurses. This innovative e-learning programme integrates a web clinical virtual simulator (CVS) to develop nurses’ clinical reasoning education. Method: Participatory action research based on a cyclical process divided into five phases. Based on the PROSPERO protocol, a systematic literature review was performed to identify the contents and approaches to include in the programme. Contents were analysed and organized by a group of nurses with respiratory expertise. We defined and designed the decision tree of eight clinical scenarios to be integrated into the CVS. The contents were made available in the e-learning platform, also supported by videos and CVS. Results: The programme was divided into three modules: initial, intermediate and advanced. Ecare-COPD is supported by an e-learning strategy with multimedia content (twenty videos), and a CVS incorporated in the e-learning platform. Conclusion: The implementation of this project has a double impact. Firstly, it enhances the quality and safety of nursing care provided to the person with COPD and, secondly, it responds to the demand for the dematerialization of teaching and to the students and nurses’ intention to use information and communication technologies in education and lifelong learning.
背景:本项目旨在提高当前和未来护士的技能,促进慢性阻塞性肺病患者的疾病自我管理。我们一直在开发一个电子学习培训计划(由欧盟赞助),目标是第一和第二学习周期的学生和护士。这个创新的电子学习计划整合了一个网络临床虚拟模拟器(CVS)来发展护士的临床推理教育。方法:参与式行动研究基于一个循环过程,分为五个阶段。根据PROSPERO方案,进行了系统的文献综述,以确定纳入该方案的内容和方法。内容由一组具有呼吸专业知识的护士进行分析和整理。我们定义并设计了八个临床场景的决策树,并将其整合到CVS中。内容在e-learning平台上提供,同时也有视频和CVS支持。结果:该方案分为初级、中级和高级三个模块。care- copd由包含多媒体内容(20个视频)的电子学习策略和集成在电子学习平台中的CVS支持。结论:本项目的实施具有双重影响。首先,它提高了为慢性阻塞性肺病患者提供护理的质量和安全性;其次,它响应了教学非物质化的需求以及学生和护士在教育和终身学习中使用信息和通信技术的意愿。
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引用次数: 0
Examination of Smoking, Depression, Sleep Apnea and Dyspnea Situations in Elderly Individuals 老年人吸烟、抑郁、睡眠呼吸暂停和呼吸困难情况的调查
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1520
Selman Çelik, H. Özkan
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引用次数: 0
Contents of nurse-led interventions for the promotion of self-management in COPD patients: a systematic literature review 促进COPD患者自我管理的护士主导干预措施的内容:系统文献综述
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1509
M. Padilha, P. Machado, A. I. Ribeiro, José Ramos, C. Pinho, Francisco Vieira
Background: Self-management enhances autonomy, quality of life and control over the disease. However, there is still little evidence focusing on contents of nurse-led interventions. Our aim is to identify the most effective contents of nurse-led interventions for the promotion of self-management in COPD patients. Method: A Systematic Literature Review based on Cochrane conceptual model registered in PROSPERO. We used the PICOT method with the main starting question: what are the contents of the most effective nurse-led interventions for the promotion of self-management? Database search was conducted before November 24, 2017, in CINAHL; MEDLINE; EMBASE and Web of Science. Results: A total of 563 records were identified with 130 repeated records. After title and abstract analysis, 394 studies were excluded. A total of 55 retrieved studies were selected for full reading. For the final qualitative synthesis, three records were included. Nurse-led interventions are effective for the promotion of quality of life, knowledge related to disease and in reducing tobacco consumption. Additionally, interventions focused on physical activity maintenance are very likely to improve dyspnoea over time. Conclusion: Studies on self-management promotion in COPD patients should carefully address the characterization of nurse-led interventions in terms of contents and approaches. An in-depth description will support the definition of more accurate nurse intervention guidelines, supporting the enhancement of the nurse’s contribution for integrated care programmes worldwide.
背景:自我管理提高了自主性、生活质量和对疾病的控制。然而,关注护士主导的干预措施内容的证据仍然很少。我们的目的是确定护士主导的干预措施中最有效的内容,以促进COPD患者的自我管理。方法:采用基于PROSPERO注册的Cochrane概念模型的系统文献综述。我们使用PICOT方法的主要问题是:促进自我管理的最有效的护士主导干预措施的内容是什么?数据库检索于2017年11月24日之前在CINAHL进行;MEDLINE;EMBASE和Web of Science。结果:共鉴定记录563条,重复记录130条。经过题目和摘要分析,共排除394项研究。共选择55篇检索研究进行全文阅读。在最后的定性综合中,纳入了三条记录。护士主导的干预措施对于提高生活质量、提高与疾病有关的知识和减少烟草消费是有效的。此外,随着时间的推移,注重身体活动维持的干预措施很可能改善呼吸困难。结论:促进COPD患者自我管理的研究应仔细研究护士主导干预的内容和方法特征。深入的描述将支持更准确的护士干预指南的定义,支持提高护士对全球综合护理计划的贡献。
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引用次数: 3
Perceptions of the role of the respiratory Clinical Research Nurse 呼吸临床研究护士角色的认知
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2077
K. Huband, R. Dobra, Adam Lewis, A. Simpson
Background: Clinical Research Nurses (CRNs) conduct and manage all areas of clinical trials however it remains a niche role within nursing. The literature, from the perspectives of CRNs, suggests that the role is widely misunderstood. It is not known what clinical nurses perceive about the CRN role. Effective relationships between clinical and research teams are essential for the success of clinical trials and advancement of new treatments. Understanding each other’s roles and skills may aid working relationships and collaboration. Aim: The aim of this study is to investigate clinical nurse perceptions of the respiratory CRN role. Methods: Semi-structured interviews were conducted with a purposive sample of respiratory clinical nurses in a tertiary respiratory hospital. Interviews were recorded and transcribed verbatim. Thematic Analysis was used. Results: Fifteen participants described research activities having little impact on clinical care at the hospital, with research activities being undertaken by research staff. The majority were unable to name specific trials being undertaken. Concerns were raised that the lack of communication from research teams could adversely affect patient safety. This lack of integration damaged relationships between teams, a problem that was widely highlighted among participants. Conclusions: This study has shown there is a divide between research and clinical care within the hospital. It is important that strategies are developed to reduce this gap between the two specialities of nursing. Improving research education at pre and post registration level by having students and mentors work with CRNs is one tactic that will help encourage closer cooperation between these two groups.
背景:临床研究护士(crn)进行和管理所有领域的临床试验,但它仍然是护理中的一个利基角色。从crn的角度来看,文献表明这一作用被广泛误解。目前尚不清楚临床护士对CRN的作用有何看法。临床和研究团队之间的有效关系对于临床试验的成功和新疗法的进步至关重要。了解彼此的角色和技能可能有助于工作关系和协作。目的:本研究的目的是探讨临床护士对呼吸CRN作用的认知。方法:对某三级呼吸医院的呼吸临床护士进行半结构化访谈。采访被逐字记录和抄写。采用主题分析法。结果:15名参与者描述了研究活动对医院临床护理的影响很小,研究活动由研究人员进行。大多数人无法说出正在进行的具体试验。人们担心,研究团队之间缺乏沟通可能会对患者安全产生不利影响。缺乏整合破坏了团队之间的关系,这是参与者普遍强调的问题。结论:这项研究表明,在医院内,研究和临床护理之间存在鸿沟。重要的是,制定战略,以减少这两个专业护理之间的差距。通过让学生和导师与crn一起工作来改善注册前和注册后的研究教育是一种有助于鼓励这两个群体之间更密切合作的策略。
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引用次数: 1
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Nurses Lamp
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