1,721,067 research outputs found
Emodialisi e assistenza infermieristica: uno studio pilota sulla qualità percepita dal paziente. [Hemodialysis and nursing: a pilot study on patient-perceived quality]
No full textIntroduzione: La dialisi è una forma di terapia sostitutiva renale e impone diversi cambiamenti sul piano relazionale, emotivo, lavorativo, familiare e può essere responsabile di stress dovuto a vari fattori.
Obiettivo: Scopo del nostro studio è stato quello di valutare la percezione da parte dei pazienti dializzati dell’assistenza infermieristica ricevuta.
Metodo: Nel 2021 è stato condotto uno studio cross sectional all’interno dell’AO Perugia somministrando ai pazienti un questionario costruito sulla base della Newcastle satisfaction with nursing scale.
Risultati: 30 pazienti di età media 68,9 ±15,1 hanno partecipato allo studio. Di questi, 66,7% erano maschi, 50% avevano un diploma di scuola superiore, 86,7% erano pensionati, e 50% erano in dialisi da meno di 5 anni. Le percezioni negative relative all’assistenza ricevuta hanno riguardato prevalentemente le donne, i pazienti giovani, e i pazienti in terapia da pochi anni.
Discussione: Il nostro studio ha evidenziato diversi aspetti fondamentali per migliorare la qualità dell’assistenza infermieristica, nonché la necessità di una maggiore attenzione a certe tipologie di pazienti per migliore l’esperienza dell’assistito e di conseguenza la qualità della loro vita.Introduction: Dialysis is a form of renal replacement therapy that requires several changes in the relational, emotional, work, and family sphere. It can be a cause of stress due to various factors. Objective: The purpose of our study has been to evaluate the perception of the nursing care received by dialyzed patients. Method: In 2021, a cross sectional study was conducted in Perugia hospital by administering to dialyzed patients a questionnaire built on the Newcastle satisfaction with nursing scale. Results: 30 patients participated in the study: the mean age was 68.9 ±15.1, 66.7% were male, 50% had a high school diploma, 86.7% were retired, and 50% were dialyzed for less than 5 years. Negative perceptions of the assistance received were mainly reported by women, younger patients, and patients who had been in therapy for only a few years. Discussion: Our study highlights several aspects that are fundamental to improving the quality of nursing care. There also needs to be a greater attention to certain types of patients, to improve their experience and consequently their quality of life. Copyright by Società Italiana di Nefrologia SIN, Rome, Italy
Analysis and Impact of Infection Prevention Procedures in Long-Term Care Facilities
Full text linkBackground. Healthcare-associated infections (HAIs) are a significant healthcare complication, with major implications for public health. In the EU/EEA, up to 2.6 million new HAIs cases occur annually, causing significant burdens and economic costs. In Italy, the prevalence of HAIs is rising due to factors like invasive devices, antibiotic resistance, and poor infection control. The aim of this work is to evaluate the effectiveness of HAIs containment practices in long-term care facilities (LTCF). Materials and methods. This cross-sectional study included eight LTCF inspected by Prevention Technicians of the Local Health Authority Tuscany South-East (LHA-TSE) in 2023. The study evaluated non-compliance in procedures for legionellosis prevention, cleaning and disinfection, laundry management, management of pans, HAIs prevention, healthcare tools disinfection, and hairdressing services. Data were analysed using descriptive statistics and the Mann Whitney test to compare infection rates with procedure compliance. Results. In 2023, 606 infections were reported in the eight enrolled LTCF. The most frequent infections were COVID-19 (19.4%), urinary tract infections (16.9%), pharyngitis (15.6%), and influenza-like illness (ILI) (15%). For the “Laundry Procedure,” 3 LTCF were compliant and 5 were not, showing a significant relationship with influenza syndromes (p = 0.02) and surgical site infections (p = 0.04). For the “Cleaning Check” procedure, non-compliance was linked to higher fungal infections (p = 0.01) and gastroenteritis (p = 0.04). The “Disinfection of Health Tools procedure showed non-compliance correlated with higher gastroenteritis (p = 0.04) and conjunctivitis (p = 0.01). Gastrointestinal infections from Clostridium difficile were linked to non-compliance with “HAIs Procedures Routes” (p = 0.04), “Pans” processes (p = 0.04), and cleanliness in the hairdressing service (p = 0.04). Herpes simplex or Herpes zoster infections were higher in LTCF with non-compliant hairdressing service rooms (p = 0.02). Two legionellosis cases were recorded in LTCF with reported noncompliance in analytical procedures for Legionellosis. Conclusions. Our analysis showed significant correlations between cleanliness procedures and reductions in fungal infections, gastroenteritis, and ear infections. Compliance in laundry procedures was linked to ILI and surgical site infections. Non-compliance in healthcare tools correlated with higher rates of gastroenteritis and conjunctivitis, highlighting the need for stronger practices. The data suggest that effective prevention measures reduce HAIs, though discrepancies in implementation across facilities call for standardization and continuous monitoring. © Copyright by Pacini Editore Srl, Pisa, Italy
Prolonged grief disorder in psychiatric patients: Assessing the PG-13-R scale and clinical implications
No full textBackground: Prolonged Grief Disorder (PGD) was recently included in the DSM-5-TR. Although the diagnostic criteria for PGD have been established, its prevalence among psychiatric patients and its implications remain underexplored. This study aimed to determine the rate and characteristics of PGD among psychiatric patients and assess the utility of the PG-13-R scale as a potential predictive screening tool within this population. Methods: Data were collected from 259 psychiatric patients at a University Hospital’s Psychiatry Unit. Patients completed the PG-13-R scale and provided details about the loss and its circumstances. Descriptive statistics, inferential statistics, and ROC analysis were conducted to analyze the data. Results: Overall, 15.4% of participants met the DSM-5-TR criteria for PGD, with no significant demographic differences observed. Notably, these patients were more likely to have lost a first-degree relative. The PG-13-R mean total score was 23.76 (SD 11.47). Although a cutoff score of 30 aligned with syndromal-level PGD, additional ROC analyses identified threshold scores of 24 for patients whose loss occurred less than 6 months prior (AUC 0.73) and 27 for those whose loss occurred more than 6 but less than 12 months prior (AUC 0.97), each demonstrating over 90% sensitivity in detecting high-risk cases. Patients re-evaluated 12 months post-loss showed a significant decrease in grief scores (p <.001), yet those initially at higher risk often maintained elevated symptom levels. Conclusions: Our study highlights the significant burden of PGD among psychiatric patients and emphasizes the importance of integrating grief assessment and intervention into psychiatric care to improve outcomes for individuals at risk of PGD. The PG-13-R emerges as a valuable tool for screening and addressing prolonged grief in this population
Upper Tiber Valley aerial photo interpretation for the environmental reconstruction of the ancient landscape
No full textGenitopelvic pain: Retrospective evaluation of a multimodal treatment efficacy
No full textBACKGROUND: Genitopelvic and sexual pain penetration disorder (GPPD) recognizes a multifaceted etiology. As with syndromes of chronic pain, it responds poorly to medications and its management is difficult. Clinicians consequently favor a multimodal comprehensive approach to tackle the different aspects of the disorder. To treat GPPD women, we chose a multimodal regimen including topical and systemic medications associated with physical interventions and behavioral couple therapy. Our aim was to evaluate the regimen efficacy and the influence that demographic, clinical, and pain characteristics may have on the outcome. METHODS: Sixty self -referred women requesting medical care for GPPD, who were free of debilitating illness, in stable heterosexual relationships and with healthy and sexually functional partners, were treated according with the multimodal regimen we tailored on the specific needs of these women. As said, it associated topical and systemic medications combined with physical exercises used in behavioral sex therapy, and behavioral couple therapy. Past sexual history, characteristics of pain, vestibular hyperreactivity, pelvic floor hypertonicity, general health, and couple harmony were evaluated and statistically analyzed to determine which characteristics were associated with therapy outcome. RESULTS: The statistical analysis of an association between demographic, reproductive, pain and medical conditions on one hand and therapy outcome on the other did not find any significance. CONCLUSIONS: The lack of association between the investigated characteristics and treatment outcome is disappointing; on the other hand, the statistically significant impact of couple harmony (evaluated as partner presence and participation) on the treatment results may be the answer to our search for factors predicting outcome
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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