322,895 research outputs found
ANALISI DI AFFIDABILITA’ ED ESPLORAZIONE FATTORIALE DEL QUESTIONARIO CAM HEALTH BELIEF QUESTIONNAIRE (CHBQ)
No full textAnalisi di affidabilità ed esplorazione fattoriale del questionario CAM Health Belief Questionnaire (CHBQ)
No full textIntroduction: modern society has an increasingly strong trend in the complementary therapies use, and inevitably affecting the health models, so is strategic to know what the nurses CAM views. Methods:a convenience sample of 415 nurses was used in this survey. CAM Health Belief Questionnaire (CHBQ) was used, an instrument for measuring nurses CAM views, for reliability analysis and structure factorial exploration. Results:cronbach’s was α.79. The item 7 has critical values, Cronbach's alpha if item deleted was .82, corrected item-total correlation was .124, and squared multiple correlation was .228. Hotelling's t-squared test was 327,29 (F = 35.66, P= .000). Determinate R = .023, KMO measure of sampling adequacy p = .838, and Bartlett's test of sphericity with χ2 = 1543,279 (p<0.001). The best model was principal component with Promax rotation at 2 factors, that explains the 58% about total variance. Correlations between factors by Spearman’s ρ was ρ= .190 (p < .001). Discussion:CHBQ reliability is good, but there are critical values for item 7. The two factors model has a good internal consistency, ability to identify two specific dimensions, and explains about total variance. Weak correlation between the factors. Other studies are needed to clarify the critical nature about item 7 and the correlations weakness between the two factors. Conclusions: this CHBQ model need for comparative studies for various statistical parameters, by using larger samples and sampling conducted throughout the country in the several nursing areas
Influence of family carers on haemodialyzed patients' adherence to dietary and fluid restrictions: an observational study
No full textABSTRACT: Aim. To determine the influence of a family carer on haemodialyzed patients''adherence'. Background. There is extensive evidence showing that successful treatment of patients with end-stage renal disease is directly related to patients''adherence'. The parameters indicative of a good adherence are potassium and phosphate serum levels and the interdialytic weight gain. Haemodialyzed patients may have scarce adherence to food and fluid intake restrictions, and medications schedule. Design. Case-control study carried out in a haemodialysis centre in Italy. Data sources. The data were collected during 2010. Methods. A total of 72 subjects with end-stage renal disease participated in the study. The subjects assisted by a family carer were identified as cases (n = 36), whereas those who did not have a family carer, as controls (n = 36). All subjects were followed up (4 months) and checked up regarding interdialytic weight gain, and serum levels of potassium and phosphate. Important differences in potassium and phosphate serum level and interdialytic weight gain between the two groups were evaluated separately using a repeated measures anova test. Results. Participants in the case group showed significantly lower phosphate and potassium serum levels and a lower interdialytic weight gain during follow-up when compared to controls. Conclusions. The presence of a family carer improves patients' adherence, particularly as far as phosphate levels are concerned, since phosphate intake plays a fundamental role in avoiding long-term complications in end-stage renal disease patients
ADERENZA ALLA TERAPIA RETROVIRALE DA PARTE DEL PAZIENTE HIV SIEROPOSITIVO: COME IL PAZIENTE PERCEPISCE IL RUOLO DELL’INFERMIERE
No full text
Influence of family carers on haemodialyzed patients' adherence to dietary and fluid restrictions: an observational study
No full textAIM:
To determine the influence of a family carer on haemodialyzed patients''adherence'.
BACKGROUND:
There is extensive evidence showing that successful treatment of patients with end-stage renal disease is directly related to patients''adherence'. The parameters indicative of a good adherence are potassium and phosphate serum levels and the interdialytic weight gain. Haemodialyzed patients may have scarce adherence to food and fluid intake restrictions, and medications schedule.
DESIGN:
Case-control study carried out in a haemodialysis centre in Italy.
DATA SOURCES:
The data were collected during 2010.
METHODS:
A total of 72 subjects with end-stage renal disease participated in the study. The subjects assisted by a family carer were identified as cases (n = 36), whereas those who did not have a family carer, as controls (n = 36). All subjects were followed up (4 months) and checked up regarding interdialytic weight gain, and serum levels of potassium and phosphate. Important differences in potassium and phosphate serum level and interdialytic weight gain between the two groups were evaluated separately using a repeated measures anova test.
RESULTS:
Participants in the case group showed significantly lower phosphate and potassium serum levels and a lower interdialytic weight gain during follow-up when compared to controls.
CONCLUSIONS:
The presence of a family carer improves patients' adherence, particularly as far as phosphate levels are concerned, since phosphate intake plays a fundamental role in avoiding long-term complications in end-stage renal disease patients
Relationship between peripheral insertion site and catheter-related phlebitis in adult hospitalized patients : a systematic review
No full textOBIETTIVO. Esplorare la relazione tra il sito anatomico di inserimento del catetere venoso periferico e il rischio di flebite correlata. INTRODUZIONE. Il cateterismo venoso periferico è spesso associato a flebiti. Linee Guida recenti raccomandano l’utilizzo delle vene degli arti superiori per l’inserimento del catetere ma non esiste univoco consenso circa il sito anatomico correlato al minor rischio di sviluppare flebite. METODI. Abbiamo effettuato una revisione sistematica della letteratura consultando i database Medline (PubMed) e CINAHL (EBSCOhost) fino al termine del mese di Gennaio 2017. Inoltre, abbiamo revisionato le citazioni bibliografiche degli articoli reperiti e la letteratura grigia è stata esclusa. Sono stati ricercati articoli pubblicati in lingua inglese, senza limiti posti per la data di pubblicazione. Abbiamo incluso: gli studi che riportavano dati sui tassi di flebite associati al sito anatomico di cateterismo periferico; gli studi clinici randomizzati controllati e gli studi osserva- zioni condotti su pazienti adulti che necessitavano dell’inserimento di un catetere venoso perife- rico per la somministrazione intermittente o continua di liquidi e farmaci. RISULTATI. L’inserimento del catetere venoso periferico nelle vene della fossa antecubitale è asso- ciato ad un minor tasso di flebiti, mentre le vene della mano sono il sito a maggior rischio di sviluppare flebite. Non esiste consenso circa le vene dell’avambraccio. CONCLUSIONI. La scelta del sito anatomico corretto per l’inserimento di un catetere venoso peri- ferico è importante per diminuire i tassi di flebite. Ulteriori studi dovrebbero comparare i tassi di flebite associati al tempo di permanenza dei cateteri venosi periferici inseriti in differenti siti anatomici. Si raccomanda, inoltre, un approccio maggiormente standardizzato nella definizione e valutazione del grado di flebite all’interno dei diversi studi.AIM:
To explore the relationship between the anatomical site of peripheral venous catheterization and risk of catheter-related phlebitis.
BACKGROUND:
Peripheral venous catheterization is frequently associated with phlebitis. Recent guidelines, recommend the use of an upper-extremity site for catheter insertion but no univocal consensus exists on the anatomical site with lower risk of phlebitis.
DESIGN:
Systematic review.
METHODS:
We searched Medline (PubMed) and CINAHL (EBSCOhost) databases until the end of January 2017. We also reviewed the reference lists of retrieved articles and gray literature was excluded. Searches were limited to articles published in English with no restriction imposed to date of publication. The primary outcome was the incidence of phlebitis associated with anatomical site of peripheral catheterization. We included randomized controlled trials and observational studies on adult patients who required a peripheral catheter for the administration of medi- cation, intermittent or continuous fluid infusion.
RESULTS:
Antecubital fossa veins are associated with lower phlebitis rates, while hands veins are the most risky sites to develop phlebitis. There is no consensus regarding vein in forearm.
CONCLUSION:
Choosing the right anatomical site to insert a peripheral venous catheter is important to decrease phlebitis rate. Further studies should compare indwelling time in different anatomical sites with phlebitis rate. A more standardized approach in defining and assessing phlebitis among studies is recommended
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