1,720,973 research outputs found
DOLORE E PERCEZIONE DI EFFICACIA DEL TRATTAMENTO: INDAGINE OSSERVAZIONALE
Full text linkThe study has evaluated the subjective pain treatment perception in hospitalized patients with an observational cross-sectional design, using a measurement model based on the American Pain Society-Pain Outcome Modified-Questionnaire (APS-POQ-M). The survey has been designed accordingly with other published studies for results comparison. Data were collected from 350 hospitalized patients - with diagnoses highly related to pain - in 46 medical-surgical units in a large university hospital. Results revealed that 73% of the interviewed declared pain. Current pain, ranged from 0-10, had a median score of 3.8. The worst pain over the last 24 hours scored 6.8 where the 24-hours average pain was 4.9. The patients surveyed reported interference caused by pain in the daily activity, however, they were also generally satisfied with the ongoing pain control treatment. Statistically significant relationships have been found between level of satisfaction with treatment and mood and relationships but none with pain
Undergraduate nursing students' attitudes towards organ donation: a survey in an Italian university.
No full textAims: To examine undergraduate nursing students' attitudes towards organ donation and to determine whether or not attitudes were related to the students' education and training.
Background: Nurses' knowledge and personal opinion can influence patient's willingness to donate organs or to hold an organ donor card. It is unclear how Italy's future nurses view organ donation.
Methods: The study's source population consisted of third-year undergraduate nursing students enrolled in seven nursing schools from an Italian university during 2008. Respondents completed self-administered quantitative questionnaire with 61 questions, including the Organ Donation Attitude Scale.
Findings: Of the 378 students contacted, 183 (48%) completed all survey questions; 140 were females (76.5%) and the mean age of students was 25. The median score of students' attitude scores towards organ donation was 151 (the attitude is positive when the score is higher than 161). No significant correlations were found to exist between organ-donation attitude and sex, age, clinical practice in hospitals with a transplant unit, nursing care to patients waiting for a transplant or dialysis patients. Only 16% of the students had previously signed a donor card consenting to their own organ donation. The study revealed that doubts about transplantable organs still exist within the student body.
Conclusions: This study highlighted that students' awareness of organ donation was not adequate and that attitude levels were lower than in other countries. If these future workers would receive adequate training, they could promote organ donation to the general public and to other hospital personnel
Nurses knowledge and attitudes towards living kidney donation : a survey at two Italian renal units.
No full textQuick change versus double pump while changing the infusion of inotropes: an experimental study.
No full textBackground: Quick change (QC) and double pumping (DP) are common methods of substituting the infusion of inotropes given through intravenous pump.
Aims: The aim of the study was to compare two methods in respect with the variation in mean arterial pressure (MAP). The hypothesis was that the DP method could be the most effective in achieving haemodynamic stability.
Design: The study is a randomized research in an open randomized clinical trial.
Methods: The study took place at the Paediatric Intensive Care Unit of Padua Hospital. It considered patients of 0–36 months, not premature, treated with inotropic infusion with monitoring of blood pressure. The research obtained the approval of the Hospital Research Ethics committee and parents signed informed consent. Comparison of the two groups made use of the Wilcoxon test for the continuous variables and the Fisher’s exact test for the comparison of frequencies, at significance value of 5%. The data were registered in an Excel spreadsheet and analysed with SAS.
Results: The sample comprised 30 patients of age between 1 and 27 months, of whom 13 (43%) were male. They were all affected by cardiac, respiratory or infective pathology, all of them intubated and on artificial respiratory support, sedated and infused with dopamine. The characteristics of the patients of the two groups did not differ significantly. The percentage variation of the baseline value of MAP after 30 min from starting the treatment between the two methods was not statistically significant (p = 0·85). The 95% confidence interval for the difference in the percentage variation of MAP between the two groups was (−3·1, +3·7). From a clinical perspective, the methods are to be considered equivalent.
Conclusions: The study was conducted on a limited sample; no statistically significant differences were detected; QC is the quickest and more cost-effective method
Evaluation of psychological outcomes following the intervention 'teaching group': study on predialysis patients.
No full textGOALS:
Aims of the study were to evaluate the effects of the intervention 'Group education' (NIC 5604) on patients' coping, fear control, anxiety and the association between demographic and clinical variables with the outcomes.
MATERIALS AND METHODS:
We studied all predialysis patients treated, at Lleida University Hospital, from 1 January 2007 till 31 March 2008, who received the total intervention for six months.
RESULTS:
There were 41 patients, 33 male and 8 female. They had a mean age of 60.56 years (SD 13.96); 66% declared family support. Forty-one percent had a low educational level. The Charlson Comorbidity test showed a mean of 5.07 (SD 1.77). All patients were independent, using the Karnofsky scale and Barthel index. Patients reported a significant improvement in all the outcomes evaluated (anxiety, coping and fear response). Logistic regression showed that the reduction in anxiety and the improved nursing outcomes were not related to demographic and clinical variables.
CONCLUSION:
The group educational programme was effective on the defined psychological outcomes in predialysis patients. Hence, it should be available for all clients
Quality of life in adult celiac disease in a mountain area of northeast Italy.
Full text linkThe aim of this study was to evaluate the health-related quality of life in patients diagnosed as having celiac disease and to study the factors involved in its impairment of quality of life. We conducted a cross-sectional study in a randomized sample of patients with celiac disease by administering the Celiac Disease Questionnaire distributed by mail. The association between the quality of life and sociodemographic and clinical variables was verified by means of a stepwise multiple regression model. One hundred ninety-one questionnaires were returned (participation rate = 63.66%), and 187 were analyzed. Women comprised 78.61% of the participants, and the median age was 36 years, 10 months. The mean summary total score in the Celiac Disease Questionnaire was 154.53 (possible range 1-196; higher scores equate with higher quality of life), and the score was lower in the subscale of emotion. Women scored significantly lower than men. Participants with the symptomatic disease scored significantly lower than the nearly asymptomatic patients in the total score and in all the subscales. Symptomatic patients need interventions for improving their quality of life, in particular psychological support
AN INTERNATIONAL SURVEY ON ATTITUDES OF RENAL NURSESTOWARDS OLDER PEOPLE
No full textBackground: Previous studies have indicated that healthcare providers do not enjoy taking care of older people, because of
poor attitudes towards the elderly.
Aim: The purpose of this cross-sectional study is to identify and describe the attitudes of a worldwide sample of renal nurses
towards older people.
Method: A convenience sample composed of renal nurses worldwide completed a socio-demographic questionnaire and the
Kogan’s Attitude towards Old People Scale (KOAP).
Results: We received 1,061 completed questionnaires from nurses in 12 countries. Participants were mainly female (81%), their
average age being 42.69 (SD 8.70); 74% of nurses had older people in their families and 51% had lived with older people.
The sample reported slightly positive attitudes towards the elderly [mean score (SD) 151.50 (17.9)]. Attitudes were influenced
by continent, country, religion, presence of older people in the family and level of nursing education (p 0.0001).
Conclusion: Our study has shown that renal nurses have slightly positive attitudes towards older people but attitudes could be
improved with specific information being provided to renal nurses, to obtain better care
Perceived aggression towards nurses: study in two Italian health institutions
No full textAIMS: The goal of the present study was to quantify the perceived aggression towards nurses working in two Italian health care institutions and to verify the hypothesis of an association between the characteristics of aggressors and the type of aggression.
BACKGROUND: Violence and aggressiveness, particularly aimed at nurses, are a common, but inadequately investigated phenomenon in Italian health care institutions.
DESIGN: A cross-sectional study.
METHODS: The study was performed, studying a sample of 700 nurses (37% of the personnel in 94 units) in two health care institutions in northeast Italy using an anonymous multiple-choice questionnaire.
RESULTS: Forty-nine percent of the nurses responded that they had experienced aggression in the previous year, 82% of that was only verbal. This happened more often to female nurses working in the emergency department and in geriatric and psychiatric units. A statistically significant association (p < 0.001) was found between the perception of fatigue, stress and work dissatisfaction and the frequency of aggression. Aggressors were usually patients or their relatives (57%) and were mainly men (66%). Fifty-three percent of assaulted nurses did not ask for help after the event.
CONCLUSIONS: This study confirms the high incidence of perceived, mainly verbal aggression towards nurses.
RELEVANCE TO CLINICAL PRACTICE: Action to prevent aggressive episodes may include concentrating on job motivation, encouraging participatory leadership and promoting the best possible working conditions. The absence of any systematic event reporting and documentation makes the assaulted workers feel defenceless
Preliminary results of the survey on attitudes of the European renal nurses towards older people
No full textSurvey on violence and aggression prevention and management strategies in European renal units.
No full textGOALS:
This descriptive survey aims to explore strategies for the prevention and management of violence and aggression in renal units in 12 European countries.
METHOD:
The convenience sample consisting of dialysis, nephrological and transplantation units in European countries was used. A questionnaire, developed with the collaboration of National Associations, was used. Data were analysed using STATA software. A preliminary descriptive variable analysis was performed followed by a verification of the association between variables; values of p < 0.002 were considered statistically significant.
RESULTS:
A total of 436 completed questionnaires were received (participation rate: 22%). Written policies and procedures regarding violence and aggression are present in 18% of units. Educational strategies are available in less than 20% of units. Incidents are prevented by security staff (48%) or pharmacological treatment (66%). Incident reporting is mandatory for any violent and aggressive behaviour in 66% of units. There are differences between European countries.
DISCUSSION AND CONCLUSION:
Violence and aggression prevention and management strategies are not widely implemented throughout Europe. The dissemination of information on the prevention and management of violence and aggression is vital
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