Giornale di Clinica Nefrologica e Dialisi最新文献_第5页

Un malato di rene policistico ha diritto all’esenzione del ticket e all’invalidità? 多囊肾病患者是否有权获得免赔额和残疾?

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-04-30 DOI: 10.33393/gcnd.2022.2396

Luisa Sternfeld Pavia

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Io, Lei e … il pupo 我，她和孩子

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-04-30 DOI: 10.33393/gcnd.2022.2397

Rossella Jannello

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Grazie di cuore per il vostro 5x1000 非常感谢您的5x1000

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-04-30 DOI: 10.33393/gcnd.2022.2395

Luisa Sternfeld Pavia

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La malattia renale cronica: qualità di vita, ansia e depressione in un gruppo di pazienti in fase pre-dialitica 慢性肾病:一组辩证前患者的生活质量、焦虑和抑郁

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-04-12 DOI: 10.33393/gcnd.2022.2400

Gianfranca Gerbino, Giorgio Soragna, D. Curci, Derli Fazzari, Maggiorina Bauducco, Aspasia Panunzi, L. Fabbrini, Giorgia Damilano, E. Bruno, Antonella Laezza, C. Vitale

{"title":"La malattia renale cronica: qualità di vita, ansia e depressione in un gruppo di pazienti in fase pre-dialitica","authors":"Gianfranca Gerbino, Giorgio Soragna, D. Curci, Derli Fazzari, Maggiorina Bauducco, Aspasia Panunzi, L. Fabbrini, Giorgia Damilano, E. Bruno, Antonella Laezza, C. Vitale","doi":"10.33393/gcnd.2022.2400","DOIUrl":"https://doi.org/10.33393/gcnd.2022.2400","url":null,"abstract":"Patients with chronic diseases frequently show a marked deterioration in their quality of life (QoL). This paper was aimed at investigating on both the prevalence of psychological disorders and the impact on QoL in patients with chronic renal failure.\u0000The survey was conducted on 155 patients, aged 77±11 years, 104/51 M/F, with renal failure on conservative treatment (stages IV-V) referring to Nephrology Unit in Mauriziano Hospital, Turin. 13 of them (8.4%) were aged 30-64 years, 63 (40.6%) were aged 65-79 years and 79 (51%) 80 years and older. Two validated questionnaires were administered, namely the SF-12 (general state of health) and the HADS (anxiety and depression).\u0000Sixty-five percent of patients believed to have a low QoL associated with health, finding difficulties in daily life activities. The prevalence of all psychologic disturbances was higher in females (p = 0.09) and in patients with more comorbidities (p = 0.05). Depression was more frequent in elderly (p = 0.05) and in females (p = 0.012). Among patients aged 80 years or over, we found a prevalence rate of 36% for anxiety and of 51% for depression.\u0000In all patients, anxiety and depression were strongly associated (p < 0.01).\u0000In conclusion, compared to the general population, patients with chronic renal failure have a higher rate of either anxiety or depression, or both, and present with lower QoL scores. Clinical teams dedicated to the management of chronic renal diseases should pursue an interdisciplinary approach to their patients, in order to provide them with a suitable monitoring of QoL and psychological support if needed.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"62 12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90433011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La Nefrologia incontra il Nursing e la Medicina Narrativa: una ricerca di triangolazione. Un nuovo approccio alla malattia 肾病与护理相结合，叙事医学:三角定位研究。一种治疗疾病的新方法

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-04-12 DOI: 10.33393/gcnd.2022.2402

Lapo Raugei, M. Lombardi

{"title":"La Nefrologia incontra il Nursing e la Medicina Narrativa: una ricerca di triangolazione. Un nuovo approccio alla malattia","authors":"Lapo Raugei, M. Lombardi","doi":"10.33393/gcnd.2022.2402","DOIUrl":"https://doi.org/10.33393/gcnd.2022.2402","url":null,"abstract":"Introduction: In the late 20th Century, Kleinman and Good created Narrative Medicine (NM). In the following years, this method made its way in healthcare, reaching the peak in 2009 when R. Charon set up the first academic course of Narrative Medicine. Nevertheless, NM is still not well known and used. The main goal of this survey is attempting to understand the emotions felt by the patient while telling his/her own illness’ experience and then understand whether this approach improves therapy.\u0000Methods: The survey is developed through a methodological triangulation research consisting of a qualitative part, where 24 stories selected from the first two editions of “Quirino Maggiore” National Competition were analysed through the Van Kaam method, and a quantitative research, performed through a questionnaire submitted to patients suffering from chronic kidney disease thanks to the National Association of Hemodialysis Patients (ANED) and to Onlus Santa Maria Annunziata, Bagno a Ripoli, Florence. We received responses from 219 patients between 24 September 2021 and 18 October 2021.\u0000Results: The qualitative research identified 94 expressions grouped in 10 labels in which the most representative themes come to light. Through the questionnaire we can see that most people are not familiar with Nursing and Narrative Medicine, but that they consider the relationship between patients and healthcare workers very important.\u0000Conclusions: Although it’s impossible to generalize the results, we can understand that Nursing and Narrative Medicine should be more integrated into the care pathway. Furthermore, healthcare workers should be trained in a suitable way.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85816936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANTROPOCENE: la “salute” del villaggio globale e il “Cigno Nero” 人类世:地球村的“健康”和“黑天鹅”

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-03-17 DOI: 10.33393/gcnd.2022.2368

A. Capitanini

{"title":"ANTROPOCENE: la “salute” del villaggio globale e il “Cigno Nero”","authors":"A. Capitanini","doi":"10.33393/gcnd.2022.2368","DOIUrl":"https://doi.org/10.33393/gcnd.2022.2368","url":null,"abstract":"Over the past three centuries, the effects of humans on the global environment have increased. It seems appropriate to assign the term “Anthropocene” to the current geological epoch, which is in many ways dominated by humans. The Anthropocene can be said to have begun in the latter part of the 18th century, when analyses of air trapped in polar ice showed the beginning of the rise in global concentrations of carbon dioxide and methane. This date also coincides with the design of the steam engine by James Watt in 1784. In particular, the 21st century witnessed an unforeseen but predictable resurgence of infectious diseases, not least the COVID-19 pandemic, which had a devastating impact on lives and livelihoods worldwide. The 2003 severe acute respiratory syndrome coronavirus outbreak, the 2009 swine flu pandemic, the 2012 Middle East respiratory syndrome coronavirus outbreak, and the 2013-2016 Ebola virus outbreak in West Africa all caused significant morbidity and mortality as they spread through the global village across borders to infect people in multiple countries. In the last 70 years, the speed at which human habits have changed through technological, demographic and climatic changes is unprecedented: airline flights have doubled since 2000, more people live in urban than rural areas since 2007, climate change poses a growing threat to society, and humans have stopped following the high road shown by nature with proper nutrition and regular exercise. In this review, we consider the extent to which these recent global changes have increased the risk of infectious disease outbreaks, even though improved sanitation and access to health care have led to significant progress worldwide.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80957372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La complessità della relazione medico-paziente in nefrologia: perché è ancora più importante occuparsene oggi? 肾病中医患关系的复杂性:为什么今天处理这个问题更重要?

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-03-16 DOI: 10.33393/gcnd.2022.2381

Marilena Cara

{"title":"La complessità della relazione medico-paziente in nefrologia: perché è ancora più importante occuparsene oggi?","authors":"Marilena Cara","doi":"10.33393/gcnd.2022.2381","DOIUrl":"https://doi.org/10.33393/gcnd.2022.2381","url":null,"abstract":"Medicine is more than just a science: it is a human contact between men. We must not forget that “Psyche depends on the body and the body depends on the psyche”. The 21st Century man’s Psyche is more stressed than in the past, as we live in a complexity increasingly understood with the passage of time. The only way to take care of the sick person in the body, and therefore suffering in the psyche, can only be that which rests on the relationship, since the relationship, in my opinion, can be considered the bridge between the psyche and the soma. If the medical technique today does not pass through the relationship could it be effective in the cure? Trust in the doctor today is no longer a certainty, as medicine has lost its character of sacredness, but must be acquired and conquered through a dedicated and continuous relationship. Unlike other pathologies, nephrology does not end in a diagnosis or in a therapy that is provided at home, but the patient’s only point of reference is the nephrology nursing staff. Effective communication will lead to a reduction in the time taken for communication, improving the patient’s ability to understand and trust, reducing the operator’s effort and improving the therapeutic result. Today’s medicine, and today’s “healers” can no longer fail to deal with the management of the operator-patient relationship in order to meet the demands that today’s society and healthcare organization make in the medical field.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88214315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

L’assorbimento del glucosio in dialisi peritoneale: strumenti utili per il team multidisciplinare 腹膜透析葡萄糖吸收:多学科团队的工具

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-02-08 DOI: 10.33393/gcnd.2022.2365

Anna Laura Fantuzzi, Elisa Berri, L. Tartaglione, Rossella Giannini, Sara Dominjanni, Silvia Porreca

{"title":"L’assorbimento del glucosio in dialisi peritoneale: strumenti utili per il team multidisciplinare","authors":"Anna Laura Fantuzzi, Elisa Berri, L. Tartaglione, Rossella Giannini, Sara Dominjanni, Silvia Porreca","doi":"10.33393/gcnd.2022.2365","DOIUrl":"https://doi.org/10.33393/gcnd.2022.2365","url":null,"abstract":"Dialysis patients are often affected by protein energy wasting and the maintenance of an optimal nutritional state is a difficult goal to achieve. Moreover protein energy wasting is one of the strongest risk factors for mortality in chronic dialysis patients.\u0000To estimate glucose absorption in peritoneal dialysis is essential to determine patient’s dietary energy requirements and to prevent possible metabolic complications.\u0000The currently accepted methods of estimating glucose absorption are two. The first one is based on the average glucose absorption of continuous ambulatory peritoneal dialysis (CAPD) and is calculated with the Grodstein et al. formula. The second one is based on the Peritoneal equilibration test curves (D/D0 formula, Bodnar et al.) and takes into account transport characteristics. None of the two formulas perfectly calculated the absolute glucose absorption, even if the D/D0 is much closer to the true value, compared to Grodstein et al. formula. In this paper we described the multidisciplinary management experience of peritoneal dialysis patients, with a focus on the estimation of the patient’s energy requirements. Analyzing glucose absorption in a systematic way and monitoring the changes in glucose absorption during the time could significantly contribute to adjusting nutritional treatment. However it is always necessary to critically evaluate the results obtained by both formulas.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"403 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74992737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

L’infermiere e la percezione del Moral Distress nella cura del fine vita nel paziente dializzato 在透析病人的临终关怀中，护士和对道德痛苦的感知

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2022-01-08 DOI: 10.33393/gcnd.2022.2357

Elena Brioni, Nadia Pennacchio, Giulia Villa, Noemi Giannetta, Cristiano Magnaghi, G. Vezzoli, D. F. Manara

引用次数: 1

Terza Edizione del Concorso Quirino Maggiore Firenze, 17 ottobre 2021 2021年10月17日，佛罗伦萨奇里诺少将第三届比赛

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-11-18 DOI: 10.33393/gcnd.2021.2353

M. Lombardi

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