Giornale di Clinica Nefrologica e Dialisi最新文献_第6页

Le nuove abitudini e il paradosso evolutivo 新习惯和进化悖论

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-11-18 DOI: 10.33393/gcnd.2021.2354

David Mariani

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Metodologia e produzione delle Linee Guida 指导方针的方法和制作

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-10-29 DOI: 10.33393/gcnd.2021.2268

Francesco Burrai, Margherita Gambella, Angelica Scarpa, Stefano Cabula

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Il Chronic Care Model 慢性护理模式

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-10-29 DOI: 10.33393/gcnd.2021.2242

Luigi Apuzzo, Maddalena Iodice, Margherita Gambella, Angelica Scarpa, Francesco Burrai

{"title":"Il Chronic Care Model","authors":"Luigi Apuzzo, Maddalena Iodice, Margherita Gambella, Angelica Scarpa, Francesco Burrai","doi":"10.33393/gcnd.2021.2242","DOIUrl":"https://doi.org/10.33393/gcnd.2021.2242","url":null,"abstract":"In recent years, the incidence rate of chronic diseases shows a steady increase in every industrialized Country. The almost logarithmic trend of the number of people living with chronic diseases is constantly on the rise. Each predictive statistical model indicates a strong impact for national health systems at the level of the organization of care and management costs. It is urgent to systematically introduce an evidence-based care model in chronic care management such as the Chronic Care Model. The Chronic Care Model is the reference model for WHO. The Chronic Care Model allows for personalized, holistic, multi-professional assistance, characterized by a strong humanization of care, by preventive interventions and relationships between healthcare professionals, patients and caregivers as a system of care and assistance. The fundamental roles are social integration and the improvement of the quality of life of patients. The Chronic Care Model involves the use of a computerized system of information flow and telemedicine and trained healthcare professionals. The Chronic Care Model showed an improvement in the quality of life, a reduction in the number of hospitalizations, a better adherence to therapies, and a reduction in costs.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76879541","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: 1

Abstracts XXXIX Congresso Nazionale SIAN ITALIA Malattia Renale Cronica (MRC): consapevolezza e competenze infermieristiche dopo un anno di pandemia da SARS-COV2 Bologna 3-4 Ottobre 2021 2021年10月3-4日，博洛尼亚

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-10-02 DOI: 10.33393/gcnd.2021.2336

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Obblighi, incentivi, motivazioni: strategie per indurre a vaccinarsi 义务、激励、动机:接种疫苗的策略

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-22 DOI: 10.33393/gcnd.2021.2330

S. Spinsanti

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Presa in carico infermieristica nella Malattia Renale Cronica 护理慢性肾病

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-22 DOI: 10.33393/gcnd.2021.2326

M. Zito, Roberta Toschi

{"title":"Presa in carico infermieristica nella Malattia Renale Cronica","authors":"M. Zito, Roberta Toschi","doi":"10.33393/gcnd.2021.2326","DOIUrl":"https://doi.org/10.33393/gcnd.2021.2326","url":null,"abstract":"n 2017, thanks to an initiative of IPASVI College (the Order of Nursing Professionals of the province of Bologna) in response to 2014 legislations referring to the Guidelines about Chronic Kidney Disease (CKD), nephrology professionals and members of EDTNA/ERCA Italian Branch Association (which in 2018 became Società Infermieri Area Nefrologica, SIAN) in 2021 were requested to contribute to define the role and skills performed by nurses on a daily basis.\u0000The management of the CKD patient has been structured into 7 phases: the model for each phase takes into consideration the professionals involved, the care settings and the tools used.\u0000To support this approach, we decided to introduce two elements which broaden the clinical and care approach to the patient and at the same time highlight the contribution of nursing professionals, with a referring workflow for the CKD patient, the nurses’ role and skills required throughout the patient’s journey.\u0000Furthermore, to ensure the best continuity of care, we believe that it is necessary to apply a logical model based on the principles of early recognition of health and welfare needs; guarantee the most appropriate healthcare response; ensure early care; standardize the procedures of professionals to improve the quality of life of the patient and manage the social and economic impact.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86211568","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: 1

Dalla medicina reattiva alla medicina di precisione 从反应性医学到精密医学

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-18 DOI: 10.33393/gcnd.2021.2316

S. La Rosa, C. Guglielmo, Alessandra Ocello, C. Sessa, G. Seminara, A. Granata

引用次数: 0

Nutrizione parenterale intradialitica in pazienti con malnutrizione moderata-severa: studio prospettico osservazionale multicentrico 中度严重营养不良患者的辩证内部营养:多中心前瞻性观察研究

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-16 DOI: 10.33393/gcnd.2021.2335

Concetto Sessa, Walter Morale, Antonino Reina, G. Battaglia, Sandra La Rosa, Daniela Puliatti, G. Seminara, Luca Zanoli

{"title":"Nutrizione parenterale intradialitica in pazienti con malnutrizione moderata-severa: studio prospettico osservazionale multicentrico","authors":"Concetto Sessa, Walter Morale, Antonino Reina, G. Battaglia, Sandra La Rosa, Daniela Puliatti, G. Seminara, Luca Zanoli","doi":"10.33393/gcnd.2021.2335","DOIUrl":"https://doi.org/10.33393/gcnd.2021.2335","url":null,"abstract":"Dialysis patients have a wide range of pathologies that contribute to their frailty. Maintaining a good nutritional status is useful to prevent and treat the so-called Protein-Energy Wasting (PEW), a complex clinical-laboratory condition in which a protein-energy depletion occurs. Adherence to a proper nutritional therapy in CKD requires considerable effort from both patients and health personnel (doctors and nurses). In order to slow down the effects of malnutrition and the disasters that complicate PEW, nephrologists can use supplementation products. In our observational, prospective, multicentre study, we administered an intradialytic parenteral nutrition of a three-compartment emulsion for intravenous infusion through an infusion pump connected to the venous line. After 12 weeks of treatment, subjects with severe malnutrition were reduced from 61.1% to 33.3%, serum creatinine increased by 16% (from 6.00 ± 1.48 mg/dL to 6.98 ± 2.46 mg/dL; P < 0.001), total protein and albumin levels respectively by 13% (from 5.46 ± 0.63 g/dL to 6.19 ± 0.66 g/dL; P < 0.001) and 19% (from 2.70 ± 0.48 g/dL to 3.20 ± 0.57 g/dL; P < 0.001), body weight by 3% (from 55.7 ± 13.2 kg to 57.6 ± 13.0 kg; P < 0.001).","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76890713","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

Un “selfie” in dialisi: valutazione delle abitudini personali degli infermieri di un centro dialisi 透析“自拍”:透析中心护士个人习惯的评估

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-15 DOI: 10.33393/gcnd.2021.2320

A. Capitanini

{"title":"Un “selfie” in dialisi: valutazione delle abitudini personali degli infermieri di un centro dialisi","authors":"A. Capitanini","doi":"10.33393/gcnd.2021.2320","DOIUrl":"https://doi.org/10.33393/gcnd.2021.2320","url":null,"abstract":"Introduction: Healthcare workers represent a population that is well analysed by health studies: since 1976, the Nurses’ Health Study has been examining American nurses for health-related risks and is currently recruiting its third cohort. The survey models used are predominantly biomedical, i.e. based on the disease-healing scheme which focuses on purely biological factors with little or no assessment of psychological, behavioural and environmental aspects. The biopsychosocial assessment model, in its multifaceted nature, is probably more suitable for assessing occupational distress as a progressive cause of health worker burnout. It attributes the outcome of illness, as well as that of health, to the numerous, complex interactions of biological, psychological and social factors. In this work, we decided to evaluate the lifestyle and habits of a homogeneous population of nurses, all belonging to an Operative Unit of Nephrology (Pistoia).\u0000Methods: We decided to use unconventional instruments: a “selfie” questionnaire on habits, constructed with scientifically validated items, aimed at the self-assessment of habits, scientifically recognised as determinants of health (nutritional, behavioural, relational, physiological...), correlating it with the analysis of the receipts of the weekly shopping of the family unit of the nurse in the study, according to the principle that “we eat what we buy”.\u0000Results and conclusion: Nurses evaluated in the study showed a frequent unhealthy lifestyle which can have negative effects on their health, on their family and, consequently, on their work environment. Questionnaire and focus group discussions were appreciated and potentially useful and effective in changing bad habits.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75735281","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

Medicazione a base d’argento nella gestione dell’emergenza cutanea 皮肤紧急情况下的银色敷料

Giornale di Clinica Nefrologica e Dialisi Pub Date : 2021-09-15 DOI: 10.33393/gcnd.2021.2296

Walter Lunardi, S. Bianchi

{"title":"Medicazione a base d’argento nella gestione dell’emergenza cutanea","authors":"Walter Lunardi, S. Bianchi","doi":"10.33393/gcnd.2021.2296","DOIUrl":"https://doi.org/10.33393/gcnd.2021.2296","url":null,"abstract":"Introduction: Exit-site (ES) and tunnel infections are the main infectious complication in peritoneal dialysis (PD); they also are risk factors for the development of peritonitis, for catheter removal and for dialysis drop-out.\u0000Up to now, besides the recommendations of the Guidelines there is no uniformity, nor on the classification, nor on the treatment strategies of the infected ES.\u0000Recent experiences are reported with alternative types of dressings that aim to reduce the incidence of ES infection and consequently of the subcutaneous tunnel.\u0000Methods: The Tuscan group conducted a retrospective observational study of 10 patients on PD who, showing signs of a suspected but not ascertained infection (negative microbiological culture), such as redness, edema, secretion, scab, had been medicated with silver-ions releasing Exit-Pad Ag. The aim was to evaluate and classify the evolution of ES lesions, in order to confirm the preventive efficacy of the silver-ions releasing dressing compared to the traditional ones.\u0000Results: After 4 weeks of treatment with Exit Pad Ag maintained in situ for 72 h, 6 patients no longer had any signs of inflammation. In 2 cases, several weeks of treatment were necessary to achieve a complete recovery, while in 2 other cases the signs of inflammation became negative in less time (2 weeks, 1 week).\u0000Conclusions: With the utilization of an alternative dressing such as Exit-Pad Ag on PD patients showing early signs of inflammation, the onset of a true infection can be prevented, with a progressive improvement of the ES.","PeriodicalId":12617,"journal":{"name":"Giornale di Clinica Nefrologica e Dialisi","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88420972","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