Adherence to therapy in patients on hemodialysis Gerbino, Gianfranco; Dimonte, Valerio; Albasi, Cesare ...
Giornale italiano di nefrologia,
2011 Jul-Aug, 20110701, Letnik:
28, Številka:
4
Journal Article
Recenzirano
The percentage of patients on dialysis who do not adhere to their dietary and therapeutic regimens ranges from 25% to 86%. These data are relevant because nonadherence to the prescribed diet affects ...the mortality and morbidity of these patients. The aim of this study was to evaluate some indicators of nonadherence to drug therapy and diet. Patients showing serum potassium levels >6 mEq/L, serum phosphate levels >5.5 mg/dL, or interdialysis weight gain >5.7% of their body weight were considered as nonadherent. Behaviors, habits and adherence to prescribed therapies were investigated by administering a drug and diet questionnaire to the patients. The percentages of values exceeding the nonadherence threshold were 16.4% for potassium, 30.2% for phosphate, and 7.5% for weight gain. The weight gain index was significantly related to both potassium (p<0.01) and phosphate (p<0.05) indexes. Age was inversely correlated with non -adherence indexes of both phosphate (p<0.05) and weight gain (p<0.05). Residual diuresis was associated with better adherence to potassium (p<0.01). Factor analysis of the questionnaire suggested a 4-factor solution. None of these subscales were correlated with nonadherence indexes. ''Continuity in the intake of drugs'' showed a correlation with the ''trust in the drugs'' factor (p<0.01). Measurements of nonadherence remain a crucial step for understanding the impact on patients' quality of life.
Aging of registered nurses workforce is already a worrying issue in many countries and therefore attempts to estimate its alarming dimension are on course. Some worrying signals are already evident ...in Italy but, to date, no data are available on the size and possible evolution of the problem.
This study aims to describe the trend of the aging of nurses workforce in three hospitals of Turin in the next 25 years and to explore retention strategies.
The percentage of nurses > 45 years ranges from 19 to 21% but it is bound to steadily increase, ranging from 59 to 71%.
The creation of an healthy work place, tailored to the needs of ageing of the workforce and the implementation of retention strategies and incentives centered on this age-group will be one of the immediate future challenges, to govern an highly predictable emergency.
ALL4ALL: IoT and telecare project for social inclusion Duretti, Sergio; Marchioro, Coletta Elisa; Marasso, Lanfranco ...
2015 IEEE 1st International Forum on Research and Technologies for Society and Industry Leveraging a better tomorrow (RTSI),
09/2015
Conference Proceeding
The project "ALL4ALL" develops a social welfare and technology ecosystem aimed at improving social inclusion of vulnerable groups of the population, particularly the elderly and disabled. It is a ...project funded under the "POR FESR 2007/2013" program of Piedmont Region (Italy) involving small and large companies together with research organizations and academia. It builds a comprehensive framework and experience in Piedmont according to the Living Lab paradigm, using ICT as a driver of the evolution.
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