Analysis of the quality of patient therapeutic education and information in a high complexity reference hospital

BACKGROUND: Autosomal dominant polycystic kidney disease is the most common inherited renal disease and affects less than 1 every 400-1,000 people. There are many effective treatments, including blood pressure management, physical activity, low sodium diet and hydration. Therapeutic education is part of a patient’s care and treatment. This approach is an essential strategy in order to face the current healthcare scenario, in which the number of people affected by chronic diseases is progressively increasing. OBJECTIVES: This article aims to analyze the effect of therapeutic education in patients with ADPKD, the level of adherence to pharmacological therapy and their compliance to dietetic and lifestyle recommendations as part of a nursing-led education. METHODS: This is a prospective, longitudinal, observational pilot study. The following measurements were used: Kidney Disease Quality of life - Short Form, Hospital Anxiety and Depression Scale, Body Uneasiness Test. At the T0 visit, a nurse selected patients and carried out a personalized educational intervention with the aims of adhering to drug therapies, monitoring blood pressure and dietary behavior (physical activity and water intake). At the T1 visit, patients performed psychological tests. At the T2 visit, the following evaluations were performed: a psychological interview together with the delivery and evaluation of the tests performed, an interview with the nurse to evaluate the adherence to the prescriptions, and a control of parameters such as physical activity, diet, water intake, drug therapy, and blood pressure. RESULTS: Therapeutic education can have a positive impact on patients’ health by improving adherence to the pharmacological therapy, diet and lifestyle. CONCLUSIONS: Therapeutic education improve the patient’s knowledge, treatments and correct behaviors as well as promotes an independent management of the disease. Through an educational intervention, the patient acquires the ability and the awareness to modify the wrong behaviors and to guarantee a balance between his needs and the pathology, thus improving the quality of life.

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Understanding Experiences of Fibromyalgia Patients Involved in the Fimouv Study During COVID-19 Lockdown

Frontiers in Psychology ◽

10.3389/fpsyg.2021.645092 ◽

2021 ◽

Vol 12 ◽

Author(s):

Claire Colas ◽

Audrey Jumel ◽

Marie-Pierre Vericel ◽

Nathalie Barth ◽

Jessica Manzanares ◽

...

Keyword(s):

Physical Activity ◽

Trial Registration ◽

Therapeutic Education ◽

Social Constraints ◽

Structured Interviews ◽

Clinical Trial Registration ◽

Physically Active ◽

Activity Program ◽

Regular Practice

Introduction: The COVID-19 pandemic implied a period of lockdown for the general population, increasing the risk to develop some physical or mental disorders. In fibromyalgia patients, these disorders are part of the large clinical picture of the syndrome. Fibromyalgia management is especially based on a regular practice of physical activity. Lockdown imposed a break in rhythms, requiring a restructuring of scheduling. Thus, the present study aimed to investigate the experiences of fibromyalgia patients during COVID-19 lockdown using a qualitative analysis.Method: 19 patients (52 ± 9 years old) who completed a 3-month therapeutic education and/or supervised physical activity program were invited to participate (Fimouv study, Trial registration: ClinicalTrials.gov NCT04107948). A sociologist collected data by means of semi-structured interviews and analyzed them using thematic content analysis.Results: Lockdown exacerbated the main symptoms of fibromyalgia, but adjusting the rhythms of life to fluctuations of these symptoms allowed a better quality of life. Patients felt the lack of physical activity and 68% found alternatives to remain physically active. The reduction of social constraints allowed them to better contend with their pathology. Fibromyalgia stopped being a main priority.Conclusion: Lockdown was positively experienced by fibromyalgia patients. They linked the absence of physical activity with increased pain and fatigue. Nevertheless, reducing social constraints could be a key for fibromyalgia management, where symptoms seemed to take less space in everyday life.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT04107948.

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ANALYSIS OF USER MOBILITY PERFORMANCE ON SOFTWARE DEFINED WIRELESS NETWORK USING DIJKSTRA ALGORITHM

Jurnal Teknik Informatika (Jutif) ◽

10.20884/1.jutif.2021.2.2.84 ◽

2021 ◽

Vol 2 (2) ◽

pp. 127-133

Author(s):

Icha Nurlaela Khoerotunisa ◽

Sofia Naning Hertiana ◽

Ridha Muldina Negara

Keyword(s):

Wireless Network ◽

Packet Loss ◽

Network Performance ◽

User Mobility ◽

Dijkstra Algorithm ◽

High Complexity ◽

Quality Of Data ◽

Data Packets ◽

Mobility Performance

Over the last decade, wireless devices have developed rapidly until predictions will develop with high complexity and dynamic. So that new capabilities are needed for wireless problems in this problem. Software Defined Network (SDN) is generally a wire-based network, but to meet the needs of users in terms of its implementation, it has begun to introduce a Wireless-based SDN called Software Defined Wireless Network (SDWN) which provides good service quality and reach and higher tools, so as to be able to provide new capabilities to wireless in a high complexity and very dynamic. When SDN is implemented in a wireless network it will require a routing solution that chooses paths due to network complexity. In this paper, SDWN is tested by being applied to mesh topologies of 4,6 and 8 access points (AP) because this topology is very often used in wireless-based networks. To improve network performance, Dijkstra's algorithm is added with the user mobility scheme used is RandomDirection. The Dijkstra algorithm was chosen because it is very effective compared to other algorithms. The performance measured in this study is Quality of Service (QoS), which is a parameter that indicates the quality of data packets in a network. The measurement results obtained show that the QoS value in this study meets the parameters considered by the ITU-T G1010 with a delay value of 1.3 ms for data services and packet loss below 0.1%. When compared with the ITU-T standard, the delay and packet loss fall into the very good category.

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SATISFACTION WITH THERAPEUTIC EDUCATION AND PERCEPTION OF QUALITY OF LIFE IN CHILDREN WITH TYPE 1 DIABETES

INTED2016 Proceedings ◽

10.21125/inted.2016.1017 ◽

2016 ◽

Author(s):

Ana Barata ◽

Graça Aparício ◽

João Duarte

Keyword(s):

Quality Of Life ◽

Type 1 Diabetes ◽

Therapeutic Education ◽

Perception Of Quality

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L’INTERVENTO NUTRIZIONALE NEI DISTURBI DEL COMPORTAMENTO ALIMENTARE

Istituto Lombardo - Accademia di Scienze e Lettere - Incontri di Studio ◽

10.4081/incontri.2020.633 ◽

2020 ◽

Author(s):

Maria Letizia Petroni

Keyword(s):

Quality Of Life ◽

Eating Disorders ◽

Anorexia Nervosa ◽

Hospital Setting ◽

Nutritional Intervention ◽

Outpatient Setting ◽

Therapeutic Education ◽

Motor Rehabilitation ◽

Nutritional Rehabilitation

The nutritional intervention is a cornerstone of the treatment of eating disorders. Most serious cases are being treated first by parenteral and/or enteral nutrition, carefully to prevent the re-feeding syndrome that can have fatal consequences. Once patient is clinically stable, integrated intervention can be started: medical, nutritional, psychological, motor, rehabilitation and therapeutic education may take place initially in a hospital setting and then in an outpatient setting. The nutritional rehabilitation in anorexia nervosa can be conducted with the mode of the mechanical feeding or with that of desensitization of anxiety by food. Goal is the gradual normalization of weight and nutrition and improving the quality of life of the patient.

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