RESUMEN
BACKGROUND AND PURPOSE: Multidimensional tools could evaluate the dyspnea of patients with chronic lung disease. The aim was to validate the use of the French-Canadian version of the modified dyspnea index (MDI) among patients with pulmonary arterial hypertension (PAH) and interstitial lung disease (ILD). METHODS: The Spearman test analyzed the convergent validation of the MDI with pulmonary function tests (PFTs), New York Heart Association (NYHA) functional classification, the Modified Borg Scale, the Veterans Specific Activity Questionnaire (VSAQ), physical capacity, physical activity (Godin-Shephard Leisure-Time Physical Activity Questionnaire [GSLTPAQ]), and quality of life (SF-12). RESULTS: The MDI had a low correlation with PFT and physical activity; a moderate with physical capacity; a high with the physical dimension (SF-12). CONCLUSION: The results support the convergent validation of the MDI French-Canadian version with PAH or ILD.
Asunto(s)
Técnicas y Procedimientos Diagnósticos/estadística & datos numéricos , Técnicas y Procedimientos Diagnósticos/normas , Disnea/diagnóstico , Disnea/etiología , Lesión Pulmonar/complicaciones , Lesión Pulmonar/enfermería , Evaluación en Enfermería/métodos , Adulto , Anciano , Anciano de 80 o más Años , Canadá , Femenino , Francia , Humanos , Masculino , Persona de Mediana Edad , Psicometría/normas , Psicometría/estadística & datos numéricos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios/normas , Encuestas y Cuestionarios/estadística & datos numéricos , TraduccionesRESUMEN
BACKGROUND: Bronchopulmonary dysplasia (BPD), also known as chronic lung disease of prematurity or chronic neonatal lung disease, is a major cause of respiratory illness in premature babies. Newborn babies survive at gestational ages of 23 to 26 weeks, earlier than when BPD was first described. New mechanisms of lung injury have therefore emerged and the clinical and pathological characteristics of pulmonary involvement have changed. PURPOSE: Improved neonatal intensive care unit modalities have increased survival rates; the overall prevalence of the condition, however, has not changed. Management of evolving BPD aims at minimizing lung injury. Management of established, especially severe BPD, still poses significant clinical challenge as these babies need long-term oxygen therapy (LTOT) for variable length of time. We aim to give an overview of management of established BPD with particular focus on weaning home oxygen therapy at our local center in the United Kingdom. SEARCH AND RESULTS: On the basis of most recent evidence, we concluded that an integrated pathway for managing babies on LTOT is very important after discharge from neonatal unit. IMPLICATIONS FOR PRACTICE: A structured weaning pathway for premature babies on home oxygen improves outcome. IMPLICATIONS FOR RESEARCH: The management of severe BPD and related complications, particularly during the first 2 years of life, remains a continuing challenge for parents and healthcare providers. The most beneficial respiratory support strategy to minimize lung injury and/or promote lung healing remains unclear and requires further investigation.
Asunto(s)
Displasia Broncopulmonar/etiología , Displasia Broncopulmonar/enfermería , Lesión Pulmonar/etiología , Lesión Pulmonar/enfermería , Enfermería Neonatal/educación , Terapia por Inhalación de Oxígeno/efectos adversos , Síndrome de Dificultad Respiratoria del Recién Nacido/enfermería , Preescolar , Educación Continua en Enfermería , Femenino , Humanos , Lactante , Recién Nacido , Recien Nacido Prematuro , Cuidado Intensivo Neonatal/métodos , Masculino , Enfermería Neonatal/métodos , Personal de Enfermería en Hospital/educaciónRESUMEN
This article describes the role of the community neonatal nurse in the discharge of infants with chronic lung disease (CLD), or bronchopulmonary dysplasia. It also explores the use of a common assessment framework in the assessment of such children and development of a nursing care plan. The article includes a case study to illustrate the link between CLD and other diseases, and emphasises the importance of focusing on holistic care from admission, in the neonatal unit and at discharge.
Asunto(s)
Displasia Broncopulmonar/enfermería , Redes Comunitarias/organización & administración , Enfermería Holística/organización & administración , Enfermedades del Prematuro/enfermería , Unidades de Cuidado Intensivo Neonatal/organización & administración , Lesión Pulmonar/enfermería , Enfermería Neonatal/organización & administración , Displasia Broncopulmonar/diagnóstico , Femenino , Humanos , Lactante , Recién Nacido , Enfermedades del Prematuro/diagnóstico , Lesión Pulmonar/diagnóstico , Masculino , Evaluación de Necesidades , Rol de la Enfermera , Admisión del Paciente , Planificación de Atención al Paciente , Alta del Paciente , Resultado del TratamientoRESUMEN
This article summarises the five most common lower respiratory tract infections seen in acute care, guiding the nurse in assessment and early recognition of signs of deterioration. A discussion on each condition is provided along with guidance on prevention, advice for parents and on managing patients. This article is intended for students or newly qualified children's nurses, however, it can also serve as a refresher for all professionals working with children.
