RESUMO
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.
Assuntos
Técnicas e Procedimentos Diagnósticos/estatística & dados numéricos , Técnicas e Procedimentos Diagnósticos/normas , Dispneia/diagnóstico , Dispneia/etiologia , Lesão Pulmonar/complicações , Lesão Pulmonar/enfermagem , Avaliação em Enfermagem/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Canadá , Feminino , França , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/normas , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Inquéritos e Questionários/normas , Inquéritos e Questionários/estatística & dados numéricos , TraduçõesRESUMO
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.
Assuntos
Displasia Broncopulmonar/etiologia , Displasia Broncopulmonar/enfermagem , Lesão Pulmonar/etiologia , Lesão Pulmonar/enfermagem , Enfermagem Neonatal/educação , Oxigenoterapia/efeitos adversos , Síndrome do Desconforto Respiratório do Recém-Nascido/enfermagem , Pré-Escolar , Educação Continuada em Enfermagem , Feminino , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Terapia Intensiva Neonatal/métodos , Masculino , Enfermagem Neonatal/métodos , Recursos Humanos de Enfermagem Hospitalar/educaçãoRESUMO
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.
Assuntos
Displasia Broncopulmonar/enfermagem , Redes Comunitárias/organização & administração , Enfermagem Holística/organização & administração , Doenças do Prematuro/enfermagem , Unidades de Terapia Intensiva Neonatal/organização & administração , Lesão Pulmonar/enfermagem , Enfermagem Neonatal/organização & administração , Displasia Broncopulmonar/diagnóstico , Feminino , Humanos , Lactente , Recém-Nascido , Doenças do Prematuro/diagnóstico , Lesão Pulmonar/diagnóstico , Masculino , Avaliação das Necessidades , Papel do Profissional de Enfermagem , Admissão do Paciente , Planejamento de Assistência ao Paciente , Alta do Paciente , Resultado do TratamentoRESUMO
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.