RESUMO
When hospitalized, adults with intellectual disabilities are more anxious and have more unmet needs than the general population. Despite these problems, studies report contradictory results about their satisfaction with hospitalization. The aim of this study was to determine the level of satisfaction of adults with intellectual disabilities regarding their hospital care and the factors associated with satisfaction. An analysis of the Patient Satisfaction Scale (PSS) and Cognitive Appraisal of Health Scale (CAHS) instruments completed by adults with intellectual disabilities, or their caregivers, after hospitalization was done. The 32 participants' mean PSS score was 3.6/5, with means of 13.3/25 and 8.7/25 on the CAHS' 'harm/loss' dimension and 'challenge' dimension, respectively. None of the factors studied was associated with the total PSS score. Adults with intellectual disabilities were not fully satisfied with their hospital care, experiencing challenges and losses. These findings call for a rethink of the care provided to this population.
RESUMO
OBJECTIVE: This scoping review aims to identify and map the behavioral pain indicators observed when adults with an intellectual disability experience pain. INTRODUCTION: Adults with an intellectual disability have more health problems than the general population. The likelihood that this population will experience pain is high, but intellectual disability can obstruct the verbal expression of pain. Adults with an intellectual disability express pain via behavioral pain indicators; however, because no behavioral pain scale exists for this population, observers may misinterpret the pain experienced by adults with an intellectual disability. INCLUSION CRITERIA: The review will examine literature about behavioral pain indicators for adults with any type of intellectual disability who are suffering from any type of pain in any country or care setting. METHODS: The review will be conducted according to the JBI recommendations for scoping reviews. A preliminary search focusing on the concepts of intellectual disability and pain measurement was conducted for PubMed and CINAHL in March 2022. Once the protocol is validated, searches will also be carried out in Embase, JBI EBP Database, the Cochrane Database of Systematic Reviews, ProQuest Dissertations and Theses, PsycINFO, Web of Science Core Collection, ERIC, Google Scholar, MedNar, and the websites of relevant professional associations. Titles and abstracts, and then full-text studies, will be selected independently by 2 researchers and assessed against the inclusion criteria. Relevant information will be imported into a data chart. Any behavioral pain indicators identified will be classified into 14 behavioral categories. REVIEW REGISTRATION NUMBER: Open Science Framework osf.io/8xckf.
Assuntos
Deficiência Intelectual , Adulto , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/diagnóstico , Dor/diagnóstico , Medição da Dor , Literatura de Revisão como Assunto , Revisões Sistemáticas como AssuntoRESUMO
Vitamin D deficiencies are common throughout the world. In Switzerland, this deficiency affects every populations, including therefore people at risk of COVID-19 complications. Several studies demonstrate a correlation between vitamin D deficiencies and some chronic extraosseous pathologies. This literature review shows a correlation between the seriousness of symptoms, the deaths related to COVID-19 and a status of vitamin D deficiency. The effectiveness of a supplementation with vitamin D to improve those pathologies and limit complications due to COVID-19 is not yet clear because of the various methodological bias of the studies. However, the epidemiological extent of a vitamin D deficiency in our societies requires the coordinated actions of all health professionals in order to meet this public health challenge.
La carence en vitamine D (VitD) est fréquente partout dans le monde. En Suisse, elle touche toutes les populations et, par conséquent, aussi les personnes à risque de complications du Covid-19. Des études relèvent une corrélation entre la carence en VitD et certaines pathologiques extraosseuses chroniques. Cette revue de la littérature montre une corrélation entre la gravité des symptômes, les décès liés au Covid-19 et un statut carencé en VitD. L'efficacité ou non d'une supplémentation en VitD pour améliorer ces pathologies et limiter les complications liées au Covid-19 n'est pas encore claire en raison des multiples biais méthodologiques des études. Néanmoins, l'ampleur épidémiologique de la carence en VitD dans nos sociétés nécessite que tous les professionnels de la santé se coordonnent pour répondre à ce défi de santé publique.