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1.
Pediatr Pulmonol ; 51(12): 1311-1319, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27759954

RESUMO

BACKGROUND: Cystic fibrosis, like other chronic diseases, is a risk factor for the development of elevated symptoms of depression and anxiety. The objective of this study was to investigate the prevalence of anxiety and depression in Italian patients with CF and their parents. METHODS: The Hospital Anxiety and Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES-D) questionnaires were administered to a sample of patients and their parents recruited at the cystic fibrosis centers in Italy. RESULTS: Elevated levels of anxiety were higher in mothers than in fathers, and also higher in female patients than in male patients. A correlation between elevated levels of anxiety/depression and geographical area also emerged. Patient anxiety (OR 2.33) and depression (OR 4.09) were significantly associated with forced expiratory volume in one second (FEV1) <40% and forced vital capacity (FVC) <80% (OR 1.60 and 1.61, respectively). CONCLUSIONS: Cystic fibrosis increases the risk of developing anxiety and depression in female patients and in mothers. Geographical differences were observed, with higher anxiety and depression in southern Italy for parents, but not for patients. Anxiety and depression levels also depend on clinical status. Pediatr Pulmonol. 2016;51:1311-1319. © 2016 Wiley Periodicals, Inc.


Assuntos
Transtornos de Ansiedade/epidemiologia , Ansiedade/epidemiologia , Cuidadores/estatística & dados numéricos , Fibrose Cística/epidemiologia , Depressão/epidemiologia , Transtorno Depressivo/epidemiologia , Pai/estatística & dados numéricos , Mães/estatística & dados numéricos , Adolescente , Ansiedade/psicologia , Transtornos de Ansiedade/psicologia , Cuidadores/psicologia , Criança , Doença Crônica , Fibrose Cística/fisiopatologia , Fibrose Cística/psicologia , Depressão/psicologia , Transtorno Depressivo/psicologia , Pai/psicologia , Feminino , Volume Expiratório Forçado , Humanos , Itália/epidemiologia , Masculino , Mães/psicologia , Pais/psicologia , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Inquéritos e Questionários , Capacidade Vital , Adulto Jovem
2.
J Telemed Telecare ; 16(7): 359-62, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20643846

RESUMO

We have conducted a pilot trial of a home telemonitoring system involving 60 adult patients with cystic fibrosis (CF) enrolled at four Italian CF centres. Thirty randomly selected patients received a home device to perform spirometry and to measure oxygen saturation. The data were transferred to a data centre which forwarded them to the patient's CF clinic. The telemonitoring system was evaluated using questionnaires completed by patients and their doctors. The doctors reported that telemonitoring was useful in monitoring their patients' health status and in decreasing the CF centre workload. The data transfer procedure posed no particular problems for the patients. The major difficulties reported by the patients were night-time saturimetry measurements, and in the first week of the study, data transmission to the data centre. The pilot trial was positive and therefore merits a larger study.


Assuntos
Fibrose Cística/fisiopatologia , Serviços de Assistência Domiciliar , Telemedicina/normas , Telemetria/normas , Adulto , Atitude do Pessoal de Saúde , Feminino , Nível de Saúde , Humanos , Internet , Itália , Masculino , Oximetria/métodos , Oxigênio/análise , Satisfação do Paciente , Projetos Piloto , Espirometria/métodos , Inquéritos e Questionários , Telemedicina/métodos , Adulto Jovem
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