جستجوی مقالات مرتبط با کلیدواژه « severity of illness » در نشریات گروه « پزشکی »

Autoimmune Bullous Diseases (AIBDs) are characterized by blistering skin and mucous membrane lesions. This study evaluated the quality of life and associated factors in patients with AIBDs. In this cross-sectional study, we included all clinicallyand laboratory-confirmed AIBD patients older than 16 years who sought care at the Dermatology and Hair Clinic of Sina Hospital (Tabriz, Iran) from March to September 2020. We collected the demographic characteristics, disease profile, Autoimmune Bullous Disease Quality of Life (ABQOL) score, and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS). The recorded data were analyzed using SPSS v16 software. One hundred patients (44 men and 46 women) with a mean age of 52 ± 2 years participated in this study. Among them, 76 had pemphigus vulgaris, 18 had bullous pemphigoid, and 6 had pemphigus foliaceous. A median score of six was recorded for the ABQOL, and a median score of one was recorded for the ABSISscale. The relationship between quality of life and disease severity was statistically significant (P = 0.001). Also, a weak but statistically significant association was observed between the quality of life and patients’ age (P = 0.049). We demonstrated that increased disease severity significantly impairs AIBD patients’ quality of life. On this account, patients with severe AIBDs require more social, psychological, and financial support.

The quality of nursing care can be affected by various factors. This study aims to determine the correlation between the quality of nursing care and the Severity of Illness (SOI) in patients admitted to the Intensive Care Units (ICUs).

This descriptive-correlational study was performed from November 2018 to January 2019 in Ayatollah Mousavi Hospital, Zanjan City, Iran. The sample included 50 ICU patients who were recruited by convenience sampling. The data were collected using the ICU quality of nursing care scale and the sequential organ failure assessment score within the first seven days of hospitalization. They were analyzed by descriptive and non-parametric statistical tests (the Friedman, Wilcoxon signed-rank, and Spearman’s rho) using SPSS v. 22 software. The significance level was set as 0.05.

The Mean±SD score of quality of nursing care was 86.62±2.19, and there was a significant difference among the seven days (P<0.001). Also, the Mean±SD score of SOI was 6.4±2.31, and it was constant in the first to third days of hospitalization and decreased by the fourth day of admission. There was a significant indirect correlation between the quality of nursing care and SOI from the fourth day onwards (P<0.05).

There was a significant inverse relationship between quality of nursing care and SOI from the fourth to the seventh day of hospitalization. It seems that nursing care delivery in the ICU is mainly routine and does not follow the holistic model of care. Therefore, the severity of the illness and the changing needs of ICU patients require that care models be tailored to these changes.

Sepsis is a very common serious medical condition among patients admitted to the intensive care units (ICUs) that increases with age and ICU length of stay (LOS).

The primary goal of this study was to estimate the mortality rate due to sepsis among adult patients admitted to the mixed medical–surgical ICUs for a long time. The secondary goal was to identify factors associated with predicting ICU mortality in individuals with long-term ICU LOS.

Adult patients admitted to the medical ICU for a long time (≥75 days) were included in this retrospective secondary analysis study. Baseline demographic, clinical, and laboratory data were recorded upon inclusion in the study.

ICU mortality occurred in 78 (43.1%) patients, out of 188 participants. A greater portion of patients with sepsis at admission (62.7%) were observed in the death group (59.2% vs. 30.8%, P < 0.001), than the survivor group. Additionally, survived patients differed significantly in terms of age, family engagement, baseline cognitive impairment, activity, nurse anticipated turnover scale (ATS), duration of a mechanical ventilator (MV), and ICU LOS. The results of multivariate binary logistic regression showed that the older age and low family intervention can increase the risk of mortality in patients with sepsis at the time of admission, with a long ICU LOS.

Our findings are crucially important to increase the awareness of the impact of sepsis, highlight the need for continued research into potential preventive and therapeutic interventions, and help guide resource allocation.

Background and Severity of illness scoring systems is used for the classification of patients to receive medical services, predict the risk of mortality, determine hospital bed occupancy, and assess treatment progress. In Iran, these scoring systems are not frequently used due to the lack of knowledge of medical staff. This study aimed to evaluate the effect of education on the knowledge and attitude of intensive care unit (ICU) staff towards the use of predictive illness severity scoring systems in Imam Khomeini Hospital of Sari, Iran.
This pre-experimental study was conducted using a researcher-made questionnaire to assess the knowledge and attitude of ICU staff towards the use of illness severity scoring systems. Study population consisted of all the ICU nurses and physicians engaged in Imam Khomeini Hospital of Sari, Iran. In total, 60 participants were selected via census sampling. All the participants received training on the application of disease severity scoring systems. Knowledge level and attitude of the participants were assessed 10 days after the intervention. Data analysis was performed in SPSS V.18 using descriptive and inferential statistics, Mann-Whitney U test, and repeated measures one-way analysis of variance (ANOVA).
In this study, 43 participants (72%) were female, and the mean age of thesubjects was 32.5±7.3 years. Mean score of knowledge increased from 3±5.25 before the intervention to 18.4±0.96 after the intervention. With regard to attitude, mean scores reached from 100.42±11.34 before the intervention to 122.30±9.81 after the intervention (P=0.001).
After receiving education on the function of disease severity scoring systems, level of knowledge in the ICU nurses improved from low to high, while their attitude improved from moderate to excellent. Therefore, it is recommended that predictive patient scoring systems be included in medical and nursing curricula. Furthermore, new strategies must be considered to apply these tools in all the critical care units of the country.