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Papers by Mara Marchetti

Research paper thumbnail of La persona ustionata in emergenza/urgenza: quali sono le conoscenze degli infermieri? Una survey

Scenario<sup>®</sup> - Il Nursing nella sopravvivenza

Introduzione: Le ustioni rappresentano un problema per la salute pubblica mondiale. Erogare assis... more Introduzione: Le ustioni rappresentano un problema per la salute pubblica mondiale. Erogare assistenza di qualità nelle prime ore impatta sugli esiti a lungo termine del paziente. La formazione degli infermieri su questo argomento, in letteratura, risulta carente. Obiettivo dello studio è valutare le conoscenze degli infermieri dei dipartimenti di Emergenza/Urgenza sulla gestione della persona ustionata con lo scopo di far emergere eventuali bisogni formativi tra gli infermieri del Dipartimento di Emergenza/Urgenza su tutto il territorio Nazionale. Materiali e Metodi: Tra agosto – settembre 2021 è stata condotta un’indagine conoscitiva tramite questionario ad hoc sottoposto tramite Google Moduli® agli infermieri dei dipartimenti di Emergenza/Urgenza operativi sul territorio nazionale; l’analisi dei dati è stata condotta mediante Excel. Risultati: Hanno risposto al questionario 74 infermieri, di cui il 36,5% lavora in Anestesia/Rianimazione, il 36,5% in Pronto Soccorso, il 25,7% nell...

Research paper thumbnail of Clinical Practice Guidelines for the Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy (PEG/PEJ) in Adult Patients

Journal of Wound, Ostomy and Continence Nursing

Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a... more Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a tube placed in a natural or artifi cial stoma. Tubes may be passed into the stomach (gastrostomy) or the jejunum (jejunostomy) in patients who cannot obtain adequate nourishing via oral feeding. Following placement, nurses are typically responsible for management of gastrostomy or other enteral tube devices in both the acute and home care settings. This article summarizes guidelines developed for nursing management of percutaneous endoscopic gastrostomy or jejunostomy (PEG/PEJ) and gastrojejunostomy (PEGJ) tubes, developed by the Italian Association of Stoma care Nurses (AIOSS-Associazione Italiana Operatori Sanitari di Stomaterapia) in collaboration with the Italian Association of Endoscopic Operators (ANOTE-Associazione Nazionale Operatori Tecniche Endoscopiche) and the Italian Association of Gastroenterology Nurses and Associates (ANIGEA-Associazione Nazionale Infermieri di Gastroenterologia e Associati). The guidelines do not contain recommendations about EN through nasogastric tubes, indications for PEG/PEJ/ PEGJ positioning, composition of EN, selection of patients, type of tube, modality of administration of the EN,

Research paper thumbnail of The Role of Uroflowmetry Biofeedback and Biofeedback Training of the Pelvic Floor Muscles in the Treatment of Recurrent Urinary Tract Infections in Women With Dysfunctional Voiding: A Randomized Controlled Prospective Study

Urology, 2010

OBJECTIVES To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvi... more OBJECTIVES To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor relaxation biofeedback on urodynamic and voiding parameters in women with dysfunctional voiding. METHODS Eighty-six women with recurrent urinary tract infections (UTIs) and dysfunctional voiding were randomly assigned to receive a treatment schedule as follows: uroflowmetry biofeedback (group 1), biofeedback training of the pelvic floor muscles (group 2), uroflowmetry biofeedback combined to biofeedback training of the pelvic floor muscles (group 3), no treatment (group 4). Patients were regularly evaluated by American Urological Association Symptom Index and urodynamics during the study period. All the patients were followed up for 1 year with monthly urine cultures. A further evaluation was done at month 24 by American Urological Association Symptom Index and free uroflowmetry with measurement of residual urine. RESULTS The prevalence of storage and emptying symptoms decreased significantly at 3, 6, and 12 months in the groups 1, 2, and 3, and remained stable during the study period. Mean flow rate, flow time, voiding volume increased significantly, whereas postvoid residual urine decreased. The prevalence of UTI decreased significantly in groups 1, 2, and 3. At month 24, storage and emptying symptoms and voiding patterns were similar to the baseline values in all the patients. The incidence of UTIs was similar to baseline values in groups 1, 2, and 3. CONCLUSIONS Training the voluntary control of the pelvic floor seems essential in obtaining control over the bladder function. These results reinforce the importance of pelvic floor therapy in the resolution of UTIs.

Research paper thumbnail of L'immagine filmica come supporto alla formazione dell'identità professionale dell'infermiere

FOR Rivista per la formazione, 2015

Research paper thumbnail of The Role of Uroflowmetry Biofeedback and Biofeedback Training of the Pelvic Floor Muscles in the Treatment of Recurrent Urinary Tract Infections in Women With Dysfunctional Voiding: A Randomized Controlled Prospective Study

Urology, 2010

To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor rel... more To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor relaxation biofeedback on urodynamic and voiding parameters in women with dysfunctional voiding.

Research paper thumbnail of La persona ustionata in emergenza/urgenza: quali sono le conoscenze degli infermieri? Una survey

Scenario<sup>®</sup> - Il Nursing nella sopravvivenza

Introduzione: Le ustioni rappresentano un problema per la salute pubblica mondiale. Erogare assis... more Introduzione: Le ustioni rappresentano un problema per la salute pubblica mondiale. Erogare assistenza di qualità nelle prime ore impatta sugli esiti a lungo termine del paziente. La formazione degli infermieri su questo argomento, in letteratura, risulta carente. Obiettivo dello studio è valutare le conoscenze degli infermieri dei dipartimenti di Emergenza/Urgenza sulla gestione della persona ustionata con lo scopo di far emergere eventuali bisogni formativi tra gli infermieri del Dipartimento di Emergenza/Urgenza su tutto il territorio Nazionale. Materiali e Metodi: Tra agosto – settembre 2021 è stata condotta un’indagine conoscitiva tramite questionario ad hoc sottoposto tramite Google Moduli® agli infermieri dei dipartimenti di Emergenza/Urgenza operativi sul territorio nazionale; l’analisi dei dati è stata condotta mediante Excel. Risultati: Hanno risposto al questionario 74 infermieri, di cui il 36,5% lavora in Anestesia/Rianimazione, il 36,5% in Pronto Soccorso, il 25,7% nell...

Research paper thumbnail of Clinical Practice Guidelines for the Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy (PEG/PEJ) in Adult Patients

Journal of Wound, Ostomy and Continence Nursing

Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a... more Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a tube placed in a natural or artifi cial stoma. Tubes may be passed into the stomach (gastrostomy) or the jejunum (jejunostomy) in patients who cannot obtain adequate nourishing via oral feeding. Following placement, nurses are typically responsible for management of gastrostomy or other enteral tube devices in both the acute and home care settings. This article summarizes guidelines developed for nursing management of percutaneous endoscopic gastrostomy or jejunostomy (PEG/PEJ) and gastrojejunostomy (PEGJ) tubes, developed by the Italian Association of Stoma care Nurses (AIOSS-Associazione Italiana Operatori Sanitari di Stomaterapia) in collaboration with the Italian Association of Endoscopic Operators (ANOTE-Associazione Nazionale Operatori Tecniche Endoscopiche) and the Italian Association of Gastroenterology Nurses and Associates (ANIGEA-Associazione Nazionale Infermieri di Gastroenterologia e Associati). The guidelines do not contain recommendations about EN through nasogastric tubes, indications for PEG/PEJ/ PEGJ positioning, composition of EN, selection of patients, type of tube, modality of administration of the EN,

Research paper thumbnail of The Role of Uroflowmetry Biofeedback and Biofeedback Training of the Pelvic Floor Muscles in the Treatment of Recurrent Urinary Tract Infections in Women With Dysfunctional Voiding: A Randomized Controlled Prospective Study

Urology, 2010

OBJECTIVES To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvi... more OBJECTIVES To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor relaxation biofeedback on urodynamic and voiding parameters in women with dysfunctional voiding. METHODS Eighty-six women with recurrent urinary tract infections (UTIs) and dysfunctional voiding were randomly assigned to receive a treatment schedule as follows: uroflowmetry biofeedback (group 1), biofeedback training of the pelvic floor muscles (group 2), uroflowmetry biofeedback combined to biofeedback training of the pelvic floor muscles (group 3), no treatment (group 4). Patients were regularly evaluated by American Urological Association Symptom Index and urodynamics during the study period. All the patients were followed up for 1 year with monthly urine cultures. A further evaluation was done at month 24 by American Urological Association Symptom Index and free uroflowmetry with measurement of residual urine. RESULTS The prevalence of storage and emptying symptoms decreased significantly at 3, 6, and 12 months in the groups 1, 2, and 3, and remained stable during the study period. Mean flow rate, flow time, voiding volume increased significantly, whereas postvoid residual urine decreased. The prevalence of UTI decreased significantly in groups 1, 2, and 3. At month 24, storage and emptying symptoms and voiding patterns were similar to the baseline values in all the patients. The incidence of UTIs was similar to baseline values in groups 1, 2, and 3. CONCLUSIONS Training the voluntary control of the pelvic floor seems essential in obtaining control over the bladder function. These results reinforce the importance of pelvic floor therapy in the resolution of UTIs.

Research paper thumbnail of L'immagine filmica come supporto alla formazione dell'identità professionale dell'infermiere

FOR Rivista per la formazione, 2015

Research paper thumbnail of The Role of Uroflowmetry Biofeedback and Biofeedback Training of the Pelvic Floor Muscles in the Treatment of Recurrent Urinary Tract Infections in Women With Dysfunctional Voiding: A Randomized Controlled Prospective Study

Urology, 2010

To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor rel... more To evaluate the efficacy of a training program with uroflowmetry biofeedback and pelvic floor relaxation biofeedback on urodynamic and voiding parameters in women with dysfunctional voiding.

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