Un “selfie” in dialisi: valutazione delle abitudini personali degli infermieri di un centro dialisi
Parole chiave:Burnout, Habits, Hemodialysis, Lifestyle, Nurse, Nutrition
Introduction: Healthcare workers represent a population that is well analysed by health studies: since 1976, the Nurses’ Health Study has been examining American nurses for health-related risks and is currently recruiting its third cohort. The survey models used are predominantly biomedical, i.e. based on the disease-healing scheme which focuses on purely biological factors with little or no assessment of psychological, behavioural and environmental aspects. The biopsychosocial assessment model, in its multifaceted nature, is probably more suitable for assessing occupational distress as a progressive cause of health worker burnout. It attributes the outcome of illness, as well as that of health, to the numerous, complex interactions of biological, psychological and social factors. In this work, we decided to evaluate the lifestyle and habits of a homogeneous population of nurses, all belonging to an Operative Unit of Nephrology (Pistoia).
Methods: We decided to use unconventional instruments: a “selfie” questionnaire on habits, constructed with scientifically validated items, aimed at the self-assessment of habits, scientifically recognised as determinants of health (nutritional, behavioural, relational, physiological...), correlating it with the analysis of the receipts of the weekly shopping of the family unit of the nurse in the study, according to the principle that “we eat what we buy”.
Results and conclusion: Nurses evaluated in the study showed a frequent unhealthy lifestyle which can have negative effects on their health, on their family and, consequently, on their work environment. Questionnaire and focus group discussions were appreciated and potentially useful and effective in changing bad habits.
Belanoger, Charlene; Speizer, Frank E.; Hennekens, Charles H.; Rosner, Barnard; Willett, Walter; Bain, Chritopher. The Nursesʼ Health Study. American Journal of Nursing 1980;80(7): 1333. https://doi.org/10.1097/00000446-198007000-00024 DOI: https://doi.org/10.1097/00000446-198007000-00024
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129-136. https://doi.org/10.1126/science.847460 PMID:847460 DOI: https://doi.org/10.1126/science.847460
Feskanich D, Hastrup JL, Marshall JR, et al. Stress and suicide in the Nurses’ Health Study. J Epidemiol Community Health. 2002;56(2):95-98. https://doi.org/10.1136/jech.56.2.95PMID:11812806 DOI: https://doi.org/10.1136/jech.56.2.95
The Healthy Eating Plate, please see The Nutrition Source, Department of Nutrition, Harvard T.H. Chan School of Public Health, www.thenutritionsource.org, and Harvard Health Publications, www.health.harvard.edu.
Willett WC, Sampson L, Browne ML, et al. The use of a self-administered questionnaire to assess diet four years in the past. Am J Epidemiol. 1988;127(1):188-199. https://doi.org/10.1093/oxfordjournals.aje.a114780 PMID:3337073 DOI: https://doi.org/10.1093/oxfordjournals.aje.a114780
Martínez de Victoria Muñoz E. Do we know what we eat? A nutrition perspective. Nutr Hosp. 2018 Jun 12;35(Spec No4):61-65. https://doi.org/10.20960/nh.2128. PMID: 30070125. DOI: https://doi.org/10.20960/nh.2128
Manson JE, Hu FB, Rich-Edwards JW, et al. A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med. 1999;341(9):650-658. https://doi.org/10.1056/NEJM199908263410904 PMID:10460816 DOI: https://doi.org/10.1056/NEJM199908263410904
Piercy KL, Troiano RP, Ballard RM, et al. The Physical Activity Guidelines for Americans. JAMA. 2018;320(19):2020-2028. https://doi.org/10.1001/jama.2018.14854 PMID:30418471 DOI: https://doi.org/10.1001/jama.2018.14854
Romieu I, Willett WC, Stampfer MJ, et al. Energy intake and other determinants of relative weight. Am J Clin Nutr. 1988;47(3):406-412. https://doi.org/10.1093/ajcn/47.3.406PMID:3348153 DOI: https://doi.org/10.1093/ajcn/47.3.406
Fine JT, Colditz GA, Coakley EH, et al. A prospective study of weight change and health-related quality of life in women. JAMA. 1999;282(22):2136-2142. https://doi.org/10.1001/jama.282.22.2136 PMID:10591335 DOI: https://doi.org/10.1001/jama.282.22.2136
Colditz GA, Bonita R, Stampfer MJ, et al. Cigarette smoking and risk of stroke in middle-aged women. N Engl J Med. 1988;318(15):937-941. https://doi.org/10.1056/NEJM198804143181501PMID:3352685 DOI: https://doi.org/10.1056/NEJM198804143181501
Xi B, Veeranki SP, Zhao M, Ma C, Yan Y, Mi J. Relationship of Alcohol Consumption to All-Cause, Cardiovascular, and Cancer-Related Mortality in U.S. Adults. J Am Coll Cardiol. 2017;70(8):913-922. https://doi.org/10.1016/j.jacc.2017.06.054. PubMed. CrossRef. Google Scholar. PMID:28818200 DOI: https://doi.org/10.1016/j.jacc.2017.06.054
Colditz GA. A prospective assessment of moderate alcohol intake and major chronic diseases. Ann Epidemiol. 1990;1(2):167-177. https://doi.org/10.1016/1047-2797(90)90007-FPMID:1669497 DOI: https://doi.org/10.1016/1047-2797(90)90007-F
Hu FB, Stampfer MJ, Manson JE, et al. Dietary saturated fats and their food sources in relation to the risk of coronary heart disease in women. Am J Clin Nutr. 1999;70(6):1001-1008. https://doi.org/10.1093/ajcn/70.6.1001 PMID:10584044 DOI: https://doi.org/10.1093/ajcn/70.6.1001
Liu Y, Wheaton AG, Chapman DP, Cunningham TJ, Lu H, Croft JB. Prevalence of Healthy Sleep Duration among Adults—united States, 2014. MMWR Morb Mortal Wkly Rep. 2016;65(6):137-141. https://doi.org/10.15585/mmwr.mm6506a1 PMID:26890214 DOI: https://doi.org/10.15585/mmwr.mm6506a1
Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr. 2003;78(5):920-927. https://doi.org/10.1093/ajcn/78.5.920 PMID:14594777 DOI: https://doi.org/10.1093/ajcn/78.5.920
Hu FB. Plant-based foods and prevention of cardiovascular disease: an overview. Am J Clin Nutr. 2003;78(3)(suppl):544S-551S. https://doi.org/10.1093/ajcn/78.3.544S. Review. PMID:12936948 DOI: https://doi.org/10.1093/ajcn/78.3.544S
Kraemer WJ, Adams K, Cafarelli E, et al; American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-380. https://doi.org/10.1097/00005768-200202000-00027 PMID:11828249 DOI: https://doi.org/10.1097/00005768-200202000-00027
Sharma A, Rao S. Constipation: Pathophysiology and Current Therapeutic Approaches. Handb Exp Pharmacol. 2017;239:59-74. https://doi.org/10.1007/164_2016_111 PMID:28185025 DOI: https://doi.org/10.1007/164_2016_111
Philips KH, Brintz CE, Moss K, Gaylord SA. Didgeridoo Sound Meditation for Stress Reduction and Mood Enhancement in Undergraduates: A Randomized Controlled Trial. Glob Adv Health Med. 2019;8:2164956119879367. https://doi.org/10.1177/2164956119879367PMID:31632840 DOI: https://doi.org/10.1177/2164956119879367
Schulte EM, Avena NM, Gearhardt AN. Which foods may be addictive? The roles of processing, fat content, and glycemic load. PLoS One. 2015;10(2):e0117959. https://doi.org/10.1371/journal.pone.0117959 PMID:25692302 DOI: https://doi.org/10.1371/journal.pone.0117959
Serafini M, Peluso I. Functional Foods for Health: The Interrelated Antioxidant and Anti-Inflammatory Role of Fruits, Vegetables, Herbs, Spices and Cocoa in Humans. Curr Pharm Des. 2016;22(44):6701-6715. https://doi.org/10.2174/1381612823666161123094235 PMID:27881064 DOI: https://doi.org/10.2174/1381612823666161123094235
Uzhova I, Fuster V, Fernández-Ortiz A, et al. The Importance of Breakfast in Atherosclerosis Disease: Insights From the PESA Study. J Am Coll Cardiol. 2017;70(15):1833-1842. doi. https://doi.org/10.1016/j.jacc.2017.08.027 PMID:28982495 DOI: https://doi.org/10.1016/j.jacc.2017.08.027
Colombo E, Senn L. I costi economici e sociali della sedentarietà. Med Sport (Roma). 2015;68:345-356.
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