ABSTRACT
BACKGROUND: The "health spillover" of patient illness on family members is important to capture in economic evaluation. This study compares the construct validity and responsiveness of 2 widely used health-related quality-of-life instruments, the EQ-5D-5L and SF-6D, in capturing health spillover effects for family members with and without an informal care role (carers and noncarers). METHODS: Construct validity and responsiveness were assessed using data from a 2012 UK survey of the family impact of meningitis-related sequelae. Construct validity was assessed by testing associations between family members' health status and variables anticipated to be associated with spillover effects (patient health status and informal care). Responsiveness was assessed by testing associations between the longitudinal change in family members' health status and longitudinal change in patient health and caring hours. RESULTS: Among noncarers, both the EQ-5D-5L and the SF-6D exhibited construct validity with 10 of the 11 associations that were hypothesized being statistically significant on both measures. There was less clear evidence of responsiveness of the measures for noncarers. Among carers, the EQ-5D-5L exhibited greater construct validity, as well as responsiveness, with respect to spillovers from patient health. This was evidenced by the EQ-5D-5L detecting 9 significant associations compared with 4 on the SF-6D. However, the SF-6D exhibited greater construct validity with respect to spillovers generated from informal care provision (5 associations significant compared with 2 on the EQ-5D-5L). CONCLUSION: Both the EQ-5D-5L and the SF-6D exhibited a degree of validity that could justify their use as measures of health-related quality-of-life spillovers on family members in economic evaluation.
Subject(s)
Family , Meningitis, Bacterial/transmission , Meningitis, Viral/transmission , Surveys and Questionnaires , Caregivers , Health Status , Humans , Meningitis, Bacterial/nursing , Meningitis, Bacterial/physiopathology , Meningitis, Viral/nursing , Meningitis, Viral/physiopathology , United KingdomABSTRACT
Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library.
Subject(s)
Adrenal Cortex Hormones/therapeutic use , Meningitis, Bacterial/drug therapy , Acute Disease , Humans , Meningitis, Bacterial/nursing , Randomized Controlled Trials as TopicSubject(s)
Early Diagnosis , Meningitis, Bacterial/nursing , Nursing Diagnosis/methods , Anti-Bacterial Agents/therapeutic use , Humans , Meningitis, Bacterial/epidemiology , Meningitis, Bacterial/physiopathology , Meningococcal Vaccines/therapeutic use , Nursing Methodology Research , Practice Guidelines as TopicABSTRACT
Bacterial meningitis is an infection of the meninges that can be infected by bacteria, virus, or fungus. The classic triad of bacterial meningitis consists of fever, neck stiffness, and altered mental status; headache is also another common symptom. Interventions for bacterial meningitis include prompt diagnosis, and initiation of antimicrobial therapy to optimize bacterial kill and decrease inflammatory response in the subarachnoid space. Nursing management consists of effective delivery of antibiotic therapy, fluid management, and supportive care.
Subject(s)
Anti-Bacterial Agents/administration & dosage , Meningitis, Bacterial/drug therapy , Meningitis, Bacterial/nursing , Acute Disease , Adrenal Cortex Hormones/administration & dosage , Algorithms , Chemoprevention , Critical Care Nursing , Dexamethasone/administration & dosage , Drug Therapy, Combination , Humans , Infant , Infant, Newborn , Meningitis, Bacterial/diagnosis , Meningitis, Bacterial/epidemiology , Spinal Puncture , Tomography, X-Ray ComputedABSTRACT
The CIPESC® is a tool that informs the work of nurses in Public Health and assists in prioritizing their care in practice, management and research. It is also a powerful pedagogical instrument for the qualification of nurses within the Brazilian healthcare system. In the teaching of infectious diseases, using the CIPESC® assists in analyzing the interventions by encouraging clinical and epidemiological thinking regarding the health-illness process. With the purpose in mind of developing resources for teaching undergraduate nursing students and encouraging reflection regarding the process of nursing work, this article presents an experimental application of CIPESC®, using meningococcal meningitis as an example.
Subject(s)
Public Health Nursing/classification , Public Health Nursing/education , Epidemiologic Studies , Humans , Internationality , Meningitis, Bacterial/nursingABSTRACT
A CIPESC® é um instrumento de trabalho do enfermeiro em Saúde Coletiva, que visa apoiar a sistematização de sua prática assistencial, gerencial e de investigação. É também, instrumental pedagógico potente para a formação e qualificação de enfermeiros comprometidos com o SUS. No ensino das doenças transmissíveis, o uso da CIPESC® auxilia a análise sobre as intervenções, ao estimular o raciocínio clínico e epidemiológico do processo saúde-doença e das necessidades de saúde dos indivíduos, famílias e grupos sociais. Com o propósito de desenvolver recursos didáticos para graduação de enfermagem e estimular a reflexão sobre o processo de trabalho de enfermagem, este artigo apresenta o relato de uma experiência de aplicação da CIPESC®, tomando como exemplo a meningite meningocócica.
The CIPESC® is a tool that informs the work of nurses in Public Health and assists in prioritizing their care in practice, management and research. It is also a powerful pedagogical instrument for the qualification of nurses within the Brazilian healthcare system. In the teaching of infectious diseases, using the CIPESC® assists in analyzing the interventions by encouraging clinical and epidemiological thinking regarding the health-illness process. With the purpose in mind of developing resources for teaching undergraduate nursing students and encouraging reflection regarding the process of nursing work, this article presents an experimental application of CIPESC®, using meningococcal meningitis as an example.
La CIPESC® es un instrumento de trabajo del enfermero en Salud Colectiva que busca apoyar la sistematización de su práctica asistencial, gerencial y de investigación. Es también un instrumento pedagógico potente para la formación y calificación de enfermeros comprometidos con el SUS. En la enseñanza de las enfermedades transmisibles, el uso de la CIPESC® ayuda al análisis de las intervenciones realizadas, al estimular el razonamiento clínico y epidemiológico del proceso salud-enfermedad y de las necesidades de salud individuales, familiares y sociales. Con el propósito de desarrollar recursos didácticos para el currículo de Enfermería y estimular la reflexión sobre el proceso de trabajo de Enfermería, este artículo presenta el relato de una experiencia de aplicación de la CIPESC®, tomando como ejemplo la meningitis meningocócica.
Subject(s)
Humans , Public Health Nursing/classification , Public Health Nursing/education , Epidemiologic Studies , Internationality , Meningitis, Bacterial/nursingABSTRACT
Meningitis is more likely to occur in childhood that at any other age. Preventive measures, in the form of vaccination programmes targeted at certain at-risk age groups, have drastically reduced the incidence in recent years. Early identification of symptoms remains vital in order to prevent mortality and reduce the likelihood of long-term effects.
