Migraine education brochures and patient-perceived satisfaction

IntroductionThe utilisation of chest CT for the evaluation of pulmonary disorders, including low-dose CT for lung cancer screening, is increasing in the USA. As a result, the discovery of both screening-detected and incidental pulmonary nodules has become more frequent. Despite an overall low risk of malignancy, pulmonary nodules are a common cause of emotional distress among adult patients.MethodsWe conducted a multi-institutional quality improvement (QI) initiative involving 101 participants to determine the effect of a pulmonary nodule fact sheet on patient knowledge and anxiety. Males and females aged 35 years or older, who had a history of either screening-detected or incidental solid pulmonary nodule(s) sized 3–8 mm, were included. Prior to an internal medicine or pulmonary medicine clinic visit, participants were given a packet containing a pre-fact sheet survey, a pulmonary nodule fact sheet and a post-fact sheet survey.ResultsOf 101 patients, 61 (60.4%) worried about their pulmonary nodule at least once per month with 18 (17.8%) worrying daily. The majority 67/101 (66.3%) selected chemotherapy, chemotherapy and radiation, or radiation as the best method to cure early-stage lung cancer. Despite ongoing radiographic surveillance, 16/101 (15.8%) stated they would not be interested in an intervention if lung cancer was diagnosed. Following review of the pulmonary nodule fact sheet, 84/101 (83.2%) reported improved anxiety and 96/101 (95.0%) reported an improved understanding of their health situation. Patient understanding significantly improved from 4.2/10.0 to 8.1/10.0 (p<0.01).ConclusionThe incorporation of a standardised fact sheet for subcentimeter solid pulmonary nodules improves patient understanding and alleviates anxiety. We plan to implement pulmonary nodule fact sheets into the care of our patients with low-risk subcentimeter pulmonary nodules.

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Effect of a pulmonary nodule fact sheet on patient anxiety and knowledge: a quality improvement initiative

Koroscil

Bowman

Morris

et al. 2018

BMJ Open Qual

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Multidisciplinary approach to psoriasis in the Spanish National Health System: A social return on investment study

Carretero

Moreno

González-Domínguez

et al. 2020

Grhta

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Introduction: Psoriasis is a chronic disease in which patients feel stigmatization, social rejection, and suffer from low self-esteem. There are still unmet needs that make it necessary to define a new multidisciplinary approach to provide benefits not only to patients and their families but also to the Spanish National Health System (SNHS) and society. The aim was to define a new approach to better address the unmet needs of patients with psoriasis within the SNHS and to measure its impact from a social perspective, that is, in clinical, health care, economic, and social terms. Methods: Multidisciplinary experts identified, agreed on, and selected several health care interventions that were feasible for implementation in the SNHS. This process was carried out in four different areas: diagnosis, mild psoriasis, moderate psoriasis, and severe psoriasis. To estimate investment and social return, the social return on investment (SROI) method was used. Results: The new approach to psoriasis management in the SNHS comprised 18 proposals. The investment needed for the implementation of this new approach would amount to €222.77 million and its return to €1,123.11 million. This would yield a SROI ratio of €5.04 for every euro invested. Conclusion: The new approach to psoriasis management would yield a positive social return. The results will allow optimal strategic planning adapted to each assistance situation, to achieve a comprehensive and multidisciplinary approach.

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The importance of education of patients with migraine

Krstić¹,

Trbović²,

Jovanović³

et al. 2022

Sestrinska vizija

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Migraine is a type of headache with recurring attacks of unilateral pulsating pain of high intensity. It is accompanied by photophobia, phonophobia and nausea and/or vomiting. Migraine treatment is very complex because often it is not possible to apply only one medicine that will relieve the pain for a long period of time. Aim of this work is to investigate the most common problems of patients with migraine and the impact of patient education on their quality of life. The method of systematic presentation of the research of other researchers was applied. The databases Scindeks, Hrcak, Google schoolar, Scielo, BMJ were searched. According to the results of numerous studies, the most common migraine triggers are alcohol, smells, emotional disturbances, stress, fatigue, lack of sleep and hormonal changes. The most pronounced problems of migraine patients are moderate to severe pain, throbbing pain, sensitivity to light, sensitivity to sounds, nausea and vomiting during a migraine attack. The reviewed studies show that education (about migraine, triggers, headache attacks, therapy, self-care) for patients with migraine is very useful for improving their health and quality of life. Health care of migraine patients should be based on individual problems and care needs because only in this way can better control of headaches and greater functionality of patients be encouraged. Care, therapy and education help prevent migraine attacks and improve quality of life.

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Migraine education brochures and patient-perceived satisfaction

Cited by 3 publications

References 11 publications

Effect of a pulmonary nodule fact sheet on patient anxiety and knowledge: a quality improvement initiative

Effect of a pulmonary nodule fact sheet on patient anxiety and knowledge: a quality improvement initiative

Multidisciplinary approach to psoriasis in the Spanish National Health System: A social return on investment study

The importance of education of patients with migraine

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