Yosra Mejdoub

Because asthmatic children are fragile and inexperienced, they depend on their parents to give them a balanced life. So the quality of parental care, among other factors, is a key determinant of asthma control in children. Parents' levels of education, especially in health matters, form the basis for better quality parental care. This study was conducted in the paediatric emergency and resuscitation department of the CHU Hedi Chaker in Sfax, Southern Tunisia to assess parents' knowledge of asthma and their involvement in the management of this condition. The results obtained confirmed that asthma is a real concern and a problem for parents with an average level of knowledge, especially in terms of the pathophysiology of asthma and the use of treatment, which predisposes this population to more exacerbations, with a consequent deterioration in their quality of life. Given that asthma is the leading chronic disease in children, recognized by some as benign because paediatric mortality is fortunately low, but with a high morbidity rate, it should benefit from major national measures.

Aim: To evaluate the frequency of depression in elderly subjects undergoing hemodialysis and to identify associated factors. Methods: Cross-sectional study that included subjects over 65 years of age with chronic renal failure undergoing periodic hemodialysis in the cities of Tataouine and M denine in southern Tunisia during the month of October 2017. Data were collected through a semi-structured interview of the patient and a family member using three geriatric scales: the Mini Mental State Examination (MMSE), the Geriatric Depression Scale (GDS) and the Katz Autonomy Scale (ADL). Results: Of the 81 patients included, 67% had depression. Depression was significantly associated with: illiteracy, lack of physical activity, lack of leisure activity, presence of a stressor, lack of autonomy, presence of motor disability, presence of a physical comorbidity, pre-dialytic creatinemia⩽ 800μmol/l, hypoprotidemia and cognitive impairment. Conclusion: The development of effective strategies taking into account the risk factors for depression is necessary for adequate management of these patients.

Ziel: Die H ufigkeit von Depressionen bei lteren H modialysepatienten zu bewerten und die damit verbundenen Faktoren zu identifizieren. Methoden: Eine Querschnittsstudie, die chronisch niereninsuffiziente Patienten ber 65 Jahre mit periodischer H modialyse in den St dten Tataouine und Medenine im S den Tunesiens im Oktober 2017 einschloss. Die Datenerhebung erfolgte durch ein semi-direktives Interview mit dem Patienten und einem Familienmitglied unter Verwendung von drei geriatrischen Skalen: der Mini Mental State Examination (MMSE), der Geriatric Depression Scale (GDS) und der Katz Autonomy Scale (ADL). Ergebnisse: Von den 81 eingeschlossenen Patienten wiesen 67% eine Depression auf. Die Depression war signifikant assoziiert mit: Analphabetismus, fehlender k rperlicher Aktivit t, fehlender Freizeitaktivit t, Vorhandensein eines Stressfaktors, fehlender Autonomie, motorischer Behinderung, k rperlicher Komorbidit t, pr dialytischer Kreatinin mie⩽ 800μmol/l, Hypoprotidemie und kognitiven St rungen. Schlussfolgerung: Die Entwicklung wirksamer Strategien, die die Risikofaktoren f r Depressionen ber cksichtigen, ist f r eine angemessene Behandlung dieser Patienten erforderlich.

Obiettivo: valutare la frequenza della depressione nei soggetti anziani sottoposti a emodialisi e identificare i fattori associati. Metodi: Studio trasversale che ha incluso soggetti di et superiore a 65 anni con insufficienza renale cronica sottoposti a emodialisi periodica nelle citt di Tataouine e M denine, nel sud della Tunisia, durante il mese di ottobre 2017. I dati sono stati raccolti attraverso un'intervista semi-strutturata al paziente e a un familiare utilizzando tre scale geriatriche: il Mini Mental State Examination (MMSE), la Geriatric Depression Scale (GDS) e la Katz Autonomy Scale (ADL). Risultati: degli 81 pazienti inclusi, il 67% presentava depressione. La depressione era significativamente associata a: analfabetismo, mancanza di attivit fisica, mancanza di attivit ricreative, presenza di un fattore di stress, mancanza di autonomia, presenza di una disabilit motoria, presenza di una comorbidit fisica, livello di creatinina pre-dialisi⩽ 800μmol/l, ipoprotidemia e deterioramento cognitivo. Conclusioni: lo sviluppo di strategie efficaci che tengano conto dei fattori di rischio per la depressione necessario per una gestione adeguata di questi pazienti.

Objetivo: Avaliar a frequ ncia da depress o em idosos submetidos a hemodi lise e identificar os factores associados. M todos: Estudo transversal que incluiu indiv duos com mais de 65 anos de idade com insufici ncia renal cr nica submetidos a hemodi lise peri dica nas cidades de Tataouine e M denine, no sul da Tun sia, durante o m s de outubro de 2017. Os dados foram recolhidos atrav s de uma entrevista semiestruturada ao doente e a um familiar, utilizando tr s escalas geri tricas: o Mini Exame do Estado Mental (MEEM), a Escala de Depress o Geri trica (EDG) e a Escala de Autonomia de Katz (ADL). Resultados: Dos 81 doentes inclu dos, 67% tinham depress o. A depress o foi significativamente associada a: analfabetismo, falta de atividade f sica, falta de atividade de lazer, presen a de fator de stress, falta de autonomia, presen a de defici ncia motora, presen a de comorbilidade f sica, n vel de creatinina pr -di lise⩽ 800μmol/l, hipoprotidemia e d fice cognitivo. Conclus o: O desenvolvimento de estrat gias eficazes que tenham em conta os factores de risco para a depress o necess rio para uma gest o adequada destes doentes.