Gianluca Pucciarelli

Gianluca Pucciarelli
University of Rome Tor Vergata | UNIROMA2 · Department of Biomedicine and Prevention

RN, PhD FAHA

About

71
Publications
11,317
Reads
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781
Citations
Citations since 2016
68 Research Items
774 Citations
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2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
Additional affiliations
December 2021 - present
University of Rome Tor Vergata
Position
  • Professor (Assistant)
July 2017 - December 2021
University of Rome Tor Vergata
Position
  • PostDoc Position
December 2013 - April 2017
University of Rome Tor Vergata
Position
  • PhD
Education
January 2013 - April 2017
University of Rome Tor Vergata
Field of study
  • Quality of life in stroke families

Publications

Publications (71)
Article
Symptoms of cardiovascular disease drive health care use and are a major contributor to quality of life. Symptoms are of fundamental significance not only to the diagnosis of cardiovascular disease and appraisal of response to medical therapy but also directly to patients’ daily lives. The primary purpose of this scientific statement is to present...
Article
Aim Provide an overview of remote Motivational Interviewing (MI) interventions for chronically-ill patients, and understand their degree of effectiveness on different health outcomes. Methods and results A systematic review with meta-analysis was conducted using the following databases: PubMed, CINAHL, PsychInfo, and Web of Science. Eligibility cr...
Article
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Background: Advances in medicine have caused a notable increase in the survival rates of children born with congenital heart disease, even in the most complicated cases, almost mitigating the disease's pathology from lethal to chronic. The quality of life perceived by such children is influenced by the perceptions of their parents. However, the in...
Article
Aims: To examine the moderating role of caregiver preparedness on the association between stroke survivors' depression and stroke-specific quality of life dimensions. Methods and results: We used a multilevel modelling approach to analyse trajectories of change in the eight Stroke Impact Scale 3.0 subscales [i.e. strength, communication, mobilit...
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Aims To describe and develop a conceptual framework for the process of mutuality between nurse and patient. Design This was a qualitative study with a grounded theory (GT) design following the constructivist approach of Charmaz (SAGE handbook of research, 2014). Methods A sample of 33 patients with one or more chronic diseases and 35 nurses were...
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Home care workers (HCWs) are a highly heterogeneous population in Italy in terms of their professional qualifications. HCWs play an important role in helping patients affected by chronic diseases and their families. While many investigators have studied the lived experiences of family caregivers, few have been conducted ‘to give a voice’ to HCWs an...
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Purpose of review Continuous progress in cancer care has led to its increased use in oral anticancer agents that are easily managed by patients at home with fewer costs and hospitalizations. However, correct self-care behaviors are needed for the safe use of these medications. This review aimed to synthesize studies on self-care behaviors in patien...
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Background Delirium is an acute brain dysfunction associated with increased length of hospitalization, mortality, and high healthcare costs especially in patients admitted to the pediatric intensive care unit (PICU). The Cornell Assessment of Pediatric Delirium (CAPD) is a screening tool for evaluating delirium in pediatric patients. This tool has...
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In this study, we analysed the lived experiences of frontline nurses and physicians who were affected by COVID-19 through a phenomenological study, using a Cohen's phenomenological methodology. The participants were enrolled in the study in May 2020 during the COVID-19 pandemic in Italy. The inclusion criteria were as follows: (1) was a nurse or ph...
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Background : COVID-19 patient experiences in the intensive care unit (ICU) are marked by family separation. Families understand the importance of isolation and hospital visiting policies, but they consider it necessary to visit their loved ones and use personal protective equipment. Objective : To describe the lived experiences of family members i...
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The COVID-19 pandemic is putting strain on every country in the world and their health systems. Healthcare professionals struggle on the frontline and they can experience stigma, which can create difficulties in controlling epidemic diseases, influencing the mental health of healthcare professionals, caregivers, families, communities, and the provi...
Article
Aims: Mutuality, a positive quality of the relationship between patients and their informal caregivers characterized by love and affection, shared pleasurable activities, shared values, and reciprocity, influences several patient-caregiver outcomes in chronic-condition cases, but it remains unknown whether it influences the heart failure (HF) patie...
Article
Background and Purpose Depression and quality of life (QOL) have an interdependent and transactional nature in stroke survivor-caregiver dyads. While the strong relationship between depression and physical and emotional QOL in stroke survivor-caregiver dyads is well known, it is less clear if this relationship is moderated by caregiver preparedness...
Article
Introduction The family members of a patient admitted to a COVID Intensive Care Unit (COVID-ICU) could not communicate with and stay close to their loved one, which resulted in them becoming dependent on hospital staff for remote updates. Objective To describe the lived experiences of families with a member admitted to a COVID-ICU. Methods A phen...
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Aim: To investigate the longitudinal growth trajectories of disease-specific quality of life (QoL) dimensions and their associations over 1 year. Design: A longitudinal design. Data were collected between February 2015-May 2017.Methods: Four hundred and fifteen stroke survivors (mean age 70.6 years; 81% ischaemic stroke) were recruited after disch...
Article
Introduction: Given that emergency procedures must be performed immediately and without the possibility of sufficiently informing and preparing a patient, the lived experiences of patients who undergo emergency procedures and those who undergo elective procedures may well differ. Elucidating the lived experiences of patients who underwent percutane...
Article
Background and aim of the work: Influenza is a disease that affects a large part of the world's population annually, with major health, social and economic impacts. Active immunisation practices have always been recommended to counter influenza, especially for people at risk. The recommendations of major health agencies strongly advise influenza v...
Article
Introduction: The progressive ageing and ever-increasing life expectancy of the world's population are accompanied by an increase in chronic pathologies. Italy continues to be the nation with the highest percentage of senior citizens. Recent economic crises and movements of social change have led to a gradual increase in the use of homecare worker...
Article
Introduction: Research on the trajectory of survivors’ quality of life over time has generally focused on the first six months post-stroke, and results are inconsistent. Indeed, while some studies found an improvement of the stroke survivors’ quality of life from one to six months post-stroke, other studies showed an improvement during inpatient re...
Article
Background: Although several authors have analyzed the effects of spirituality on stroke survivors' physical functioning and on their own caregiver's outcomes, such as quality of life, only few authors have explored the interaction between spirituality and anxiety and depression using a dyadic approach. Objectives: The aim of this study was to a...
Article
Aim and objectives: To assess the prevalence of anxiety, sleep disorders and self-efficacy and their predicting factors among nurses facing COVID-19. Background: The spread of COVID-19 throughout the world determined a series of modifications of several National Health Service organizations, with a potential series of psychological consequences...
Article
Aim The aim of this study was to explore the experience of Italian nurses engaged in caring for patients with COVID‐19. Background COVID‐19 found the healthcare world unprepared to face an emergency of such magnitude. Italy was one of the most affected European countries, with more than 250,000 cases. Understanding the impact of events of this mag...
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Purpose: Redo operations and preoperative antiplatelet/anticoagulant therapy can significantly increase surgical risk in congenital heart surgery. This is a retrospective study on the impact of preoperative aspirin therapy on the outcome of Tetralogy of Redo Fallot patients undergoing right ventricle outflow tract (RVOT) conduit implantation. Metho...
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Clinicians and researchers need valid and reliable instruments to evaluate heart failure (HF) self-care. The Self-Care of Heart Failure Index (SCHFI) is a theoretically driven instrument developed for this purpose. The SCHFI measures self-care with three scales: self-care maintenance, measuring behaviors to maintain HF stability; symptom perception...
Article
Introduction: Nurses are at greater risk of violence during their working hours. About 31% of all aggressions towards nurses occur in hospital or in care settings. The problem of aggressions on healthcare workers is difficult to classify, as the number of aggressions is often underestimated. For this reason, the aim of this study is to analyze phy...
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Purpose: To explore and understand the lived experiences of women with endometriosis. Method: Qualitative study using Cohen phenomenology. Results: The data analysis identified four main themes and two sub-themes. The main themes are: delay in diagnosis, which includes the sub-theme of the misunderstanding of one’s state; worsening of one’s life, w...
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The quality of life (QOL) for patients who have survived an acute myocardial infarction (AMI) depends on their perceptions of their sex lives. Although all educational-rehabilitative international guidelines recommend that this issue would be considered, healthcare professionals and patients who have suffered from AMIs rarely give it the attention...
Article
Background: Authors of previous research have not yet analyzed the role of potential moderators in the relationship between depressive symptoms and quality of life (QOL). Aims: The aim of this study was to examine the moderating effect of mutuality between depressive symptoms and QOL in stroke survivor and caregiver dyads. Methods: This study...
Article
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PurposeStudies have shown that spirituality plays an important role in enhancing the quality of life of stroke survivors and their caregivers. Spirituality has been associated with positive patient and caregiver outcomes, so a valid, reliable measure of spirituality is important. It has not been tested with stroke survivors and their caregivers, so...
Article
Background Because of the importance of a dyadic approach, it is necessary to conduct a systematic review to identify which dyadic intervention could be implemented for stroke survivor–caregiver dyads after discharge from the rehabilitation hospital to improve outcomes. Aims The aims were to systematically review the evidence to identify which dya...
Article
BACKGROUND: Little is known about the protective effect of spirituality on the association between known risk factors such as depression and quality of life (QOL) in stroke survivor-care partner dyads. Therefore, the aim of this study was to evaluate the moderating role of spirituality on the association between depressive symptomatology and QOL in...
Article
Full-text available
Aims Self‐care, an essential component of heart failure (HF) treatment, is inadequate in most patients. We evaluated if motivational interviewing (MI) (i) improves patient self‐care maintenance (primary endpoint; e.g. taking medications), self‐care management (e.g. responding to symptoms) and self‐care confidence (or self‐efficacy) 3 months after e...
Article
Introduction: In-service continuing education offers a unique opportunity to improve knowledge, skills, attitudes, and practices regarding breastfeeding. It has been shown that an online approach to in-service education is effective at improving practices and attitudes toward breastfeeding among health care professionals (HCPs) in the short term....
Article
Background: Lay caregivers are important in contributing to self-care of patients with heart failure (HF). The Caregiver Contributions to Self-Care of Heart Failure Index (CC-SCHFI) measures these contributions, but after developing the Situation-Specific Theory of Caregiver Contributions to Heart Failure Self-Care, the CC-SCHFI needed updating to...
Article
Background: Although several studies have clearly shown that depressive symptoms in stroke survivors and caregivers decreases their quality of life (QOL), previous research has not yet analyzed the role of potential moderators in the relationship between the above two variables. Aims: To examine the moderating effect of caregiver preparedness betwe...
Article
Background After discharge from a rehabilitation hospital, stroke survivors and their families may face considerable stroke-related direct costs. The total amount could be ascribed to the costs of formal and informal care and to the equipment or materials needed for care. Objectives This study aims to describe the direct costs incurred after a stro...
Article
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Aims: To describe the type and the amount of formal and informal care received during the first year after home discharge and to identify the baseline predictors of the formal and informal care needs of stroke survivors. Design:longitudinal study. Data were collected between June 2013-May 2016. Methods: 415 survivors were enrolled during discharge...
Article
Background and purpose Stakeholder engagement is the basis of an emerging and innovative educational model called competency-based education. However, although several studies have analysed the stakeholders' perspective in nursing, few studies have analysed the stakeholders' perspective in competence-based curriculum design. Thus, the aim of this s...
Article
Background: Heart failure (HF) patient-caregiver dyads experience severe psychological problems, such as anxiety and depression. A variable that has been found to be associated with anxiety and depression in patients and caregivers in severe chronic conditions is mutuality. However, this association has not been explored in HF patient-caregiver dy...
Article
INTRODUCTION:Paediatric delirium is associated with a longer duration of hospitalization in paediatric intensive care units, the emergence of post-traumatic symptoms and possible neurocognitive dysfunction after discharge. In preschool children, the diagnosis of delirium appears rather challenging: their pre-verbal status and the presence of cognit...
Article
Background/purpose: The Cardiac Children's Hospital Early Warning Score (C-CHEWS) is an early warning scale used to identify paediatric patients experiencing clinical deterioration which may warrant a transfer to an ICU. However, no studies have tested the C-CHEWS in an Italian paediatric cardiac population. The aims of this study were to translate...
Article
Background: The Heart Failure Somatic Perception Scale (HFSPS) is a four-factor instrument used to assess how bothersome are 18 physical signs and symptoms of heart failure. To date, construct validity and reliability of the HFSPS have been evaluated in only one American study and never in a European population. Aim: To evaluate psychometric proper...
Poster
Full-text available
Self-care in heart failure (HF) patient and caregiver dyads is vital in improving patient outcomes, but the literature shows that self-care is insufficient in several populations. Mutuality, that is the positive quality of the relationship between a patient and his/her caregiver, improves patient and caregiver outcomes in several chronic conditions...
Article
Background: Congenital heart disease is a common birth defect rather than a paediatric disease. Parents often discover this disease after their children's birth and then often learn that cardiac surgery is the only solution. A child's admission to a paediatric cardiac intensive care unit (PCICU) may lead to high levels of stress, anxiety and depres...
Article
Objectives To identify the distinct quality of life (QoL) trajectories among stroke survivors, and to evaluate the associations with their caregivers’ burden, anxiety, and depression. Design This was a longitudinal dyadic study. Settings Stroke survivors and their informal caregivers were enrolled upon discharge from several rehabilitation hospit...
Article
In this study, we described the smartphone work- and non-work-related activities; analysed the differences between smartphone use and nurses’ age, gender and working environment; and observed the influences that personal digital devices have on nurses’ performances. We conducted a cross-sectional and correlational study. A convenience sample of nur...
Article
Background: Higher patient-caregiver mutuality is associated with improved patient and caregiver outcomes, but no studies have tested the psychometric characteristics of the mutuality scale (MS) in heart failure (HF) patient and caregiver population. Objectives: To test the validity and reliability of the MS. Methods: A cross-sectional design....
Article
Aim. To longitudinally describe stroke caregivers’ quality of life, anxiety, depression and burden and to identify predictors of stroke caregivers’ quality of life, anxiety, depression and burden. Background. Caregivers have a key role in stroke survivor care, and the first year of caregiving is the most challenging. To provide tailored interventio...
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Background: Congenital Heart Diseases (CHDs) afflicting children are estimated in 8 per 1000 live births. Recent advances in surgery and medical treatments allowed an improvement in survival rates leading to changes in diseases management as chronic conditions. Parents involvement during clinical pathways is considered an essential component of car...
Article
Background: Congenital Heart Diseases (CHDs) afflicting children are estimated in 8 per 1000 live births. Recent advances in surgery and medical treatments allowed an improvement in survival rates leading to changes in diseases management as chronic conditions. Parents involvement during clinical pathways is considered an essential component of car...
Article
Aims and objectives: To observe the clinical and structural factors that can be associated with the post-operative onset of delirium in patients who have undergone heart surgery. Background: Several risk factors could contribute to the development of delirium, such as the use of some sedative drugs and a patient's history with certain types of a...
Poster
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ETÀ (MEDIA-DS) 89 (DS=6.9) SESSO MASCHIO 75 84.3 % FEMMINA 14 15.7 % STATO CIVILE SPOSATO 71 79.8 % VEDOVO 18 20.2 % TIPO DI INTERVENTO BYPASS 72 80.9 % ENDOPROTESI 17 19.1 % COMORBILITÀ DIABETE 35 39.3 % ARITMIE 33 37.1 % INSUFFICIENZA RENALE 6 6.7 % DISTURB DEL SONNO 56 62.9 % ORE DI VENTILAZIONE MECCANICA(MEDIA-DS) 5.4 (DS=1.6) GIORNI DI DEGENZA...
Article
Introduzione: I difetti cardiaci sono molto comuni nell’età pediatrica; spesso i genitori scoprono, dopo la nascita, queste patologie ed apprendono che l’intervento di cardiochirurgia è l’unica soluzione. Il ricovero del proprio bambino in una Terapia Intensiva comporta elevati livelli di stress, ansia, depressione. Gli infermieri assumono un ruolo...
Article
INTRODUCTION:Glaucoma is often a misdiagnosed pathology and is one of the main causes of blindness in the world population.Glaucoma frequentlycauses limitations in theactivities of daily livingand changes the patient's quality of life. AIM:The purpose of our study is to describe the life experiences of subjects in southern Italy suffering from gla...
Article
Introduction: In healthcare, smartphone is becoming an important tool among nursing population. With the smartphones, it was possible to implement new care models. However, if used incorrectly, it could be the cause of nurses' distraction and nosocomial infection. Aim: To analyze the various apps used by the nursing population and describe the s...
Poster
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Stroke survicors and caregivers are interdepedent. Physical functioning and caregiver burden are associatesi with Stroke survivor and caregiver QOL
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Background and Purpose—The purpose of this study was to examine changes in stroke survivor and caregiver quality of life (QOL) and to determine whether changes in survivor physical functioning and caregiver burden (ie, the impact of the physical, psychological, and social demands of caregiving) influence changes in QOL. Methods—Longitudinal design...
Article
Aims and objectives: The purpose of this study is to observe the extent to which a nursing discharge plan is effective in promoting therapeutic adherence and improving patient satisfaction with their treatment based on information interventions provided by nursing staff, direct hospital medication distribution, and follow-up telephone calls BACKGR...
Article
Purpose: The present study evaluated the efficacy of a nursing educational intervention in alleviating the level of parental anxiety in the parents of children who required heart surgery for the first time. Design and methods: A comparative study was used to explore the parents of children who had to undergo cardiac surgery. Parents of children...
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Full-text available
Aim: Caregiving of stroke patients has a long trajectory and the experiences of caregi- vers may change over time. Few studies have described the experience of stroke caregi- vers three months after discharge of patients from rehabilitation hospitals. This study describes the experience of stroke caregivers three months after patients are discharg...
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Full-text available
Purpose: The Mutuality Scale (MS) is composed of four theoretically derived factors (love, shared pleasurable activities, shared values, and reciprocity), but this structure has never been confirmed. Also, research involving the patient's perspective on the MS is limited. In this study, we tested the factorial structure of the MS and its reliabili...
Article
AimTo describe a new conceptual framework and the research protocol of a study designed to examine the quality of life in stroke survivor–caregiver dyads.Background Stroke has a significant impact on the patient–caregiver dyad. Few studies have been guided by a specific conceptual framework which considers the interactions among pre-existing situat...