Gastroenterology Nursing最新文献_第2页

A Scoping Review of Interventions to Reduce Feeding Tube-Related Medication Errors. 减少饲管相关用药错误干预措施的范围综述。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-28 DOI: 10.1097/SGA.0000000000000866

Bridget S Stefanski, Roschelle A Heuberger

{"title":"A Scoping Review of Interventions to Reduce Feeding Tube-Related Medication Errors.","authors":"Bridget S Stefanski, Roschelle A Heuberger","doi":"10.1097/SGA.0000000000000866","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000866","url":null,"abstract":"Medication errors remain problematic when using feeding tubes for enteral nutrition and pharmacotherapy. Adverse effects, reduced medication efficacy, and toxicity are reported despite best practice guidelines. This scoping review explores interventions to reduce feeding tube-related medication errors. Thirteen trials investigated error reduction or improvements in medication preparation and administration. Eight interventions were identified: pharmacist interventions, pharmacist attending rounds, addition of standard operating procedures, pharmacist-provided education, medication information, creation of medication error reporting systems, decision flow charts, and clinical decision support systems. The results were mixed. Some studies reported high acceptance rates of pharmacist recommendations, while others did not. The rates of error reduction varied (30.8%-85.2%) and we found decreased need for dosage modification or feeding tube-related medication error due to improvements in knowledge and practice after education. Only one study reported an increase in tube occlusion due to failure to pulverize medications. Most studies were small, lacked blinding or controls, and performed measurements immediately post-intervention. There is a need for additional research.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"48 3","pages":"161-173"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Experiences and Needs of Patients With Colorectal Cancer: A Qualitative Study. 探讨结直肠癌患者的经历和需求：一项定性研究。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-28 DOI: 10.1097/SGA.0000000000000865

Gülyeter Erdoğan Yüce, Ayser Döner, Gamze Muz

{"title":"Exploring the Experiences and Needs of Patients With Colorectal Cancer: A Qualitative Study.","authors":"Gülyeter Erdoğan Yüce, Ayser Döner, Gamze Muz","doi":"10.1097/SGA.0000000000000865","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000865","url":null,"abstract":"This qualitative study aimed to analyze the experiences and needs of colorectal cancer patients undergoing chemotherapy during the diagnosis and treatment process. Purposeful sampling was used in the study, and 15 colorectal cancer patients undergoing chemotherapy were included. Data were collected through face-to-face interviews using a semi-structured interview form and analyzed using Colaizzi's seven-stage method. In the study, 5 themes and 10 subthemes emerged that reflect the experiences and needs of individuals diagnosed with colorectal cancer. The main themes were: facing off cancer, navigating symptom challenges, navigating challenges beyond health, uncertain future full of fears, and finding strength in adversity. The study provided a comprehensive overview of the emotional, physical, psychological, social, and financial challenges encountered during the treatment process, as well as the coping methods, support systems, and needs of patients. The findings reveal that colorectal cancer patients have numerous ongoing needs including physical, emotional, psychological, spiritual, and financial support. The results emphasize that healthcare professionals need to take more initiative to improve colorectal cancer patients' quality of life and care processes.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"48 3","pages":"215-226"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of Sepsis in Gastroenterology Patients and the Role of Nurses to Prevent, Identify, Manage, and Educate About Sepsis. 胃肠病患者脓毒症的风险及护士预防、识别、管理和教育脓毒症的角色。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-28 DOI: 10.1097/SGA.0000000000000906

引用次数: 0

Hypoglycemia During Bowel Preparation for Colonoscopy in Outpatients: A Cross-Sectional Study. 门诊患者结肠镜检查肠道准备期间的低血糖：一项横断面研究。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-28 DOI: 10.1097/SGA.0000000000000868

Yanru Shao, Xinzhi Shan, Shanshan Li, Yijun Xu

{"title":"Hypoglycemia During Bowel Preparation for Colonoscopy in Outpatients: A Cross-Sectional Study.","authors":"Yanru Shao, Xinzhi Shan, Shanshan Li, Yijun Xu","doi":"10.1097/SGA.0000000000000868","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000868","url":null,"abstract":"This study investigated the current occurrence of hypoglycemia during bowel preparation of outpatients undergoing colonoscopy in endoscopy centers. A total of 399 outpatients from an eastern province of China participated in the survey. Participants' characteristics and health information, colonoscopy information questionnaire and the state-trait anxiety inventory (STAI) were used as the study tools. Terminal blood glucose was measured by trained nurses before and after colonoscopy. The results showed that the incidence of hypoglycemia during bowel preparation was 17%. Mildly coughing when eating food (odds ratio [OR] = 3.821, 95% confidence interval [CI] = 1.570-9.299, p = .003), drinking alcohol 4-6 times per week (OR = 5.776, 95% CI = 1.794-18.600, p = .003), a history of hypoglycemia (OR = 2.275, 95% CI = 1.135-4.557, p = .020), fasting time ≥ 10 h (OR = 2.933, 95% CI = 1.118-7.699, p = .029), waiting time ≥ 12 h (OR = 0.446, 95% CI = 0.226-0.879, p = .020), subjective hunger (OR = 4.742, 95% CI = 2.255-9.972, p < .001), and STAI score (OR = 1.051, 95% CI = 1.012-1.090, p < .001), were the influencing factors of hypoglycemia in outpatients. It is suggested that clinical staff in endoscopy centers should identify the above risk factors as soon as possible, and conduct timely intervention to prevent hypoglycemia and avoid more serious consequences.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"48 3","pages":"191-202"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of a Core Care Nursing Outcomes Classification System for Liver Transplantation Patients: A Retrospective Case Study. 核心护理结果分类系统在肝移植患者中的应用：回顾性病例研究。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1097/SGA.0000000000000894

Mingyan Shen, Zuxin Shi

{"title":"Application of a Core Care Nursing Outcomes Classification System for Liver Transplantation Patients: A Retrospective Case Study.","authors":"Mingyan Shen, Zuxin Shi","doi":"10.1097/SGA.0000000000000894","DOIUrl":"10.1097/SGA.0000000000000894","url":null,"abstract":"Hepatolenticular degeneration (HLD), also known as Wilson's disease, is an autosomal recessive disorder of copper metabolism caused by mutations in the ATP7B gene. Due to defective copper excretion in the liver, excess copper accumulates in tissues such as the liver, brain, kidneys, and corneas. Clinically, this manifests as liver dysfunction, motor disturbances, psychiatric symptoms, and damage to the kidneys and eyes. Liver transplantation, by replacing the diseased liver with a healthy donor liver, addresses the underlying genetic defect, disrupting the cycle of copper accumulation and systemic damage, and is currently the only curative treatment for the disease. This case report discusses a 17-year-old male diagnosed with HLD for one year who developed severe liver failure and underwent emergency liver transplantation. The patient's critical condition meant that the comprehensiveness and effectiveness of postoperative nursing care were crucial to his outcome. This case study utilized a core Nursing Outcomes Classification system for liver transplantation, previously developed through research, and achieved satisfactory results based on the actual data from the patient.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"203-214"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resilience and Counseling Received by Colorectal Cancer Patients During a 1-Year Follow-Up: PHASE II of a Longitudinal Study. 结直肠癌患者在1年随访期间的恢复力和咨询：一项纵向研究的II期。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-04-17 DOI: 10.1097/SGA.0000000000000883

Saija Pauliina Sihvola, Lauri Markus Kuosmanen, Santtu Juhani Mikkonen, Tarja Anneli Kvist

{"title":"Resilience and Counseling Received by Colorectal Cancer Patients During a 1-Year Follow-Up: PHASE II of a Longitudinal Study.","authors":"Saija Pauliina Sihvola, Lauri Markus Kuosmanen, Santtu Juhani Mikkonen, Tarja Anneli Kvist","doi":"10.1097/SGA.0000000000000883","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000883","url":null,"abstract":"Longitudinal studies on the resilience of colorectal cancer patients and the counseling they receive are rare. This study's purpose was threefold: to describe the resilience and received counseling of colorectal cancer patients after 1 year post surgery; the relationships between background characteristics, resilience, and counseling; and the changes that occurred in the findings. Data were collected in Finland in 2020-2023 after 1 month (phase I) and a year (phase II) of the colorectal cancer surgery using the Connor-Davidson Resilience Scale© and the Counseling Quality Instrument©. A total of 103 participants completed phase I, 51 participants completed phase II, and 41 participants completed both phases. Phase II of the study showed that among the respondents (n = 51), resilience was low (mean 73.3) and significantly related to marital status (p = .007). Most (75%) evaluated counseling as good, and the evaluations were similar in both study phases (n = 103, n = 51). The lowest scores were for psychosocial support, patient-centeredness, and goal-directedness. Knowledge of the illness and its care, general health and patient attitudes, and disease treatment and self-care decreased significantly within the year (n = 41). Changes in resilience were not found (n = 41). The findings suggest that colorectal cancer patients might need more psychosocial support. Patients' care should be carefully planned to better address their needs.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Experiences of Patients Who Participated in a Family Involvement Program After Abdominal Cancer Surgery: An Interpretative Phenomenological Analysis. 腹部癌症手术后参与家庭参与计划的患者的经历：诠释现象学分析。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-03-01 Epub Date: 2024-11-22 DOI: 10.1097/SGA.0000000000000857

Sani M Kreca, Selma C W Musters, Mariken E E Horst, Cornelia H N M van Ingen, Els J M Nieveen van Dijkum, Anne M Eskes

{"title":"The Experiences of Patients Who Participated in a Family Involvement Program After Abdominal Cancer Surgery: An Interpretative Phenomenological Analysis.","authors":"Sani M Kreca, Selma C W Musters, Mariken E E Horst, Cornelia H N M van Ingen, Els J M Nieveen van Dijkum, Anne M Eskes","doi":"10.1097/SGA.0000000000000857","DOIUrl":"10.1097/SGA.0000000000000857","url":null,"abstract":"To prepare patients' families for active care roles after discharge, a family involvement program was developed. We aimed to gain in-depth insight into patients' well-being and experience during the program regarding the active involvement of family caregivers after oncological gastrointestinal cancer surgery during their hospital stay. Semi-structured interviews were conducted with 13 patients who participated in the program. Patients emphasized that participation in the program gave them a sense of feeling at home. They reported that having a family caregiver on their side during hospitalization strengthened their existing relationship and contributed to their recovery by motivating them. Patients felt safer and more confident. Although patients described predominantly positive results, they also mentioned that unclear guidance from nurses made them feel less safe, especially when they saw their family caregivers struggling. Patients experience being accompanied and cared for by their family caregivers as meaningful and contributory to their recovery. Patients felt safer, more confident, and more relaxed.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"91-99"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Eosinophilic Esophagitis. 嗜酸性食管炎。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-28 DOI: 10.1097/SGA.0000000000000886

Cathy S Birn

引用次数: 0

National Colorectal Cancer Roundtable: 2024 Update. 全国结直肠癌圆桌会议：2024年更新。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-28 DOI: 10.1097/SGA.0000000000000888

Cathleen Shellnutt

引用次数: 0

Lived Experiences of Patients With Inflammatory Bowel Disease in Italy: A Phenomenological Investigation. 意大利炎症性肠病患者的生活经历：现象学调查。

IF 0.7 4区医学

Gastroenterology Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-28 DOI: 10.1097/SGA.0000000000000853

Silvio Simeone, Rocco Spagnuolo, Cristina Cosco, Elena Tino, Raffaele Pagnotta, Patrizia Doldo

{"title":"Lived Experiences of Patients With Inflammatory Bowel Disease in Italy: A Phenomenological Investigation.","authors":"Silvio Simeone, Rocco Spagnuolo, Cristina Cosco, Elena Tino, Raffaele Pagnotta, Patrizia Doldo","doi":"10.1097/SGA.0000000000000853","DOIUrl":"10.1097/SGA.0000000000000853","url":null,"abstract":"Inflammatory bowel disease is a type of chronic gastrointestinal inflammatory disease. The chronic nature of the disease, the severity of its symptoms, and its unpredictability make it comparable to cancers regarding both its influence on quality of life and the direct and indirect health costs. The impact of inflammatory bowel disease on daily life is well documented; however, despite the notable increase in the incidence of inflammatory bowel disease in recent years, the international literature still does not adequately take into account the perspective of patients and how they experience the disease in their daily lives. With Cohen's phenomenology method, we investigate the lived experience of people suffering from inflammatory bowel disease. Our sample included 21 participants with an average age of 47 years. Three main themes and related subthemes emerged: A \"deep life change\" with the subtheme of \"self-isolation,\" being \"invisibly sick,\" and \"receiving the diagnosis\" with the subtheme of \"trust in health professionals.\" Understanding the lived experiences of people living with inflammatory bowel disease will aid in the development of educational programs and effective interventions.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"48 2","pages":"116-127"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0