British Journal of Community Nursing最新文献_第4页

Insights from lymphoedema healthcare professionals managing lipalgia syndrome (lipoedema): a service evaluation. 淋巴水肿医疗保健专业人员管理脂质水肿综合征（脂质水肿）的见解：一项服务评估。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0013

Garry Cooper, Jayne Williams, Marie Gabe-Walters, Nilofer Husain, Sian Clement-Wake, Melanie Thomas

{"title":"Insights from lymphoedema healthcare professionals managing lipalgia syndrome (lipoedema): a service evaluation.","authors":"Garry Cooper, Jayne Williams, Marie Gabe-Walters, Nilofer Husain, Sian Clement-Wake, Melanie Thomas","doi":"10.12968/bjcn.2025.0013","DOIUrl":"10.12968/bjcn.2025.0013","url":null,"abstract":"Background: Lipalgia syndrome, also known as lipoedema, is a chronic condition involving disproportionate adipose tissue accumulation with pain and tenderness.Aim: This study explores the perceptions, challenges and needs of lymphoedema healthcare professionals supporting and managing patients with lipalgia syndrome/lipoedema in Wales.Methods: A service evaluation was conducted between March and June 2024, involving six face-to-face and one online session. Sixty registered and non-registered healthcare practitioners (HCPs) working in lymphoedema services across Wales participated in the evaluation.Results: Thematic analysis revealed challenges in differential diagnosis, gaps in evidence-based resources and emotional impact on practitioners. Key findings include HCPs feeling inadequate because of perceived limited treatment options and feeling unable to meet perceived patient expectations. However, increased empathy and transparent communication were identified as crucial for enhancing care delivery.Conclusions: The study highlights the need for standardised diagnostic tools, evidence-based guidelines and interdisciplinary collaboration to support effective and empathetic care.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup4","pages":"S18-S28"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking barriers in bladder and bowel health. 打破膀胱和肠道健康的障碍。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0034

Weston Polly, Rantell Angie

引用次数: 0

Clean intermittent self-catheterisation: home training effectiveness and catheter choices. 清洁间歇自我导尿：家庭培训效果与导尿管选择。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0014

Alison Spearman

{"title":"Clean intermittent self-catheterisation: home training effectiveness and catheter choices.","authors":"Alison Spearman","doi":"10.12968/bjcn.2025.0014","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0014","url":null,"abstract":"Clean intermittent self-catheterisation (CISC) or intermittent self-catheterisation (ISC) can be used as treatment for bladder and bowl problems. These problems may be caused by disorders or injuries to the nervous system, non-neurogenic bladder dysfunction, or intravesical obstruction leading to incomplete bladder emptying. Patients need to be comfortable and relaxed to understand why and how to use CISC or ISC. To ensure compliance and competency with CISC, the patient should be given choice when selecting the intermittent catheter for use. It is important to assess the patient holistically and offer them a range of catheters to try and select the one that is most appropriate for their needs. Taking the patient's environment, dexterity and physical ability into account when selecting catheters is equally significant. In 2024, the Isle of Wight Bladder & Bowel service collated qualitative data from patients and professionals that showed excellent outcomes for patients and received positive commentary from the consultant urologist at the local NHS trust. This article emphasises and demonstrates how the Isle of Wight Bladder & Bowel service pathway helped to teach CISC at home. The pathway offers a wide range of catheters, is patient focused, and is both clinically and cost effective.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup4a","pages":"S20-S25"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To pad or not to pad? The use of containment products in healthcare. 垫还是不垫？在医疗保健中使用密封产品。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0033

Tracy Evans

引用次数: 0

The impact of incontinence on mental health. 尿失禁对心理健康的影响。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0051

Myra Robson

引用次数: 0

Stoma care: a review of current practice. 造口护理：当前实践回顾。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0053

Sarah Jane Palmer

引用次数: 0

Treatment options for postoperative faecal incontinence after colorectal surgery. 结直肠术后大便失禁的治疗选择。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0050

Conor Thomas Hamilton, Oonagh McCloy

{"title":"Treatment options for postoperative faecal incontinence after colorectal surgery.","authors":"Conor Thomas Hamilton, Oonagh McCloy","doi":"10.12968/bjcn.2025.0050","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0050","url":null,"abstract":"Postoperative faecal incontinence is a common and challenging complication following colorectal surgery, significantly impacting patients' quality of life. This article provides an overview of the types of colorectal surgical interventions that may contribute to faecal incontinence and explores various treatment options, ranging from conservative management to surgery. Conservative approaches include dietary modifications, bowel training and pharmacological treatments such as bulking agents, antidiarrhoeal medications and biofeedback therapy. For patients with persistent symptoms, advanced therapies such as sacral and tibial nerve stimulation are considered. Surgical options including sphincter repair, pouch formation, artificial anal sphincter implant or colostomy may be required for severe cases. The article reviews the most common treatment modalities, emphasising the importance of an individualised approach. Multidisciplinary care involving colorectal surgeons, physiotherapists and gastroenterologists is essential for optimising outcomes. Ultimately, the management of postoperative faecal incontinence requires careful assessment of the underlying cause, severity of symptoms and patient preferences to guide treatment selection.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup4a","pages":"S12-S18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using psychological theory to inform self-care support for women with lipoedema. 运用心理学理论为女性脂水肿患者提供自我护理支持。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2025.0042

Anne Williams, Lisa McKain

引用次数: 0

Chronic leg oedema, ulceration and heart failure: a potentially deadly and often neglected combination. 慢性腿部水肿、溃疡和心力衰竭：一种潜在的致命且经常被忽视的组合。

British Journal of Community Nursing Pub Date : 2025-04-01 DOI: 10.12968/bjcn.2024.0149

Mette Niemann Johansen, Gregor Borut Ernst Jemec, Matias Greve Lindholm

{"title":"Chronic leg oedema, ulceration and heart failure: a potentially deadly and often neglected combination.","authors":"Mette Niemann Johansen, Gregor Borut Ernst Jemec, Matias Greve Lindholm","doi":"10.12968/bjcn.2024.0149","DOIUrl":"10.12968/bjcn.2024.0149","url":null,"abstract":"Chronic leg ulceration may often be accompanied and exacerbated by the presence of oedema, a common health problem that can cause ulceration, which if left untreated can require amputation. Current clinical consensus indicates compression as the recommended treatment for oedema. While cardiac function is also known to influence oedema, it is rarely considered a parameter of wound management. This article presents a case study of a patient with oedema and ulceration, who avoided a scheduled amputation when lesions healed following the optimisation of cardiac function. The patient had right-sided heart failure with preserved ejection fraction. After fluid drainage, the ulcers began to heal. The case raises the question of cardiac optimisation of leg ulcer patients. This case highlights the potential role of cardiac management in leg ulcer treatment and raises an important question: should cardiac optimisation be a greater consideration in the care of patients with leg ulcers? The prevailing emphasis on compression therapy may benefit from reassessment, with particular attention to the role of cardiac function in wound healing.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup4","pages":"S14-S17"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Silver sulfadiazine therapy for the management of burns. 磺胺嘧啶银治疗烧伤。

British Journal of Community Nursing Pub Date : 2025-03-02 DOI: 10.12968/bjcn.2024.0027

Erinda Tri Iswati, Estrin Handayani, Sumarno Adi Subrata, Robiul Fitri Masithoh, Eka Sakti Wahyuningtyas, Sri Hananto Ponco Nugroho, Retna Tri Astuti, Reni Mareta

{"title":"Silver sulfadiazine therapy for the management of burns.","authors":"Erinda Tri Iswati, Estrin Handayani, Sumarno Adi Subrata, Robiul Fitri Masithoh, Eka Sakti Wahyuningtyas, Sri Hananto Ponco Nugroho, Retna Tri Astuti, Reni Mareta","doi":"10.12968/bjcn.2024.0027","DOIUrl":"10.12968/bjcn.2024.0027","url":null,"abstract":"Background: Burns are a significant global public health concern. There are approximately 180 000 burn-related deaths annually. This review analysed the characteristics of silver sulfadiazine (SSD) therapy and its effectiveness in treating moderate and severe burns.Method: This is a systematic review of studies published between 2018 and 2023, conducted using Google Scholar, PubMed and Science Direct. The search identified 4155 articles; 3708 were excluded based on titles and abstracts. After further screening, 10 full-text articles were analysed, including five randomised controlled trials, one cross-series study, one cross-sectional study and three experimental studies.Findings: The analysis indicated that SSD therapy is effective for second- and third-degree burns. Eight studies reported positive outcomes such as enhanced healing, granulation tissue formation and infection control. However, two studies noted limited effectiveness, highlighting the need for complementary treatments to optimise results. No severe complications were associated with SSD use, demonstrating its safety and reliability in burn care.Conclusions: SSD therapy is an effective and safe option for managing moderate and severe burns, often requiring additional treatments to maximise its benefits.Implications for practice: SSD therapy should be incorporated into burn treatment protocols, with additional therapies considered to enhance healing outcomes. Its effectiveness in infection control makes it a valuable option, particularly in resource-limited settings where advanced treatments may not be available. To optimise burn management, ongoing research and clinician training are essential in refining best practices and ensuring the most effective use of SSD therapy.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S8-S14"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0