Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates最新文献

{"title":"PARKINSON'S DISEASE ACCOMPANIED BY PRIMARY BILIARY CIRRHOSIS: A CASE REPORT.","authors":"Mohammad Reza Hossein Tehrani, Maryam Poursadeghfard","doi":"10.1097/SGA.0000000000000471","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000471","url":null,"abstract":"Correspondence to: Maryam Poursadeghfard, MD, Clinical Neurology Research Center, Department of Neurology, Motahari Clinic, Nemazee Sq, Shiraz, Iran ( poursadegh@sums.ac.ir or poursadra@ gmail.com ). Parkinson’s disease (PD) is a disorder with multiple motor manifestations including resting tremor, bradykinesia, akinesia, rigidity, and postural instability due to loss of dopaminergic neurons in substantia nigra ( Zaltieri et al., 2015 ). The prevalence of PD is estimated to be about 1% ( Ryan, Hoek, Fon, & Wade-Martins, 2015 ). Ten percent of all Parkinson’s cases are hereditary and lead to early onset of the disease ( Spatola & Wider, 2014 ). Many investigators believe that PD arises from the interaction between genetic and environmental factors ( Pringsheim, Jette, Frolkis, & Steeves, 2014 ). Thus, it can lead to different molecular mechanisms related to the neurodegenerative process, probably by inducing mitochondrial impairment from deposition of α -synuclein ( Zaltieri et al., 2015 ). Primary biliary cirrhosis (PBC) is a chronic and slow progressive liver disease suspected to be due to an autoimmune cause because of its strong association with specific autoantibodies (antimitochondrial and antigp210 antibodies) ( Corpechot, Chretien, Chazouilleres, & Poupon, 2010 ). This disease can lead to liver cirrhosis ( Newton et al., 2007 ). The most prevalent symptom is fatigue, which is unrelated to the disease severity ( Huet, Deslauriers, Tran, Faucher, & Charbonneau, 2000 ) and can be attributed to a central mechanism ( Newton et al., 2007 ). Primary biliary cirrhosis is more prevalent in females and is believed to have a correlation with other autoimmune illnesses such as rheumatoid arthritis, systemic lupus erythematous, and Graves’ disease. Some genetic and environmental factors are assumed to contribute to the development of PBC ( Corpechot et al., 2010 ). PARKINSON’S DISEASE ACCOMPANIED BY PRIMARY BILIARY CIRRHOSIS: A CASE REPORT","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"196-198"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804496","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}

{"title":"Nursing Management of Hepatic Encephalopathy.","authors":"Diana Rodenbaugh,&nbsp;Christina T Vo,&nbsp;Rhoda Redulla,&nbsp;Kathleen McCauley","doi":"10.1097/SGA.0000000000000434","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000434","url":null,"abstract":"<p><p>This article provides a background of hepatic encephalopathy, its relation to liver disease as well as its prevalence in the United States. A literature review provides an overview of HE discussing the pathophysiology, evidence-based diagnosis, and grading of the disease severity as well as treatment options and interventions. A large emphasis of the article is placed on nursing's role of identifying and managing hepatic encephalopathy. The authors hope to provide clinical nurses with the tools and information needed to provide evidence-based care to this patient population. Pharmacologic therapies, as well as nutrition for these patients, are other topics reviewed. Education for nurses on the management of hepatic encephalopathy is important, as well as education needed for patients and families to support them through the treatment and follow-up care needed to manage hepatic encephalopathy. The authors also hope to provide nurses with education tips to provide the patients and families they care for during their hospitalization with HE, as well as on discharge from the hospital to prevent reoccurrence of symptoms.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E35-E47"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804498","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}

{"title":"The Chronic Liver Disease Nurse Role in Australia: Describing 10 Years of a New Role in Cirrhosis Management.","authors":"Rachel Wundke,&nbsp;Rosemary McCormick,&nbsp;Sumudu K Narayana,&nbsp;Lea Sorensen,&nbsp;Alan Wigg","doi":"10.1097/SGA.0000000000000424","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000424","url":null,"abstract":"<p><p>Cirrhosis of the liver is increasing, with growing patient numbers in hospital outpatient departments, as well as increasing admissions due to decompensated liver disease. Decompensated cirrhosis of the liver is a common and debilitating illness causing disability, readmissions to hospital, and decreased quality of life, and can lead to liver cancer. The advent of the chronic liver disease nurse (CLDN) position in our hospital in 2009 was the first role in Australia dedicated to providing care to patients with cirrhosis. The role incorporates the care of patients with stable compensated disease, case management of patients with complications of decompensated disease, and hepatocellular carcinoma coordination. After a pilot randomized controlled trial and almost 10 years of service, this article describes the role of the CLDN and presents key performance indicators that will assist other centers considering introducing the role or elements of it into their service.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E9-E15"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37513764","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}

{"title":"Relationships Between Abdominal Pain and Fatigue With Psychological Distress as a Mediator in Women With Irritable Bowel Syndrome.","authors":"Claire J Han,&nbsp;Monica E Jarrett,&nbsp;Margaret M Heitkemper","doi":"10.1097/SGA.0000000000000383","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000383","url":null,"abstract":"<p><p>Women with irritable bowel syndrome often report fatigue, along with abdominal pain and psychological distress (i.e., depression and anxiety). There is little information about the relationships among these symptoms. Using a secondary data analysis (N = 356), we examined the relationship between abdominal pain and fatigue and whether psychological distress mediates the effect of abdominal pain on fatigue in both across women and within woman with irritable bowel syndrome. Data gathered through a 28-day diary were analyzed with linear regressions. The across-women and within-woman relationships among same-day abdominal pain, fatigue, and psychological distress were examined. Within-woman relationships were also examined for directionality among symptoms (i.e., prior-day abdominal pain predicts next-day fatigue and prior-day fatigue predicts next-day abdominal pain). In across-women and within-woman analyses on the same day, abdominal pain and fatigue were positively correlated. In within-woman analyses, abdominal pain predicted next-day fatigue, but fatigue did not predict next-day pain. In across-women and within-woman analyses, psychological distress partially mediated the effects of abdominal pain on fatigue. Symptom management incorporating strategies to decrease both abdominal pain and psychological distress are likely to reduce fatigue. Nursing interventions, such as self-management skills to reduce abdominal pain and psychological distress, may have the added benefit of reducing fatigue in irritable bowel syndrome.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"28-39"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37522467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Emergency Room Admission in Patients With Liver Cirrhosis: A Prospective, Descriptive Study.","authors":"Eun Kyung Kim,&nbsp;Heeok Park","doi":"10.1097/SGA.0000000000000399","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000399","url":null,"abstract":"<p><p>This study aimed to identify the predictors of emergency room (ER) admission in patients with liver cirrhosis. The data of 215 patients with liver cirrhosis who visited the ER were collected from January 1 to March 15, 2017, at Yeungnam hospital in Daegu city, South Korea. Measurement scales were designed on the basis of the liver function test and evaluation of anxiety and depression, self-care, and family support. Diseases that cause liver cirrhosis, their associated characteristics, and respective hematologic examination results were reviewed from the hospital's electronic medical records. Among the 215 patients with liver cirrhosis who visited the ER, 47 (21.9%) had previous ER admissions, whereas 168 (78.1%) had none. Fifteen predictive factors that were significantly different between the ER admission and non-ER admission groups were included as variables in logistic regression analysis. This analysis revealed that the 3 significant predictors of ER admission in patients with liver cirrhosis were number of prior complications, serum bilirubin level, and self-care compliance. An increased number of prior complications, increased bilirubin level, and low self-care compliance increased the ER admission rates in patients with liver cirrhosis. Thus, further studies are necessary to measure the effects of nursing intervention strategies based on these findings.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"65-75"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000399","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37585480","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}

{"title":"Effect of Short Message Service Use on Bowel Preparation Quality in Patients Undergoing Colonoscopy.","authors":"Zeynep Kızılcık Özkan,&nbsp;Seher Ünver,&nbsp;Ümmü Yıldız Fındık,&nbsp;Doğan Albayrak,&nbsp;Şükriye Fidan","doi":"10.1097/SGA.0000000000000405","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000405","url":null,"abstract":"<p><p>This study aimed to determine the effect of SMS use on the bowel preparation quality and satisfaction in patients who underwent colonoscopy. This study was conducted as an experimental-control study with 200 patients who had received colonoscopy in the endoscopy unit of a university hospital in Eastern Thrace of Turkey between December 1, 2016, and June 30, 2017. All patients received a standard bowel preparation. The SMS was sent in addition to the standard bowel preparation to patients in an SMS group. In the SMS group, patients were informed about the standard bowel preparation practices via SMS 3 days before colonoscopy. \"Patient identification,\" \"bowel preparation quality,\" and \"patient satisfaction\" forms were used for data collection. Chi-square and independent sample t tests were used in data analysis. The average age of the participants was 57.57 ± 12.37 years, and it was determined that most of the participants were male (64.5%) and had colonoscopy experience (55%). The bowel preparation quality was significantly higher in the SMS group than in the no-SMS group (p = .044), and most patients (91%) were \"very satisfied\" with being informed via SMS. Sending SMS about bowel preparation practices to colonoscopy patients improves bowel preparation quality and patient satisfaction. Integrating SMS into standard care may help patients manage the bowel preparation process.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"89-95"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37585478","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}

{"title":"A RARE CAUSE OF UPPER GASTROINTESTINAL BLEEDING: ACUTE ESOPHAGEAL NECROSIS.","authors":"Şehmus Ölmez,&nbsp;Bünyamin Sarıtaş,&nbsp;Banu Kara","doi":"10.1097/SGA.0000000000000454","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000454","url":null,"abstract":"Acute esophageal necrosis (AEN) also known as “black esophagus” is a rare cause of upper gastrointestinal bleeding. The prevalence of AEN has ranged from 0.11% to 0.28% in endoscopic series (Ben Soussan et al., 2002; Bonaldi, Sala, Mariani, Fratus, & Novellino, 2017; Julian Gomez et al., 2008). It is characterized by a black necrotic esophagus on endoscopy. Although the etiology of AEN is unclear, it is believed that ischemic injury and impaired mucosal barrier are the main factors in pathogenesis. Acute esophageal necrosis is related to poor general health status and comorbid diseases such as diabetes mellitus and gastric outlet obstruction (Ben Soussan et al., 2002; Gurvits, 2010; Lahbabi, Ibrahimi, & Aqodad, 2013). Here, we report a case presented with upper gastrointestinal bleeding and diagnosed as AEN.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"107-109"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37585481","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}

{"title":"Quality Improvement Initiative: The Administration of Early Nutrition Following Percutaneous Endoscopic Gastrostomy Tube Placement in Children.","authors":"Katie Mills,&nbsp;Janice Odiaga,&nbsp;Sara Karjoo,&nbsp;Daniel McClenathan,&nbsp;Michael Wilsey","doi":"10.1097/SGA.0000000000000371","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000371","url":null,"abstract":"<p><p>It is common practice for providers to wait up to 24 hours to begin enteral feedings using a newly placed gastrostomy tube in children. As a quality improvement initiative, guidelines were developed to begin early enteral nutrition 4 hours following gastrostomy tube placement. These patient care guidelines standardized electronic ordering, dosing, and feeding administration instructions. Healthcare professionals from the departments of gastroenterology, case management, and nutrition were asked to evaluate the new process by completing a questionnaire. Changes were made to the quality improvement initiative on the basis of the feedback received from the questionnaires. The early feeding initiative aimed to improve patient outcomes and enhance the quality of care received following the child's gastrostomy procedure. These guidelines will then be used in a prospective clinical trial to evaluate the validity of the quality improvement initiative.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E5-E8"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37513761","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}

{"title":"Management of Hepatitis C: A Practical Primer for Nurses.","authors":"Debra Guss,&nbsp;Jagannath Sherigar,&nbsp;Smruti R Mohanty","doi":"10.1097/SGA.0000000000000430","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000430","url":null,"abstract":"<p><p>Nurses have been at the forefront of the care of patients with hepatitis C since hepatitis C virus was identified in 1989. Treatments of patients with hepatitis C have evolved over the time to the present moment, where there are numerous options available for patients that are efficacious, simple, and well-tolerated. However, many patients with hepatitis C do not know they are infected or have never been treated. Nurses can continue to influence patients' engagement in their care, direct patients toward testing, and support them through their treatment and follow-up. This article discusses the role of the nurse in the management of hepatitis C and offers the most up-to-date information regarding the current standards of care for patients, from identifying patients for testing to managing patients through treatment and follow-up.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"22-27"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000430","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37522466","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}

{"title":"Medication Adherence Across the Life Span in Inflammatory Bowel Disease: Implications and Recommendations for Nurses and Other Health Providers.","authors":"","doi":"10.1097/SGA.0000000000000507","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000507","url":null,"abstract":"","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E3-E4"},"PeriodicalIF":0.8,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000507","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37585476","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}