Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates最新文献_第4页

Knowledge of Diagnostic and Therapeutic Aspects of IBD Among Nurses Working in Digestive Endoscopy: A Nationwide Italian Survey. 在消化内窥镜工作的护士中IBD诊断和治疗方面的知识:一项意大利全国调查。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-05-01 DOI: 10.1097/SGA.0000000000000593

Daniele Napolitano, Franco Scaldaferri, Gionata Fiorino, Rocco Spagnuolo, Alessia Leonetti, Loris Riccardo Lopetuso, Antonello Cocchieri

{"title":"Knowledge of Diagnostic and Therapeutic Aspects of IBD Among Nurses Working in Digestive Endoscopy: A Nationwide Italian Survey.","authors":"Daniele Napolitano, Franco Scaldaferri, Gionata Fiorino, Rocco Spagnuolo, Alessia Leonetti, Loris Riccardo Lopetuso, Antonello Cocchieri","doi":"10.1097/SGA.0000000000000593","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000593","url":null,"abstract":"Supplemental Digital Content is Available in the Text. The importance of inflammatory bowel disease (IBD) dedicated nurses in endoscopy services is poorly explored. Non-IBD healthcare professionals who work in endoscopy units may underestimate the discomfort and the secondary psychological distress that endoscopic procedures cause in IBD patients. We performed a nationwide survey to evaluate the level of knowledge of nurses working in endoscopy facilities throughout Italy related to IBD patients' needs undergoing endoscopic procedures. A non-validate 45 items questionnaire divided into six sections was assembled by a group of experts and supervised by nurses and IBD-physicians as part of the board of IGIBD, ANOTE-ANIGEA and AGGEI. The questionnaire was sent to 397 nurses of which 335 (84.4%) responded to the questionnaire. The median level of knowledge registered was 29 ± 12, corresponding to a medium level of knowledge based on the scores described in the method section. One hundred eighty-three nurses (54.6%) reported a high score, 113 (33.7%) a medium score, and 39 (11.6%) a low score. The majority of nurses worked in high volume endoscopy centers, where the 48% were educated in IBD management. A Low level of knowledge was recorded regarding disease severity definition, bowel preparation strategies in severe colitis and evaluation of perianal fistula. This nationwide survey clearly shows that there is a need for endoscopic nurses to acquire specific knowledge in the IBD field. Dedicated pathways for IBD management in endoscopy, continuous educational programs for nurses and further studies to improve nurse education are needed.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E59-E66"},"PeriodicalIF":0.8,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39020651","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

Patient Positioning Guidelines for Gastrointestinal Endoscopic Procedures. 胃肠内镜手术患者体位指南。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-05-01 DOI: 10.1097/SGA.0000000000000534

Vera Meeusen, Nick Kim, Jerome Elson, Regan Ma, Fiona Newman, Jess Bendeich, Gerald Holtmann

{"title":"Patient Positioning Guidelines for Gastrointestinal Endoscopic Procedures.","authors":"Vera Meeusen, Nick Kim, Jerome Elson, Regan Ma, Fiona Newman, Jess Bendeich, Gerald Holtmann","doi":"10.1097/SGA.0000000000000534","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000534","url":null,"abstract":"Patient positioning during gastrointestinal endoscopic procedures has received minimal attention compared with surgical procedures performed in the surgical setting. However, prolonged endoscopic interventions on patients and the increasing requirement for general anesthesia have changed to need for patient positioning guidelines. The objective of this study was to test whether patient positioning guidelines for surgical procedures in surgical suites are suitable for gastrointestinal endoscopic procedures without negatively impacting safety and procedure duration. This was an observational feasibility study with volunteers of different body mass index categories. Volunteers were positioned in supine, lateral, and prone positions on an operating table and thereafter on an endoscopy stretcher and asked for comfort levels. Except for arm and head positioning in lateral and prone positions, it was possible to replicate the patient positioning guidelines. Alternative options were explored for the positioning of arms and head to optimize oral access. Besides minor adjustments, we were able to replicate the positioning guidelines and adhere to pressure and nerve injury prevention guidelines. Concept endoscopic patient positioning guidelines were developed. It is recommended to review the \"swimmer's\" position. Endoscopic patient positioning guidelines should become part of the National Practice Standards and education curriculum of endoscopy nurses.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"185-191"},"PeriodicalIF":0.8,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034085","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: 3

FEED THICKENER FOR INFANTS UP TO 6 MONTHS OF AGE WITH GASTROESOPHAGEAL REFLUX (REVIEW). 用于胃食管反流6个月以下婴儿的饲料增稠剂(综述)。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-05-01 DOI: 10.1097/SGA.0000000000000606

Amy Pang-Hamtak, Brenda Peterson

引用次数: 0

Effect of Body Size on Quality of Bowel Preparation Among Patients Experiencing Colonoscopy. 结肠镜检查患者体大小对肠准备质量的影响。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000557

Ribwar A Mohammed, Samir Y Lafi

{"title":"Effect of Body Size on Quality of Bowel Preparation Among Patients Experiencing Colonoscopy.","authors":"Ribwar A Mohammed, Samir Y Lafi","doi":"10.1097/SGA.0000000000000557","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000557","url":null,"abstract":"The body size of patients is considered to have an impact on the quality of bowel preparation. The aim of this study was to determine the effect of body mass index (BMI) on bowel preparation and prediction of unprepared patients who underwent colonoscopies. A retrospective study was undertaken with data retrieved from health records at the Center for Gastroenterology and Hepatology in Sulaymaniyah City of 12,527 colonoscopies carried out between February 2012 and December 2018. From the 12,527 records, a total of 9,659 colonoscopy examinations were included in this study. The results showed 21.3% unacceptable colon preparations: 15% poor and 6.3% inadequate. Patients with BMI of 25 and greater accounted for 36.1%. No significant association was found between increased BMI with inadequate preparation (odds ratio [OR]: 1.104, 95% confidence interval [CI]: 0.869-1.401, p value .418 and OR: 0.988, 95% CI: 0.813-1.201, p value .903). However, inadequate preparation could be associated with underweight females, who report constipation, and the elderly. Although there has been shown to be in practice an adverse bias toward patients with a high BMI, this study has shown that an increased body size does not interfere with the quality of bowel preparation or resultant colonoscopy.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"122-128"},"PeriodicalIF":0.8,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25441124","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: 2

AN UNUSUAL PRESENTATION OF CELIAC DISEASE: RECURRENT PERICARDITIS. 乳糜泻的一种不寻常的表现:复发性心包炎。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000547

Benan Kasapoglu, Ahmet Yozgat

引用次数: 0

Introduction of Transnasal Endoscopy to a Scottish District General Hospital. 苏格兰地区综合医院经鼻内窥镜检查的介绍。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000589

Gillian McColl, Elaine Yeap, Lynn Stirling, Catherine Sharp, Kevin Robertson

{"title":"Introduction of Transnasal Endoscopy to a Scottish District General Hospital.","authors":"Gillian McColl, Elaine Yeap, Lynn Stirling, Catherine Sharp, Kevin Robertson","doi":"10.1097/SGA.0000000000000589","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000589","url":null,"abstract":"Esophagogastroduodenoscopy can be uncomfortable and distressing with many patients opting for conscious sedation over topical local anesthetic spray. Transnasal endoscopy is an alternative and we sought to assess how easily it could be introduced to a district general hospital and how acceptable patients found it. Selected patients requiring diagnostic endoscopy were offered transnasal endoscopy with topical nasal anesthetic by clinicians new to transnasal endoscopy but competent at esophagogastroduodenoscopy. Postal feedback questionnaires were used to assess comfort, distress, recollection of periprocedural consultation, and overall experience (visual analog scale 1-10). A total of 213 transnasal endoscopy procedures were undertaken with 207 completed successfully (97.2%). Two patients (0.9%) had self-limiting epistaxis and no patient required admission. One hundred (47%) questionnaires were returned including 98 from those with completed transnasal endoscopy. Thirty-three (33%) had previous esophagogastroduodenoscopy and 28 (85%) reported a preference for transnasal endoscopy. Fifty-eight patients (59%) found transnasal endoscopy comfortable (visual analog scale >6) with 17 reporting discomfort (visual analog scale <5). Seventeen patients found the procedure distressing (visual analog scale >6) but 70 (73%) did not (visual analog scale <5). Eighty-four patients (85.7%) had clear recollection of their procedure (visual analog scale >6) and overall satisfaction was reported as good (visual analog scale >6) by 94.7%. Transnasal endoscopy can be adopted by clinicians competent with conventional esophagogastroduodenoscopy with expectation of high procedure completion rate and low complication rate. Our patients reported high levels of satisfaction with few reporting distress. Perhaps as a consequence, most patients had a clear recollection of their procedure.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E24-E28"},"PeriodicalIF":0.8,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25541291","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: 1

SELF-CARE: IT'S NOT JUST A TREND. 自我照顾:这不仅仅是一种趋势。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000604

Kathy A Baker

引用次数: 1

Impact of Prepackaged Low-Residue Diet on Bowel Preparation for Colonoscopy: A Meta-analysis. 预包装低残留饮食对结肠镜检查肠道准备的影响:一项荟萃分析。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000588

Yuanyuan Zhang, Caiyan Ding, Jing Li, Xianyu Hu, Yifan Wang, Wei Tang

{"title":"Impact of Prepackaged Low-Residue Diet on Bowel Preparation for Colonoscopy: A Meta-analysis.","authors":"Yuanyuan Zhang, Caiyan Ding, Jing Li, Xianyu Hu, Yifan Wang, Wei Tang","doi":"10.1097/SGA.0000000000000588","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000588","url":null,"abstract":"This meta-analysis aimed to evaluate the impact of prepackaged low-residue diet (PLRD) on bowel preparation for colonoscopy. We searched PubMed, Web of Science, EMBASE, and Cochrane Library databases from inception to August 2020. Randomized controlled trials (RCTs) comparing PLRD with clear liquid diet (CLD) or self-prepared LRD were considered for inclusion. The analysis calculated the odds ratio (OR) for the rate of adequate bowel preparation, patient tolerance, willingness to repeat bowel preparation, tolerability of bowel preparation, and overall adverse effects. Five RCTs published between 2006 and 2019 (N = 561) were included in our meta-analysis. Compared with the traditional CLD or self-prepared LRD, PLRD showed significantly higher rates of adequate bowel preparation (OR, 2.16; 95% confidence interval [CI], 1.18-3.98; p = .01), patient tolerance (OR, 1.99; 95% CI, 1.30-3.07; p = .002), and willingness to repeat the bowel preparation (OR, 1.68; 95% CI, 1.05-2.70; p = .03), with no differences in adverse events (OR, 0.93; 95% CI, 0.59-1.46; p = .75). Prepackaged low-residue diet improved bowel preparation quality, patient tolerance, and willingness to repeat bowel preparations. Importantly, PLRD does not increase the incidence of adverse events. This suggests that it is effective and safe to use PLRD for bowel preparation before colonoscopy.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E29-E37"},"PeriodicalIF":0.8,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25541292","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: 2

State of Recovery 6 Months After Rectal Cancer Surgery: Postoperative Symptoms and Differences With Regard to Surgical Procedure. 直肠癌术后6个月的恢复状况:术后症状及手术方式的差异

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000527

Jenny Jakobsson

{"title":"State of Recovery 6 Months After Rectal Cancer Surgery: Postoperative Symptoms and Differences With Regard to Surgical Procedure.","authors":"Jenny Jakobsson","doi":"10.1097/SGA.0000000000000527","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000527","url":null,"abstract":"Rectal cancer surgery has developed to be highly technological and precise. Nevertheless, postoperative symptoms can affect patients for a long time after surgery and might also be persistent. The purpose of this study was to describe the level of postoperative symptoms 6 months after rectal cancer surgery as well as differences in symptoms with regard to surgical procedure. Data from 117 patients recovering from rectal cancer surgery were collected 6 months after surgery using the Postoperative Recovery Profile (PRP) questionnaire measuring self-reported postoperative symptoms. Results showed that the majority of patients had no or mild problems with the 19 symptoms recorded in the questionnaire. There was a significant difference between surgical procedures: patients after anterior resection experienced mild problems in gastrointestinal function (physical domain) and interest in their surroundings (social domain), whereas most patients after abdominoperineal resection and abdominoperineal resection with myocutaneous flap showed no problems. In all groups, a considerably high proportion of patients reported severe problems in sexual activity (physical domain). Findings in this study emphasize that healthcare professionals should pay attention to patients recovering from anterior resection especially regarding problems in the gastrointestinal function. Moreover, there is a need to acknowledge eventual sexual dysfunctions in all rectal cancer patients.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"98-105"},"PeriodicalIF":0.8,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25441121","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: 1

Impact of a Telephone Intervention on Bowel Preparation Quality for Colonoscopy in the Elderly. 电话干预对老年人结肠镜准备质量的影响。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2021-03-01 DOI: 10.1097/SGA.0000000000000573

Chun-Jiu Hu, Lin-Yan Jiang, Lin-Yin Sun, Chun-Yan Hu, Ke-Mei Shi, Zhen-Fei Bao, Feng Zhou, Lei Xu, Wei-Hong Wang

{"title":"Impact of a Telephone Intervention on Bowel Preparation Quality for Colonoscopy in the Elderly.","authors":"Chun-Jiu Hu, Lin-Yan Jiang, Lin-Yin Sun, Chun-Yan Hu, Ke-Mei Shi, Zhen-Fei Bao, Feng Zhou, Lei Xu, Wei-Hong Wang","doi":"10.1097/SGA.0000000000000573","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000573","url":null,"abstract":"Bowel preparation is the basis of colonoscopy, and adequate bowel preparation is essential to the success of colonoscopy. Studies have been reported that telephone intervention can improve the quality of bowel preparation, while it remains unclear regarding effectiveness with the elderly. The purpose of this study was to evaluate the effect of telephone intervention on the quality of bowel preparation for colonoscopy in elderly outpatients. In total, 162 outpatients older than 65 years were enrolled and randomly divided into a control group and a study group. Patients in the study group were re-educated through telephone by a specific nurse 2 days before colonoscopy, whereas participants in the control group received education only on the day of appointment. The Ottawa score was used to evaluate the quality of bowel preparation between the two groups. In this study, no significant differences were observed in age, gender, body mass index, educational level, smoking and/or alcohol drinking, waiting time to colonoscopy, reasons for colonoscopy, and colonoscopic findings between the control group and the study group. Participants in the study group had higher adequate bowel preparation and compliance than the control group (83.1% vs. 59.5%, p = .03; 96.4% vs. 74.7%, p < .001). Univariate analysis showed that only noncompliance with start time was significantly associated with satisfactory bowel preparation in elderly patients. In conclusion, telephone intervention 2 days before colonoscopy can improve the quality of bowel preparation in the elderly.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"92-97"},"PeriodicalIF":0.8,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25441182","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: 5