Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates最新文献_第8页

PERSPECTIVES ON AUTOIMMUNE HEPATITIS. 自身免疫性肝炎的观点。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-05-01 DOI: 10.1097/SGA.0000000000000505

Richard L Pullen

引用次数: 0

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-05-01 DOI: 10.1097/SGA.0000000000000530

Gillian E Cassar, George J Youssef, Simon Knowles, Richard Moulding, David W Austin

{"title":"Health-Related Quality of Life in Irritable Bowel Syndrome: A Systematic Review and Meta-analysis.","authors":"Gillian E Cassar, George J Youssef, Simon Knowles, Richard Moulding, David W Austin","doi":"10.1097/SGA.0000000000000530","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000530","url":null,"abstract":"Irritable bowel syndrome (IBS) affects up to 20% of the global population and is associated with impaired health-related quality of life (HRQoL). This systematic review and meta-analysis aimed to investigate differences in HRQoL of those with IBS compared with healthy controls and to examine whether HRQoL improves following psychological intervention. Online databases were searched for articles from 2002 to 2017. Studies were screened and data extracted according to predetermined criteria. A total of 4,154 citations were identified from which 36 were eligible for inclusion. Eight studies compared HRQoL of those with IBS (n = 822) with that of healthy individuals (n = 3,809). Those with IBS suffered significant impairment across all HRQoL domains compared with healthy individuals, with the majority of effects (Cohen's d) being moderate to large. Twenty-eight studies investigated HRQoL in IBS following psychological intervention (n = 1,308) relative to controls (n = 1,006). All HRQoL domains improved with large effects following treatment; however, maintenance of these effects was inconsistent. Those with IBS experience poorer HRQoL than the wider community; nevertheless, psychological interventions are associated with improved HRQoL across all domains. High-quality studies are needed to better inform gastroenterological nurses of which interventions are most efficacious in alleviating the burden of IBS, and which IBS subpopulations would benefit.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E102-E122"},"PeriodicalIF":0.8,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38000732","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: 10

ASSESSING ABDOMINAL PAIN. 评估腹痛。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-05-01 DOI: 10.1097/SGA.0000000000000531

Jayne Jennings Dunlap, Sheila Patterson

引用次数: 0

Focus on Clinical Assessment: Assessing Abdominal Pain. 关注临床评估:评估腹痛。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-05-01 DOI: 10.1097/SGA.0000000000000538

引用次数: 0

GI PRE-CALLS MAKE A DIFFERENCE. Gi预先呼叫会有所不同。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000511

Christine Sarisley, Mary Lou Tuchols

引用次数: 0

The Prevalence and Correlates of Prehospital Delay and Health Belief in Chinese Patients With Colorectal Cancer. 中国结直肠癌患者院前延迟与健康信念的患病率及相关因素

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000407

Xiao-Dan Wu, Ying-Yu Zeng, Xiao-Jun Wu, Hui-Ying Qin

{"title":"The Prevalence and Correlates of Prehospital Delay and Health Belief in Chinese Patients With Colorectal Cancer.","authors":"Xiao-Dan Wu, Ying-Yu Zeng, Xiao-Jun Wu, Hui-Ying Qin","doi":"10.1097/SGA.0000000000000407","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000407","url":null,"abstract":"The objective of this study was to describe prehospital delay and health beliefs in Chinese patients with colorectal cancer. A total of 756 adult Chinese patients with a first-time diagnosis of colorectal cancer were recruited during 2016 in Guangzhou, China. All patients completed the Chinese-language version of a questionnaire developed specifically for this study as well as the Chinese-language version of the Champion Health Belief Model Scale. The results of this study showed that the median length of the prehospital delay was 12 weeks and that the average delay was 18.29 (SD = 14.66) weeks. The rate of prehospital delay was 47.35%. The score of health beliefs among these patients was 115.56 (SD = 9.00) and the average score of the entries was 3.21 (SD = 0.25). Health beliefs about colorectal cancer were negatively correlated with prehospital delay. A multiple logistic regression showed that the level of health beliefs, frequency of physical examinations, occupation, and the site of the cancer were the major factors influencing prehospital delay (p < .05). The patients had a low rate of physical examination (41.40%), and colorectal cancer screening was not routine prior to their physical examination. This study showed that the incidence of prehospital delay among Chinese patients with colorectal cancer was 47.35%. Multiple factors influenced prehospital delay among Chinese patients with colorectal cancer.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"186-195"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37687482","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

Is Sleep Quality Impaired and Is There Increased Risk of Obstructive Sleep Apnea Syndrome in Patients With Compensated Liver Cirrhosis? 代偿性肝硬化患者睡眠质量受损及阻塞性睡眠呼吸暂停综合征风险增加?

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000411

Camila Guarnieri Ribeiro Bueno, Carla Renata Silva Andrechuk, Maria Filomena Ceolim

{"title":"Is Sleep Quality Impaired and Is There Increased Risk of Obstructive Sleep Apnea Syndrome in Patients With Compensated Liver Cirrhosis?","authors":"Camila Guarnieri Ribeiro Bueno, Carla Renata Silva Andrechuk, Maria Filomena Ceolim","doi":"10.1097/SGA.0000000000000411","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000411","url":null,"abstract":"As liver cirrhosis worsens, sleep pattern impairment and related complaints increase. The objective of this study was to identify the prevalence of poor sleep, excessive daytime sleepiness, and increased risk for obstructive sleep apnea syndrome in adults with Child-Pugh Class A liver cirrhosis; to investigate the association between poor sleep quality, daytime sleepiness, and risk for obstructive sleep apnea syndrome; and to verify the relationship between these 3 variables and clinical, laboratory, and sociodemographic data. A cross-sectional study was conducted with 100 individuals at the outpatient clinic of a university hospital in the interior of Sao Paulo, Brazil. Questionnaires were used in the form of interviews and consultation of medical records. There was a prevalence of 35.0% of poor sleep quality, 29.0% of excessive daytime sleepiness, and 38.0% of high risk for obstructive sleep apnea syndrome, as well as a significant association between high risk for obstructive sleep apnea syndrome and poor sleep quality. There was no significant association between laboratory variables and sleep quality, daytime sleepiness, and high risk for obstructive sleep apnea syndrome. There is a high prevalence of poor sleep, excessive sleepiness, and high risk for obstructive sleep apnea syndrome, and poor sleep quality is related to a high risk for obstructive sleep apnea syndrome among patients with compensated liver cirrhosis.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"126-134"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804490","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

Experiences With Traditional Chinese Medicine Among Patients With Inflammatory Bowel Disease: A Qualitative Study. 炎症性肠病患者的中药治疗经验:一项定性研究。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000418

Qian Cai, Linye Wu, Yunxian Zhou

{"title":"Experiences With Traditional Chinese Medicine Among Patients With Inflammatory Bowel Disease: A Qualitative Study.","authors":"Qian Cai, Linye Wu, Yunxian Zhou","doi":"10.1097/SGA.0000000000000418","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000418","url":null,"abstract":"Despite the increasing number of inflammatory bowel disease (IBD) patients using traditional Chinese medicine (TCM), relatively few studies have examined their experiences with TCM in the Chinese healthcare context. The aim of this study was to explore these experiences from the perspective of IBD patients. Adopting a qualitative descriptive method, IBD patients from several comprehensive hospitals in Hangzhou, Zhejiang were recruited through purposive sampling. Data were collected using semistructured interviews and analyzed by a conventional content analysis method. The results are presented thematically. Fourteen IBD patients participated in the study. They often used TCM, such as Chinese herbal medicine, retention enemas of Chinese medicine, and acupuncture, as a complementary therapy instead of as an alternative to conventional therapies. Three themes emerged from the analysis: triggers for initiating TCM, the experienced efficacies of TCM, and disturbances caused by TCM use. The IBD patients initiate TCM treatment due to the unsatisfactory effects of conventional therapies and TCM culture. However, the efficacies of TCM are subjective and slow acting and vary across individuals. There are communication gaps between physicians and patients concerning TCM. Thus, healthcare professionals are encouraged to gain more knowledge on these therapies and employ a participatory decision-making style based on this understanding.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"135-145"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804494","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

A Clinical Review of Primary Biliary Cholangitis. 原发性胆道胆管炎的临床回顾。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000522

引用次数: 0

A Clinical Review of Primary Biliary Cholangitis. 原发性胆道胆管炎的临床回顾。

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Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates Pub Date : 2020-03-01 DOI: 10.1097/SGA.0000000000000480

Richard Pullen

{"title":"A Clinical Review of Primary Biliary Cholangitis.","authors":"Richard Pullen","doi":"10.1097/SGA.0000000000000480","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000480","url":null,"abstract":"Primary biliary cholangitis is a slowly progressive immune-mediated cholestatic disease that causes a destruction of the intrahepatic bile ducts and may lead to cirrhosis of the liver, end-stage liver disease, and the need for liver transplantation. The disease is among the most common reasons why adults require liver transplantation. The primary signs of the disease include the presence of antimitochondrial and antinuclear antibodies, elevated alkaline phosphatase, hyperbilirubinemia, hypercholesterolemia, and histologic features, such as intense inflammation with a florid duct lesion and hepatic fibrosis. The patient's quality of life is impacted by fatigue, pruritus, malabsorption syndrome, sicca syndrome, osteoporosis, and challenges coping with chronic illness. Advanced practice registered nurses need to understand the pathophysiology, clinical presentation, diagnostic approaches, disease and symptom management, and priority nursing assessment and care in patients with this rare disease to differentiate it from primary sclerosing cholangitis, autoimmune hepatitis, obstructed bile duct lesions, drug-induced cholestasis, cholestasis in pregnancy, cholangiocarcinoma, hepatic malignancy, and peptic ulcer disease.","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E48-E55"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000480","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804411","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