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

{"title":"Effects of the Enhanced Recovery Program on the Recovery and Stress Response in Patients With Cancer Undergoing Pancreatoduodenectomy.","authors":"Maria Kapritsou,&nbsp;Elizabeth D Papathanassoglou,&nbsp;Evangelos A Konstantinou,&nbsp;Dimitrios P Korkolis,&nbsp;Meropi Mpouzika,&nbsp;Ioannis Kaklamanos,&nbsp;Margarita Giannakopoulou","doi":"10.1097/SGA.0000000000000417","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000417","url":null,"abstract":"<p><p>Aim the study was the comparison of enhanced recovery after surgery (ERAS) versus conventional care (CON) protocols in patients undergoing pancreatoduodenectomy with regard to pain intensity, emotional response (optimism/sadness/stress), and stress biomarker levels (adrenocorticotropopic hormone, cortisol). We conducted a prospective two-group randomized controlled study with repeated measures in 85 patients with cancer pancreatoduodenectomy. In the ERAS group (N = 44), the ERAS protocol was followed, compared with the CON group (N = 41). We assessed pain with the numeric rating scale and a behavioral scale (Critical Care Pain Observation Tool), emotional responses (numeric rating scale), and serum adrenocorticotropopic hormone and cortisol levels at three time points: T1, admission day; T2, day of surgery; and T3, discharge day (ERAS) or the fifth day of stay (CON). Data were analyzed by linear mixed modeling to account for repeated measurements. We observed decreased postoperative pain in ERAS patients after adjusting for confounders (p = .002) and a trend for less complications. No significant associations with stress/emotional responses were noted. Only age, but not protocol, appeared to have a significant effect on adrenocorticotropopic hormone levels despite a significant interaction with time toward increased adrenocorticotropopic hormone levels in the ERAS group. In conclusion, despite its fast track nature, ERAS is not associated with increased stress in patients undergoing pancreatoduodenectomy and is associated with decreased pain.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"146-155"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804491","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":"Fatigue, Physical Activity, and Mental Health in People Living With Inflammatory Bowel Disease, Fibromyalgia, and in Healthy Controls: A Comparative Cross-Sectional Survey.","authors":"Lisa S Olive,&nbsp;Catherine A Emerson,&nbsp;Eliza Cooper,&nbsp;Emily M Rosenbrock,&nbsp;Antonina A Mikocka-Walus","doi":"10.1097/SGA.0000000000000415","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000415","url":null,"abstract":"<p><p>This study aimed to identify biopsychosocial factors associated with fatigue, physical activity, and perceived benefits of and barriers to exercise in adults with inflammatory bowel disease and to compare them with those with fibromyalgia and healthy controls. A cross-sectional online survey was conducted. Hierarchical linear regressions were used to examine correlates of fatigue and physical activity. Analysis of variance and Kruskal-Wallis tests were used to compare levels of fatigue and physical activity between the groups. Overall, 387 participants completed the study (inflammatory bowel disease: n = 232; fibromyalgia: n = 102; healthy controls: n = 53). Significant correlates of fatigue included pain catastrophizing (p = .006), sleep quality (p = .003), and depressive symptoms (p < .001). Perceived barriers to exercise were associated with depressive symptoms (p = .003). Correlates of perceived benefits of exercise included anxiety (p = .036), depressive symptoms (p = .014), coping (positive reframing) (p = .018), and social support (from family) (p = .033). The fibromyalgia group had the greatest fatigue interference and the lowest score for physical activity, followed by the inflammatory bowel disease group and healthy controls (p < .05). Given the interplay between depressive symptoms, fatigue, and benefits/barriers to exercise, there is a need for more psychological interventions to be developed and tested in order to reduce fatigue and increase physical activity to better manage disease-related outcomes.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"172-185"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804495","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":"","doi":"10.1097/SGA.0000000000000521","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000521","url":null,"abstract":"","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E98-E99"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804500","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":"CELEBRATING THE INTERNATIONAL YEAR OF THE NURSE AND MIDWIFE 2020.","authors":"Kathy A Baker","doi":"10.1097/SGA.0000000000000520","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000520","url":null,"abstract":"","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"123-124"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804076","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 ENDOSCOPIC ACCESSORIES, VALVES, AND WATER AND IRRIGATION BOTTLES IN THE GASTROENTEROLOGY SETTING.","authors":"Midolie Loyola,&nbsp;Susan Bocian,&nbsp;Eileen Babb,&nbsp;Angela Diskey,&nbsp;Cynthia M Friis,&nbsp;Amy Granato,&nbsp;Annett Schmit,&nbsp;Susan Selking,&nbsp;Marcela Benitez-Romero,&nbsp;Barbara K Burkle,&nbsp;Teresita Foliacci,&nbsp;Lisa Fonkalsrud,&nbsp;Debbie Luteran,&nbsp;Lea Anne Myers,&nbsp;Candice M Quillin,&nbsp;Christine Wahinehookae,&nbsp;Maureen Cain","doi":"10.1097/SGA.0000000000000518","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000518","url":null,"abstract":"","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E80-E83"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804414","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":"STANDARD OF INFECTION PREVENTION IN THE GASTROENTEROLOGY SETTING.","authors":"Midolie Loyola,&nbsp;Eileen Babb,&nbsp;Susan Bocian,&nbsp;Angela Diskey,&nbsp;Cynthia M Friis,&nbsp;Amy Granato,&nbsp;Annett Schmit,&nbsp;Susan Selking,&nbsp;Susan Bocian,&nbsp;Midolie Loyola,&nbsp;Marcela Benitez-Romero,&nbsp;Cynthia M Friis,&nbsp;Amy Granato,&nbsp;Jeanine Penberthy,&nbsp;Susan Selking,&nbsp;Christine Wahinehookae","doi":"10.1097/SGA.0000000000000519","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000519","url":null,"abstract":"SGNA Practice Committee 2017-18 Midolie Loyola , MSN, RN, CGRN, Chair Eileen Babb , BSN, RN, CGRN, CFER Susan Bocian , MSN, BSN, RN Angela Diskey , MSN, RN, CGRN Cynthia M. Friis , MEd, BSN, RN-BC Amy Granato , MSN, RN, CGRN Annett Schmit , BSN, RN, CGRN Susan Selking , BSN, RN, CGRN SGNA Practice Committee 2018-2019 Susan Bocian , MSN, BSN, RN, Chair Midolie Loyola , MSN, RN, CGRN, Co-Chair Marcela Benitez-Romero , BSN, MBA, RN, CGRN Cynthia M. Friis , MEd, BSN, RN-BC Amy Granato , MSN, RN, CGRN, CFER Jeanine Penberthy , MSN, RN, CGRN Susan Selking , BSN, RN, CGRN Christine Wahinehookae , BSN, RN, CGRN, CFER","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E84-E97"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804417","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":"LAPAROSCOPIC VERSUS OPEN SURGERY FOR SUSPECTED APPENDICITIS.","authors":"Beverly Procope","doi":"10.1097/SGA.0000000000000508","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000508","url":null,"abstract":"Acute appendicitis or inflammation of the appendix is an urgent problem that often requires surgical intervention to avoid rupture. In fact, it is the most common abdominal surgical emergency in the world; males have a lifetime risk of 8.6% and females have a 6.9% risk ( Jaschinski, Mosch, Eikermann, Neugebauer, & Sauerland, 2018 ). This is often an emergency, and the preoperative care nursing focuses on immediate preparation for the surgical procedure. The traditional surgical approach to suspected appendicitis has been the open appendectomy (OA), which requires the surgeon to make a small incision (about 5 cm or 2 in.) in the lower right quadrant of the abdomen to visualize the area. However, advances in endoscopic surgery make it possible to perform an appendectomy using a minimally invasive technique, laparoscopic appendectomy (LA), instead. This procedure requires only three small incisions (about 1 cm or 1⁄2 in.) through which instruments and a camera can be inserted to remove the appendix. The choice of surgical procedure can impact the patient in many ways including the level of pain, the risk for wound infection, the length of stay in the hospital, and the time until return to normal activity. The goal of postoperative nursing care is to minimize complications through early identification and early intervention of any abnormal findings. LAPAROSCOPIC VERSUS OPEN SURGERY FOR SUSPECTED APPENDICITIS","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"200-202"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804497","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":"GUIDELINES FOR THE ROLE OF THE REGISTERED NURSE NAVIGATOR IN THE GASTROENTEROLOGY SETTING.","authors":"Susan Bocian,&nbsp;Midolie Loyola,&nbsp;Marcela Benitez-Romero,&nbsp;Cynthia M Friis,&nbsp;Amy Granato,&nbsp;Jeanine Penberthy,&nbsp;Susan Selking,&nbsp;Christine Wahinehookae","doi":"10.1097/SGA.0000000000000517","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000517","url":null,"abstract":"","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"E77-E79"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000517","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804412","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":"Colorectal Cancer Screening Practices Among Texas Nurse Practitioners and Physician Assistants.","authors":"Sandra A Laird,&nbsp;Barbara M Raudonis","doi":"10.1097/SGA.0000000000000414","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000414","url":null,"abstract":"<p><p>The purpose of this study was two-fold: (1) To describe and compare Texas Nurse Practitioners' and Physician Assistants' knowledge and use of current screening guidelines for individuals at varying risk for colorectal cancer and (2) to compare their recommendations for referral for genetic counseling for persons at increased risk for colorectal or endometrial cancer. The study used a descriptive correlational comparative design. A self-administered web-based survey was sent to the members of the Texas Nurse Practitioner Association and the Texas Academy of Physician Assistants. The questionnaire consisted of 44 items categorized in three domains: demographics, knowledge of national guidelines for risk-stratified colorectal cancer (CRC) screening, and referral for genetic counseling and CRC-screening practices. Data were collected from July through October 2014. More than 75% of the survey respondents reported confidence in their knowledge of the lifetime risk of colorectal cancer and the recommendations for screening in the average-risk adult. Fifty-one percent of both groups reported that they were familiar with Lynch syndrome; however, the nurse practitioners had a lower awareness of the lifetime risk of colorectal cancer associated with Lynch syndrome compared to the physician assistants. Only 34.1% of the nurse practitioners and 23.5% of the physician assistants were aware of the lifetime risk of developing endometrial cancer diagnosed before 60 years of age in women with Lynch syndrome, and only 39.6% of the physician assistants and 40% of the nurse practitioners reported performing a three-generation family history of cancer as a risk assessment. Less than 50% of the respondents would refer a patient with a personal or family history of colorectal or endometrial cancer diagnosed before the age of 60 years for genetic counseling. Nurse practitioners and physician assistants in primary care need more formal and continuing education in risk-stratified screening and referral for genetic counseling in adults at increased risk for colorectal cancer. The academic curricula of both disciplines need to include more content on genetic and genomic influences on the pathophysiology of colorectal cancer and the role of this information for screening and personalized treatment.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"156-163"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804492","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":"Risk Factors of Dysphagia Among Community-Dwelling Middle-Aged Women: Focused on Oropharyngeal Phase.","authors":"Young Hee Lee,&nbsp;Dukyoo Jung,&nbsp;Ok Jong Yun,&nbsp;Hyesoon Lee,&nbsp;Minkyung Lee","doi":"10.1097/SGA.0000000000000419","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000419","url":null,"abstract":"<p><p>This study aimed to characterize a population of middle-aged South Korean women at risk of developing dysphagia and to identify relevant risk factors. This study describes a cross-sectional survey. Data on the general characteristics of the participants, risk factors for dysphagia, depression, and dental pain were collected and analyzed using descriptive statistics and logistic regression analysis. Among the 247 participants, 80 (32.4%) were assigned to the dysphagia \"risk\" group. Logistic regression indicated that perceived health status, low body mass index, dental pain, and depression were significant risk factors for developing dysphagia. A greater proportion of individuals were classified as having depression in the dysphagia \"risk\" group. Depression and dental pain were recognized as dominant risk factors for dysphagia. This work provides a basic reference that can be useful for the development of a general health education program for the prevention of dysphagia in community-dwelling middle-aged women.</p>","PeriodicalId":504885,"journal":{"name":"Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates","volume":" ","pages":"164-171"},"PeriodicalIF":0.8,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SGA.0000000000000419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804493","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}