ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Over the last 25 years, the incidence of adenocarcinoma of the esophagus has increased 350%, faster than any other malignancy in the western world. This increase is largely due to gastroesophageal reflux disease and Barrett’s esophagus. While the current incidence of esophageal cancer is relatively low in comparison to other cancers in the United States, this may rapidly change. A cost-effective screening technique is needed for populations at risk for adenocarcinoma of the esophagus. Using unsedated esophagoscopy, gastroenterology nurses may be in the best position to coordinate and perform esophageal cancer screening for the U.S. population. This article provides an overview of esophageal cancer, including types, etiology, symptoms, and diagnosis. In addition to an overview of esophageal cancer, this article provides a look at non-physician, unsedated esophagoscopy as a future direction for esophageal cancer screening.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

A large academic cancer center devised a performance improvement plan for special procedures and sedation. A group of interdisciplinary professionals convened to address data collection, complications, and outcomes for non-surgical procedures and sedation. Administrative, medical, and nursing representatives from all areas in which these procedures are performed gathered to assess existing data and data collection methods and to develop an improvement plan. Gastroenterology, pulmonary, diagnostic imaging, intensive care, gynecology, genitourinary, hematology, and anesthesiology specialties were represented. The group was facilitated by staff from the institution’s Office of Performance Improvement and co-chaired by an anesthesiologist and a pulmonary specialist. A representative from the Practice Outcomes Department was also an active participant.This article describes group process, design efforts, pilot testing, and analyses for this project. Pilot data are presented as well as a discussion of staff involvement.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Nurses in a variety of clinical settings are often involved in educating and managing patients with irritable bowel syndrome, though their knowledge and perceptions of irritable bowel syndrome are not well known. A national survey was undertaken as a part of a larger study of patients and healthcare providers to determine nurses’ knowledge of irritable bowel syndrome, including diagnosis, etiology, disease impact, management, beliefs, and attitudes regarding irritable bowel syndrome. In addition, the nurses’ perceptions of the effect of irritable bowel syndrome on the patient’s lifestyle and the severity of symptoms were compared to those of irritable bowel syndrome patients.One hundred practicing registered nurses were randomly selected and then interviewed by telephone using a questionnaire. A random-digit dialing method was used to identify and recruit 1,014 women with irritable bowel syndrome. The majority of registered nurses interviewed (75%) felt that nurses played a moderate-to-major role in counseling patients with irritable bowel syndrome. Only 13%, however, were aware of the diagnostic criteria for irritable bowel syndrome. The majority of nurse subjects felt the current therapies for irritable bowel syndrome had limited effectiveness varying from 6–21% depending on the symptom being treated. Almost half of the nurses felt they had an important role in management of irritable bowel syndrome and that both they and their patients needed more education about irritable bowel syndrome. There was close agreement between the nurses and the patients with regard to the impact of irritable bowel syndrome.With increased public attention on irritable bowel syndrome as a common problem affecting women, there is a need for nurses working in a variety of settings to have increased knowledge regarding the syndrome. In this article, recommendations are made regarding how to increase nurses’ knowledge about this common health problem.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The purpose of this retrospective survey was to describe post-liver transplant work outcomes for female liver transplant recipients with histories of alcohol-related liver disease. The theoretical framework guiding the study was Laffrey’s conception of health. The Short Michigan Alcohol Screening Test was used to measure alcohol-related liver disease. Forty-seven female liver transplant recipients whose Short Michigan Alcohol Screening Test scores were indicative of alcohol-related liver disease comprised the convenience sample. Using a mailed questionnaire, post-transplant work and daily activities were assessed. Work was operationally defined as including either employment or household work. Results revealed that 59% of the female recipients were working post-transplant and that working recipients had higher conception of health scores than did non-working recipients.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Flexible endoscopes are complex medical instruments that are easily damaged. In order to maintain flexible endoscopes in optimum working condition, users must have a thorough understanding of the structure and function of the instrument. This is the third in a series of articles presenting an in-depth look at the care and handling of flexible endoscopes. The first articles discussed the air-water and the suction channels systems. This article will focus specifically on the mechanical system.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID