ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Home esophageal self-dilatation permits greater independence and more frequent treatments than intermittent hospital procedures for patients with esophageal strictures. The article describes an innovative program for teaching esophageal self-dilatation to preadolescent children, using a form of creative visualization. The child focuses on a 2-minute mental image (e.g., video game, a popular song, or swimming a race) from his/her own experience while passing a Maloney bougie. A nasal breathing technique is used, and active encouragement is provided. Topical lidocaine and oral diazepam can be used initially to assist relaxation and are stopped when the child gains confidence with the technique. The authors taught esophageal self-dilatation to three children aged 12 to 13 years with esophageal strictures. All three learned the technique within 1 week and continued it at home for between 4 and 6 months. Two of the children were taught in hospital by a nurse, and the third was taught as an outpatient by a peer who had already mastered the technique. Home esophageal self-dilatation can be successfully taught to children in the preadolescent age group. The teaching program is simple and effective and can be easily applied to other tasks such as pain control, nasogastric tube feeding, and self-injection.

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

This article describes a study designed to examine the coping behaviors, personality, and mood characteristics of 150 nonhospitalized adults with inflammatory bowel disease (IBD). Self-report questionnaires and interviews were used to collect the data. Coping responses were measured with the Jalowiec Coping Scale. The Eysenck Personality Questionnaire (EPQ) and Beck Depression Inventory (BDI) were used to ascertain other characteristics. Data were analyzed using analysis of variance (ANOVA), Pearson's correlation CO4efficient (r), and descriptive statistics. IBD patients scored significantly higher on using problem-oriented coping patterns than on using affective-oriented methods. The results suggest that coping patterns in IBD patients are remarkably effective in contributing to lifestyle satisfaction. It can be infered that adaptive efforts of IBD patients can be enhanced if health professionals consider coping patterns in the assessment process and if they actively support a sense of control in these patients.

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Post-traumatic stress disorder (PTSD) can be caused by experiencing or witnessing a variety of harsh traumatic events. Rape, burglary, war, torture, violence, and other catastrophic events have been known to precipitate flashbacks, nightmares, and inability to cope with the demands of daily life. The symptoms associated with PTSD can interfere with work, sleep, appetite, relationships, and health. In a Veterans Administration hospital population, PTSD is not an uncommon patient problem: it usually results from witnessing and/or participating in war or military service-related circumstances. This case study describes a 42-year-old man who was a prisoner of war in Vietnam. The form of torture his Vietnamese captors subjected him to presented a challenging situation when he required an endoscopic examination of the upper gastrointestinal tract. The purpose of this case study is to offer suggestions to the GI and endoscopy nursing staff who care for these patients, and to make GI health care providers aware of the special needs of this patient population.

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Equipment, staffing, and space are the most common reasons for endoscopy managers to formulate a proposal. This article provides the necessary background to aid an endoscopy manager in preparing a proposal. The article discusses planning, research, and sales proposals. Recommendations for effective proposal writing including origin, intention, and audience are presented.

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

As endoscopy departments grow and become busier, an organized approach to scheduling procedures is needed. This article describes three methods for scheduling: open, block, and modified block. The modified block system, which offers greater efficiency and flexibility, is discussed in detail.

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1993

数据来源: OVID