ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The TIPS (transjugular intrahepatic portosystemic shunt) procedure is a relatively new therapeutic treatment option for variceal bleeding secondary to portal hypertension. The TIPS procedure evolved in response to the need for a safe, nonoperative shunting procedure, and is becoming a practical alternative to surgically placed shunts.Possible complications of a TIPS include hemorrhage, postprocedure sepsis, shunt stenosis or occlusion, and hepatic enccphalopathy or decompensation. Development of shunt stenosis or occlusion is associated with re-bleeding.Three children (ages 10–13) with recurrent, significant variceal bleeding were referred for the TIPS procedure. Two bad recurrent Gl hemorrbage despite sclerotherapy. To date, all have maintained shunt patency for up to 1 year. None of these children have bad significant re-bleeding episodes, and the only recurrence of varices was associated with an obstructed shunt.In this article, the author reviews both conventional treatment and the TIPS procedure for the child with bleeding varices. Nursing implications from a Pediatric perspective are emphasized. Pediatric GI nurses must understand TIPS in order to prepare the child and family and to monitor for complications or shunt failure afterward.

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

CCehae diease is relatirely rare in the United States and many of the facts of this complex disorder are not completely understood. In the glutensensitire indiridual, celiae disease is actirated by ingestion of cereal glutens. An abnormal system response to dietary gluten causes damage to the small bourel mucosa, which results in untrient malabsorption. When gluten is removed from the dial, malabsorption resolres. Nursing interrention in celiac disease requres careful nutritional assessment and dietary instruction.

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

TThe Occupational Safely and Health Administration (OSHA) requires health care facilities to protect employees from bloodborne pathogens. One of the mandates is to provide personal protective equipment (PPE) to employees at no cost to the employee. In this article, the authors explore the cost and compliance of implementing the new OSHA regulations for mursing staff assisting with colonoscopies over a 6-month period. The data were collected one total of 461 procedures. The cost of implementing PPE for the nursing staff was $2.98 per procedure. The PPE available for the nursing staff included goggles, splash-proof gown, face mask, shoe covers, and latex gloves. The total cost of implementing the new regulations for the nursing staff assisting with colonoscopies was $2,747.56 and was projected to cost approximately $50,000 yearly if implemented for all Gt procedures in the institution. Staff compliance rales for the five pieces of PPE ranged from 6.5 to 97.8%

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

PPatient satisfaction is an important issue in positioning ambulatory medical services. An effective patient satisfaction measurement program not only helps hospital managers improve the quality of clinical and administrative activities, but also helps the hospital remain viable in increasingly competitive markets. A method for the design and measurement of patient satisfaction with outpatient Endoscopy Lab services is described in this article. The survey focuses on the sequence of events experienced by the patient. Outcome measures of primary interest include global patient satisfaction and the likelihood of using the service again if given a choice. Analysis of patient responses shows that global satisfaction with the outpatient experience is positively associated with service return intention. Additional analysis shows that facility cleanliness, privacy, and nurse attention are most strongly associated with global patient satisfaction. Results underscore the importance of various service attributes on patient satisfaction and return intention and of the need to further expand the uses of patient satisfaction measurement in the outpatient Endoscopy Lab.

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

MMany research questions in nursing Ciin best be answered by designing studies using repealed measures representing pretreatment and posllrealmenl observations on the same subject. In this article, the author discusses both a parametric statistical lest and its nonparamelric counterpart and provides guidance regarding when it is appropriate to use each. The steps used in computing both statistics are also provided.

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1994

数据来源: OVID