ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Medication for conscious sedation during gastrointestinal (GI) diagnostic procedures causes amnesia, thereby preventing patients from recalling postprocedure instructions or follow-up appointments. A serious complication after GI diagnostic procedures is bleeding, which can occur if patients take aspirin or nonsteroidal anti-inflammatory agents after the procedure. Past research revealed that 73% of patients did not remember instructions. The purpose of this randomized controlled trial was: (1) to determine if patients with wrist bands remember to read their postprocedure instructions, and (2) to determine what patient demographics are associated with failure to read postprocedure instructions.Sixty-one GI clinic outpatients participated in this Veterans Affairs Medical Center study, received routine written instructions before and after GI diagnostic procedures, and were randomly assigned to one of two groups: control group (standard care plus next-day phone call) or intervention group (wrist band plus standard care plus next-day phone call). A memory test evaluated patients’ knowledge of procedure results, date of follow-up appointment, and medications.Results indicated no significant differences in the memory test between the groups (t= 0.9,p= .36). Patients 65 years of age and older had scores indicating memory problems, regardless of the wrist band (r= 0.19,p= .06). The wrist band was ineffective as a reminder to read instructions; rather, the next-day phone call served as the reminder.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Percutaneous endoscopic gastrostomy (PEG) has been an established procedure for nearly 20 years. Caring for patients with a PEG has been incorporated into the practice of nurses in most gastroenterology settings. Several practice-related questions have arisen, particularly in relation to replacement PEGs. In an attempt to obtain relevant information for decisions relating to cost-effectiveness and providing optimum care for PEG replacement, two clinical research questions were studied: (1) is there a difference in patient (stomal) response related to two different replacement PEG tubes, and (2) is there a difference in the duration (life-span) between the two types of replacement tubes?A non-experimental, two-group descriptive study was conducted to answer the two clinical research questions. Two types of replacement PEG tubes were evaluated: a balloon type and a non-balloon type. Stoma response (recording skin and insertion site characteristics) and PEG life span were the measures of interest. Differences in the occurrence of skin and insertion site problems between the two groups were not statistically significant. Differences between the life spans of the two tubes were found to be statistically significant at three time intervals. Findings give information to the practitioner involved in making independent and interdependent practice decisions when planning care for patients with a PEG. Suggestions for additional research and replication are included.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Current debate surrounds the cost-effectiveness of disposable and reusable biopsy forceps. Although a complex and arduous task, performing a cost analysis may be necessary to determine which forcep type is more cost-effective. Costs associated with disposable biopsy forceps include their initial cost as well as storage and disposal costs. In addition to initial cost, costs associated with reusable biopsy forceps include reprocessing, maintenance, and repair costs. Estimating the number of times forceps are likely to be reused is also essential to evaluating the cost-effectiveness of reusable biopsy forceps. In general, once a reusable biopsy forcep performs a threshold number of procedures, it becomes more cost-effective than a disposable forcep.While reusable biopsy forceps may be more suitable and cost-effective for larger gastrointestinal endoscopy centers that perform many procedures per day, the convenience of disposable biopsy forceps may make them the more appropriate choice for centers that are smaller and perform only a few procedures each day. Due to significant decreases in the initial cost of disposable biopsy forceps, the cost-effectiveness of reusable biopsy forceps is waning. This article reviews the various issues associated with disposable versus reusable biopsy forceps and provides readers with guidelines for evaluating the appropriateness of both forcep designs in their unique practice setting.

ISSN:1042-895X    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The manual syringe method of cleaning endoscopes involves numerous problems, including cross-infection, contamination, wasted time, and employee safety issues. This article describes the development of an alternative system by a nurse entrepreneur for endoscopic cleaning using a suction method. Scientific findings gathered over four years are presented supporting the efficacy and usefulness of this system, the Endo-Suction Cleaning System, also known as the PSK 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

摘要:

Bleeding may occur anywhere along the gastrointestinal (GI) tract, which covers a large surface area and is highly vascularized. Seeing blood in the child’s stools, the caregiver and child may become extremely anxious, fearing a devastating diagnosis. The differential diagnosis of lower GI bleeding in infants and children, however, includes numerous possibilities ranging from benign disorders, which require little or no treatment at all, to serious diseases that require immediate intervention. This article reviews a variety of disorders that may produce lower GI bleeding in infants and children. This is Part 2 of a two-part series on GI bleeding in children. Part 1 discussed bleeding from the upper GI tract.

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:

Patients with chronic pancreatitis are at risk for poor nutritional status. The two major clinical features of chronic pancreatitis are abdominal pain and maldigestion, both resulting in malnutrition. Abdominal pain often results in decreased oral intake, and decreased enzyme production results in maldigestion. Enzyme therapy often is included in treating chronic pancreatitis. There is limited data on the nutritional assessment of outpatients with chronic pancreatitis, and the efficacy of the use of enzyme therapy remains controversial. Serum albumin level and measurement of ideal body weight are two simple measures of nutritional status that can be obtained by gastroenterology nurses.A retrospective chart review was done of patients seen in our outpatient clinic for management of chronic pancreatitis. Serum albumin levels, an indicator of protein calorie malnutrition, were reviewed for 34 patients. Thirty-three percent of these patients were found to have mild-to-moderate protein calorie malnutrition as evidenced by low serum albumin levels. Enzyme therapy information was reviewed for 33 patients. Patients receiving enzyme therapy had better nutritional status based on both serum albumin levels and percent of ideal body weight. Gastroenterology nurses can be instrumental in the recognition and treatment of nutritional deficiencies in chronic pancreatitis.

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