ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

An effective new therapeutic option consisting of intron A (Interferon alfa-2b, recombinant; Schering Corporation, Kenilworth, NJ) Injection and Rebetol (Ribavirin, USP) Capsules is now available for the initial therapy of patients with hepatitis C and for patients who had previously responded to alpha interferon but subsequently relapsed. The combination of recombinant interferon alfa-2b/ribavirin therapy increases hepatitis C viral clearance 10-fold in hepatitis C relapse patients and almost threefold in previously untreated patients compared with alpha interferon monotherapy. There is no synergistic toxicity apparent with the two-drug combination. Ribavirin does not significantly worsen the side effects associated with interferon alfa-2b, which are predictable, manageable, and reversible. The major side effects of combination therapy include flulike symptoms, neutropenia, psychiatric disorders, and anemia; however, these side effects are well known and can be managed with dose modifications and nursing intervention. The assistance of nurses in patient education, in side effect management, in hematologic parameter monitoring, and in medication dosing and administration is crucial to maximizing patient compliance and therapy outcome.

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Adolescence is a time of profound change for individuals. It is a period that witnesses biologic, social, and psychological change in the individual as well as role changes within the family and peer groups. Compounding these difficult transitions with the onset of inflammatory bowel disease leads to additional problems with adolescence adjustment. In the limited studies that have addressed the adolescent and inflammatory bowel disease, several key concepts emerge that point to ways for successfully dealing with these adolescent adjustment problems. Roy's Adaptation Model provides a foundation for identifying and selecting interventions in working with adolescents and chronic illness. A review of the literature finds the need for further study of the difficulties encountered by the changes of adolescence coupled with the onset of inflammatory bowel disease.

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Inflammation of the liver is known as hepatitis. Six or seven viruses, hepatitis viruses A through G, are responsible for most cases of viral hepatitis. In this second of a series of three articles, current knowledge regarding hepatitis C, E, F, G, and non-A-G is reviewed. Up to 80% of patients infected with hepatitis C progress to chronic liver disease. Hepatitis E is an enteric hepatitis that is endemic in Asia. Hepatitis F may be a mutant hepatitis C. Hepatitis G is a posttransfusion hepatitis. Non-A-G hepatitis consists of all of the hepatitis viruses awaiting identification. Up-to-date information regarding each of these types of hepatitis viruses is presented herein, because every phase of patient care improves when health care professionals are knowledgeable regarding the illnesses of their clients.

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Encopresis, an elimination disorder in children, presents as a challenging problem for gastroenterology nurses working with patients and families confronted with this disorder. This article offers a summary of the literature on encopresis, including pathogenesis, causative factors, early treatment, and clinical interventions focused on self-care. The antecedent factors that facilitate the child's participation in self-care are summarized, along with the intended outcomes of the self-care intervention plan.

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The use of nurse endoscopists in the specialty of gastroenterology has gained recent support in the United States. While studies using nurse endoscopists have documented positive patient outcomes, including cost effectiveness, public access to cancer screening, and patient satisfaction, research regarding the training and experiences of nurse endoscopists is almost nonexistent. This article presents findings from an exploratory, descriptive study of 17 gastroenterology nurse endoscopists in the United States. Study subjects describe their role as nurse endoscopists, their experiences, and their opinions about basic job and curriculum requirements for further development. These findings support the viability and future expansion of this advanced practice role in gastroenterology nursing.

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2000

数据来源: OVID