摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Adult survivors of childhood sexual abuse comprise a high percentage of the patients seen in gastrointestinal and genitourinary clinics and are commonly found among the patient population treated by WOC nurses. The physical and emotional consequences of sexual abuse may permeate the survivor's life, but rise to the forefront only with the additional stress of an ostomy or urinary diversion. Two case studies are described involving women the authors encountered in their practices.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The case of a 55-year-old woman with nonhealing wounds located on the sternum, abdomen, and lower left extremities is described. The wounds were related to surgical incisions from coronary artery bypass grafting and were complicated by respiratory insufficiency, diabetes mellitus, and infection. This article presents a brief overview of the collaborative care provided in this case and a pictorial review of this patient's wounds during a 4-month period.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

ObjectiveTo investigate the effect of ostomy surgery performed between the ages of 6 and 12 years on psychosocial development during subsequent childhood, adolescence, and young adulthood.DesignEthnographic.Setting and SubjectsSix women and 4 men (mean age 30.7 years) who responded to a notice in a chapter newsletter of the United Ostomy Association.MethodsSpradley's Ethnographic interview format was used for this study. One interview was conducted with each informant over a 4-week period, and a second, more detailed interview was conducted with 2 subjects who were identified as key informants. The interviews were audiotaped and transcribed, and the transcripts were analyzed to detect shared patterns in the informants' language.InstrumentsThe Ethnograph computer software program was used as an aid in analyzing the interview transcripts.Main Outcome MeasuresThe informants' subjective experiences during childhood, adolescence, and young adulthood.ResultsNine of the 10 informants adjusted well in the first years after surgery. Key factors in good adjustment were support from family and a perception of “normalcy,” including managing one's own ostomy care. All informants reported that their ostomy had a negative impact on their lives during adolescence and that they would have appreciated contact with other teens facing the same dilemma. The age at which an informant underwent ostomy surgery did not influence the difficulties reported during adolescence.ConclusionOstomy surgery performed between the ages of 6 and 12 years can have long-term effects on psychosocial development. Nurses should promote normalization, teach self-care of the ostomy as soon as possible after surgery, and refer children and parents to mutual support groups as appropriate.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Radical prostatectomy was first described by Dr. Hugh Hampton Young in 1905 as a treatment for prostate cancer. Since that time, urinary incontinence has been reported as a significant postsurgical problem. With the expanding interest in continence therapy and an increase in the number of men undergoing prostate cancer surgery, there is a concomitant need for detailed consideration of the cause of postprostatectomy incontinence. Urinary leakage after radical prostatectomy is not, as traditionally thought, a simple case of stress urinary incontinence. Instead, it represents a complex, multifactorial problem that continues to challenge practitioners and researchers alike. An overview of the anatomy of the male continence mechanism is provided, followed by a discussion of the cause and risk factors implicated in postprostatectomy incontinence and suggestions for further research.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PurposeThis article describes a study that compares the outcomes of midnight versus early morning urethral catheter removal after transurethral resection of the prostate.Subjects and Setting/MethodsThe research setting was a large, metropolitan hospital in Sydney, Australia. Forty-eight patients who had undergone transurethral resection of the prostate were randomly assigned to either group A, catheter removal at 2400 hours (n = 20), or group B, catheter removal at 0600 hours (n = 28).Main Outcome MeasuresData collected included time to first void, volume of first void, time between catheter removal and discharge from hospital, weight of prostatic resection, and tissue pathology.ResultsThere was no significant difference between the 2 groups with respect to pathology, weight of prostatic resection, mean volume of first void, or time to first void after catheter removal. There was a significant difference in the time between catheter removal and discharge from hospital. Eighty-five percent of those having catheters removed at 2400 hours were discharged on the same day as catheter removal, as compared with 65% of those who underwent catheter removal at 0600 hours (χ2= 12.684;P< 0.005).ConclusionAfter transurethral resection of the prostate, removal of the urethral catheter at 2400 hours reduced the length of hospital stay, but did not significantly affect the time to first void or the volume of the first void.

ISSN:1071-5754    

出版商:OVID    

年代:1999

数据来源: OVID