摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

ET nursing is a challenging specialty that requires exact knowledge, complex skills, and a holistic approach to patients with wound, ostomy and continence problems. Myra E. Levine's conceptual framework for nursing practice is described and applied to ET specialty practice nursing. Examples of Levine's four conservation principles—energy, structure, personal integrity, and social integrity—are integrated into the nursing care of patients' wound, ostomy, and continence problems.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

PurposeThis study was completed to determine whether there were differences between sterile versus clean dressing change technique for open surgical wounds in the postoperative period with respect to (1) rate of wound healing and (2) cost of supplies.MethodsA two-group design was used for this pilot study. Of a sample of 30 patients undergoing elective gastrointestinal operations with wounds healing by secondary intention, 15 were men and 15 were women. Mean age was 40.6 years (SD 13.0 years). Patients were randomly assigned to receive clean or sterile dressings, and the intervention was begun on the first postoperative day and repeated three times a day until discharge from the hospital. Analysis of rate of healing was performed with the Mann-Whitney U test; cost analysis was completed with a t test.FindingsSubjects were studied for 3 to 9 days. Groups were homogeneous at the start of treatment with respect to age, length of operation, wound volume, nutritional status, and perfusion. There was no difference in rate of wound healing between the clean and sterile groups. Mean cost was significantly less for the clean group than for the sterile group.ConclusionThese pilot study data show no difference in rate of wound healing with clean versus sterile technique, and clean technique is less expensive. These findings need to be confirmed with a larger sample; type II error cannot be ruled out.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

PurposeThe purpose of this study was to determine whether replacing standard hospital mattresses with pressure-reduction mattresses and educating the patient care team on Agency for Health Care Policy and Research prevention guidelines would decrease the incidence of nosocomial pressure ulcers.DesignRetrospective chart review before and after implementation of replacement of standard hospital mattresses with pressure-reduction mattresses and before and after patient care team education was completed.Setting and SubjectsA 6-month clinical study with 141 subjects was conducted on a skilled-nursing unit.MethodsThe 3-month preintervention sample group of 141 subjects received routine nursing care on a standard hospital mattress. After the introduction of pressure-reduction mattresses and an education program, a 3-month postintervention sample group of 141 subjects was studied.Main Outcome MeasuresIncidence of nosocomial pressure ulcers during a 3-month period.ResultsAmong the preintervention group, 21 of 141 subjects (15%) acquired nosocomial pressure ulcers, versus 16 of 141 subjects (11%) in the postintervention group. This improvement was not statistically significant (c2 = 0.78, df = 1, p = 0.38). The incidence of ulcers staged II or higher dropped from 11 patients in the preintervention group to six in the postintervention group, a 45% reduction that was not statistically significant (c2 = 1.56, df = 1, p = 0.21).ConclusionReplacement of standard hospital mattresses and education of staff according to recommendations from the Agency for Health Care Policy and Research guideline for pressure ulcer prediction and prevention did not significantly change the incidence of pressure ulcers during a 3-month period in our skilled-nursing unit.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

In the last three decades, WOC nursing has evolved into an increasingly complex practice. The CareMap is a tool designed to assist in management of patient care. This article defines the CareMap system and describes the development, implementation, and pilot evaluation of a skin care pathway created with the CareMap at Western Pennsylvania Hospital.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

A 20-year-old male patient had a significant rectal trauma and underwent colostomy and subsequent creation of a neosphincter through gracilis muscle transposition. The patient was referred for biofeedback training to learn to use the transplanted gracilis muscle as a substitute for the external anal sphincter. Through a period of 10 weeks, the patient became able to identify this transplanted muscle and to increase the amplitude and duration of contraction as measured by surface electromyography. Further, resting tone of the neosphincter was increased. The patient gained continence with respect to liquid, gaseous, and solid stool within 26 weeks of the first biofeedback muscle training session.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

A balloon-tipped urethral insert for control of urinary incontinence in women has undergone clinical trials and has been accepted for clinical use by the U.S. Food and Drug Administration. On the basis of results of a multicenter clinical trial, it was concluded that the device provides a safe and effective option for management of genuine stress incontinence and mild mixed incontinence in women. This article reviews appropriate patient selection, education, and training to optimize patient acceptance and efficacy of this urinary control insert.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID