ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

ObjectiveThis study compared lower leg skin temperatures in adults age 50 years and older with and without chronic venous insufficiency (CVI). Norms and ranges of skin temperature were also established.DesignA descriptive comparative design was used.Setting and subjectsSixty-six adults recruited from hospital clinics and senior community dwellings participated in the study, which was conducted in an examination room of an outpatient clinic. To be included in the study, those with CVI showed stage 4 and 5 clinical signs. Those without CVI had no clinical signs.InstrumentsSkin temperature was measured with an infrared dermal thermometer.MethodsSubjects were seated with legs extended, free of clothing and socks, and loosely covered with a draped sheet for 10 minutes to acclimatize to room temperature. The skin temperature of 4 sites on the lower legs was measured. Analysis of variance and independentttests were used to compare groups.ResultsThere was a significant increase in skin temperature at all 4 sites in the ankle area in the group with CVI compared with the comparison group (89.9°F ± 2.7°F versus 88.1°F ± 2.1°F,P= .004).ConclusionsElevated skin temperature may be an important nursing assessment parameter to evaluate worsening or impending CVI complications such as venous ulcers.

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

ObjectiveThe aim was to survey the views of a sample of district nurses on their own level of knowledge about the treatment of leg and foot ulcers and what they considered to be the most important issues in wound treatment.DesignA descriptive design was used.Setting and subjectsThe subjects were all the nurses who treated leg and foot ulcers in the community health care service in Oslo, Norway, during autumn 1999. The subjects were selected after consultation with senior nurses.InstrumentsA structured questionnaire with blank spaces for in-depth comments was used.MethodsThe head of the nursing service in all 25 urban districts received a letter about the study with a questionnaire that they passed on to the nurses treating ulcers. Out of 173 eligible nurses, 102 (59%) filled in the questionnaires. Descriptive and interpretative analyses were then made.ResultsMost of the participating nurses (60%) believed that their knowledge of wound treatment was insufficient. A high degree of uncertainty related to wound treatment situations was also found. The uncertainty included wound treatment, wound assessment, wound healing products, and wound causes. The main sources of the nurses' knowledge were their own nursing practice and colleagues. Twenty different factors of importance in wound treatment were reported. The most frequently mentioned factors were: wound healing, continuity in the treatment process, alleviation of pain, hygiene, compression therapy, and diagnosis. The lowest scores were awarded to documentation and economic factors.ConclusionsThe nurses perceived their knowledge of leg and foot ulcer treatment to be insufficient. Their own nursing practice and colleagues were their main sources of knowledge.

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The lived experience of people with long-term indwelling urethral catheters is described and interpreted. This hermeneutic (interpretive) phenomenologic study used Merleau-Ponty's philosophy and van Manen's methodology. Fourteen adults aged 35 to 95 years who had worn a catheter more than 4 months (range 6 months to 18 years) comprised the purposive sample. Data were obtained through audiotaped and transcribed interviews conducted in the homes of participants. The study provided both meanings and practical knowledge related to the experience of catheter use. Despite its drawbacks, participants recognized the device's value in their daily lives and weighed its positive features against concerns associated with long-term use. Individual meanings included making aesthetic harmony with a new catheter, the convenience of the catheter compared with the inconvenience of incontinence, and the catheter as a symbol and reminder of one's mortality. Practical knowledge related to participants' awareness of their catheter needs and practices, such as features of supplies, intervals for changes, catheter insertions, emptying the urine bag, and changes associated with sex. Knowledge of the lived experience with a urinary catheter can assist nurses in sensitive decision making about care and help them become better patient advocates.

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Three successful case studies of men receiving treatment for erectile dysfunction and postmicturition dribble are presented to alert nurses to the possible benefits of pelvic floor muscle exercises.

ISSN:1071-5754    

出版商:OVID    

年代:2003

数据来源: OVID