Gastroenterology Nursing最新文献

Biliary atresia (BA) is a disease of the liver and bile ducts. Newborns with BA must undergo the Kasai procedure immediately after birth to survive. Postoperative nutrition, portal hypertension, and splenomegaly affect prognosis on an ongoing basis. With recent advancements in medicine and health care quality, children treated for BA can survive into adolescence and even early adulthood. This qualitative descriptive study explores how these youths have adapted, and their concerns as they continue to age. A total of 13 patients with BA aged 16-24 years were recruited using purposive sampling at a gastroenterology outpatient clinic in northern Taiwan. In-depth semi-structured interviews were conducted with each participant. The participants' life experiences were extracted into three themes via inductive qualitative content analysis: (1) being responsible for one's dietary regimen, (2) adjusting one's mindset about the illness, and (3) facing long-term challenges. Healthcare professionals can provide care recommendations tailored to the developmental needs of this patient group during regular follow-ups, assist them with self-care management and with accepting their uniqueness, provide information, and discuss their future careers and family plans.

Abstract: This article aims to explore the clinical characteristics and corresponding nursing points of elderly patients with massive hiatal hernia. A case study of an elderly patient with massive hiatal hernia and severe cardiopulmonary disease was reviewed, along with relevant literature. Nursing points are the following: multidisciplinary team to estimate surgical risks and develop individualized pre-rehabilitation management strategies; assessment and intervention for thrombosis and bleeding risks; postoperative hemodynamic monitoring and precise fluid management; dynamic observation of inflammatory indicators and infection prevention and care; and follow-up visits and health guidance after discharge. Hiatal hernia is common clinically, but it is rare in elderly patients with severe cardiopulmonary disease. Thorough literature review, familiarity with the characteristics of this condition in elderly patients, and proper perioperative nursing management and guidance are crucial for the successful recovery of elderly patients with massive hiatal hernia.

The aim of this study was to evaluate the effect of virtual reality goggles on pain, anxiety, and comfort in patients undergoing non-sedated upper gastrointestinal tract endoscopy. This randomized controlled study was conducted with 60 patients who underwent upper gastrointestinal tract endoscopy in the endoscopy unit of a training and research hospital in Istanbul. The intervention group (n = 30) was shown videos of relaxing forest and bird sounds of their choice using virtual reality goggles during the procedure. The control group (n = 30) did not receive any intervention. Data were collected using a Patient Information Form, Visual Analog Scale, and State Anxiety Inventory. There was no statistically significant difference in pain, anxiety, and comfort scores before the endoscopy procedure between both groups. While there was no statistically significant difference between the two groups in terms of pain scores after the endoscopy procedure, there was a significant difference in terms of anxiety and comfort scores. Post-procedure anxiety scores were lower and comfort scores were significantly higher in the intervention group. This study concluded that the use of virtual reality goggles during the endoscopy procedure did not affect the pain levels of participants, while it had a positive effect on anxiety and comfort levels.

The no-show rate in gastrointestinal (GI) endoscopy is a relevant phenomenon. A "no-show" event is defined as a scheduled procedure for which the patient did not show up. It is often associated with worse health outcomes and is a predictor of higher subsequent acute care utilization. The aim of this study is to highlight which strategies are most effective in preventing "no-shows" in a GI endoscopy unit. Following PRISMA guidelines for reporting, a narrative review of the literature was performed. Articles were retrieved from PubMed, Scopus, and CINAHL. The review process selected 7 articles meeting the inclusion criteria. This review suggests that an educational telephone intervention by endoscopy nurses decreases the no-show rate, facilitates compliance with exam preparation protocols (colonoscopy in particular), decreases patient anxiety, and results in a beneficial economic outcome for the organization.