Gastroenterology Nursing最新文献

Colon cancer is a global disease that continues to increase in middle-aged adults. Although screening colonoscopies are recommended to prevent colon cancer colonoscopy rates continue to decline, notably in the middle-aged adult population. At a gastroenterology clinic in the United States, 32% of middle-aged adults were found to not be up-to-date on their screening colonoscopy exams. Reasons for this included a lack of communication secondary to patient awareness and provider failure. The purpose of this project is to improve surveillance colonoscopy rates among middle-aged adults by improving communication efforts. At a gastroenterology clinic in Southeast Alabama, an electronic chart review was used to identify middle-aged adult patients due for a screening colonoscopy. Each participant was issued two reminder phone calls and a letter. The phone call and letter alerted participants they were due for a screening colonoscopy and provided them with an opportunity to schedule the procedure. A pre-and post-chart audit was utilized to analyze completed colonoscopy rates before and after the intervention. Post-chart audit findings revealed a 60% increase in completed colonoscopy rates within three months of project completion. These results reveal that implementing a phone and mail recall is effective at increasing screening colonoscopy rates.

This study aimed to describe a subgroup of children with autism, ages 3-17, referred for polysomnography, and the types and frequency of clinical encounters for gastrointestinal (GI) diagnoses that may contribute to sleep problems in a sample of children ages 3-17 with and without the diagnosis of autism; report gastrointestinal disorders and their associations with sleep disorders in this population; and report gastrointestinal disorders most predictive of sleep disorders in children with and without autism. The authors conducted a secondary data analysis of the de-identified Nationwide Children's Hospital Sleep DataBank encounters with children referred for polysomnography. Descriptive statistics described a sample of 3053 unique participants (M = 7.26 years) between 2017 and 2019. In children with autism, gastrointestinal disorders were prevalent. Chi-square statistics revealed an association between having autism and sleep disorders. Outcomes of multiple regression revealed that constipation, diarrhea, and nausea/vomiting predicted sleep problems in children with autism greater than those in children without autism. Findings support the increased presence of co-occurring GI symptoms and sleep problems in children with autism and the need for sleep evaluation in children with gastrointestinal symptoms. Further investigation of the gut-brain interaction in children with autism is needed.

Glucagon-like peptide-1 receptor agonist (GLP1a) agonists are one of the most recent discoveries to improve blood glucose control and provide satiety. The U.S. Food and Drug Administration (FDA) approved the first of these therapeutics for the management of type 2 diabetes in 2005 (Dungan et al., 2023). In 2014, the FDA approved semaglutide, a GLP1a, for weight management of patients with a BMI of 27 kg/m2 or greater and one weight-related ailment for patients with a BMI of at least 30 kg/m2. Although these pharmacologic agents provide many benefits, there is a growing concern for patients who currently use GLP1a medication during the perioperative period, especially relating to delayed gastric emptying. With the increasing use of GLP1a, health care practitioners require in-depth knowledge of implications and treatment for these patients to provide an evidence-based safety net for those requiring endoscopic services.

Longitudinal studies on the resilience of colorectal cancer patients and the counseling they receive are rare. This study's purpose was threefold: to describe the resilience and received counseling of colorectal cancer patients after 1 year post surgery; the relationships between background characteristics, resilience, and counseling; and the changes that occurred in the findings. Data were collected in Finland in 2020-2023 after 1 month (phase I) and a year (phase II) of the colorectal cancer surgery using the Connor-Davidson Resilience Scale © and the Counseling Quality Instrument © . A total of 103 participants completed phase I, 51 participants completed phase II, and 41 participants completed both phases. Phase II of the study showed that among the respondents (n = 51), resilience was low (mean 73.3) and significantly related to marital status ( p = .007). Most (75%) evaluated counseling as good, and the evaluations were similar in both study phases (n = 103, n = 51). The lowest scores were for psychosocial support, patient-centeredness, and goal-directedness. Knowledge of the illness and its care, general health and patient attitudes, and disease treatment and self-care decreased significantly within the year (n = 41). Changes in resilience were not found (n = 41). The findings suggest that colorectal cancer patients might need more psychosocial support. Patients' care should be carefully planned to better address their needs.

Constipation a common gastrointestinal symptom of Parkinson's disease. The causes include multifactorial pathomechanisms, lifestyle, and aging. Constipation in people with Parkinson's disease worsens their motor symptoms and disturbs their daily activities. Therefore, addressing constipation is a challenging but essential part of disease management. This cross-sectional observational study aimed to investigate the relationship between constipation severity and quality of life in people with Parkinson's disease. The Japanese versions of the Constipation Assessment Scale version 2 and Parkinson's Disease Questionnaire 39, respectively, were used to assess each domain. We examined the correlation of each variable and performed multiple regression analysis with the Parkinson's Disease Questionnaire 39 total score and each subscale (mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communication, and bodily discomfort) as measures of the dependent variables, and the Japanese version of the Constipation Assessment Scale version 2 score as the independent variable measure. Results from the 309 participants revealed that overall quality of life, emotional well-being, and cognitions were factors significantly associated with the severity of constipation in people with Parkinson's disease. These findings make it reasonable to suggest that relief from constipation severity could be associated with a better quality of life in people with Parkinson's disease.

This study was conducted to evaluate the effects of progressive muscle relaxation exercises on symptom severity and quality of life in patients with irritable bowel syndrome (IBS). This randomized controlled trial was conducted with a total of 57 IBS patients (28 in an intervention group and 29 in a control group) who were consulted in the gastroenterology outpatient clinic of Erzurum City Hospital in Erzuerum, Turkey. The patients in the intervention group performed progressive muscle relaxation every day for 6 weeks at home, while the control group did not receive any treatment. The patient information form, IBS Symptom Severity Scores, and IBS Quality of Life Scale were used to collect data. The mean IBS symptom severity score of the patients who performed progressive muscle relaxation was significantly lower compared to that of the control group (p < .001). The mean IBS Quality of Life score of the patients in the intervention group was significantly higher than that of the control group (p < .050). Progressive muscle relaxation reduced the severity of IBS symptoms and improved quality of life. Based on these results, it is recommended that patients with IBS perform progressive muscle relaxation exercises to achieve significant improvements in their symptoms and quality of life.