Gastroenterology Nursing最新文献

Easily obtained, noninvasive biomarkers are needed for Crohn's disease monitoring. This pilot study compared associations between calprotectin levels in stool, saliva, and blood to assess their correlation with endoscopic and histologic outcomes among patients with Crohn's disease. Participants recruited from an Inflammatory Bowel Disease center provided stool, blood, and saliva samples prior to undergoing scheduled colonoscopy (n = 17). We collected participant demographics and clinical disease activity. Endoscopic disease was assessed with the Simple Endoscopic Score. Histologic disease was assessed with the Robarts Histological Index. The mean age of the sample was 32.3 (SD 7.5) years. Correlations with endoscopic disease activity were 0.83 for fecal calprotectin, 0.26 for plasma calprotectin, 0.24 for serum calprotectin, and 0.02 for salivary calprotectin. Correlations with histologic disease activity were 0.80 for fecal calprotectin, 0.55 for plasma calprotectin, 0.15 for serum calprotectin, and -0.03 for salivary calprotectin. Fecal calprotectin had the strongest correlations with endoscopic and histologic disease outcomes, but fecal calprotectin levels were lower among those with ileal disease. For blood-based calprotectin, plasma calprotectin had a higher correlation with histology than serum, and plasma calprotectin levels were higher among those with ileal disease.

Major surgery often leads to a decrease in sleep quality on the first postoperative night. This study aims to investigate the associations between quality of recovery, subjective and objective measured sleep quality, depth of sleep, and pain among patients who have undergone abdominal surgery. This study was designed as a cross-sectional study using the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist for observational studies to strengthen the reporting of results. For 100 patients admitted to the department of gastroenterology at a medium-sized hospital in Denmark between February and June 2021, we collected data on the quality of recovery after surgery, as well as subjective and objective sleep quality measured using Fitbit smartwatch data. Data were analyzed using descriptive analysis and multiple line regression. We found a significant association between the quality of recovery and subjective sleep parameters. Objective sleep measures showed a tendency toward an association between the total score of the Fitbit ActiGraph and the quality of recovery, although not significant. It is concluded that sleep quality is important for patient recovery. The increasing number of patients using wearables during hospitalization calls for further exploration of the reliability of such devices.

This randomized, controlled study aimed to evaluate the effect of virtual reality (VR) on anxiety and pain in patients undergoing upper endoscopy without sedation. The study sample consisted of 100 patients assigned to the intervention group (n = 50) or control group (n = 50) by stratified block randomization to control for sex distribution. During the upper endoscopy procedure, patients in the intervention group watched a video of natural scenery through VR goggles. Patients in the intervention group had a significantly lower mean state anxiety score than the control group (34.62 ± 7.58 vs. 40.20 ± 8.27, p = .001). During the endoscopy procedure, patients in the control group reported more pain (3.10 ± 2.06 vs. 2.40 ± 1.47), although this difference was just shy of significance (p = .054). Our results suggest that the VR intervention decreased patients' anxiety about the procedure and may lower pain levels. VR interventions can be used as an easy and effective distraction technique for anxiety management in patients undergoing sedation-free upper endoscopy.

TikTok has gained popularity among young adults. Individuals with inflammatory bowel disease (IBD), a chronic autoimmune disease commonly diagnosed between ages of 15 and 29, often use multiple social media platforms for medical information and support. This study aimed to assess the content and quality of the most viewed TikTok videos related to IBD. Using web scraping, 86 videos were collected from the 100 most viewed videos under three hashtags: #ibd, #crohns, #colitis. The analysis focused on themes, video metrics, characteristics, and quality using the modified DISCERN tool and Global Quality Scale. All videos were made by individuals with IBD, and 83% were personal narratives. Eight main themes emerged: ostomy, advocacy, disease management, interactions with the healthcare system, symptoms, social relationships, negative impact of IBD, and complications. The median DISCERN and global quality scores were 1.00 (interquartile range [IQR]: 1.00), and 2.00 (IQR: 2.00), respectively, indicating poor quality. The main themes may indicate a need for IBD-specific education regarding ostomies, advocacy, and disease management. TikTok offers a space for individuals with IBD to share information and experiences. Healthcare providers can utilize this platform to interact with and educate those with IBD; however, no healthcare provider videos were among the most popular.

Colonoscopy is a primary diagnostic method for colorectal cancer screening. Ensuring completeness is critical for its effectiveness. The aim of this study is to explores patient and procedure-related contributors to incomplete colonoscopy in a Danish high volume endoscopy unit. A population-based register study was conducted, using data from electronic health records from a Danish hospital was analyzed, covering all colonoscopies performed between July 2015 and August 2019. The primary outcome assessed was the completeness of the index colonoscopy, with incomplete cases further classified based on the causes for incompleteness that were assessed and documented in real-time by the endoscopist. Data also included patient demographics and comorbidities, and profession of the endoscopist. Among 33,128 colonoscopies, prevalence of incomplete colonoscopies was 6.55%, with inadequate bowel preparation as the leading cause (60.3%). Men were more prone to inadequate bowel preparation, while procedural pain, non-passability, and stenosis were associated with women. Physician endoscopists exhibited higher incomplete colonoscopy rates compared to nurse endoscopists, and patients with higher comorbidity scores were more likely to have incomplete colonoscopy. This study highlights the prevalence of incomplete colonoscopy and recognizes modifiable risk factors like inadequate bowel preparation and procedural pain. Findings underscore the need for personalized interventions, stressing ongoing endoscopist education and targeted strategies to improve colonoscopy effectiveness.