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Nursing Care of Patients Managed With a Defunctioning Tube Ileostomy: An Exploratory Study. 对功能失调性管式回肠造口术患者的护理:一项探索性研究。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1097/WON.0000000000001110
Feixia Wang, Qunmin Wang, Xia Li, Qin Wang, Hanju Hua, Zifeng Zhong

Purpose: The purpose of this study was to describe nurses' experiences of caring for patients with colorectal cancer who underwent surgery to create a spontaneously closed defunctioning tube ileostomy after low anterior resection.

Design: Exploratory, descriptive study.

Subjects and settings: Data were collected from 6 registered nurses specialized in Wound, Ostomy and Continence Care (WOC nurses). The patient cohort comprised 247 hospitalized patients with histologically confirmed colorectal cancer who underwent low anterior resection of the rectum and creation of a closed defunctioning tube ileostomy. The study setting was the First Affiliated Hospital, Zhejiang University School of Medicine.

Methods: Semi-structured interviews and content analysis were used to collect and analyze data. The Wound, Ostomy and Continence Care nurses visited patient participants 1 week after hospital discharge and 1 to 2 times per week until the cannula was removed and the ostomy wound closed. Data were collected over a 6-month span after the surgery from January 2016 to December 2018.

Results: Content analysis identified 7 management strategies unique to caring for patients with a closed defunctioning tube ileostomy. They are: (1) cannula fixation (securement); (2) maintaining inflation of the cannular balloon to prevent fecal flow into the distal bowel, (3) cannular patency, (4) dietary advice for prevention of cannular blockage, (5) selecting an ostomy pouching system, (6) patient education, and (7) care during and following cannula removal (extubation).

Conclusions: We identified 7 areas of nursing care unique to the closed defunctioning tube ileostomy that provide a basis for creating clinical guidelines for patients undergoing this procedure.

目的:本研究旨在描述护士护理结直肠癌患者的经验,这些患者在前路低位切除术后接受了自发闭合功能障碍管回肠造口手术:探索性、描述性研究:数据收集自 6 名专门从事伤口、造口和失禁护理的注册护士(WOC 护士)。患者队列包括 247 名经组织学确诊的结直肠癌住院患者,他们都接受了直肠低位前切除术,并建立了闭合式功能失调回肠造口。研究地点为浙江大学医学院附属第一医院:方法:采用半结构式访谈和内容分析法收集和分析数据。伤口、造口和尿路护理护士在患者出院后 1 周探访患者,每周探访 1 至 2 次,直至拔除插管并关闭造口伤口。数据收集时间跨度为术后 6 个月,从 2016 年 1 月至 2018 年 12 月:内容分析确定了 7 种护理闭式功能失调回肠造口患者的独特管理策略。它们是(1)插管固定(固定);(2)保持插管球囊充气以防止粪便流入远端肠道;(3)插管通畅;(4)预防插管堵塞的饮食建议;(5)选择造口袋系统;(6)患者教育;(7)插管移除(拔管)期间和之后的护理:我们确定了闭合式功能失调回肠造口术特有的 7 个护理领域,为为接受该手术的患者制定临床指南提供了依据。
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引用次数: 0
Medical Adhesive-Related Skin Injury at 10 Years: An Updated Consensus. 医疗粘合剂相关皮肤损伤 10 年:最新共识。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-09-20 DOI: 10.1097/WON.0000000000001116
Andrew Barton, Daphne Broadhurst, Jan Hitchcock, Carolyn Lund, Laurie McNichol, Catherine R Ratliff, Juliano Teixeira Moraes, Stephanie Yates, Mikel Gray

Awareness of medical adhesive-related skin injury (MARSI) has increased in the decade since a foundational consensus report was published in 2013. Additional research has provided greater knowledge of the epidemiology of MARSI, along with its assessment, prevention, and management. To summarize knowledge generated in the past decade and review our current understanding of MARSI, a panel of nine clinical experts from four countries (United States of America, United Kingdom, Canada, and Brazil) convened to discuss the literature published since the initial 2013 document and develop updated recommendations for clinical practice. The group formulated 20 updated consensus statements covering the assessment, prevention, and management of skin injuries related to adhesive medical devices and proposed next steps to address remaining gaps in research and knowledge of this complex and clinically relevant condition.

自 2013 年发布基础性共识报告以来的十年间,人们对医用粘合剂相关皮肤损伤 (MARSI) 的认识不断提高。更多的研究使我们对 MARSI 的流行病学及其评估、预防和管理有了更深入的了解。为了总结过去十年间积累的知识并回顾我们目前对 MARSI 的理解,一个由来自四个国家(美国、英国、加拿大和巴西)的九位临床专家组成的小组召开了会议,讨论自 2013 年最初的文件发布以来所发表的文献,并为临床实践制定了最新的建议。该小组制定了 20 项更新的共识声明,涵盖了与粘附性医疗器械相关的皮肤损伤的评估、预防和管理,并提出了下一步措施,以解决这一复杂且与临床相关的疾病在研究和知识方面仍然存在的差距。
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引用次数: 0
2024 Guideline for Management of Wounds in Patients With Lower Extremity Arterial Disease: An Executive Summary. 2024 下肢动脉疾病患者伤口管理指南:执行摘要。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1097/WON.0000000000001111
Phyllis A Bonham, Linda R Droste, Arturo González, Teresa J Kelechi, Catherine R Ratliff

This article is an executive summary of the Wound, Ostomy, and Continence Nurses Society's (WOCN) 2024 Guideline for Management of Wounds in Patients With Lower Extremity Arterial Disease. It is part of the Society's Clinical Practice Guideline Series. This article presents an overview of the systematic process used to update and develop the guideline. It also lists specific recommendations from the guideline for screening and diagnosis, assessment, management, and education of patients with wounds due to lower extremity arterial disease (LEAD). Suggestions for implementing recommendations from the guideline are also summarized. The guideline is a resource for WOC nurse specialists, other nurses, and health care professionals who work with adults who have/or are at risk of wounds due to LEAD. The complete guideline includes the evidence and references supporting the recommendations, and it is available from the WOCN Society's Bookstore (www.wocn.org). Refer to the Supplemental Digital Content Appendix (available at: http://links.lww.com/JWOCN/A123) associated with this article for a complete reference list for the guideline.

本文是伤口、造口和尿失禁护士协会 (WOCN) 2024 年下肢动脉疾病患者伤口管理指南的执行摘要。该指南是学会临床实践指南系列的一部分。本文概述了更新和制定该指南的系统过程。它还列出了指南中关于下肢动脉疾病 (LEAD) 伤口患者的筛查和诊断、评估、管理和教育的具体建议。此外,还总结了实施指南建议的建议。该指南是 WOC 专科护士、其他护士和医护人员的参考资料,他们的工作对象是因 LEAD 而有/或可能有伤口的成人。完整的指南包括支持建议的证据和参考文献,可从 WOCN 协会书店 (www.wocn.org) 购买。请参阅与本文相关的补充数字内容附录(网址:http://links.lww.com/JWOCN/A123),获取指南的完整参考文献列表。
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引用次数: 0
Incidence and Risk Factors for Medical Device-Related Pressure Injury in Hemodynamically Unstable Intensive Care Unit Patients: A Prospective Cohort Study. 血流动力学不稳定的重症监护病房患者中与医疗设备相关的压伤发生率和风险因素:一项前瞻性队列研究。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001081
Luana Furtado Bueno, Manuela de Mendonça Figueirêdo Coelho, Daniel Nogueira Cortez, Juliano Teixeira Moraes

Purpose: The purpose of this study was to determine the incidence and identify potential risk factors for medical device-related pressure injury (MDRPI) in critically ill and hemodynamically unstable adults (patients classified class III or IV on the Therapeutic Intervention Scoring System-28; TISS-28).

Design: Prospective cohort study.

Subjects and setting: The target population was critically ill adults who were using one or more medical devices and categorized as class III or IV on the TISS-28. The study sample comprised 77 participants followed daily until discharge, death, transfer, or lesion development. Data were collected from January to March 2020. The study setting was an intensive care unit with 40 beds in a large hospital in a municipality in the state of Minas Gerais, Brazil.

Methods: Sociodemographic and pertinent clinical data, pressure injury (PI) risk assessed using the Braden Scale for Pressure Sore Risk, and head-to-toe skin inspections were completed. The incidence rate of MDRPIs was calculated, and survival analyses were completed via the Kaplan-Meier method and Cox regression model.

Results: Forty-nine of 77 participants developed an MDRPI, reflecting an incidence rate of 63.6%. Collectively, 71 MDRPIs occurred in these 49 participants. Univariate analysis indicated significant associations between MDRPI occurrences and level of consciousness ( P = < .001), use of tube holder for ventilation devices ( P = .013), nasal cannula ( P = .034), nasogastric cannula ( P = .034), presence of edema ( P = .001), infection ( P = .007), higher TISS score ( P = .047), and greater number of medical devices ( P = .022). Survival analysis indicated that a high or very high-risk score on the Braden Scale for Pressure Sore Risk ( P = .043) and edema ( P = .030) are risk factors for MDRPI occurrences in this vulnerable population.

Conclusions: The incidence rate of MDRPIs was 63.6%. The categories with the highest high or very high risk scores on the Braden Scale for Risk of Pressure Pain and Edema emerged as risk factors for MDRPI in this critically ill and vulnerable population.

目的:本研究旨在确定重症患者和血流动力学不稳定的成人(根据治疗干预评分系统-28(TISS-28)被划分为III级或IV级的患者)中与医疗器械相关的压力损伤(MDRPI)的发生率并识别潜在风险因素:设计:前瞻性队列研究:目标人群:使用一种或多种医疗设备且在 TISS-28 中被归类为 III 级或 IV 级的成年重症患者。研究样本由 77 名参与者组成,每天进行跟踪,直至出院、死亡、转院或出现病变。数据收集时间为 2020 年 1 月至 3 月。研究地点为巴西米纳斯吉拉斯州某市一家大型医院的重症监护病房,该病房有 40 张病床:方法:收集社会人口学数据和相关临床数据,使用布莱登压疮风险量表评估压伤(PI)风险,并进行从头到脚的皮肤检查。计算了 MDRPI 的发病率,并通过 Kaplan-Meier 法和 Cox 回归模型完成了生存分析:结果:77 位参与者中有 49 位出现了 MDRPI,发病率为 63.6%。这 49 名参与者共发生了 71 例 MDRPI。单变量分析表明,MDRPI发生率与意识水平之间存在显著关联(P = 结论:MDRPI发生率与意识水平之间存在显著关联(P = 结论:MDRPI发生率与意识水平之间存在显著关联(P = 结论):MDRPI 的发生率为 63.6%。在布莱登压痛和水肿风险量表(Braden Scale for Risk of Pressure Pain and Edema)中,高风险或极高风险得分最高的类别成为这一重症脆弱人群发生 MDRPI 的风险因素。
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引用次数: 0
Value of the WOC Nurse: View From Here. 妇产科护士的价值。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001098
Joyce Pittman, Rebecca Swaing-Eng, Jen Hurley, Dianne Mackey, Tanya Martel, Kathy McGrady, Janet Ramundo, Angela Richardson, Emilie Schlitt, Susan Solmos
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引用次数: 0
Getting Ready for Certification: Recommend and Provide Interventions to Promote Optimal Management of Ostomies. 准备认证:建议并提供干预措施,促进最佳的造口管理。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001102
Cathy Harmon, Michael J Kingan
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引用次数: 0
Predictors of Health-Related Quality of Life in Younger Persons With a Fecal Ostomy and Inflammatory Bowel Disease. 有造口术和炎症性肠病的年轻人与健康相关的生活质量的预测因素。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001087
Caitlin Werther

Purpose: The purpose of this study was to determine predictors of health-related quality of life (HRQOL) in persons aged 18 to 40 years living with inflammatory bowel disease (IBD) and a fecal ostomy.

Design: Descriptive cross-sectional study.

Subjects and setting: The sample comprised 98 participants recruited from online discussion boards/support groups for individuals living with IBD and an intestinal ostomy. More than three-quarters (76.5%) were female; 45.9% (n = 44) had lived with an ostomy for 2 years or less. Data were collected through an online survey made available from October 2018 to December 2018.

Methods: HRQOL was measured using the Healthy Days Core Module (Centers for Disease Control and Prevention HRQOL-4). Item 1 from the CDC HRQOL-4 represented the variable self-rated health (SRH). The subscales of bodily pain, general mental health, and vitality from the Short-Form 36 Health Survey and the subscales of ostomy function and body image/sexuality plus skin irritation item from the Young-Fadok Stoma Quality of Life (QOL) Scale were used to measure predictors of pain, psychological distress, fatigue, peristomal skin irritation, leakage of ostomy appliance, and body image/sexual disturbance. Correlational and hierarchical multiple linear regression analyses were conducted to complete hypotheses testing.

Results: Significant correlations were found between pain, fatigue, peristomal skin problems, psychological distress, SRH, and HRQOL. Pain, fatigue, psychological distress, and self-related health explained 53.2% of the variance in HRQOL based on hierarchical multiple linear regression and controlling for demographic variables such as marital and employment status.

Conclusions: Findings suggest global disease symptoms of IBD in the form of pain, fatigue, and psychological distress and individual perception of health (SRH) are more important than transient ostomy symptoms of peristomal skin complications and leakage of ostomy appliance in predicting HRQOL. Individuals in this population regularly use online resources indicating a need to understand and gain insight into the information posted online in the management of the fecal ostomy and IBD.

目的:本研究的目的是确定 18 至 40 岁患有炎症性肠病(IBD)和粪便造口的人的健康相关生活质量(HRQOL)的预测因素:描述性横断面研究:样本包括从 IBD 和肠造口患者的在线讨论板/支持小组中招募的 98 名参与者。超过四分之三(76.5%)的参与者为女性;45.9%(n = 44)的参与者接受造口手术的时间为 2 年或更短。数据通过 2018 年 10 月至 2018 年 12 月的在线调查收集。方法:使用健康日核心模块(美国疾病控制和预防中心 HRQOL-4)测量 HRQOL。CDC HRQOL-4 中的第 1 项代表自评健康(SRH)变量。短表 36 健康调查中的身体疼痛、一般心理健康和活力分量表,以及 Young-Fadok 造口生活质量(QOL)量表中的造口功能和身体形象/性生活以及皮肤刺激分量表,均用于测量疼痛、心理困扰、疲劳、造口周围皮肤刺激、造口袋渗漏和身体形象/性生活障碍的预测因子。为完成假设检验,进行了相关分析和分层多元线性回归分析:结果:疼痛、疲劳、造口周围皮肤问题、心理困扰、性健康和生殖健康以及 HRQOL 之间存在显著相关性。根据分层多元线性回归并控制婚姻和就业状况等人口统计学变量,疼痛、疲劳、心理困扰和自我相关健康解释了 HRQOL 变异的 53.2%:研究结果表明,在预测 HRQOL 方面,以疼痛、疲劳和心理困扰为表现形式的 IBD 整体疾病症状以及个人健康感知(SRH)比造口周围皮肤并发症和造口用具渗漏等短暂造口症状更为重要。该人群经常使用网上资源,这表明他们需要了解并深入认识网上发布的有关粪便造口和肠道疾病管理的信息。
{"title":"Predictors of Health-Related Quality of Life in Younger Persons With a Fecal Ostomy and Inflammatory Bowel Disease.","authors":"Caitlin Werther","doi":"10.1097/WON.0000000000001087","DOIUrl":"https://doi.org/10.1097/WON.0000000000001087","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine predictors of health-related quality of life (HRQOL) in persons aged 18 to 40 years living with inflammatory bowel disease (IBD) and a fecal ostomy.</p><p><strong>Design: </strong>Descriptive cross-sectional study.</p><p><strong>Subjects and setting: </strong>The sample comprised 98 participants recruited from online discussion boards/support groups for individuals living with IBD and an intestinal ostomy. More than three-quarters (76.5%) were female; 45.9% (n = 44) had lived with an ostomy for 2 years or less. Data were collected through an online survey made available from October 2018 to December 2018.</p><p><strong>Methods: </strong>HRQOL was measured using the Healthy Days Core Module (Centers for Disease Control and Prevention HRQOL-4). Item 1 from the CDC HRQOL-4 represented the variable self-rated health (SRH). The subscales of bodily pain, general mental health, and vitality from the Short-Form 36 Health Survey and the subscales of ostomy function and body image/sexuality plus skin irritation item from the Young-Fadok Stoma Quality of Life (QOL) Scale were used to measure predictors of pain, psychological distress, fatigue, peristomal skin irritation, leakage of ostomy appliance, and body image/sexual disturbance. Correlational and hierarchical multiple linear regression analyses were conducted to complete hypotheses testing.</p><p><strong>Results: </strong>Significant correlations were found between pain, fatigue, peristomal skin problems, psychological distress, SRH, and HRQOL. Pain, fatigue, psychological distress, and self-related health explained 53.2% of the variance in HRQOL based on hierarchical multiple linear regression and controlling for demographic variables such as marital and employment status.</p><p><strong>Conclusions: </strong>Findings suggest global disease symptoms of IBD in the form of pain, fatigue, and psychological distress and individual perception of health (SRH) are more important than transient ostomy symptoms of peristomal skin complications and leakage of ostomy appliance in predicting HRQOL. Individuals in this population regularly use online resources indicating a need to understand and gain insight into the information posted online in the management of the fecal ostomy and IBD.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 4","pages":"297-302"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors for Incontinence-Associated Dermatitis in Critically Ill Patients with Incontinence: A Systematic Review and Meta-Analysis. 尿失禁重症患者发生尿失禁相关皮炎的风险因素:系统回顾与元分析》。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001107
{"title":"Risk Factors for Incontinence-Associated Dermatitis in Critically Ill Patients with Incontinence: A Systematic Review and Meta-Analysis.","authors":"","doi":"10.1097/WON.0000000000001107","DOIUrl":"10.1097/WON.0000000000001107","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 4","pages":"E5"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Specialized Nursing Practice Through Collaborative Academic Advancement: A Joint Initiative by Nurses Specialized in Wound, Ostomy, and Continence Canada and Curtin University, Perth, Australia. 通过学术合作促进专科护理实践:加拿大伤口、造口和失禁专科护士协会与澳大利亚珀斯科廷大学联合倡议。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001089
Kimberly LeBlanc

In response to the escalating demand for highly skilled nursing practitioners in wound, ostomy, and continence (WOC) care, a collaboration between the Nurses Specialized in Wound, Ostomy, and Continence Canada (NSWOCC) and Curtin University, Perth, Australia, has emerged. This unique pathway aims to bridge the gap between practical expertise and academic excellence, offering a transformative opportunity for nursing professionals to elevate their skills and credentials. This comprehensive program integrates real-world experience with advanced academic concepts, enabling participants can to pursue a Master of Advanced Practice (MC-ADVPRC) in Wound, Ostomy, and Continence Nursing, positioning themselves as leaders in specialized health care. NSWOCC Feature highlights the programs' unique features and potential impact on the future of nursing practice.

为满足伤口、造口和失禁(WOC)护理领域对高技能护理从业人员不断增长的需求,加拿大伤口、造口和失禁专科护士协会(NSWOCC)与澳大利亚珀斯科廷大学(Curtin University)开展了一项合作。这一独特的学习途径旨在弥合实际专业知识与卓越学术之间的差距,为护理专业人员提供一个提升技能和资历的转型机会。该综合课程将现实世界的经验与先进的学术理念相结合,使学员能够攻读伤口、造口和连续性护理高级实践硕士学位(MC-ADVPRC),将自己定位为专业医疗保健领域的领导者。国家伤口、造口和连续性护理学会特刊》(NSWOCC Feature)重点介绍了这些课程的独特之处以及对未来护理实践的潜在影响。
{"title":"Enhancing Specialized Nursing Practice Through Collaborative Academic Advancement: A Joint Initiative by Nurses Specialized in Wound, Ostomy, and Continence Canada and Curtin University, Perth, Australia.","authors":"Kimberly LeBlanc","doi":"10.1097/WON.0000000000001089","DOIUrl":"https://doi.org/10.1097/WON.0000000000001089","url":null,"abstract":"<p><p>In response to the escalating demand for highly skilled nursing practitioners in wound, ostomy, and continence (WOC) care, a collaboration between the Nurses Specialized in Wound, Ostomy, and Continence Canada (NSWOCC) and Curtin University, Perth, Australia, has emerged. This unique pathway aims to bridge the gap between practical expertise and academic excellence, offering a transformative opportunity for nursing professionals to elevate their skills and credentials. This comprehensive program integrates real-world experience with advanced academic concepts, enabling participants can to pursue a Master of Advanced Practice (MC-ADVPRC) in Wound, Ostomy, and Continence Nursing, positioning themselves as leaders in specialized health care. NSWOCC Feature highlights the programs' unique features and potential impact on the future of nursing practice.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 4","pages":"333-334"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ostomy Care Nurses' Knowledge and Practice Related to Prevention and Management of Parastomal Hernias in Adults: A Nationwide Survey of UK Stoma Care Nurses. 造口护理护士对成人造口旁疝预防和管理的相关知识和实践:英国造口护理护士全国调查。
IF 1.7 3区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2024-07-19 DOI: 10.1097/WON.0000000000001091
Clare Smith, Neal Cook

Purpose: The purpose of this study was to describe the knowledge and practices of ostomy care nurses related to the United Kingdom's Association of Stoma Care Nurses (ASCN) 2016 guidelines for prevention and management of parastomal hernia (PSH) in adults.

Design: Cross-sectional descriptive study.

Subjects and setting: The target population was approximately 300 stoma care nurses; 120 useable responses to the survey were received, reflecting a response rate of approximately 40%.

Methods: A 31-item questionnaire was developed for the purposes of this study, consisting of multiple choice and short answer questions grouped into 2 sections; demographics, and knowledge and practices. The questionnaire was distributed to members of the ASCN who work with adults via an online survey platform with the aim of reaching as many respondents as possible. The Chi-square test was used to determine relationships between the nominal demographic data and the nominal knowledge and practices data.

Results: Almost two-thirds of respondents (65%, n = 78) rated their knowledge relating to prevention and management of PSH as good or excellent. Nevertheless, 79.8% (n = 95) indicated they needed additional education to improve their knowledge and practice related to prevention of PSH. Those who rated their knowledge as excellent or good were significantly more likely to be aware of the guidelines compared to those who ranked their knowledge as average or poor.

Conclusions: Study findings suggest variability in knowledge among UK stoma care nurses, along with a desire for additional education in this area of care.

目的:本研究旨在描述造口护理护士对英国造口护理护士协会(ASCN)2016年成人造口旁疝(PSH)预防和管理指南的相关知识和实践:横断面描述性研究:目标人群:约 300 名造口护理护士;收到 120 份可用的调查回复,回复率约为 40%:方法:为本研究编制了一份包含 31 个项目的调查问卷,问卷由多项选择题和简答题组成,分为两个部分:人口统计学和知识与实践。问卷通过在线调查平台分发给从事成人工作的 ASCN 成员,目的是让尽可能多的人参与问卷调查。结果显示,近三分之二的受访者表示他们对知识和实践的了解不够:近三分之二的受访者(65%,n = 78)将其有关预防和管理 PSH 的知识评为 "良好 "或 "优秀"。然而,79.8% 的受访者(95 人)表示,他们需要接受更多教育,以提高与预防 PSH 相关的知识和实践水平。与那些知识水平一般或较差的人相比,那些将自己的知识水平评为优秀或良好的人更有可能了解指南:研究结果表明,英国造口护理护士的知识水平参差不齐,而且希望在这一护理领域获得更多教育。
{"title":"Ostomy Care Nurses' Knowledge and Practice Related to Prevention and Management of Parastomal Hernias in Adults: A Nationwide Survey of UK Stoma Care Nurses.","authors":"Clare Smith, Neal Cook","doi":"10.1097/WON.0000000000001091","DOIUrl":"https://doi.org/10.1097/WON.0000000000001091","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the knowledge and practices of ostomy care nurses related to the United Kingdom's Association of Stoma Care Nurses (ASCN) 2016 guidelines for prevention and management of parastomal hernia (PSH) in adults.</p><p><strong>Design: </strong>Cross-sectional descriptive study.</p><p><strong>Subjects and setting: </strong>The target population was approximately 300 stoma care nurses; 120 useable responses to the survey were received, reflecting a response rate of approximately 40%.</p><p><strong>Methods: </strong>A 31-item questionnaire was developed for the purposes of this study, consisting of multiple choice and short answer questions grouped into 2 sections; demographics, and knowledge and practices. The questionnaire was distributed to members of the ASCN who work with adults via an online survey platform with the aim of reaching as many respondents as possible. The Chi-square test was used to determine relationships between the nominal demographic data and the nominal knowledge and practices data.</p><p><strong>Results: </strong>Almost two-thirds of respondents (65%, n = 78) rated their knowledge relating to prevention and management of PSH as good or excellent. Nevertheless, 79.8% (n = 95) indicated they needed additional education to improve their knowledge and practice related to prevention of PSH. Those who rated their knowledge as excellent or good were significantly more likely to be aware of the guidelines compared to those who ranked their knowledge as average or poor.</p><p><strong>Conclusions: </strong>Study findings suggest variability in knowledge among UK stoma care nurses, along with a desire for additional education in this area of care.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 4","pages":"289-296"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Wound Ostomy and Continence Nursing
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