Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.7.8
Nikki Welyczko
A brief overview of recently published articles on gastroenterology, hepatology and stoma care
简要概述最近发表的关于胃肠病学，肝病学和口腔护理的文章
{"title":"Journal Scan","authors":"Nikki Welyczko","doi":"10.12968/gasn.2023.21.7.8","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.7.8","url":null,"abstract":"A brief overview of recently published articles on gastroenterology, hepatology and stoma care","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To explore the experiences of adults who completed a constraint-induced movement therapy (CIMT) programme, and the barriers and enablers to their participation.
Methods: Qualitative design using semi-structured interviews. Stroke and brain injury survivors (n = 45) who had completed CIMT as part of their usual rehabilitation were interviewed 1 month post-CIMT. Interviews were audio-recorded, transcribed and imported into Nvivo for analysis. Inductive coding was used to identify initial themes. Themes were then deductively mapped to the Capability, Opportunity, Motivation - Behaviour system, a behaviour change model, to identify barriers and enablers to CIMT programme adherence and engagement.
Results: Enablers influencing participation included being provided with education about the programme (Capability - psychological), seeing improvements in arm function (Motivation - reflective), being committed to the programme (Motivation - reflective) and having strong social support from staff, family and allied health students (Opportunity - social). The structured programme was a motivator and offered a way to fill the time, particularly during inpatient rehabilitation (Opportunity - physical). Barriers to participation included experiencing physical and mental fatigue (Capability - physical) and frustration early in the CIMT programme (Motivation - automatic), and finding exercises boring and repetitive (Motivation - automatic).
Conclusion: Therapist provision of educational supports for CIMT participants and their families is important to maximise CIMT programme uptake. During CIMT delivery, we recommend the provision of positive feedback and coaching in alignment with CIMT principles, and the inclusion of social supports such as group-based programmes to enhance participant adherence.
{"title":"Adult experiences of constraint-induced movement therapy programmes: a qualitative study using the Theoretical Domains Framework and Capability, Opportunity, Motivation - Behaviour system.","authors":"Lauren J Christie, Reem Rendell, Annie McCluskey, Nicola Fearn, Abigail Hunter, Meryl Lovarini","doi":"10.1017/BrImp.2022.18","DOIUrl":"10.1017/BrImp.2022.18","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of adults who completed a constraint-induced movement therapy (CIMT) programme, and the barriers and enablers to their participation.</p><p><strong>Methods: </strong>Qualitative design using semi-structured interviews. Stroke and brain injury survivors (<i>n</i> = 45) who had completed CIMT as part of their usual rehabilitation were interviewed 1 month post-CIMT. Interviews were audio-recorded, transcribed and imported into Nvivo for analysis. Inductive coding was used to identify initial themes. Themes were then deductively mapped to the Capability, Opportunity, Motivation - Behaviour system, a behaviour change model, to identify barriers and enablers to CIMT programme adherence and engagement.</p><p><strong>Results: </strong>Enablers influencing participation included being provided with education about the programme (Capability - psychological), seeing improvements in arm function (Motivation - reflective), being committed to the programme (Motivation - reflective) and having strong social support from staff, family and allied health students (Opportunity - social). The structured programme was a motivator and offered a way to fill the time, particularly during inpatient rehabilitation (Opportunity - physical). Barriers to participation included experiencing physical and mental fatigue (Capability - physical) and frustration early in the CIMT programme (Motivation - automatic), and finding exercises boring and repetitive (Motivation - automatic).</p><p><strong>Conclusion: </strong>Therapist provision of educational supports for CIMT participants and their families is important to maximise CIMT programme uptake. During CIMT delivery, we recommend the provision of positive feedback and coaching in alignment with CIMT principles, and the inclusion of social supports such as group-based programmes to enhance participant adherence.</p>","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"14 1","pages":"274-289"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88224889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.6.16
Mohsen Saeedi Abo-s-haghi, Fatemeh Salehi, Hadis Nazari, Faezeh Karimi, Imani Asad
Endoscopy is a diagnostic and therapeutic procedure used in paediatrics. This invasive procedure is anxiety-inducing, a natural response that can affect physiological indicators. Today, the use of nursing theories in the form of a comprehensive nursing care model plays a significant role in improving patient health. The aim of this study was to determine the effect of the comfort-based care model on the physiological indicators of children undergoing endoscopy. This clinical trial study was conducted on 56 paediatric patients referred to the endoscopy unit of Hajar Hospital (affiliated with the Shahrekord University of Medical Sciences, Iran). Children were enrolled by convenience sampling and randomly assigned to either the intervention (28 participants) or control group (28 participants). The intervention, which was based on comfort theory, was carried out 2 hours before endoscopy, encompassing four dimensions: physical, psycho-spiritual, socio-cultural and environmental. The control group received routine care. Physiological indicators were recorded in both groups before and immediately after endoscopy. Data were analysed with the Chi-square, independent t-test and paired t-test. Before the intervention, there was no statistically significant difference between the intervention and control groups in terms of their mean pulse or systolic and diastolic blood pressures. After the intervention, the mean pulse and systolic blood pressure in the intervention group was significantly decreased compared to the control group (P<0.05). The mean diastolic blood pressure after the intervention was 73.39±8.17 in the intervention group and 73.35±9.09 in the control group, and the difference was not statistically significant (P=0.801). The research findings show that the comfort-based care model had a significant effect on reducing pulse and systolic blood pressure.
{"title":"Effect of a care programme based on the comfort theory on physiological indicators in paediatric candidates for endoscopy: a randomised clinical trial","authors":"Mohsen Saeedi Abo-s-haghi, Fatemeh Salehi, Hadis Nazari, Faezeh Karimi, Imani Asad","doi":"10.12968/gasn.2023.21.6.16","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.6.16","url":null,"abstract":"Endoscopy is a diagnostic and therapeutic procedure used in paediatrics. This invasive procedure is anxiety-inducing, a natural response that can affect physiological indicators. Today, the use of nursing theories in the form of a comprehensive nursing care model plays a significant role in improving patient health. The aim of this study was to determine the effect of the comfort-based care model on the physiological indicators of children undergoing endoscopy. This clinical trial study was conducted on 56 paediatric patients referred to the endoscopy unit of Hajar Hospital (affiliated with the Shahrekord University of Medical Sciences, Iran). Children were enrolled by convenience sampling and randomly assigned to either the intervention (28 participants) or control group (28 participants). The intervention, which was based on comfort theory, was carried out 2 hours before endoscopy, encompassing four dimensions: physical, psycho-spiritual, socio-cultural and environmental. The control group received routine care. Physiological indicators were recorded in both groups before and immediately after endoscopy. Data were analysed with the Chi-square, independent t-test and paired t-test. Before the intervention, there was no statistically significant difference between the intervention and control groups in terms of their mean pulse or systolic and diastolic blood pressures. After the intervention, the mean pulse and systolic blood pressure in the intervention group was significantly decreased compared to the control group (P<0.05). The mean diastolic blood pressure after the intervention was 73.39±8.17 in the intervention group and 73.35±9.09 in the control group, and the difference was not statistically significant (P=0.801). The research findings show that the comfort-based care model had a significant effect on reducing pulse and systolic blood pressure.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41594094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.sup6.s8
P. Bager
Palle Bager looks back at some of the key discussion points from the International Liver Conference, 2023
Palle Bager回顾了2023年国际肝脏大会的一些关键讨论点
{"title":"Liver care, live from Vienna","authors":"P. Bager","doi":"10.12968/gasn.2023.21.sup6.s8","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup6.s8","url":null,"abstract":"Palle Bager looks back at some of the key discussion points from the International Liver Conference, 2023","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45600648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.6.22
F. Carvalho, Anna Kozieł, L. Monje-Garcia
The NHS long term plan sets a target that by 2028, 75% of cancers will be diagnosed at an early stage. One of the ways this ambition will be reached is through targeted screening and personalised surveillance of those most at risk of developing cancer, such as those with Lynch syndrome. This article outlines the essential steps to consider when setting up and managing an in-house nurse-led colorectal Lynch syndrome clinic. It highlights the educational requirements, patient criteria, the importance of thorough planning and the need to liaise-on with key stakeholders.
{"title":"How to set up an in-house nurse-led colorectal Lynch syndrome clinic","authors":"F. Carvalho, Anna Kozieł, L. Monje-Garcia","doi":"10.12968/gasn.2023.21.6.22","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.6.22","url":null,"abstract":"The NHS long term plan sets a target that by 2028, 75% of cancers will be diagnosed at an early stage. One of the ways this ambition will be reached is through targeted screening and personalised surveillance of those most at risk of developing cancer, such as those with Lynch syndrome. This article outlines the essential steps to consider when setting up and managing an in-house nurse-led colorectal Lynch syndrome clinic. It highlights the educational requirements, patient criteria, the importance of thorough planning and the need to liaise-on with key stakeholders.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66139939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neonatal jaundice, which can affect up to 60% of term and 80% of preterm babies, can have a serious detrimental effect on their health. The effects of microbiota on neonatal bilirubin are poorly understood, which creates a critical knowledge gap about how they affect the neonate's blood bilirubin levels and how the gut delicately balances close contact with the host. Prebiotics and probiotics have a significant impact on the management of hyperbilirubinemia, but their effectiveness is still being debated. To offer a compelling novel therapeutic approach for newborn hyperbilirubinemia, a thorough understanding of the process is required.
{"title":"Gut–liver axis and the impact of probiotics on neonatal jaundice symptoms: a review","authors":"Payam Gonbari Milani, Armaghan Nazari, Azar Abedi Soleimani, Roya Abedi Soleimani","doi":"10.12968/gasn.2023.21.sup6.s10","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup6.s10","url":null,"abstract":"Neonatal jaundice, which can affect up to 60% of term and 80% of preterm babies, can have a serious detrimental effect on their health. The effects of microbiota on neonatal bilirubin are poorly understood, which creates a critical knowledge gap about how they affect the neonate's blood bilirubin levels and how the gut delicately balances close contact with the host. Prebiotics and probiotics have a significant impact on the management of hyperbilirubinemia, but their effectiveness is still being debated. To offer a compelling novel therapeutic approach for newborn hyperbilirubinemia, a thorough understanding of the process is required.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47838907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.6.5
Tom Allaway
{"title":"A glimpse into the future of gastrointestinal care","authors":"Tom Allaway","doi":"10.12968/gasn.2023.21.6.5","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.6.5","url":null,"abstract":"","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42709219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.6.26
P. Harrison
Penny Harrison recounts some of the programme highlights from BSG Live ’23
Penny Harrison讲述了BSG Live’23的一些节目亮点
{"title":"Celebrating gastrointestinal nursing at the BSG conference","authors":"P. Harrison","doi":"10.12968/gasn.2023.21.6.26","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.6.26","url":null,"abstract":"Penny Harrison recounts some of the programme highlights from BSG Live ’23","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44423280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.12968/gasn.2023.21.sup6.s16
D. W. Christensen, Astrid Stidsing Heerfordt, F. Schiødt, M. K. Simonsen
Liver cirrhosis is a chronic, life-threatening disease. Studies show that the 1-year mortality rate is 57%. According to the World Health Organization, palliative care can improve the quality of life for patients with liver cirrhosis, reduce unnecessary hospital admissions and lower healthcare costs. However, there is limited research on the use of palliative care in patients with liver cirrhosis. Four studies were identified that explored interventions conducted for patients with alcoholic liver cirrhosis related to palliation. Three studies also examined the experiences of patients, relatives, and professionals with palliation. Three themes emerged from the examination of these articles: organisational structure, lack of knowledge, and anxiety about discussing the subject.
{"title":"Palliative care to improve life with alcoholic liver cirrhosis: a systematic review","authors":"D. W. Christensen, Astrid Stidsing Heerfordt, F. Schiødt, M. K. Simonsen","doi":"10.12968/gasn.2023.21.sup6.s16","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup6.s16","url":null,"abstract":"Liver cirrhosis is a chronic, life-threatening disease. Studies show that the 1-year mortality rate is 57%. According to the World Health Organization, palliative care can improve the quality of life for patients with liver cirrhosis, reduce unnecessary hospital admissions and lower healthcare costs. However, there is limited research on the use of palliative care in patients with liver cirrhosis. Four studies were identified that explored interventions conducted for patients with alcoholic liver cirrhosis related to palliation. Three studies also examined the experiences of patients, relatives, and professionals with palliation. Three themes emerged from the examination of these articles: organisational structure, lack of knowledge, and anxiety about discussing the subject.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42922765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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