Base de dados : MEDLINE
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  1 / 1256 MEDLINE  
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[PMID]:29240359
[Au] Autor:Broughton BL; Baron B; Kiernan M; Baack-Kukreja J; LaFaro VE; Larmon R; Rust K; Schempp BA; Yovanovich J
[Ti] Título:Cystectomy-Enhanced Recovery Program: Nursing Implications.
[So] Source:Urol Nurs;37(1):9-14, 2017 Jan-Feb.
[Is] ISSN:1053-816X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cystectomy is a complex procedure with a tenuous perioperative course. Enhanced recovery programs (ERPs) are bundle strategies, developed to enhance the recovery of surgical patients. This article outlines the components of an ERP for cystectomy patients from a nursing implementation perspective.
[Mh] Termos MeSH primário: Cistectomia/enfermagem
Estomia/enfermagem
Dor Pós-Operatória/enfermagem
Assistência Perioperatória/enfermagem
Neoplasias da Bexiga Urinária/cirurgia
Derivação Urinária/enfermagem
[Mh] Termos MeSH secundário: Protocolos Clínicos
Seres Humanos
Tempo de Internação
Manejo da Dor
Neoplasias da Bexiga Urinária/enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


  2 / 1256 MEDLINE  
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[PMID]:28877113
[Au] Autor:Zhu X; Chen Y; Tang X; Chen Y; Liu Y; Guo W; Liu A
[Ad] Endereço:Xiaomei Zhu, PhD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Yongyi Chen, PhD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Xinhui Tang, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Yupan Chen, MD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Yangyu Liu, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Wei Guo, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China. Aizhong Liu, PhD, School of Public health, Central South University, Changsha, Hunan, China.
[Ti] Título:Sexual Experiences of Chinese Patients Living With an Ostomy.
[So] Source:J Wound Ostomy Continence Nurs;44(5):469-474, 2017 Sep/Oct.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to examine the sexual experience of Chinese patients with ostomy and associated factors. DESIGN: A prospective descriptive study using self-report questionnaires. SUBJECTS AND SETTING: Seventy-five Chinese participants who underwent ostomy surgery in a large cancer specialist hospital in the Hunan province between 2008 and 2013. METHODS: Data were collected face-to-face by the investigators in an outpatient setting from 75 participants who completed the Arizona Sexual Experience Inventory Scale (ASEX). The t test was used to compare variances between sexual function and dysfunction subgroups. A multiple linear regression model was used to analyze factors influencing sexual life after ostomy surgery. RESULTS: The mean ASEX score was 20.56 (5.378) years, which is higher than the standard for sexual dysfunction. The main subsection of sexual dysfunction included sexual arousal, orgasm ability, vaginal lubrication/penile erection, and sexual satisfaction. Significant differences in the ASEX score were observed in subgroups of age, gender, educational level, family relations, operation modes, stoma type, operation time, complications, supporters, self-care ability, and sexual life guidance. Multiple stepwise regression analysis indicated that family relations, operation modes, ostomy type, complications, and sexual life guidance affected sexual experience. CONCLUSION: The findings of this study demonstrate that patients with ostomy experience sexual dysfunction and many factors influence their quality of sexual life. WOC nurses and other healthcare providers should consider providing sexual health education for both the patient and spouse to improve the self-care capacity and quality of sexual life following ostomy surgery.
[Mh] Termos MeSH primário: Acontecimentos que Mudam a Vida
Estomia/psicologia
Qualidade de Vida/psicologia
Comportamento Sexual/psicologia
[Mh] Termos MeSH secundário: Adulto
China
Feminino
Seres Humanos
Masculino
Meia-Idade
Estomia/efeitos adversos
Estudos Prospectivos
Psicometria/instrumentação
Psicometria/métodos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000357


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[PMID]:28834934
[Au] Autor:Hoeflok J; Purnell P
[Ad] Endereço:In Toronto, Ont., Jo Hoeflok has retired from St. Michael's Hospital and is now a consultant in enterostomal therapy nursing. Paris Purnell is a senior manager of clinical education at Hollister Inc., which is located in Libertyville, Ill. Mr. Purnell is based in Melbourne, Australia.
[Ti] Título:Understanding the role of convex skin barriers in ostomy care.
[So] Source:Nursing;47(9):51-56, 2017 09.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Estomia/enfermagem
Higiene da Pele/enfermagem
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000516224.24273.88


  4 / 1256 MEDLINE  
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[PMID]:28822396
[Au] Autor:Fox SS; Janczyk R; Warren JA; Carbonell AM; Poulose BK; Rosen MJ; Hope WW
[Ti] Título:An Evaluation of Parastomal Hernia Repair Using the Americas Hernia Society Quality Collaborative.
[So] Source:Am Surg;83(8):881-886, 2017 Aug 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this review was to evaluate outcomes relating to parastomal hernia repair. Data from the Americas Hernia Society Quality Collaborative were used to identify patients undergoing parastomal hernia repair from 2013 to 2016. Parastomal hernia repairs were compared with other repairs using Pearson's test and Wilcoxon test with a P value <0.05 considered significant. Parastomal hernia repairs were performed in 311 patients. Techniques of repair include open in 85 per cent and laparoscopic in 15 per cent. Mesh was used in 92 per cent with keyhole in 34 per cent, flat mesh in 33 per cent, and Sugarbaker in 25 per cent. Mesh types were permanent synthetic in 79 per cent, biologic in 13 per cent, absorbable synthetic in 6 per cent, and hybrid synthetic/biologic in 2 per cent. Most common location for mesh was sublay in 84 per cent followed by onlay in 14 per cent and inlay in 2 per cent with 59 per cent of patients undergoing a myofascial release. Ostomy disposition included ostomy left in situ (47%), moved to a new site (18%), taken down (22%), and rematured in same location in (13%). Outcomes related to parastomal hernia repair included 10 per cent surgical site infection, 24 per cent surgical site occurrence, and 12 per cent surgical site occurrences requiring procedural interventions with a 13 per cent readmission rate and 6 per cent reoperation rate. When comparing parastomal hernias with other ventral hernia repairs, parastomal hernias had a significantly higher surgical site infection, surgical site occurrence, surgical site occurrences requiring procedural intervention, readmission, reoperation rate, and length of stay, and were less commonly performed laparoscopically (P < 0.05). Most parastomal hernias are being repaired open with synthetic mesh in the sublay position. Less favorable outcomes of parastomal hernia repair when compared with other ventral hernia repairs are likely related to the complexity of parastomal hernia repair.
[Mh] Termos MeSH primário: Herniorrafia
Hérnia Incisional/etiologia
Hérnia Incisional/cirurgia
Estomia/efeitos adversos
[Mh] Termos MeSH secundário: Herniorrafia/métodos
Seres Humanos
Estudos Prospectivos
Garantia da Qualidade dos Cuidados de Saúde
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


  5 / 1256 MEDLINE  
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[PMID]:28682965
[Au] Autor:Gadan S; Floodeen H; Lindgren R; Matthiessen P
[Ad] Endereço:1 Colorectal Unit, Department of Surgery, Örebro University Hospital, Örebro, Sweden 2 Faculty of Medicine and Health, School of Health and Medical Sciences, Department of Surgery, Örebro University, Örebro, Sweden.
[Ti] Título:Does a Defunctioning Stoma Impair Anorectal Function After Low Anterior Resection of the Rectum for Cancer? A 12-Year Follow-up of a Randomized Multicenter Trial.
[So] Source:Dis Colon Rectum;60(8):800-806, 2017 Aug.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anorectal function after low anterior resection of the rectum for cancer is often impaired, and long-term outcome has not frequently been reported. OBJECTIVE: We evaluated anorectal function 12 years after rectal resection with regard to whether patients had a defunctioning temporary stoma at the initial rectal resection. DESIGN: An exploratory cross-sectional investigation of a previously randomized study population. SETTINGS: Twenty-one Swedish hospitals performing rectal cancer surgery during a 5-year period participated in the trial. PATIENTS: Patients operated on with low anterior resection for cancer were included. INTERVENTIONS: Patients were randomly assigned to receive or not receive a temporary defunctioning stoma. MAIN OUTCOME MEASURES: We evaluated anorectal function 12 years after low anterior resection in patients who were initially randomly assigned to temporary stoma or not, by means of using the low anterior resection syndrome score questionnaire, which assesses incontinence for flatus, incontinence for liquid stools, defecation frequency, clustering, and urgency. Self-perceived health status was evaluated by the EQ-5D-3L questionnaire. RESULTS: Eighty-nine percent (87/98) of the patients responded to the questionnaires, including 46 with and 41 without an initial temporary stoma. Patient demography was comparable between the groups. No differences regarding major, minor, and no low anterior resection syndrome categories were found between the groups. The stoma group had increased incontinence for flatus (p = 0.03) and liquid stools (p = 0.005) and worse overall low anterior resection syndrome score (p = 0.04) but no differences regarding frequency, clustering, and urgency. LIMITATIONS: The study was limited by its sample size (n = 98) based on a previously randomized trial population (n = 234). CONCLUSIONS: After low anterior resection for cancer, the incidence of the categories major, minor, and no low anterior resection syndrome were comparable in the stoma and the no-stoma groups. Incontinence for flatus and liquid stools was more commonly reported by patients who were randomly assigned to temporary stoma, as compared with those without, which may indicate an association between temporary stoma and impaired anorectal function. See Video Abstract at http://links.lww.com/DCR/A413.
[Mh] Termos MeSH primário: Adenocarcinoma/cirurgia
Fístula Anastomótica/epidemiologia
Procedimentos Cirúrgicos do Sistema Digestório/métodos
Incontinência Fecal/epidemiologia
Estomia/métodos
Neoplasias Retais/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Qualidade de Vida
Estomas Cirúrgicos
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000818


  6 / 1256 MEDLINE  
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[PMID]:28574928
[Au] Autor:Taneja C; Netsch D; Rolstad BS; Inglese G; Lamerato L; Oster G
[Ad] Endereço:Charu Taneja, MPH, Policy Analysis Inc (PAI), Brookline, Massachusetts. Debra Netsch, DNP, APRN, CNP, CWOCN, webWOC Nursing Education Program, Minneapolis, Minnesota. Bonnie Sue Rolstad, MS, RN, CWOCN, webWOC Education Programs, Metropolitan State University, Minneapolis, Minnesota. Gary Inglese, MBA, RN, Hollister Incorporated, Libertyville, Illinois. Lois Lamerato, PhD, Henry Ford Health System, Detroit, Michigan. Gerry Oster, PhD, Policy Analysis Inc (PAI), Brookline, Massachusetts.
[Ti] Título:Clinical and Economic Burden of Peristomal Skin Complications in Patients With Recent Ostomies.
[So] Source:J Wound Ostomy Continence Nurs;44(4):350-357, 2017 Jul/Aug.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to estimate the risk and economic burden of peristomal skin complications (PSCs) in a large integrated healthcare system in the Midwestern United States. DESIGN: Retrospective cohort study. SUBJECTS AND SETTING: The sample comprised 128 patients; 40% (n = 51) underwent colostomy, 50% (n = 64) underwent ileostomy, and 10% (n = 13) underwent urostomy. Their average age was 60.6 ± 15.6 years at the time of ostomy surgery. METHODS: Using administrative data, we retrospectively identified all patients who underwent colostomy, ileostomy, or urostomy between January 1, 2008, and November 30, 2012. Trained medical abstractors then reviewed the clinical records of these persons to identify those with evidence of PSC within 90 days of ostomy surgery. We then examined levels of healthcare utilization and costs over a 120-day period, beginning with date of surgery, for patients with and without PSC, respectively. Our analyses were principally descriptive in nature. RESULTS: The study cohort comprised 128 patients who underwent ostomy surgery (colostomy, n = 51 [40%]; ileostomy, n = 64 [50%]; urostomy, n = 13 [10%]). Approximately one-third (36.7%) had evidence of a PSC in the 90-day period following surgery (urinary diversion, 7.7%; colostomy, 35.3%; ileostomy, 43.8%). The average time from surgery to PSC was 23.7 ± 20.5 days (mean ± SD). Patients with PSC had index admissions that averaged 21.5 days versus 13.9 days for those without these complications. Corresponding rates of hospital readmission within the 120-day period following surgery were 47% versus 33%, respectively. Total healthcare costs over 120 days were almost $80,000 higher for patients with PSCs. CONCLUSIONS: Approximately one-third of ostomy patients over a 5-year study period had evidence of PSCs within 90 days of surgery. Costs of care were substantially higher for patients with these complications.
[Mh] Termos MeSH primário: Estomia/efeitos adversos
Complicações Pós-Operatórias/economia
Complicações Pós-Operatórias/etiologia
Dermatopatias/etiologia
Estomas Cirúrgicos/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Custos e Análise de Custo/estatística & dados numéricos
Feminino
Seres Humanos
Ileostomia/efeitos adversos
Ileostomia/enfermagem
Ileostomia/estatística & dados numéricos
Masculino
Meia-Idade
Meio-Oeste dos Estados Unidos
Estomia/enfermagem
Estomia/estatística & dados numéricos
Estudos Retrospectivos
Higiene da Pele/métodos
Higiene da Pele/normas
Higiene da Pele/estatística & dados numéricos
Dermatopatias/complicações
Estomas Cirúrgicos/estatística & dados numéricos
Derivação Urinária/efeitos adversos
Derivação Urinária/enfermagem
Derivação Urinária/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000339


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[PMID]:28549049
[Au] Autor:Stokes AL; Tice S; Follett S; Paskey D; Abraham L; Bealer C; Keister H; Koltun W; Puleo FJ
[Ad] Endereço:Audrey L. Stokes, MD, Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania. Shelly Tice, BSN, RN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Suzi Follett, BSN, RN, CWOCN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Diane Paskey, BSN, RN, CWOCN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Lini Abraham, BSN, RN, CWOCN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Cheryl Bealer, BSN, RN, CWOCN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Holly Keister, BSN, RN, CWOCN, Department of Nursing, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Walter Koltun, MD, Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania. Frances J. Puleo, MD, Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
[Ti] Título:Institution of a Preoperative Stoma Education Group Class Decreases Rate of Peristomal Complications in New Stoma Patients.
[So] Source:J Wound Ostomy Continence Nurs;44(4):363-367, 2017 Jul/Aug.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to compare selected postoperative complications (including stomal and peristomal complications), hospital length of stay, and readmission rates in a group of patients who attended a preoperative educational intervention to a retrospective group of patients who did not receive the intervention. DESIGN: Retrospective, comparison cohort study. SUBJECTS AND SETTING: The intervention group comprised 124 patients who attended an educational session for persons with fecal ostomies at a single tertiary care center in the Northeastern United States. They were compared to findings from a group of 94 individuals who underwent ostomy surgery during a 1-year period before initiation of the class. Patients undergoing emergent procedures or who had previous stomas were excluded. We found no significant differences between the 2 cohorts with respect to age, gender, comorbidities, open versus minimally invasive procedures, or colorectal diagnoses. METHODS: A preoperative 2-hour stoma education class was led by certified WOC nurses for all patients undergoing colorectal surgeries in which the creation of a stoma was anticipated. This session included a didactic portion outlining postoperative expectations in the management of new ostomies (including dietary changes, prevention of dehydration, and an overview of ostomy supplies), as well as a hands-on portion to practice stoma care skills. We compared postoperative complications within 30 days (particularly stoma-related complications, including pouch leakage due to loss of seal, and peristomal skin irritation) between the group attending the education session and the control group. We also compared length of stay and 30-day readmission rates. RESULTS: Patients who participated in the educational intervention experienced significantly fewer peristomal complications than did patients in the historic control group (44.7% vs 20.2%, P = .002). Logistic regression analysis revealed that participation in the group was associated with a lower likelihood of peristomal skin complications (odds ratio = 0.35; 95% confidence interval, 0.18-0.67). Their length of stay (median 6 days vs 5 days, P = NS), and the proportion who experienced 30-day readmission (20.2% vs 15.3%, P = NS), did not significantly differ. CONCLUSIONS: A preoperative stoma education group class significantly reduced the likelihood of frequent leakage from the ostomy pouching system and peristomal skin irritation.
[Mh] Termos MeSH primário: Estomia/efeitos adversos
Educação de Pacientes como Assunto/normas
Complicações Pós-Operatórias/prevenção & controle
Cuidados Pré-Operatórios/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
New England
Estomia/estatística & dados numéricos
Educação de Pacientes como Assunto/métodos
Readmissão do Paciente/estatística & dados numéricos
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Dermatopatias/epidemiologia
Dermatopatias/prevenção & controle
Estomas Cirúrgicos/efeitos adversos
Estomas Cirúrgicos/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170527
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000338


  8 / 1256 MEDLINE  
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[PMID]:28472817
[Au] Autor:Reider KE
[Ad] Endereço:Kersten E. Reider, RN, BSN, CWOCN, WOC Nurse, Reading Health System, West Reading, Pennsylvania.
[Ti] Título:Fistula Isolation and the Use of Negative Pressure to Promote Wound Healing: A Case Study.
[So] Source:J Wound Ostomy Continence Nurs;44(3):293-298, 2017 May/Jun.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A 54-year-old morbidly obese woman with a small bowel obstruction and large ventral hernia was admitted to hospital. She underwent an exploratory laparotomy, lysis of adhesions, and ventral hernia repair with mesh placement. She subsequently developed an enteroatmospheric fistula; several months of hospital care was required to effectively manage the wound and contain effluent from the fistula. METHODS: Several approaches were used to manage output from the fistula during her hospital course. She was initially discharged to a skilled nursing facility where a fistula management pouch was used for several months to encompass the wound and contain effluent, but this method ultimately proved ineffective. The fistula was then isolated using a collapsible enteroatmospheric fistula isolation device and an ostomy appliance to contain effluent. CONCLUSION: The application of the collapsible enteroatmospheric fistula isolation and effluent containment devices in conjunction with negative-pressure wound therapy produced positive patient outcomes; it improved patient satisfaction with fistula management, promoted wound healing, and diminished cost.
[Mh] Termos MeSH primário: Fístula Intestinal/terapia
Tratamento de Ferimentos com Pressão Negativa/métodos
Complicações Pós-Operatórias/enfermagem
Cicatrização
[Mh] Termos MeSH secundário: Técnicas de Fechamento de Ferimentos Abdominais/enfermagem
Técnicas de Fechamento de Ferimentos Abdominais/normas
Feminino
Enfermagem Domiciliar/métodos
Enfermagem Domiciliar/normas
Seres Humanos
Laparotomia/efeitos adversos
Meia-Idade
Tratamento de Ferimentos com Pressão Negativa/normas
Obesidade Mórbida/complicações
Obesidade Mórbida/enfermagem
Estomia/instrumentação
Nutrição Parenteral Total/enfermagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000329


  9 / 1256 MEDLINE  
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[PMID]:28472816
[Au] Autor:Wound, Ostomy and Continence Nurses Society-Wound Guidelines Task Force
[Ti] Título:WOCN 2016 Guideline for Prevention and Management of Pressure Injuries (Ulcers): An Executive Summary.
[So] Source:J Wound Ostomy Continence Nurs;44(3):241-246, 2017 May/Jun.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article provides an executive summary of recommendations from the 2016 Guideline for Prevention and Management of Pressure Ulcers (Injuries) published by the Wound, Ostomy and Continence Nurses Society (WOCN). It presents an overview of the process used to update and develop the guideline, and lists the specific recommendations from the guideline for assessment, prevention, and treatment of pressure injuries. The guideline is a resource for physicians, nurses, therapists, and other healthcare professionals who work with adults who have/or are at risk for pressure injuries. The full text of the published guideline, which includes the available evidence supporting the recommendations and a complete reference list, is available from the Wound, Ostomy and Continence Nurses Society, 1120 Rt 73, Ste 200, Mount Laurel, NJ 08054; Web site: www.wocn.org. Refer to the Supplemental Digital Content (http://links.lww.com/JWOCN/A38) associated with this article for a complete reference list for the guideline. The guideline has been accepted for inclusion in the National Guideline Clearinghouse (www.guideline.gov/).
[Mh] Termos MeSH primário: Guias como Assunto
Lesão por Pressão/enfermagem
Lesão por Pressão/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Avaliação em Enfermagem/métodos
Estomia/efeitos adversos
Estomia/enfermagem
Lesão por Pressão/classificação
Fatores de Risco
Higiene da Pele/enfermagem
Sociedades/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000321


  10 / 1256 MEDLINE  
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[PMID]:28471882
[Au] Autor:Geng Z; Howell D; Xu H; Yuan C
[Ad] Endereço:Zhaohui Geng, PhD, School of Nursing, Second Military Medical University, Shanghai, China. Doris Howell, PhD, Princess Margaret Cancer Center and Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Honglian Xu, BS, Department of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. Changrong Yuan, PhD, RN, FAAN, School of Nursing, Second Military Medical University, Shanghai, China.
[Ti] Título:Quality of Life in Chinese Persons Living With an Ostomy: A Multisite Cross-sectional Study.
[So] Source:J Wound Ostomy Continence Nurs;44(3):249-256, 2017 May/Jun.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of the study was to describe health-related quality of life (HRQOL) in persons with ostomies and to explore influencing factors. DESIGN: Secondary analysis of data from a cross-sectional survey. SUBJECTS AND SETTING: Eight hundred twenty-seven persons living with an ostomy were enrolled from 5 provinces and cities in China from October 2010 to November 2012; the final sample comprises 729 individuals who completed data collection. Their mean ± SD age was 62.59 ± 12.40 years (range 26-93 years). METHODS: Health-related quality of life was assessed using the Chinese language version of the City of Hope-Quality of Life-Ostomy Questionnaire-Chinese Version. Sociodemographic data, clinical characteristics, self-efficacy, adjustment to an ostomy, social support, and psychological state of patients were measured by a general information questionnaire. We also administered the Stoma Self-Efficacy Scale, Ostomy Adjustment Inventory-Chinese Version, the Social Support Revalued Scale, and Hospital Anxiety Depression Scale. RESULTS: Of the 729 ostomy patients, the overall HRQOL in ostomy patients was in the moderate range (mean score 5.19 ± 1.29); scores of physical domain, psychological domain, social domain, and spiritual domains also in the moderate range (5.00 ± 1.73, 5.97 ± 1.59, 4.86 ± 2.31, and 4.93 ± 2.08 respectively). Multivariate analysis found that multiple factors influenced HRQOL in persons with an ostomy; they were gender, religious belief, and marital status, psychological factors depression and anxiety, and specific components related to social support, self-efficacy in ostomy care, and adjustment to an ostomy. CONCLUSION: Health-related quality of life among Chinese patients with fecal ostomies was less than optimal and influenced by multiple demographic and psychosocial factors. Additional research is needed to design strategies to improve HRQOL in this population.
[Mh] Termos MeSH primário: Estomia/psicologia
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
China
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estomia/efeitos adversos
Estomia/estatística & dados numéricos
Psicometria/instrumentação
Psicometria/métodos
Psicometria/estatística & dados numéricos
Apoio Social
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000323



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