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Surgical Nursing Care of a Patient with Cervical Cancer Undergoing Abdominal Extensive Total Hysterectomy
Gao Gui-E,
Yang Chun-Lin,
Li Li-Li
Issue:
Volume 11, Issue 5, October 2022
Pages:
118-122
Received:
1 September 2022
Accepted:
15 September 2022
Published:
21 September 2022
DOI:
10.11648/j.ajns.20221105.11
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Abstract: To summarize the nursing experience of a young female patient with cervical cancer who underwent abdominal extensive total hysterectomy in our hospital. Cervical cancer is one of the most common malignant tumors in gynecology. Abdominal extensive total hysterectomy is the standard treatment for early cervical cancer. The operation has the characteristics of long time, many surgical instruments and complicated nursing process. According to this case, the patient is a young female and has the characteristics of emaciated body and so on. In addition to paying attention to patients' body temperature, skin protection, infection prevention and pipeline protection, we also need to pay special attention to the psychological status of patients and the prevention of tumor implantation and metastasis. In this case, the operation time was 5.5 hours, and the body temperature was maintained well during the operation. Besides, there was no skin injury at the end of the operation, and the pipeline was protected properly. During the postoperative return visit, the patient was able to get out of bed, and the limb movement was normal. There was no postural nerve injury. There was no incision infection. The surgical nursing process of this case is reported as follows.
Abstract: To summarize the nursing experience of a young female patient with cervical cancer who underwent abdominal extensive total hysterectomy in our hospital. Cervical cancer is one of the most common malignant tumors in gynecology. Abdominal extensive total hysterectomy is the standard treatment for early cervical cancer. The operation has the character...
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Household Perceptions, Treatment Seeking Behaviour, and Health Outcomes for Buruli Ulcer Disease in Owerri, South-Eastern Nigeria
Nwachukwu Innocentia Ogechi,
Onwuka Chigozie Divine,
Ekeanyanwu Raphael Chukwuma
Issue:
Volume 11, Issue 5, October 2022
Pages:
123-133
Received:
30 June 2022
Accepted:
2 August 2022
Published:
21 September 2022
DOI:
10.11648/j.ajns.20221105.12
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Abstract: This study aimed to identify and ascertain the participants' beliefs and the impact that this has on their health-seeking behaviors and expected health outcomes in Owerri, south-eastern Nigeria. For this investigation, a purposeful sample of 178 case-positive individuals who had received care or were receiving care at health centers in Imo State was taken. A qualitative, in-depth interview guide and a semi-structured questionnaire were both used to obtain the data. According to the data, 34.8% of the participants believed that Buruli ulcer sickness was a spiritual illness brought on by their enemies, while 17.97% said that poor cleanliness was to blame, 32.4% said that contaminated water was to blame, and 16.9% said that inflicted wounds were to blame. According to other findings, the first line of treatment is often a traditional herbal remedy (44.9%), but some people prefer self-medication (22.5%), including the use of ointments and pain relievers since they think it has been defined as a boil. According to the findings, most people seek care after being dissatisfied with both traditional medicine and self-medication and possibly after issues have developed. As a result, the views of what caused the illness affected health-seeking behavior, which in turn affected the results of therapy. A lot of information is required regarding the etiology and signs of the illness, as well as encouraging early attendance at the Health Center for treatment.
Abstract: This study aimed to identify and ascertain the participants' beliefs and the impact that this has on their health-seeking behaviors and expected health outcomes in Owerri, south-eastern Nigeria. For this investigation, a purposeful sample of 178 case-positive individuals who had received care or were receiving care at health centers in Imo State wa...
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Structured Interdisciplinary Bedside Rounds: Reform of Rounds
Lijuan Zhou,
Xiaoying Zou
Issue:
Volume 11, Issue 5, October 2022
Pages:
134-137
Received:
7 June 2022
Accepted:
25 June 2022
Published:
27 October 2022
DOI:
10.11648/j.ajns.20221105.13
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Abstract: This paper introduced the relatively mature strategy of structured interdisciplinary bedside rounds (SIBR) in foreign countries, and expounded it from the aspects of its present situations, concrete implementation steps, and abiding principles. SIBR is an organizational optimization strategy, which is beneficial to the tripartite of doctors, nurses and patients, and is worthy of promotion. What is known about the topic? This article introduce SIBR, and it optimizes the entire medical service system, in line with the reform and development direction of modern hospitals in the 21st century. This article aims to inspire hospital managers to learn from the experience of SIBR. If possible, we should go to overseas hospitals that implement SIBR to conduct on-the-spot study to deepen the understanding and application of SIBR. What does this paper add? Multidisciplinary cooperation has become the development direction of the medical service system. But there is lack of systematic and structured guidance. Therefore, a summary method was conducted to expound in detail relatively mature strategy of SIBR, including its implementation steps and principles. What are the implications for practitioners? This paper enables scholars to have a clear idea when applying structured interdisciplinary bedside rounds, grasp the essence of structured interdisciplinary bedside rounds, and is more conducive to the promotion and application of structured interdisciplinary bedside rounds in the world.
Abstract: This paper introduced the relatively mature strategy of structured interdisciplinary bedside rounds (SIBR) in foreign countries, and expounded it from the aspects of its present situations, concrete implementation steps, and abiding principles. SIBR is an organizational optimization strategy, which is beneficial to the tripartite of doctors, nurses...
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The Perspective of Nursing Students and Faculty Members Regarding the Inclusion of Chronic Disease Sexuality Education in Nursing Bachelor Program
Sara Khaled Hakeem,
Danya Hussain Alasbali,
Hatoon Khalid Alandejani,
Maryam Basil Alameer,
Dhuha Youssef Wazqar
Issue:
Volume 11, Issue 5, October 2022
Pages:
138-146
Received:
29 June 2022
Accepted:
25 July 2022
Published:
27 October 2022
DOI:
10.11648/j.ajns.20221105.14
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Abstract: A growing body of research indicates the need for chronic disease sexuality education in nursing bachelor programs, which is commonly neglected in the nursing curriculum despite its importance. The purpose of the study is to evaluate the barriers of including chronic disease sexuality education in the nursing bachelor programs among nursing students and faculties in Saudi Arabia. This is a descriptive, cross-sectional study using a sample of 300 nursing faculties and students. Online questionnaire developed by Vicki Aaberg focusing on sexuality education in baccalaureate nursing programs was used to collect the data. Sexuality was extremely unaddressed in the nursing program. Most nursing students and faculty claimed that sexuality was embedded in other courses (77%, 92%), thus many topics were not discussed or discussed in maternity courses, which does not cover male sexuality dysfunction. Only 41% of nursing students believed that they’re prepared to deal with sexuality concerns in chronically ill patients, while 51% of faculty believed that their students are adequately prepared. Barriers to including sexuality in the nursing programs were the sensitivity of the topic and religious/cultural beliefs. There is a need for the adjustment of chronic disease sexuality education in the nursing bachelor programs in Saudi Arabia to meet the patients’ requirements needed to deliver holistic care for individuals with chronic diseases.
Abstract: A growing body of research indicates the need for chronic disease sexuality education in nursing bachelor programs, which is commonly neglected in the nursing curriculum despite its importance. The purpose of the study is to evaluate the barriers of including chronic disease sexuality education in the nursing bachelor programs among nursing student...
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Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery
Issue:
Volume 11, Issue 5, October 2022
Pages:
147-157
Received:
11 September 2022
Accepted:
21 October 2022
Published:
29 October 2022
DOI:
10.11648/j.ajns.20221105.15
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Abstract: Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.
Abstract: Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and desc...
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Perioperative Nursing of Balloon Occlusion Test and Embolization of Internal Carotid Artery for Locally Recurrent Nasopharyngeal Carcinoma
Wei Huang,
Liantian Zhang,
Litao Li,
Yangkui Gu,
Mengxuan Zuo
Issue:
Volume 11, Issue 5, October 2022
Pages:
158-162
Received:
9 October 2022
Accepted:
2 November 2022
Published:
11 November 2022
DOI:
10.11648/j.ajns.20221105.16
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Abstract: Background: Surgical resection is the most effective treatment for the patients with locally recurrent nasopharyngeal carcinoma (NPC) in selected cases. Due to the complicated anatomical structure of nasopharynx, surgical resection may cause serious complications, including fatal bleeding. The subsequent implementation of internal carotid artery (ICA) embolization following a negative result of balloon occlusion test (BOT) can effectively reduce the risks of massive hemorrhage caused by the tumor or surgical management of the tumor. Objective: To explore the feasibility of perioperative nursing management for the patients with locally recurrent NPC underwent BOT and ICA embolization. Materials and Methods: This retrospective study investigated 81 locally recurrent NPC patients, who underwent BOT with or without following ICA embolization. Perioperative nursing management was performed for each case. In particular, close observations were conducted for the signs of brain function including consciousness, pupil size, vision, verbal ability, cognition, memory, limb movement, muscle strength, in comparison with the corresponding records before BOT. The positive or negative tested results of BOT, as well as the complications of BOT and ICA embolization were analyzed. The following nasopharyngeal surgeries was recorded. Results: A total of 82 BOTs were performed in 81 patients, including bilateral BOT in 1 case. The negative rate of BOT was 88.3% (76 of 82), which supported the option of ICA embolization procedure. After BOT, 75 patients underwent the following ICA embolization without neurological complications. Among them, 57 patients (76.0%) underwent subsequent salvage surgery to remove nasopharyngeal tumors without the occurrence of massive bleeding. The other 18 patients (24.0%) did not undergo salvage surgery due to tumor progression. Conclusion: Sequential implementation of BOT and ICA embolization reduced the risk of fatal bleeding during nasopharyngeal surgery, providing an opportunity for surgical treatment of locally recurrent NPC. Strict perioperative nursing management contributed to the successful treatment outcome.
Abstract: Background: Surgical resection is the most effective treatment for the patients with locally recurrent nasopharyngeal carcinoma (NPC) in selected cases. Due to the complicated anatomical structure of nasopharynx, surgical resection may cause serious complications, including fatal bleeding. The subsequent implementation of internal carotid artery (I...
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