Asunto(s)
Diverticulitis del Colon/enfermería , Diverticulitis del Colon/terapia , Divertículo del Colon/enfermería , Divertículo del Colon/terapia , Adolescente , Adulto , Diverticulitis del Colon/diagnóstico , Divertículo del Colon/diagnóstico , Humanos , Diagnóstico de Enfermería , Pronóstico , Adulto JovenRESUMEN
INTRODUCTION: This study describes the first full year of independent practice by a newly appointed nurse endoscopist in a district general hospital. PATIENTS AND METHODS: Patients underwent either 'one stop' flexible sigmoidoscopy and barium enema or flexible sigmoidoscopy alone. Barium enema results, video photography, clinical follow-up, and histology were used to validate the results of the flexible sigmoidoscopy. One stop clinic: 161 endoscopies were performed, with 104 female patients (65%), and a mean age of 64 years. There was one failed endoscopy due to poor bowel preparation. Abnormalities were identified in 84% of endoscopies. Flexible sigmoidoscopy detected abnormalities not seen on the barium enema in 28 cases, all of which were polyps (18%). Barium enema identified one abnormality within reach of the flexible sigmoidoscope not identified at endoscopy (small polyp in sigmoid; 1%). Elective flexible sigmoidoscopy list: 121 endoscopies were performed, with 65 female patients (54%), and a mean age of 59 years. There were two failed endoscopy procedures, both attributed to poor bowel preparation. Two-thirds of patients had an abnormality on investigation. There were no complications in either group of patients. CONCLUSIONS: The nurse-led endoscopy service has been successfully initiated with a high completion rate for flexible sigmoidoscopies. All significant conditions were identified with 99% sensitivity. Nurse endoscopy is a safe, useful and practical procedure in the setting of this district general hospital.
Asunto(s)
Enfermedades del Sigmoide/enfermería , Sigmoidoscopía/enfermería , Adulto , Anciano , Anciano de 80 o más Años , Atención Ambulatoria , Sulfato de Bario , Pólipos del Colon/diagnóstico , Pólipos del Colon/enfermería , Medios de Contraste , Divertículo del Colon/diagnóstico , Divertículo del Colon/enfermería , Endoscopía Gastrointestinal/métodos , Endoscopía Gastrointestinal/enfermería , Enema/métodos , Femenino , Estudios de Seguimiento , Hospitales de Distrito , Humanos , Masculino , Persona de Mediana Edad , Enfermeras Practicantes , Estudios Prospectivos , Enfermedades del Sigmoide/diagnóstico , Sigmoidoscopía/métodosAsunto(s)
Divertículo del Colon/dietoterapia , Divertículo del Colon/enfermería , Ácido Cítrico/uso terapéutico , Divertículo del Colon/complicaciones , Combinación de Medicamentos , Educación Continua en Enfermería , Humanos , Estilo de Vida , Masculino , Persona de Mediana Edad , Educación del Paciente como Asunto , Extractos Vegetales/uso terapéutico , Bicarbonato de Sodio/uso terapéuticoRESUMEN
Diverticular disease is a common and occasionally complicated disease in our western society. Although the exact etiology is unknown, diet is thought to be a contributing factor to the formation of diverticula. Diverticular disease most often is managed medically. When surgery is indicated, perioperative nursing care is based on knowledge of the disease process and attention to the physical and emotional needs of the patient.