[Application of solution focused approach in nursing of patients with advanced schistosomiasis].

OBJECTIVE: To investigate the effect of nursing with solution focused approach in advanced schistosomiasis patients. METHODS: Fifty three patients with advanced schistosomiasis in the Liujiahu Hospital for Schistosomiasis Control of Yiyang City were randomized selected and separated into an intervention group and a control group. The patients of the intervention group received the conventional nursing plus solution focused approach, while the patients of the control group received only the conventional nursing. The effectiveness of nursing and treatment was evaluated in the two groups comparatively. RESULTS: The knowledge of self-care skills, medical compliance behaviors and services satisfaction degree in the intervention group were higher than those in the control group (χ2 = 3.78, 2.87, 4.09 respectively, all P < 0.05). The occurrence rate of upper gastrointestinal bleeding in the intervention group was significantly lower than that in the control group (χ2 = 4.894, P < 0.05). The average hospitalization duration of the intervention group was shorter than that of the control group (t = 4.17, P < 0.05). CONCLUSIONS: The solution focused approach is a feasible and effective method in course of nursing of advanced schistosomiasis patients. It enhances the confidence of the patients and the trustiness of the patients to the health care providers. The complications and the hospitalization duration of the patients are reduced.

[Application of clinical nursing path integrated with holistic nursing in advanced schistosomiasis patients with ascites].

OBJECTIVE: To evaluate the effect of the clinical nursing path integrated with the holistic nursing on advanced schistosomiasis patients with ascites. METHODS: A total of 226 advanced schistosomiasis patients with ascites were randomly divided into a control group and an experimental group (113 cases each group). The subjects in the experimental group were nursed by the clinical nursing path integrated with the holistic nursing, while those in the control group were nursed only by the holistic nursing. Then the clinical relevant indexes of the two groups were observed, and the quality of life of the patients before and after hospital discharge was assessed. RESULTS: The improvement rate, satisfaction degree, and awareness rate of health knowledge of the patients in the experiment group were 93.8%, 100% and 97.4%, respectively, which were significantly higher than those of the control group (all P < 0.05). The mortality rate and the complication rate of the patients in the experimental group were 0 and 2.7%, respectively, which were significantly lower than those of the control group (both P < 0.05). In addition, the average hospitalization days and the hospitalization cost of the experiment group were (12.2 ± 0.7) d and (4 725.0 ± 310.1) Yuan respectively, which were less than those of the control group (both P < 0.01). When 6 months after the discharge from hospital, the quality of life of the patients in the experimental group in various fields was significantly better than that of the control group (all P < 0.05). CONCLUSIONS: The clinical nursing pathway integrated with holistic nursing can effectively improve the improvement rate and decrease the mortality of the advanced schistosomiasis patients with ascites; meanwhile, it can shorten the hospitalization time and save the hospitalization cost. Therefore, this nursing model is suitable for popularization and application in the treatment and nursing work of the advanced schistosomiasis assistance.

The Impact of Nurses on Neglected Tropical Disease Management.

Although Neglected Tropical Diseases (NTDs) are largely endemic in the developing nations of Africa, Asia, and South and Central America, they are reemerging with increasing frequency in developed countries. Their diagnosis, treatment, and control are an increasing public health concern that requires a different awareness by health care providers. Neglected tropical diseases (NTDs) are chronic infectious diseases which disproportionately burden poor, rural, and marginalized populations with significant mortality and high morbidity (disability, disfigurement, impaired childhood growth and cognitive development, increased vulnerability to coinfection) that reinforces their poverty. What can we learn from the nurses in developing countries already battling NTD's that could be useful in the developed world? This article provides an overview of distribution, pathophysiology, symptoms, and management of 13 NTDs, with particular attention to the role of nurses in delivering cost-effective integrated interventions. Case studies of schistosomiasis, Chagas disease, and leishmaniasis address recognition and treatment of infected individuals in developed nations where NTD infection is limited primarily to immigrants and travelers.

[Nursing of advanced schistosomiasis patients: a report of 52 cases].

OBJECTIVE: To explore the reasonable nursing interventions of advanced schistosomiasis patients. METHODS: The medical records of 52 advanced schistosomiasis patients hospitalized from 2008 to 2013 were collected, and the nursing interventions were summarized. RESULTS: The 52 cases of advanced schistosomiasis included 38 men and 14 women, with a mean age of 65.8 years (57-75 years). Totally 53.8% of the subjects were schistosome positive by IHA test, 67.3% positive by ELISA, and 21.2% positive of HBsAg. There were 13 cases of ascites type, 34 cases of megalosplenia type, and 5 cases of dwarfism type of advanced schistosomiasis. Following the therapy together with nursing interventions, 73.1% achieved clinical cure, 23.1% achieved stable, and 3.8% achieved improvement. The major nursing interventions involved basic nursing, diet nursing, treatment nursing, physiological nursing and surgical nursing. CONCLUSION: The scientific and reasonable nursing interventions can improve the therapeutic efficacy and prognosis in advanced schistosomiasis patients, as well as improve their quality of life.

Evidence-based treatment of schistosomiasis in pregnancy.

Schistosomiasis is a parasitic infection that causes significant morbidity and mortality, especially in pregnant women originating from developing countries. Prompt diagnosis and treatment can improve pregnancy and infant outcomes. Currently, there are no formal guidelines for treatment in this population, which makes schistosomiasis in pregnancy a challenge to treat.

Schistosomiasis.

Schistosomiasis is a parasitic infection caused by flatworms (trematodes). It is second only to malaria in public health significance, with over 200 million people infected worldwide, leading to severe consequences in 20 million persons and 100,000 deaths, annually. There are four species that cause intestinal schistosomiasis: Schistosoma mansoni; Schistosoma japonicum, Schistosoma mekongi, and Schistosoma intercalatum. Schistosoma haematobium causes urinary schistosomias, and is endemic in Africa and the Middle East, with the greatest prevalence in poor rural areas. Fibrotic changes in the urinary tract can lead to hydroureter, hydronephrosis, bacterial urinary infections, and ultimately, kidney disease or eventually bladder cancer. A rare lesion can also arise in patients infected with Schistosomiasis haematobium, resulting in squamous and adenosquamous prostate cancers. Imported diseases, such as schistosomiasis, are entering the United States through immigration via illegal aliens, refugees, and travelers. Schistosomiasis is a neglected tropical disease, and its global health impact is grossly underestimated.

[Application of clinical nursing path in standard management of advanced schistosomiasis patients with splenomegaly].

OBJECTIVE: To study the feasibility and effect of clinical nursing path in the standard management of advanced schistosomiasis patients with splenomegaly. METHODS: A total of 64 advanced schistosomiasis patients with splenomegaly were randomly divided into a routine nursing group (control group) and a clinical nursing pathway group (CNP group), and the postoperative situation, average hospitalization days, cost of hospitalization and the satisfaction of the patients of the 2 groups were compared. RESULTS: The complications, average hospitalization days, costs of hospitalization in the CNP group were significantly decreased compared with those in the control group, and satisfaction rate of the patients in the CNP group increased from 81.25% to 100%. CONCLUSION: The implementation of CNP effectively reduces the length of hospitalization, costs and complications, and improves the satisfaction of the patients.

[Effect of nursing intervention on improving quality of life of patients with advanced schistosomiasis].

OBJECTIVE: To evaluate the effect of nursing intervention on the quality of life of patients with advanced schistosomiasis. METHODS: A total of 226 cases of advanced schistosomiasis were randomly divided into a control group and an experimental group (113 cases each). The patients in the control group received the conventional nursing, while the patients in the experimental group received the conventional nursing plus other interventions such as the health education, psychological counseling and diet guidance. The complications and scores of life quality of the patients in the 2 groups were observed and compared. RESULTS: The awareness of knowledge about the disease improved from 67.7% to 98.9%, the incidence of complications decreased from 28.3% to 13.3%, and the scores of life quality improved significantly in the experimental group, which were much better than those in the control group. CONCLUSION: The nursing intervention on the quality of life of patients with advanced schistosomiasis is effective.

[Discussion on clinical pathways of schistosomiasis].

According to the long-term clinical experience on schistosomiasis control of Hunan Institute of Schistosomiasis and the latest clinical guidelines, this paper makes a discussion on the clinical pathways of 3 types of schistosomiasis, and establishes the pathway management including diagnosis, therapy, hospital stays, and treatment after discharge, nursing, recovery, follow-up and so on, aiming to formulate a standardized flow or a pathway for schistosomiasis treating.

[Construction and implementation of nursing actions in the gastroenterology outclinic]. / Construção e implementação de ações de enfermagem em ambulatório de gastroenterologia.

UNLABELLED: The reorganization of the Schistosomiasis Sector of Gastroenterology at UNIFESP started in 1998, when the Nursing Service was implanted. OBJECTIVE: to develop administrative nursing actions, systematization of care and orientation program for the schistosomic patient. METHOD: a descriptive study carried out at the Gastroenterology Outclinic, which attends schistosomic patients of different clinical types. RESULTS AND DISCUSSION: the reorganization of activities in this Sector resulted in the creation of an organizational structure and the implantation of the nursing visit; creation and distribution of explanatory leaflets and development of the Schistosomiasis Education Program; beginning of the database pilot project with all outpatients and an electronic register of the collection of biologic material. CONCLUSION: this initiative opens up a new opportunity for nursing actions and contributes to quality improvement in ambulatory care.