Abstract:
:Restorative proctocolectomy has become increasingly the surgical treatment of choice for ulcerative colitis and familial adenomatous polyposis since its inception in 1978 [Parks and Nicholls, 1978. British Medical Journal 2(6130), 85-88]. As Keighley, Grobler and Bain [1993. Gut 34(6), 680-684] point out it not only eradicates disease, it preserves the anal sphincter, so enabling patients to void normally. However, for many patients surgery takes place in stages, with the formation of a loop ileostomy as the first stage. As its use increases, so more nurses (both specialist and general trained) will be involved in providing ongoing care and support both pre and post operatively. Although research is available regarding surgery, ileo-anal pouch formation and function together with possible complications, little is known about the immediate post operative period. This paper reports a study of female patients' accounts of their preparation for, and experiences of such surgery. It was part of a larger study into the quality of life of women following restorative proctocolectomy [Notter, 2002. The Quality of Life of Women Following Restorative Proctocolectomy]. A total of 50 women participated in this study, which used descriptive phenomenology to explore their lived experiences. The surgery proved to be a pivotal period in their lives, with surgery the dream of full recovery had gone. The findings reveal a traumatic time with memories dominated by the issues of pain, the changes to their body and in most cases problems with the loop ileostomy. Most were left with a determination to maintain the pouch at all costs. This study identifies major implications for nurse education and training, regarding all aspects of care during this critical time. Findings show the immense and long lasting impact this type of surgery can have on quality of life.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Notter J,Burnard Pdoi
10.1016/j.ijnurstu.2005.02.006keywords:
subject
Has Abstractpub_date
2006-02-01 00:00:00pages
147-59issue
2eissn
0020-7489issn
1873-491Xpii
S0020-7489(05)00044-1journal_volume
43pub_type
杂志文章abstract::Nurses in the public and private sectors were compared with regard to occupational stress and its sources and self-reported health and well-being. While both groups reported similar high levels of stress experience, most noticeably arising from high work loads and the experience of death and dying, group differences d...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(91)90002-k
更新日期:1991-01-01 00:00:00
abstract::The incidence of violence within the National Health Service is rising and attention to the issue is increasing. Due to the ramifications in terms of physical, psychological and economic cost, the need to understand all the dynamics and variables involved in violence becomes evident. If nurses can provide care that re...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00013-9
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2014.01.015
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological f...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.007
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Researchers have pointed out several factors that correlated with or influenced autonomy in older people. However, these studies covered only a range of socio-demographic or physical factors, while factors from psychosociological and spiritual domains remain ignored. Also, there is lack of quantitative resea...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.002
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Pressure injuries are one of the most frequently occurring, yet preventable hospital-acquired adverse events. Given there are many clinical practice guidelines available on the prevention and treatment of pressure injuries, it is useful to understand the quality of these guidelines and the clinical applicati...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103857
更新日期:2020-12-23 00:00:00
abstract::Those providing nursing services have been at the forefront in responding to the AIDS epidemic. This paper poses the question as to what extent AIDS work makes unique demands of nursing staff. It explores the implications of AIDS-related nursing work and considers these within the broader context of the role of nurses...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(95)00003-g
更新日期:1995-06-01 00:00:00
abstract::The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(98)00042-x
更新日期:1998-12-01 00:00:00
abstract::This paper addresses the need to make evaluation part of the nurse's expanded role within the Primary Health Care system. In a social policy and decision-making context, the nurse is an intermediary between political authorities and community groups. This requires diverse, but complementary, evaluation skills. The aut...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(86)90019-2
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:As yet there is no firm evidence about the types of intervention that can reduce emergency room revisits. However, the literature on emergency room revisits suggests patient difficulties with managing their health problems and treatments after discharge may play a role. OBJECTIVES:We carried out a randomize...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2014.12.007
更新日期:2015-03-01 00:00:00
abstract::In this paper, issues in Internet recruitment of ethnic minorities in the US are explored through an analysis of an Internet survey study. The issues include those related to: (a) the difficulties in ensuring authenticity; (b) a lack of cooperation by gate keepers; (c) the flexibility required in the recruitment proce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.01.002
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:To examine the use of the multi-rater Kappa measure of agreement (Nonparametric Statistics for the Behavioural Sciences, McGraw Hill, New York, 1988) in team based, mixed method, qualitative nursing research. DESIGN:The article presents an illustrative description of the application of the qualitative codin...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.03.001
更新日期:2004-01-01 00:00:00
abstract::The development of professionalsim among any group of persons depends on the organization's success in insulating itself from or relating itself to its social context in order to retain a free hand in setting standards and policies. Both structural (i.e., training and professional organization aspects) and attitudina...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(77)90016-5
更新日期:1977-01-01 00:00:00
abstract::The purpose of this study was to estimate the variance components associated with individual differences and various sources of measurement error of Caregiver Strain Index (CSI). A two-facet (item and occasion) crossed design generalizability study (G study) was conducted using a sample of 14 caregivers of cancer pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00021-4
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Cachexia in advanced malignancy is a debilitating syndrome which contributes to approximately two million deaths worldwide annually. In spite of advances in understanding the biomedical aspects of cancer cachexia, little attention has been paid to exploring its holistic impact on patients and those who care ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.10.012
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Dyslipidemia, a risk factor for cardiovascular disease (CVD), is more prevalent in middle-aged women than in men of the same age in Korea. This study, the first national survey that focused on cholesterol in Korean women, aimed to: (1) assess their awareness and knowledge of cholesterol, (2) evaluate their r...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.09.002
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Fatigue is a complex phenomenon associated with multiple antecedents and detrimental consequences. Although this symptom is prevalent in the older population, it is not easily recognized by nurses and has been under treated. AIM:The purpose of this review is to describe the existing research on fatigue on o...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2009.05.009
更新日期:2010-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the effectiveness of psychosocial interventions on depressive symptoms and glycaemic control of adults with Type 1 or 2 diabetes and co-morbid depression. BACKGROUND:Diabetes is a chronic disease that affects as many as 382 million people in the world. Diabetes management is a challengin...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.05.012
更新日期:2015-10-01 00:00:00
abstract::This study queried 508 persons diagnosed with multiple sclerosis (MS) regarding what conditions made performing their work or tasks 'difficult' and 'easier'. The subjects represented four groups: employed outside the home, homemakers, unemployed, and retired. Their written responses were content analysed. Conditions r...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(89)90017-5
更新日期:1989-01-01 00:00:00
abstract::This paper reports on the first phase of an action research practice development project to explore, develop and evaluate the role of the generic healthcare support worker in a high dependency rehabilitation service. The project is being jointly conducted by staff from the University of Southampton, the University of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00026-7
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Nurses have played a pivotal role in the delivery of continence services yet little is known about the nature or impact of urinary symptoms experienced by patients in receipt of such care. AIM:To define the nature and impact of urinary symptoms experienced by patients in receipt of community nursing service...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.006
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Calls for improved conditions in nursing homes have pointed to the importance of optimizing the levels and skills of care providers. Understanding the work of care providers will help to determine if staff are being used to their full potential and if opportunities exist for improved efficiencies. OBJECTIVE...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2015.05.007
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Peripherally inserted central catheters (PICCs) are a common vascular access device used in clinical practice. Their use may be complicated by adverse events such as venous thromboembolism (VTE). The size of the vein used for PICC insertion and thus the catheter to vein ratio is thought to be a controllable ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.12.002
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Follow-up care and surveillance are essential components of colorectal cancer survivorship. However, the relative contribution of healthcare experiences to quality of life in cancer survivorship is poorly understood. OBJECTIVES:This study explores associations between colorectal cancer survivors' healthcare...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103434
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:The economic impact of pressure ulcer prevention and treatment is high. The results of cost-of-illness studies can assist the planning, allocation, and priority setting of healthcare expenditures to improve the implementation of preventive measures. Data on the cost of current practice of pressure ulcer pr...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.03.005
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.11.014
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Hip surgery is associated with the risk of postoperative urinary retention. To avoid urinary retention hip surgery patients undergo urinary catheterisation. Urinary catheterisation, however, is associated with increased risk for urinary tract infection (UTI). At present, there is limited evidence for whether...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2013.05.007
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Implicit rationing of nursing care refers to the withdrawal of or failure to carry out necessary nursing care activities due to lack of resources, in the literature also described as missed care, omitted care, or nursing care left undone. Under time constraints, nurses give priority to activities related to ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2015.05.005
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Parents who are connected into strong family and community networks are said to have high social capital enabling them to provide a positive context where their children's social, emotional and educational needs are met. OBJECTIVES:To identify parent satisfaction with, strengths and weaknesses of, opportuni...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.008
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Parents with young children often worry about whether or not to seek medical help for a sick child. Previous research identified parents' anxieties surrounding help seeking from health services but did not explore or explain the underlying psychosocial processes taking place in families at these times. OBJE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.11.007
更新日期:2013-06-01 00:00:00