192 research outputs found
Infections in hematology: modern challenges and perspectives/ by Igor Stoma and igor Karpov.
No full textIncludes bibliographical references.1 online resourc
THE TRANSITION TO LIFE WITH BOWEL ELIMINATION STOMA: A NURSING INTERVENTION PROGRAM
No full textThe person with a bowel elimination stoma deals with a set of physical, psychological and social stressors. The way how this event is experienced is influenced by several factors the competence of self-care for the stoma. The literature maintains that a systematized approach performed by nurses in the perioperative period, as well after hospital discharge, aimed the competence for self-care, associated with a better level of adaptation to the stoma, reduction of the stoma and peristoma skin complications and better quality of life for the person with an intestinal elimination ostomy.
Currently, there is not known nursing intervention program aimed at self-care of the stoma for the person proposed to the construction of a bowel elimination stoma that includes the perioperative period, as well as follow-up after hospital discharge.
In this context, the purpose of this project is to define a systematic and detailed nursing intervention program, aimed at promoting self-care for the stoma in the person proposed for the construction of a bowel elimination stoma, a program that will constitute an orientation for nurses for clinical practice.
For this, it is proposed to carry out a research study using the recommendations for the development of complex interventions in the health area, using a mixed methodology, divided into two phases.
In the first phase, a scoping review of the literature will be carried out, centered on interventions and programs aimed at promoting self-care competence for bowel elimination stoma. It will be as well used a qualitative methodology, in which we intend, on the one hand, to know the perspective of nurses in the clinical practice on nursing interventions, on the other hand, to know the perspective of people living with an intestinal elimination stoma on the information necessary for the promotion of self-care competence for bowel elimination stoma. Subsequently, the nursing intervention program will be designed and validated using the focus group methodology
Quality of life of patients with intestinal stoma
No full textANOTATION Author: Pavla Malíková Institution: Social Medicine Institute, Charles Univerzity, Fakulty of Medicine in Hradec Králové Titl of thesis: Quality of Life of Patients with intestinal Stoma Supervisor: Mgr. Eva Vachková Number of pages: 143 Number of appendins: 7 Year of defense: 2013 Key words: quality of Life, stoma, ostomate, satifektion, questionaire Summary: The aim of this thesis is assessment of quality of life in patients with stoma and suitability of used specific questionnaire for quality of life for stoma patients. Theoretical part provides necessary knowledge about stomas. Here is explained terms stoma a stoma patient, describes history of stomas, division of stomas, indications for stomas, care before and after surgery , nursery of stomas, division of stoma devices and role of stoma specialists. After that it is written about quality of life, definition, history, about models of quality of life and about quality of life of stoma patients. Practical part is formed by quantitative research determined quality of life of stoma patients, follows compared with population norm, determines if the quality of life is influenced by time since stoma formation and by type of stoma. Constituent part of practical part is comparison of observed questionnaires. Research was done in University Hospital..
Influence of the stoma to the patient's life
No full textName and surname of the author: Klára Ptáčková Institution: Charles University Faculty of Medicine in Hradec Králové, Department of Social Medicine, Department of Nursing Title: The impact of stoma on patient's life Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 121 Number of the attachements: 7 Year of defense: 2020 Keywords: Stoma, history, colostomy, ileostomy, ostomy appliances, lifestyle, irrigation, ostomy organization The bachelor's thesis deals with the influence of stoma on the patient's life, where this topic examines the perspective of patient information in stoma care, quality, availability and usability of ostomy appliances and it also monitors whether ostomists have the opportunity to learn about life with a stoma. The theoretical part is divided into five chapters, where we describe the anatomy of the large and small intestine, the stoma itself, where we mention the history of stoma and care for them, the division of stoma, indications for establishment, patient preparation for surgery, the importance of stoma nurses in stoma care, stoma aids, systems and complications. We also address the lifestyle of ostomists, where we mention clothing and accessories, eating and drinking, physical activity, employment, social life and travel, partner and sexual life of ostomists..
Improving Stoma Site Location in Urgent or Emergency Surgery
No full textIn unplanned surgery, stoma site marking is unusual, increasing the risk of complications. Data on stoma site marking in a hospital in the northern region of Portugal and guidance in emergency situations are unavailable.
Objective: To increase bowel elimination stoma site marking for patients undergoing unplanned surgery.
Methods: A protocol for a best practice implementation project based on the Plan-Do-Check-Act cycle and consists of 4 phases: identification of the problem; analysis of the causes and the definition of the specific objectives; planning and implementing the intervention, checking the results, proposing corrective measures, standardizing procedures, and training the team. Data will be gathered using questionnaires for nurses, analysis of existing information systems, and the implementation of an audit grid. Results: The first two phases allowed the identification of the main shortcomings and draft of a multimodal intervention that will comprise educational strategies, implementation of a decision-making algorithm, and audit. A decrease in skin complications is expected. Increased confidence, independence in stoma self-care, and awareness of stoma living are also anticipated. Implementing this project may lead to a reduction in healthcare costs and an overall improvement in the quality of life of the person with a stoma
The Transition To Life With Bowel Elimination Stoma: A Nursing Intervention Program
No full textA person with an intestinal elimination stoma faces daily physical, psychological and social challenges. The way in which this event is experienced is influenced by multiple factors, with self-care competence in stoma management being the aspect with the greatest impact on adaptation.
Existing nursing intervention programmes, both nationally and internationally, tend to focus either on adaptation processes or on the semantic description of interventions, sometimes addressing only specific perioperative stages or limited domains of self-care competence. Furthermore, they do not define, in an objective and rigorous manner, the nursing interventions themselves, their content, methods of delivery, or dosage.
Therefore, the aim of this project was to develop and evaluate the adequacy and feasibility of a nursing intervention programme to promote self-care in individuals with an intestinal elimination stoma, providing guidance for nurses in clinical practice.
To achieve the proposed objectives, the Medical Research Council framework for the development of complex interventions was adopted.
Initially, a scoping review of the literature was conducted, focusing on interventions aimed at promoting self-care in individuals with an intestinal elimination stoma.
Subsequently, a qualitative study was undertaken using semi-structured interviews and content analysis according to Bardin’s categorical analysis approach, with the aim of exploring the perspectives of clinical nurses and service users regarding the promotion of self-care in individuals with an intestinal elimination stoma.
Based on the evidence identified and the findings of the qualitative study, a first version of the nursing intervention programme for the promotion of self-care in intestinal elimination stoma (PIPO-EI) was developed.
To assess the adequacy and feasibility of the programme, a qualitative focus group study was conducted with stoma care nurses and academic staff specialising in nursing education, particularly in the areas of self-care and stoma therapy. The proposed content and structure of the PIPO-EI were considered representative of identified needs and applicable in clinical settings.
Additionally, five informational leaflets focused on stoma self-care were developed and evaluated. These were considered relevant and demonstrated potential as useful resources to support nurses’ interventions in promoting self-care among individuals with an intestinal elimination stoma in Portugal.
The results of this doctoral thesis contribute to the discipline of Nursing, with the potential to improve the quality and equity of care provided to individuals with a stoma, supporting care planning and serving as a practical resource for nurses
Intestinal stoma as a result of surgery
No full textPierzak Monika, Gorzelak Martyna. Intestinal stoma as a result of surgery. Journal of Education, Health and Sport. 2017;7(9):404-415. elSSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1001641
http://ojs.ukw.edu.pl/index.php/johs/article/view/4923
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017).
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Author (s) 2017;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 05.09.2017. Revised 10.09.2017. Accepted: 10.09.2017.
Intestinal stoma as a result of surgery
Monika Pierzak1,2, Martyna Gorzelak2
1Jan Kochanowski University, Faculty of Medicine and Health Sciences, Department of Family Medicine and Geriatrics
2PhD in Health Sciences, Jan Kochanowski University, Faculty of Medicine and Health Sciences
Address for correspondence:
Monika Pierzak
Institute of Medical Sciences
Department of Family Medicine and Geriatrics
tel. 530-169-219
e-mail: [email protected]
ORCID orcid.org/0000-0002-4367-4465
Abstract
Admission: The history of the emergence of artificial fistula counts nearly 300 years. The first stoma were selected in a targeted manner in 1776. Estimates indicate that the number of intestinal fistulas performed in our country is around 6 thousand. per year, it is estimated that people living with a stoma is about 20 thous. of which the majority are women[1]. Intestinal stoma of the Latin language. preaternaaturalis anus is opening. It is produced in the conditions in which it is necessary to cut or a corresponding decompression intestine[2]. People who were selected as a result of disease stoma are afraid of how they will function in daily life. The aim of the work is to illustrate the issues concerning the stoma, including, history, epidemiology, etiopathogenesis, complications, frequency and quality of life of patients with stoma.
Key words: intestinal stoma, quality of life, surgery
[1]Cierzankowska K .: The lesions around stomii- prevention and treatment. "Proctology, Supplement. V Symposium of Polish Club of Colon and Rectal "2005, p. 48-49.
[2]Ułańska J Wild A Kołomecki K. ambulatory care for patients with a stoma. Post Valetudinaria- Forces Med Klin 2004; 9, 87-92
Quality of care provided to patients with a stoma
No full text1 Abstract Author: Mariia-Luiza Tarasiuk Institution: Department of Non-medical Studies, Faculty of Medicine, Charles University in Hradec Králové Title: Quality of Care Provided to Patients with a Stoma Supervisor: Mgr. Dana Vaňková Number of pages: 99 Number of appendices: 2 Year of defense: 2024 Keywords: stoma, colostomy, ileostomy, urostomy, quality of nursing care, stoma appliances The thesis deals with the quality of care provided to patients with a stoma. The theoretical part states basic facts regarding the anatomy and physiology of the gastrointestinal tract and diseases requiring surgical intervention in the form of creating an artificial organ outlet. The types of stomas - colostomy, ileostomy, urostomy were explained, and in the connection with those, the specifics of care for patients who have undergone this procedure were discussed. Attention was paid to their education focused on physical and psychological preparation before the procedure and during hospitalization, which was provided by the medical staff, meaning doctors and stoma nurses. The information also concerned self-care after the end of hospitalization, with emphasis on the correct use of stoma appliances. The empirical part contains the evaluation of quantitative research conducted using the survey methodology. The questions in..
Practices' systematization of stoma site marking in patients undergoing unplanned surgery: an improvement quality project
No full textIntroduction: In unplanned surgery, stoma site marking is unusual, increasing the risk of complications. Data on stoma site marking in a hospital in the northern region of Portugal and guidance in emergency situations are unavailable.
Objective: To increase bowel elimination stoma site marking for patients undergoing unplanned surgery.
Methods: A protocol for a best practice implementation project based on the Plan-Do-Check-Act cycle and consists of 4 phases: identification of the problem; analysis of the causes and the definition of the specific objectives; planning and implementing the intervention, checking the results, proposing corrective measures, standardizing procedures, and training the team. Data will be gathered using questionnaires for nurses, analysis of existing information systems, and the implementation of an audit grid. Results: The first two phases allowed the identification of the main shortcomings and draft of a multimodal intervention that will comprise educational strategies, implementation of a decision-making algorithm, and audit. A decrease in skin complications is expected. Increased confidence, independence in stoma self-care, and awareness of stoma living are also anticipated. Implementing this project may lead to a reduction in healthcare costs and an overall improvement in the quality of life of the person with a stoma.
Conclusion: Evidence suggests that stoma site marking is paramount to improve patient’s health outcomes. Results from this project may offer new strategies to cope with management shortcomings in health systems
Stoma reversal after Hartmann's procedure for acute diverticulitis
No full textBackground: Hartmann's procedure is a treatment option for perforated acute diverticulitis, especially when organ dysfunction(s) are present. Its use has been criticized mostly out of fear of high permanent stoma rate. The aim of this study was to investigate the rate of stoma reversal, reasons behind non-reversal, and safety of reversal surgery. Methods: This was a single-center retrospective study of patients undergoing urgent Hartmann's pro-cedure due to acute diverticulitis between the years 2006 and 2017 with follow-up until March 2021. Results: A total of 3,319 episodes of diverticulitis in 2,932 patients were screened. The Hartmann's procedure was performed on 218 patients, of whom 157 (72%) had peritonitis (48 (22%) with organ dysfunction). At 2-years, 76 (34.9%) patients had died with stoma, 42 (19.3%) were alive with stoma, and 100 (45.9%) had undergone stoma reversal. The survival of patients with and without reversal were 100% and 42.7% at 1-year, 96.0% and 35.0% at 2-years and 88.9% and 20.7% at 5-years, respectively. The risk factors for nonreversal were old age, a need for outside assistance, low HElsinki Staging for Acute Diverticulitis stage, and higher C-reactive protein level upon hospital admission. The most common reasons for nonreversal in surviving patients were patient not willing to have the operation 18 (41%) and dementia 10 (23%). Twelve (12%) patients had a major complication after reversal (Clavien-Dindo IIIb-IV) and 90-day mortality after reversal was 0%. Conclusion: After the Hartmann's procedure for acute diverticulitis, one-third died, half underwent stoma reversal, and one-fifth did not undergo stoma reversal within 2 years. Patients who survive with stoma are either not willing to have reversal or have severe comorbidities excluding elective surgery. The Hartmann's procedure remains a viable option for high-risk patients with perforated acute diverticulitis. (c) 2022 The Author(s). Published by Elsevier Inc.Peer reviewe
- …
