Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
-
Controlled Clinical Trial
The impact of listening to music on analgesic use and length of hospital stay while recovering from laparotomy.
Postoperative pain management is based on the use of analgesics; however, music may alleviate pain either by direct analgesic effects or by relaxing and distracting the mind from pain and unpleasant feelings. Conflicting results have been presented about how listening to music affects analgesic use and length of hospital stay after surgery. We assessed the effect of music listening on analgesic use, length of hospital stay, and adverse effects in adult patients having laparotomy, using a prospective design with two parallel groups. ⋯ The control group did not listen to the music. The hypotheses that patients in the music group will need less analgesic, have a shorter length of hospital stay, and experience less adverse effects than those in the control group were not supported by the data, although patients recovering from surgery enjoyed listening to music. Music listening may enhance quality of hospital stay and recovery in patients undergoing major abdominal surgery and could be a useful tool to relieve the patient's pain experience.
-
Celiac disease is an autoimmune disease affecting individuals at any time across the developmental lifespan. The only treatment for celiac disease is lifelong adherence to a gluten-free diet to prevent future complications and malignancies. The ratio of occurrence between children and adolescents is 1:104. ⋯ An abundance of both qualitative and quantitative studies from the Netherlands, Europe, and Canada focusing on adolescents with celiac disease and adherence to the gluten-free diet was found in the literature. Conversely, in the United States, there was a dearth of literature examining adolescents diagnosed with celiac disease, their adherence to a gluten-free diet, and their lived experience of having celiac disease. The relevance to nursing practice and recommendations for future research are discussed in light of these findings.
-
Severe acute pancreatitis (SAP) can lead to multiple-organ dysfunction syndrome (MODS). Electrocardiographic (ECG), cardiac enzyme, and serum magnesium abnormalities occur after SAP. Electrocardiographic and cardiac enzyme abnormalities are described as variables in SAP patients, which contribute to the effects of MODS. ⋯ There were 14 (17%) premature beat, 7 (8%) atrial fibrillation, 21 (25%) ST-segment depression, 18 (21%) abnormal T wave, and 17 (31%) long QT-interval events in 54 SAP patients. Hypomagnesemia is a reason for ECG abnormalities. Electrocardiographic and cardiac enzyme abnormalities are considered to be transitory variables that are present in patients with SAP.