Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
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J Wound Ostomy Continence Nurs · Mar 2010
Meta AnalysisDoes chewing gum shorten the duration of postoperative ileus in patients undergoing abdominal surgery and creation of a stoma?
Postoperative ileus is a temporary disturbance in gastric and bowel motility following surgery. The risk for postoperative ileus following gastrointestinal and urinary ostomy surgery is significant because both procedures require extensive surgical manipulation and reconstruction of the bowel. Chewing gum is advocated for treatment because it acts as sham feeding, potentially stimulating gastric and bowel motility through repetitive stimulation of the cephalic-vagal complex. ⋯ Current best evidence suggests that chewing gum should be offered to selected patients with the intent of decreasing postoperative ileus. A careful nursing assessment of the patient's mental status, aspiration risk, and dentition is needed before initiating the intervention. In addition, further research is needed to develop more clearly defined parameters for chewing gum including frequency and duration of chewing and its use in patients with nasogastric tubes.
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J Wound Ostomy Continence Nurs · Nov 2009
Randomized Controlled Trial Comparative StudyThe efficacy of acupuncture in treating urge and mixed incontinence in women: a pilot study.
The propose of this pilot study was to examine the feasibility of recruiting women into a clinical trial designed to examine the efficacy of acupuncture in treating urge and mixed urinary incontinence (UI) and the feasibility of performing the planned study procedures. We also sought to determine if there was preliminary evidence to suggest that acupuncture may be effective in reducing UI and improving general health-related and disease-specific quality of life and if a sham acupuncture needle is an effective placebo intervention. ⋯ The findings of this pilot study support the need for additional research examining the efficacy of acupuncture in the treatment of UI in women, the feasibility of performing study procedures, and the use of a sham needle as placebo in acupuncture studies.
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J Wound Ostomy Continence Nurs · Sep 2009
Efficacy of a skin tear education program: improving the knowledge of nurses practicing in acute care settings.
We sought to evaluate the knowledge base of acute care registered nurses (RNs) regarding skin tears and the efficacy of an online educational program designed to improve their knowledge of skin tears including (1) predisposing factors; (2) identification and assessment of skin tears using the Payne-Martin Classification System; and (3) preventive care, treatment, and documentation. ⋯ Our Web-based skin tear educational program was effective in improving nurses' knowledge regarding skin tear identification and assessment, classification and differentiation, and treatment.