Following an esophagectomy, nurses’ patient nutrition observations are important for physical recovery and quality of life. The study proposed to identify the factors associated with physical recovery among esophagea...Following an esophagectomy, nurses’ patient nutrition observations are important for physical recovery and quality of life. The study proposed to identify the factors associated with physical recovery among esophageal cancer patients after surgery based on nurses’ observations and nutritional evaluations. Data were collected from the nursing records of 21 esophagectomy patients. The data included patients’ rate of weight loss, body mass index (BMI), energy intake, and postoperative complications. Patients were divided into two groups according to their weight loss rate: <8% and ≥8%. Patient outcomes were compared between the two groups. There was no difference in average BMI before or after surgery between the two groups. There was no difference in albumin levels during hospitalization;however, after esophagectomy, energy intake at discharge was insufficient in both groups. The ≥8% weight loss may be facilitated, or at least confounded, by the presence of recurrent nerve paralysis and aspiration pneumonia. Thus, the nursing records typically identified the need to check for recurrent laryngeal nerve palsy and aspiration pneumonia in conjunction with nutritional assessment to enhance patients’ physical recovery. When weight loss was significant, nurses provided oral intake support with the NST, and patients maintained oral intake levels similar to the group with weight loss under 8%. In order to better support physical recovery among malnourished, post esophagectomy patients, nurses need to monitor for signs of recurrent nerve palsy and aspiration pneumonia in addition to nutritional intake.展开更多
A lot of sound can be heard in a hospital. The Ministry of Environment recommends that noise be kept below 50 dBA during the day and below 40 dBA at night to maintain a calm environment inside a medical facility. Howe...A lot of sound can be heard in a hospital. The Ministry of Environment recommends that noise be kept below 50 dBA during the day and below 40 dBA at night to maintain a calm environment inside a medical facility. However, the noise in general wards typically exceeds these standards;therefore, it is necessary to adjust these sounds to foster patients’ recuperation. We examined whether the noise generated by nurses in a simulated ward changes with walking speed and the presence or absence of luggage. Sounds generated by nurses include footsteps and pass-by sound from objects (e.g., wagon, stretchers, wheelchairs, bedside tables, overhead tables, beds, IV poles.). Walking speed was classified into three types: slow (0.5 m/s), normal (1 m/s), and fast (2 m/s). Sound (dBA) was measured by measuring the pass-by sound generated when moving in a straight distance (four meters) in the corridor of a simulated ward. Objects were also compared for their pass-by sound generated with and without a load. Results revealed that normal and fast walking speeds generated louder sounds than did the slow speed (the volume of slow, normal, and fast speeds were 37.0 dBA, 39.3 dBA, and 38.7 dBA, respectively). The pass-by sound of objects increased in volume in proportion to nurses’ walking speed. The pass-by sound of wagons and stretchers was significantly lower when they had (vs. did not have) a load;however, the reverse was true for wheelchairs carrying patient dummies. The sound of footsteps did not change per walking speed. Decreasing walking speed may thus lead to noise modification. Nurses’ awareness of adjusting their walking speed per object use may prevent noise pollution. This study was conducted to obtain basic data regarding the wards’ sound environment. Future studies should consider the occurrence of the sound in clinical settings.展开更多
文摘Following an esophagectomy, nurses’ patient nutrition observations are important for physical recovery and quality of life. The study proposed to identify the factors associated with physical recovery among esophageal cancer patients after surgery based on nurses’ observations and nutritional evaluations. Data were collected from the nursing records of 21 esophagectomy patients. The data included patients’ rate of weight loss, body mass index (BMI), energy intake, and postoperative complications. Patients were divided into two groups according to their weight loss rate: <8% and ≥8%. Patient outcomes were compared between the two groups. There was no difference in average BMI before or after surgery between the two groups. There was no difference in albumin levels during hospitalization;however, after esophagectomy, energy intake at discharge was insufficient in both groups. The ≥8% weight loss may be facilitated, or at least confounded, by the presence of recurrent nerve paralysis and aspiration pneumonia. Thus, the nursing records typically identified the need to check for recurrent laryngeal nerve palsy and aspiration pneumonia in conjunction with nutritional assessment to enhance patients’ physical recovery. When weight loss was significant, nurses provided oral intake support with the NST, and patients maintained oral intake levels similar to the group with weight loss under 8%. In order to better support physical recovery among malnourished, post esophagectomy patients, nurses need to monitor for signs of recurrent nerve palsy and aspiration pneumonia in addition to nutritional intake.
文摘A lot of sound can be heard in a hospital. The Ministry of Environment recommends that noise be kept below 50 dBA during the day and below 40 dBA at night to maintain a calm environment inside a medical facility. However, the noise in general wards typically exceeds these standards;therefore, it is necessary to adjust these sounds to foster patients’ recuperation. We examined whether the noise generated by nurses in a simulated ward changes with walking speed and the presence or absence of luggage. Sounds generated by nurses include footsteps and pass-by sound from objects (e.g., wagon, stretchers, wheelchairs, bedside tables, overhead tables, beds, IV poles.). Walking speed was classified into three types: slow (0.5 m/s), normal (1 m/s), and fast (2 m/s). Sound (dBA) was measured by measuring the pass-by sound generated when moving in a straight distance (four meters) in the corridor of a simulated ward. Objects were also compared for their pass-by sound generated with and without a load. Results revealed that normal and fast walking speeds generated louder sounds than did the slow speed (the volume of slow, normal, and fast speeds were 37.0 dBA, 39.3 dBA, and 38.7 dBA, respectively). The pass-by sound of objects increased in volume in proportion to nurses’ walking speed. The pass-by sound of wagons and stretchers was significantly lower when they had (vs. did not have) a load;however, the reverse was true for wheelchairs carrying patient dummies. The sound of footsteps did not change per walking speed. Decreasing walking speed may thus lead to noise modification. Nurses’ awareness of adjusting their walking speed per object use may prevent noise pollution. This study was conducted to obtain basic data regarding the wards’ sound environment. Future studies should consider the occurrence of the sound in clinical settings.
