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Source: Evidence-Based Nursing
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Total 43 results found since Jan 2013.
Small study finds that 3 years after prostate cancer treatment, men may report high quality of life and functioning
Commentary on: Jakobsson L, Persson L, Lundqvist P. Daily life and life quality 3 years following prostate cancer treatment. BMC Nurs 2013;12:11. Implications for practice and research The male patients in this study reported high levels of quality of life, with high ratings for overall physical functioning and health. They appeared to adjust to the diminished sexual function. Nurses can use these outcomes and the results from other studies to inform patients. Nurses should understand that each individual will have a different prediagnosis level of and valuation of sexual activity/function. Further multicentred large studi...
Source: Evidence-Based Nursing - March 14, 2014 Category: Nursing Authors: Albaugh, J. Tags: Adult nursing, Stroke, Prostate cancer, Urological cancer, Sexual and gender disorders, Prostate, Health education Source Type: research
Daily calcium intake in excess of 1400 mg is associated with increased all-cause and cardiovascular disease mortality in women
Commentary on: Michaëlsson K, Melhus H, Warensjö Lemming E, et al.. Long term calcium intake and rates of all cause and cardiovascular mortality: community based prospective longitudinal cohort study. BMJ 2013;346:f228. Implications for practice and research Greater calcium intake is encouraged for bone health, but has unclear cardiovascular consequences. In a large cohort of Swedish women, total calcium intake of <600 or ≥1400 mg/day was associated with an increased risk of total mortality (TM) and cardiovascular disease mortality (CVDM). It is important to emphasise adequate dietary calcium intake in...
Source: Evidence-Based Nursing - March 14, 2014 Category: Nursing Authors: Sesso, H. D., Wang, L. Tags: Drugs: cardiovascular system, Stroke, Diet, Breast cancer, Ischaemic heart disease, Clinical diagnostic tests Primary healthcare Source Type: research
EBN resources page
Drug and Therapeutics Bulletin (DTB) April, May, June 2013 issues http://dtb.bmj.com HbA1c targets in type 2 diabetes: guidelines and evidence Aims of treatment for type-2 diabetes include minimising long-term complications (eg, cardiovascular disease, blindness, chronic kidney disease, premature mortality) and avoiding the unwanted effects of treatment (eg, severe hypoglycaemia, weight gain). Publication of the UK Prospective Diabetes Study (UKPDS) 33 in 1998 suggested that ‘intensive blood glucose control’ to lower the glycated haemoglobin (HbA1c) in people with type 2 diabetes reduced microvascular disease b...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, Immunology (including allergy), Drugs: infectious diseases, Urinary tract infections, Stroke, Hypertension, Obesity (nutrition), Cervical cancer, Pregnancy, Reproductive medicine, Colon cancer, Gynecological cancer, Ophthalmology, Complementary Source Type: research
British secondary school students report frequent abdominal pain with associated physical and emotional symptoms
Commentary on: Vila M, Kramer T, Obiols JE, et al.. Abdominal pain in British young people: associations, impairment and health care use. J Psychosom Res 2012;73:437–42. Implications for practice and research Abdominal pain is common in children, and frequently associated with anxiety, depression, school absenteeism and physical complaints such as headache and limb pain. Assessment and treatment of children with abdominal pain should be underpinned by a biopsychosocial approach. Functional abdominal pain research should use standardised research tools and definitions such as the Rome III criteria. Context Between 20...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Rosen, J. M., Saps, M. Tags: Child health, Headache (including migraine), Pain (neurology), Stroke, Childhood nutrition, Reproductive medicine, Adolescent health, Child and adolescent psychiatry (paedatrics), Childhood nutrition (paediatrics), Child health, Child and adolescent psych Source Type: research
Combined infant regulatory problems and early maternal psychiatric illness predict risk of functional somatic symptoms in later childhood
Commentary on Rask CU, Ørnbøl E, Olsen EM, et al.. Infant behaviors are predictive of functional somatic symptoms at ages 5–7 years: results from the Copenhagen Child Cohort CCC2000. J Pediatr 2013;162:335–42. Implications for practice and research Counselling mothers to help settle babies with high levels of feeding/sleeping/tactile reactivity may help prevent the development of functional somatic symptoms (FSS) in children. Further research is required to identify additional risk factors for FSS and the evaluation of preventative interventions. Context FSS in children are physical symptoms...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Garralda, M. E. Tags: Child health, Headache (including migraine), Pain (neurology), Stroke, Child and adolescent psychiatry (paedatrics), Anxiety disorders (including OCD and PTSD), Child and adolescent psychiatry, Screening (public health) Source Type: research
In men and women with COPD the presence of urinary incontinence is associated with poorer quality of life
Commentary on: Hrisanfow E, Hägglund D. Impact of cough and urinary incontinence on quality of life in women and men with chronic obstructive pulmonary disease. J Clin Nurs 2013;22:97–105. Implications for practice and research The combination of coughing, as a result of chronic obstructive pulmonary disease (COPD), and urinary incontinence (UI), can adversely affect quality of life. Healthcare providers must actively screen for UI in patients who smoke, have a chronic cough and/or who are diagnosed with COPD, as early treatment may improve quality of life. Context It is estimated that worldwide, over 200 milli...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Newman, D. K. Tags: Primary health care, Stroke, Incontinence, Pregnancy, Reproductive medicine, Health education, Smoking, Tobacco use Primary healthcare Source Type: research
EBN resources page
SIGN Apps for iPhone and Android phonehttp://itunes.com/apps/signguidelines The app for the Apple and Android phones and tablets contains reference guides (QRG) of SIGN guidelines. The app has recently been updated to include our suite of coronary heart disease (CHD) Guidelines:97 Risk estimation and the prevention of cardiovascular disease 96 Management of stable angina 95 Management of chronic heart failure 94 Cardiac arrhythmias in coronary heart disease 93 Acute coronary syndromes (updated February 2013) In addition, navigation of the app has been improved with category listings of guidelines. The content is enhanced w...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, General practice / family medicine, Immunology (including allergy), Drugs: infectious diseases, Drugs: cardiovascular system, Drugs: CNS (not psychiatric), Neurological injury, Pain (neurology), Stroke, Trauma CNS / PNS, Paediatric oncology, Op Source Type: research
Early ambulation after percutaneous coronary intervention does not increase bleeding risk compared with late ambulation
Commentary on: Tongsai S, Thamlikitkul V. The safety of early versus late ambulation in the management of patients after percutaneous coronary interventions: a meta-analysis. Int J Nurs Stud 2012;49:1084–90. Implications for practice and research Early ambulation after percutaneous coronary intervention (PCI) may facilitate earlier hospital discharge and improve patient comfort. There are a limited number of randomised clinical trials assessing the safety of this strategy. This meta-analysis suggests that earlier ambulation was not associated with an increased risk of adverse bleeding events. Context The number of PC...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Juergens, C. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research
Aspirin given for up to 2 years after initial anticoagulant treatment reduces the risk of venous thromboembolism recurrence without increasing risk of major bleeding
Implications for practice and research The use of aspirin to prevent recurrent venous thromboembolism (VTE) after a first idiopathic event should not currently become a standard practice. Further studies are required before the use of aspirin following anticoagulation with warfarin for a first episode of venous thromboembolism becomes adopted as routine clinical practice. A direct comparison between low-dose aspirin and standard intensity warfarin is required. Context Venous thromboembolism, which encompasses deep vein thrombosis and pulmonary embolism, is a relatively common disorder with an incidence in western countries...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Watson, H. G. Tags: Editor's choice, Nursing issues, Drugs: cardiovascular system, Stroke, Venous thromboembolism, Pulmonary embolism Source Type: research
Older people who report loneliness have increased risk of mortality and functional decline
Commentary on: Perissinotto CM, Stijacic Cenzer I, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Arch Intern Med 2012;172:1078–84. Implications for practice and research National screening recommendations are needed for loneliness. Assessments for loneliness should be a component of primary care for older adults. Interventions focused on the poorly adapted cognitive processes associated with loneliness warrant further study. Context Prevalence rates of loneliness have been reported to be as high as 17% in samples of older adults in the USA.1 Historically, scientists viewed lon...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Theeke, L. A. Tags: General practice / family medicine, Care of the older person, Drugs: cardiovascular system, Stroke, Hypertension, Screening (public health) Source Type: research
Overweight and obese middle-aged women have increased risk of venous thromboembolism, particularly following surgery
Commentary on Parkin L, Sweetland S, Balkwill A, et al.. for the Million Women Study Collaborators. Body mass index, surgery and risk of venous thromboembolism in middle-aged women: a cohort study. Circulation 2012;125:1897–904. Implications for practice and research Obesity is associated with an increased risk of venous thromboembolism (VTE) including both spontaneous and postoperative events. Further research is needed regarding factors responsible for the increase in postoperative VTE in overweight patients, and whether management should be altered (eg, increased focus on postoperative mobilisation, altered doses ...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: McRae, S. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Obesity (nutrition), Venous thromboembolism, Health education, Obesity (public health), Screening (public health), Smoking, Tobacco use Women ' s health Source Type: research
Low-dose aspirin is associated with an increased risk of haemorrhage; but not in people with diabetes who have a high baseline rate of bleeding
Commentary on: De Berardis G, Lucisano G, D'Ettorre A, et al. Association of aspirin use with major bleeding in patients with and without diabetes. JAMA 2012;307:2286–94. Implications for practice and research Low-dose aspirin (≤300 mg/day) increases the risk of major bleeding. Individuals with diabetes have a higher risk of bleeding independent of aspirin exposure. Future work should include comparative effectiveness studies to help inform treatment strategies based on individual risks, benefits, patient preferences and values. Context Aspirin has a proven role in the secondary prevention of cardiovascular d...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Butalia, S., Leung, A. A. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Drugs: musculoskeletal and joint diseases Primary healthcare Source Type: research
Orlistat reduces weight but its cost-effectiveness remains unclear
This study aimed to evaluate the effectiveness and cost effectiveness of three pharmacological interventions (orlistat, sibutramine and rimonabant) in obese patients in...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Veerman, L. Tags: Health policy, General practice / family medicine, Drugs: cardiovascular system, Stroke, Obesity (nutrition), Health service research, Health education, Obesity (public health) Primary healthcare Source Type: research
