在美国的门诊膀癌症护理
Talia Stark1, Jonathan E Shoag1, Joseph Nicolas1
1Department of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, New York.
Urology practice
|June 10, 2023
概括
在美国,膀癌的护理从2001年至2014年期间,有超过700万次泌尿外科访问. 戒烟咨询等生活方式干预措施未得到充分利用,这表明需要改进患者护理策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 关于美国膀癌治疗的当代数据有限.
- 国家数据对于确定门诊膀癌管理质量改善领域至关重要.
研究的目的:
- 用全国代表性数据来描述美国的门诊膀癌症护理.
- 为了识别与膀癌诊断相关的患者,医生和访问特征.
- 确定膀癌护理质量改善的领域.
主要方法:
- 利用了2001年至2014年国家门诊医疗调查 (NAMCS) 的数据.
- 分析了针对膀癌的国家门诊护理实践模式的加权估计.
- 评估患者的人口统计,医生互动和访问特征.
主要成果:
- 在2001年至2014年期间,注册了超过740万次膀癌泌尿器科诊断,显示出明显的增加.
- 患者的平均年龄为71.3岁,男性比女性访问更多.
- 生活方式干预并不频繁:戒烟咨询仅提供给21.2%的吸烟者,营养咨询提供给14.7%的肥胖患者.
结论:
- 在美国,膀癌每年导致超过50万次门诊泌尿器科诊断.
- 通过整合常规的生活方式干预措施,有很大的机会改善膀癌症的治疗.
- 建议在泌尿器科诊所期间实施戒烟和营养咨询,以获得更好的患者结果.
相关概念视频
Urinary Tract Infection IV: Nursing Management
29
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
29
Urinary Tract Calculi V: Nursing Management
14
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
Imaging Studies VI: Voiding Cystourethrography and Cystography
37
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
37
Urologic Endoscopic Procedure: Cystoscopic Examination
97
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
97
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Bladder
1.0K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.0K


