Biomedical subjects

B H Roe

Publications and source records attributed to B H Roe.

12 recordsLinked to original sources

PubMed2000

An evaluation of a new pattern of electrical stimulation as a treatment for urinary stress incontinence: a randomized, double-blind, controlled trial.

OBJECTIVE: To evaluate a new pattern of electrical of electrical stimulation as a treatment for stress incontinence. DESIGN: A randomized, double-blind, controlled trial. SETTING: The study took place on three clinical sites. SUBJECTS: Patients (n = 27) with urodynamically proven stress incontinence recruited via consultant referral. INTERVENTIONS: Patients were randomly allocated to one of two groups: the new pattern of stimulation or sham stimulation. MAIN OUTCOME MEASURES: Patients were assessed pre, mid and post treatment using: perineometry, digital assessment and pad testing. The following were only used pre and post treatment: seven-day frequency/volume chart, SF-36, the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. RESULTS: No significant between-group differences were highlighted except when quality of life was assessed with the Urogenital Distress Inventory (p = 0.01). A significant reduction in scores was observed in the stimulation group (p = 0.03) However, improvements were seen in both the strength and endurance characteristics of the pelvic floor musculature, although these changes were not translated into a reduction in symptoms. CONCLUSION: Although promising, the improvement in pelvic floor function did not result in a reduction in symptoms in all patients. Further research is required to investigate the effects of the new stimulation in combination with pelvic floor exercises and to compare the new stimulation pattern with existing forms of electrical stimulation.

Double-Blind Method↗

PubMed1994

Nursing treatment of patients with chronic leg ulcers in the community.

A descriptive survey of current reported practice by 146 community nurses for their nursing treatment of leg ulcers was undertaken. Sixty-four per cent of nurses reported they would apply compression bandages to only venous ulcers; in only 23% of cases could the products described achieve an adequate level of compression. A variety of modern wound dressings were used by the nurses; 89% of nurses reported using a combination of different products layered over the ulcer. There is no evidence that this has any beneficial effect and could therefore be a potential waste of money, as well as contributing to allergic skin reactions. It would be useful if primary-health-care teams and Family Health Service Authority information pharmacists formulated protocols based upon effective treatments for patients with chronic leg ulcers.

Bandages↗

PubMed1993

A comparison of nursing approaches for the promotion and management of continence in the U.K. and Denmark.

Incontinence is recognized as a health problem of sizeable proportions affecting a wide age range of the population. This paper compares the nursing approaches for the promotion and management of continence within the U.K. and Denmark. Semi-structured interview of key health professionals within Denmark was undertaken. The information collected forms the basis for a comparison of prevalence of incontinence, clinical practice, management, education and research.

Cost of Illness↗

PubMed1992

What choices in care for the incontinent?

Urinary and faecal incontinence affect many millions of people yet much remains to be done before they can all be properly cared for and the incidence of the conditions can be significantly diminished. The author discusses the situation in the light of a comparison of nursing initiatives in Denmark and the United Kingdom.

Adolescent↗

PubMed1990

Study of the effects of education on patients' knowledge and acceptance of their indwelling urethral catheters.

A randomized controlled trial was undertaken to test the effects of an education programme, which included an information booklet, on patients' knowledge and acceptance of their indwelling urethral catheters. A total of 45 patients participated, all of whom were either established or new catheter users. Data were collected at pretest, test and follow-up visits. The information booklet and researcher were found to significantly influence patients' knowledge and acceptance of their catheters. The findings are discussed with a number of conclusions drawn and recommendations for current practice.

Adult↗

PubMed1990

Study of the effects of education on the management of urine drainage systems by patients and carers.

A randomized controlled trial was undertaken to test the effects of an education programme, which included an information booklet and demonstration, on the management of urine drainage systems by patients and carers. A total of 45 patients, new and established users, were included. Data were collected at pretest, test and follow-up visits. The education programme was found to improve significantly the performance of handwashing after bag emptying and before and after bag changing, although this effect did not persist over time. The findings are discussed with a number of conclusions drawn and recommendations for nursing practice.

Aged↗

PubMed1990

Development of Continence Advisory Services in the United Kingdom.

This article provides an overview of the development of Continence Advisory Services throughout the United Kingdom. A brief history of their development is described along with a current description of the different types of service available. Studies which have investigated the prevalence of regular urinary incontinence and successful management are also presented, from which a strategy based upon preliminary assessment of incontinence may be recommended.

Adolescent↗

PubMed1989

Study of information given by nurses for catheter care to patients and their carers.

Patients who are to use a long-term indwelling urethral catheter, and their informal carers, require knowledge and information for its successful management. Education of both patients and carers regarding catheter care has been recommended but not always carried out in practice. This study has investigated the information given by 106 hospital and district nurses to patients who are to use an indwelling urethral catheter in the community, and their carers. It was concluded that the information given for catheter care was not comprehensive nor consistent and differed according to the nurse's location of work. The implications this has for nursing practice are a need for further education of nurses regarding catheter care and improved teaching of patients who are to use a long-term indwelling urethral catheter, and their carers.

Catheters, Indwelling↗

PubMed1989

Use of bladder washouts: a study of nurses' recommendations.

The performance of intermittent bladder washouts by nurses for patients with long-term indwelling urethral catheters forms a frequent aspect of nursing practice. This study has interviewed 106 hospital and district nurses to establish their recommendations concerning the use of intermittent bladder washouts. Information collected comprised: when a bladder washout should be performed, its frequency, the solutions to be used and the rationale for its prescription. It was concluded that nurses' recommendations were not always correct or consistent, and that there is a need for further education regarding the use of bladder washouts so that recommendations are based upon scientific evidence. The implications of the findings for nursing practice and the need for fundamental research are discussed.

Attitude of Health Personnel↗

PubMed1988

Nursing procedures and their function as policies for effective practice.

Documents covering nursing procedures form part of the District Health Authorities policies in the United Kingdom. How far such written documents contribute to standards of care has not been established. As part of a wider investigation, a postal survey of all District Health Authorities in England and Wales was undertaken to examine the content of procedures for catheter care. Eighty-two per cent of Authorities responded and it was found that the documents consisted largely of a detailed list of steps to be followed. There was no complete coverage of all components of care and there were gaps in information concerned with patient safety. In discussion it is suggested that procedures reflect technical performance rather than guidelines for good practice. In the light of this analysis it is argued that the profession should reconsider the place of such documents within the Health Authorities' quality assurance programme.

Catheters, Indwelling↗

PubMed1988

Comparison of four urine drainage systems.

An evaluation of four urine drainage systems available for use by patients with indwelling urethral catheters and prescribed by general practitioners was performed. Twenty-four patients in the community of one health district tested each system for a number of weeks. Both users and carers responsible for the management of the urine drainage system tested their acceptability and reported on preference, methods of support, ease of use and comfort. The significance of the results and their implications for nursing are discussed.

Aged↗

PubMed1987

Study of patients with indwelling catheters.

Indwelling urethral catheters are used for the long-term management of intractable urinary incontinence or bladder outlet obstruction with resultant retention of urine. There are well-described problems associated with their use including urinary tract infections and mechanical problems. Urinary tract infections have been well researched, however mechanical problems associated with blockage of the catheter lumen due to encrustation, leakage of urine and general discomfort, have been the least investigated. To date, there has been no research of patients' views, understanding or feelings in relation to their catheters. This paper comprises a preliminary investigation of patients' understanding and knowledge of their catheter's location and function, its acceptance, problems associated with its use, social implications and its subsequent management. Thirty-six patients from the community of one health district were surveyed. It was concluded that an indwelling catheter is a prosthesis which, to be successful, requires adequate patient education and management. Education of the patient and carers is particularly important since an understanding of the catheter and its function will lead to better acceptance of the device and will enable better management of the urine drainage system.

Adaptation, Psychological↗