Subject(s)
Lyme Disease/nursing , Nursing Diagnosis , Acrodermatitis/diagnosis , Acrodermatitis/epidemiology , Acrodermatitis/nursing , Animals , Cooperative Behavior , Cross-Sectional Studies , Education, Nursing, Continuing , Erythema Chronicum Migrans/diagnosis , Erythema Chronicum Migrans/epidemiology , Erythema Chronicum Migrans/nursing , Erythema Chronicum Migrans/transmission , Facial Paralysis/diagnosis , Facial Paralysis/epidemiology , Facial Paralysis/nursing , Humans , Interdisciplinary Communication , Ixodes , Lyme Disease/diagnosis , Lyme Disease/epidemiology , Lyme Disease/transmission , Lyme Neuroborreliosis/diagnosis , Lyme Neuroborreliosis/epidemiology , Lyme Neuroborreliosis/nursing , Pseudolymphoma/diagnosis , Pseudolymphoma/epidemiology , Pseudolymphoma/nursingABSTRACT
School nurses may be the first health professionals to assess the onset of facial paralysis/muscle weakness in school-age children. The purpose of this study was to test the psychometric properties of the Gordon Facial Muscle Weakness Assessment Tool (GFMWT) developed by Gordon. Data were collected in two phases. In Phase 1, 4 content experts independently rated each of the 22 items on the GFMWT for content relevance. The ratings were used to generate Item and Scale Content Validity Index (CVI) scores. In Phase 2, school nurses (N = 74) attending a state conference independently rated referral urgency on a set of 10 clinical scenarios using the GFMWT. The GFMWT had an item and scale CVI of 1.0. Overall, the interrater reliability was .602 (p < .001). When used by school nurses, the GFMWT was shown to be both a reliable and a valid tool to assess facial muscle weakness in school-age children.
Subject(s)
Bell Palsy/diagnosis , Facial Muscles/pathology , Facial Paralysis/diagnosis , Muscle Weakness/diagnosis , Psychometrics , Adolescent , Adult , Bell Palsy/nursing , Bell Palsy/psychology , Facial Paralysis/nursing , Facial Paralysis/psychology , Female , Health Status Indicators , Humans , Male , Middle Aged , Muscle Weakness/nursing , Muscle Weakness/psychology , Nursing Diagnosis , Reproducibility of Results , School Nursing , Young AdultABSTRACT
CONCLUSION: This study shows that cochlear implantation is relatively safe surgery with few major complications and within acceptable limits. However, close follow-up observation and effective medical and nursing intervention could alleviate further complications and thus become key elements for promoting recovery of patients undergoing such surgery. OBJECTIVES: Cochlear implantation has become an effective method for curing patients disabled by profound hearing loss in China. However, full exploration of the associated complications remains to be completed. The objective of this study was thus to analyse the postoperative complications in patients with cochlear implants (CIs) in order to design improved measures for clinical and nursing interventions. METHODS: A retrospective study of 262 patients receiving CIs at the Department of Otorhinolaryngology/Head and Neck Surgery, Chinese People's Liberation Army General Hospital, Beijing, China from March 1997 to December 2006 was conducted. RESULTS: Among 262 patients, 4 cases (1.5%) had 1 or more major complications requiring substantial medical or nursing interventions, including 1 case of cerebrospinal fluid (CSF) otorrhoea accompanied by meningitis, 2 cases of facial nerve paresis and 1 case of perforation of tympanic membrane. Forty cases (15.3%) had some form of minor complication that settled spontaneously or easily with conventional treatments and nursing, of which dizziness and vomiting was the most frequent (4.2%), followed by CSF gusher without otorrhoea and/or induced meningitis (2.7%), tinnitus (1.9%) and facial nerve partially exposed without paralysis (1.5%). Eleven cases (4.2%) had some symptoms associated with installation of the cochlear device. Except for one patient who had no response after implantation because his auditory nerves were underdeveloped, all the patients who received appropriate treatment and nursing intervention had a favourable prognosis.
Subject(s)
Cochlear Implantation/adverse effects , Postoperative Complications/etiology , Adolescent , Adult , Cerebrospinal Fluid Otorrhea/etiology , Cerebrospinal Fluid Otorrhea/nursing , Child , Child, Preschool , China , Cochlear Implantation/nursing , Facial Paralysis/etiology , Facial Paralysis/nursing , Female , Humans , Infant , Male , Meningitis/etiology , Meningitis/nursing , Middle Aged , Nursing Diagnosis , Postoperative Complications/nursing , Retrospective Studies , Risk Factors , Tinnitus/etiology , Tinnitus/nursing , Tympanic Membrane Perforation/etiology , Tympanic Membrane Perforation/nursing , Young AdultSubject(s)
Labyrinth Diseases/nursing , Diagnosis, Differential , Facial Paralysis/etiology , Facial Paralysis/nursing , Hearing Loss, Sensorineural/etiology , Hearing Loss, Sensorineural/nursing , Humans , Labyrinth Diseases/etiology , Meniere Disease/etiology , Meniere Disease/nursing , Nursing Diagnosis , Patient Care TeamABSTRACT
Bell's palsy, an idiopathic facial paralysis of the seventh cranial nerve, is an important entity for clinicians to identify early because prognosis is more favorable with early intervention. Although the etiology is unknown, recent studies have indicated a familial tendency and increased incidence in patients with a history of diabetes, arterial hypertension and serum lipid disturbances. The specificity and severity of signs and symptoms are determined by the facial nerve fibers affected. Various diagnostic tests become an important factor in determining not only the differential diagnoses but also the severity of the occurrence and the prognosis for recovery.