Evidence-based nursing care management for the pregnant woman with an ostomy.
Pregnancy presents many problems without working through additional problems in coping with an ostomy. Yet many women with an ostomy do get pregnant and do deliver healthy babies. Evidence-based nursing is of the utmost importance, as there is little published information on this topic. Because of the scarcity of pregnant subjects within the ostomy category, most studies, by necessity, select a purposive subject base. Therefore, other information sources regarding nursing management of the pregnant woman with an ostomy take on considerably more importance. This article explores other forms of evidence that can be used in managing the care of pregnant ostomy patients and specifically how nurses can integrate various sources of information in designing an evidence-based nursing care plan. Nonpharmacologic forms of relaxation therapy, easily used by nurses, such as mindfulness-based stress reduction, guided imagery, and hypnosis, are also identified as some ways nurses can relieve anxiety and experiential stress associated with pregnancy in women who have an ostomy.
Sredl
Darlene
D
University of Missouri, Missouri, USA. dsredl@aol.com
Aukamp
Virginia
V
D002983:Clinical Competence; D000529:Complementary Therapies / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D016389:Maternal-Child Nursing / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment; D015403:Nursing Evaluation Research / Q000458:organization & administration*; D010030:Ostomy / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000451:nursing* / Q000523:psychology; D037841:Pregnant People / Q000523:psychology; D016032:Randomized Controlled Trials as Topic