ObjectivesThe aim of this study was to develop nursing practice guidelines and algorithms for the pre- and postoperative care of gastric cancer patients.MethodsThe guidelines and algorithms were developed based on a literature review and subject-matter experts' knowledge. The usefulness and applicability of the developed guidelines and algorithms were evaluated by the expert group.ResultsThe guidelines comprised 64 recommendations and algorithms for admission care, preoperative care on the day before the operation, preoperative care on the operation day, immediate postoperative assessment, postoperative care, and discharge care of gastric cancer patients. After appropriate evaluation, the experts declared the guidelines to be both useful and applicable.ConclusionsThe guidelines developed in this study can be used for patient care and for training nursing students and novice nurses. In addition, these guidelines can be integrated into the electronic nursing record system for clinical decision support in the future. This will improve the quality of clinical nursing and the expertise of nurses.
In order to elucidate temporal variations of temperature, salinity, pH, dissolved oxygen (DO), suspended particulate matter (SPM), dissolved inorganic nutrients, and chlorophyll a, we performed 25-hour continuous monitoring in the Seomjin River Estuary in March (dry season) and July (rainy season) 2006. We also investigated spatial variations of marine environmental parameters across a saline gradient. In the Seomjin River Estuary, continuous monitoring results revealed that salinity variations were mainly affected by tidal cycle in the dry season and by river discharge in the rainy season. In the dry season, the spatio-temporal distribution of dissolved inorganic nutrient (nitrate, nitrite, and silicate) concentrations showed a good correlation with tidal cycle. While nutrient concentrations in rainy season showed not much variance in time. There were 6 and 4 times higher dissolved inorganic nitrogen and phosphorus concentrations in the rainy season than those in the dry season, respectively. Silicate concentration was 43 times higher in the rainy season than that in the dry season. Chlorophyll a concentration was higher in the dry season than that in the rainy season showing high nutrient concentrations. The results of this study, spatio-temporal variations of marine environmental factors are determined by both tidal cycle and river discharge. It seems that chlorophyll a concentration is related to the river discharge than dissolved inorganic nutrient distribution.
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