Prevalence and Risk Factors of Urinary Retention in Patients With Cervical Cancer: A Meta-analysis and Systematic Review.

IF 2.4 3区医学 Q1 NURSING Cancer Nursing Pub Date : 2024-07-01 Epub Date: 2023-02-16 DOI:10.1097/NCC.0000000000001198

Zhilan Bai, Yan Zuo, Wenxia Huang, Li Yao

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Abstract

Background: The literature is inconsistent on the prevalence and risk factors of urinary retention in patients with cervical cancer.

Objective: The aim of this study was to review the literature on the prevalence of urinary retention in patients with cervical cancer and consolidate the risk factors.

Methods: For this meta-analysis, eligible articles published in English or Chinese by December 10, 2021, were systematically searched for and retrieved from PubMed, Cochrane Library, Ovid-Embase Medline, Web of Science, PsycINFO, CINAHL, and Scopus. Prevalence, odds ratios (ORs), and 95% confidence intervals (CIs) were used for meta-analysis.

Results: Twenty-five studies were included in the analysis. The pooled overall prevalence was 0.26 (95% CI, 0.21-0.30, I2 = 95.0%). The identified risk factors were age (OR, 1.13; 95% CI, 1.08-1.19), urinary tract infection (UTI) (OR, 3.33; 95% CI, 1.48-7.49), surgical extent (OR, 2.95; 95% CI, 1.27-6.85), and catheter indwelling time (OR, 3.44; 95% CI, 2.43-3.87).

Conclusions: The prevalence of urinary retention in patients with cervical cancer is 0.26. Older age, UTI, longer catheter indwelling time, and a larger surgical extent may increase the risk of urinary retention. Clinicians should identify patients at risk and adopt interventions such as individualized catheter care.

Implications for practice: Nursing staff should assess the risk of urinary retention in a patient with cervical cancer according to her age, presence of UTI, surgical extent, and catheterization time. A carefully chosen surgical procedure and interventions such as individualized education, timely catheter removal, treatment of UTI, and rehabilitation should be offered.

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宫颈癌患者尿潴留的发生率和风险因素：元分析和系统回顾

背景：关于宫颈癌患者尿潴留发生率和风险因素的文献不一致：关于宫颈癌患者尿潴留发生率和风险因素的文献并不一致：本研究旨在回顾宫颈癌患者尿潴留发生率的文献，并整合风险因素：方法：本荟萃分析从 PubMed、Cochrane Library、Ovid-Embase Medline、Web of Science、PsycINFO、CINAHL 和 Scopus 中系统检索并获取 2021 年 12 月 10 日之前发表的符合条件的英文或中文文章。采用患病率、几率比（ORs）和 95% 置信区间（CIs）进行荟萃分析：分析共纳入 25 项研究。汇总的总患病率为 0.26（95% CI，0.21-0.30，I2 = 95.0%）。确定的风险因素包括年龄（OR，1.13；95% CI，1.08-1.19）、尿路感染（UTI）（OR，3.33；95% CI，1.48-7.49）、手术范围（OR，2.95；95% CI，1.27-6.85）和导尿管留置时间（OR，3.44；95% CI，2.43-3.87）：宫颈癌患者的尿潴留发生率为 0.26。高龄、尿毒症、导尿管留置时间较长以及手术范围较大可能会增加尿潴留的风险。临床医生应识别有风险的患者，并采取干预措施，如个性化导尿管护理：护理人员应根据宫颈癌患者的年龄、是否患有尿道炎、手术范围和导尿时间来评估其发生尿潴留的风险。护理人员应根据宫颈癌患者的年龄、是否存在尿道炎、手术范围和导尿时间来评估其尿潴留的风险，并谨慎选择手术方法和干预措施，如个性化教育、及时拔除导尿管、治疗尿道炎和康复治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.