International Journal of Urological Nursing最新文献

The objective of this study was to assess the prevalence and risk factors associated with lower urinary tract symptoms (LUTS) among female university students. This cross-sectional survey study included 397 female university students aged 18 years and older. Participants completed self-administered questionnaires that assessed sociodemographic and LUTS characteristics, as well as the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) Questionnaire. The study found that the mean age of the students was 20.89 ± 4.02 years. Among the female students, 37% (n: 147) did not experience urinary incontinence (UI), while 25.4% (n: 101) experienced stress UI. The BFLUTS total score was low, with a mean of 9.63 ± 6.49. Risk factors associated with LUTS in female university students include smoking, presence of chronic disease and chronic constipation, cleaning from front to back after toileting, frequent urinary tract infections, poor toilet hygiene, enuresis as a child and maternal history of UI. It has been determined that female university students experience a considerable level of LUTS. To prevent the development of negative symptoms in the future, it is important to identify the associated risk factors and increase knowledge and awareness of the problem.

Enuresis is a common pathological condition in children aged 6–12 years and adolescents, with percentages varying from 10% to 12% and 1%, respectively. It is mainly associated with genetic causes because a family history of enuresis is one of the main risk factors for suffering from the disease. Its pathophysiological mechanisms are still under discussion. However, it is mainly associated with deficiency at the level of hormones, such as antidiuretics, which are altered with circadian cycles, parasympathetic system alterations and sphincter-level problems. To determine the association between the development of enuresis as an early marker in children presenting neurological and behavioural problems. The review found 14 articles that support the strong association between enuresis and various behavioural alterations in children and adolescents, as well as neuropsychological, growth and learning problems. With the advancement of multidisciplinary health teams and a better understanding of conditions that were previously considered part of the expected growth process, it has been recognised that enuresis can be an early clinical sign of mental conditions that, if not addressed, can affect the quality of life and socialisation capacity of children in adulthood. The evidence provided so far shows a strong relationship between enuresis and problems of depression, anxiety, hyperactivity and issues such as obsessive–compulsive syndrome, among others, allowing paediatric urology an early approach to the identification of the issues at the mental health level, even before they are very evident, proposing an alternative for alerting and managing this type of patient.

What are the nursing students' perspectives on clean intermittent catheterisation applied with hybrid simulation carried out with standard patients? Nursing students must develop clean intermittent catheterisation application skills before graduation. They have limited opportunities to practise these skills in a clinical setting. The literature shows that the studies examining the hybrid simulation training reported that participants' critical thinking, clinical decision-making, communication skills, and self-confidence improved, that they felt like real nurses during the simulation training, and that their self-confidence in terms of being able to deal with related scenarios while working in the clinical setting after graduation improved. The qualitative research design was used in the study. The students (n = 20) participated in face-to-face focus groups in December 2022. Five themes (i.e., emotions, outcomes gained by students, challenges with standard patient, fidelity perceptions and transfer to clinical practice) were determined in line with the study objectives. In the hybrid simulations carried out with the standard patients, nursing students generally reported that they had positive experiences. Accordingly, nursing students are recommended to use hybrid simulations for standard patients in applications such as clean intermittent catheterisation where patient privacy is at the forefront.

Strong social support plays a crucial role in shaping the overall quality of life for ostomy patients. However, no comprehensive review has yet explored the role of social support for both ostomy patients and their informal caregivers. This study aims to map the existing literature on social support for ostomy patients and their caregivers. We conducted a scoping review following the guidelines provided in the Joanna Briggs Institute Manual for Evidence Synthesis. A three-step search strategy was implemented across several databases, including MEDLINE via PubMed, CINAHL and Scopus. The review included 23 articles. However, none of the included studies specifically addressed the role of social support for informal caregivers. The social networks of ostomy patients typically include family members, friends, support groups and other significant individuals. There is still little literature examining the effect of social support in adolescents with ostomies. Our findings revealed considerable heterogeneity in the tools used to measure social support. Most of the research focussed on the relationship between social support and quality of life, with few studies investigating its impact on patients' self-care, mental health or clinical outcomes. This review serves as a foundation for future studies on the subject. Further research is needed to explore social support from the perspectives of both ostomy patients and their informal caregivers.

Do lower urinary tract symptoms affect disease-specific quality of life, anxiety, depression and functional status in chronic stroke patients? Nervous system lesions associated with stroke can cause lower urinary tract symptoms (LUTS) in individuals. Post-stroke dysfunctions significantly affect quality of life by causing depression and anxiety. The primary purpose of this study is to investigate the effects of LUTS on disease-specific quality of life, functional status, anxiety and depression in individuals with chronic stroke. The secondary aim was to evaluate the coherence between Overactive Bladder Questionnaire-V8 (OAB-V8) and Core Lower Urinary Tract Symptom Score (CLSS) scores. This study was a planned single-centre prospective cohort study conducted on patients with chronic stroke undergoing inpatient treatment at a rehabilitation centre. Eighty people with chronic stroke were included. LUTS were evaluated with the CLSS and OAB-V8; functional status was evaluated with the functional independence measure (FIM); anxiety and depression levels were evaluated with the Hospital Anxiety and Depression Scale (HADS) and quality of life was evaluated with the Stroke-Specific Quality of Life Scale (SS-QoL). The SS-QoL, HADS depression and anxiety subscores were significantly affected by CLSS and OAB-V8 (p < 0.05). A statistically significant effect was observed for CLSS on FIM (p < 0.05); on the other hand, there was no statistically significant effect of OAB-V8 on FIM (p > 0.05). CLSS and OAB-V8 had a statistically significant, strong positive relationship (p < 0.05). A statistically significant coherence of 81.8% was found between CLSS and OAB-V8. In conclusion, our results showed that LUTS have effects on disease-specific quality of life, functional status, anxiety and depression in chronic stroke patients. Secondly, these questionnaires can be used in the diagnosis, treatment and follow-up of LUTS in chronic stroke patients.

Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.