International Journal of Urological Nursing最新文献

This study is to investigate the impact of rational emotive behaviour therapy in conjunction with continuity nursing on the negative emotions and quality of life of patients with radical prostatectomy (RPT). A total of 82 patients who underwent RPT for prostate cancer and were admitted to our department between November 2020 and October 2021 were randomly divided into two groups: the control group received conventional nursing interventions, while the observation group received rational emotion therapy combined with continuity of care interventions. The patients' negative emotions and quality of life in the two groups were compared. The Self-rating Anxiety Scale (SAS) and Self-assessment Scale of Depression (SDS) scores of the observation group after nursing care were significantly lower than those of the control group (p < 0.01). Furthermore, the scores of the observation group in the dimensions of vitality (VT), physiological functioning (PF), general health (GH), affective functioning (RE), mental health (MH), and social functioning (SF) were higher than those of the control group (p < 0.05). Finally, the differences in both scores were statistically significant (p < 0.05). The combination of rational emotion therapy and continuity nursing has been demonstrated to have a positive effect on prostate cancer patients. It has been shown to effectively relieve patients' negative emotions, such as depression and anxiety, and to improve the quality of survival. This approach is worthy of further promotion and application in clinical practice.

The aim of the study was to examine the knowledge and practices of nurses working in urology clinics on fluid–electrolyte monitoring and management. The study sample for this descriptive cross-sectional research comprised 79 nurses employed in clinics providing care to urology patients from June 2023 to June 2024. These nurses had internet access and consented to participate in the study on a voluntary basis. The data were obtained through the ‘Google Form’, which uses a descriptive characteristics form, a fluid–electrolyte monitoring and management knowledge form, and a practice form for fluid–electrolyte monitoring and management. The mean score of the nurses on the fluid–electrolyte monitoring and management knowledge form was 7.48 ± 1.74. The most common practice related to fluid–electrolyte monitoring and management was “I monitor and record additional fluid losses related to vomiting, diarrhoea, fever and drains”. When the mean scores of the fluid–electrolyte monitoring and management knowledge form were compared according to the individual characteristics of the nurses, no statistically significant difference was found between the mean scores of the knowledge form according to the characteristics of the nurses (p > 0.05). In this study, the mean knowledge scores of the nurses were above average. When the practices of the nurses for the prevention of fluid–electrolyte imbalances were examined, most of them stated that they monitored additional fluid losses related to vomiting, diarrhoea, fever and drains. The characteristics of the nurses (clinical experience, age, years of working in the profession and educational status) did not affect their knowledge scores.

Many robotic platforms are currently available for urologic surgery, each with its technical characteristics. It can be hypothesised that these characteristics might affect postoperative nursing, as they affect several aspects of surgery. They could, therefore, impact the surgical outcomes and wound characteristics, involving aspects of postoperative care such as mobilization, nutrition and length of stay. Although data are available on surgical technique aspects and intraoperative nursing, studies have yet to offer insights and considerations about the potential effect of having different robotic platforms on postoperative nursing care. We aimed to verify whether the technical features of the available robots could impact postoperative nursing. We conducted an integrative review on PubMed, CINAHL and Scopus, using Medical Subject Headings (MeSH) and free-text terms; wildcards and boolean operators were also used. Studies of any design were included. Fifteen papers were retrieved; the key themes emerging from the literature regard trocar setup, technical characteristics of the robots (e.g. single or multiple ports), pneumoperitoneum and Trendelenburg degree. According to the literature, none of these characteristics produce differences in postoperative nursing. The fundamental concepts of postoperative care in surgical inpatients stay the same no matter the robotic platform used. Having competing platforms able to ensure reduced complications without impacting postoperative nursing allows health care facilities to adopt the newest technologies without the need for differentiated nursing protocols. This is an advantage in times of global nursing shortage as it avoids the need for additional platform-based nursing training.

We sought to create an Italian version of Mishel's Uncertainty in Illness Scale, dedicated to people undergoing conservative rehabilitation for urinary incontinence, for studying uncertainty as a determinant of therapeutic adherence. Urinary incontinence has a high prevalence worldwide, ranging from 25% to 45%. Incontinence is often treatable with conservative interventions but demands a long and intensive commitment from the patient. Results are not immediate, and relapses are possible. These patients can experience uncertainty and difficulty complying with rehabilitation programs, hence the importance of the therapeutic relationship with a healthcare professional. Mishel's theory of uncertainty can be used to measure uncertainty and the effects of such a relationship, but no instrument currently exists for this purpose. Prospective observational study enrolling all male and female adult patients admitted to a nurse-led outpatient pelvic clinic for non-neurogenic urinary incontinence, excluding puerpera. A scale named MUIS-PF (pelvic floor) was created, based on previous versions of Mishel's scale, and administered during the first consultation and at the end of the rehabilitation program. Internal consistency was assessed, and exploratory factor analysis was conducted. A total of 109 patients enrolled (54 M, 55 F) aged 64 ± 5 years, medial initial leakage 245 grams/day, IQR [90; 370]. Seventy-nine percent obtained continence; there were no dropouts during the study. Internal consistency of the MUIS-PF was high (93%), and structure analysis yielded a clear separation of the factors. Patient uncertainty decreased significantly at the end of the program compared to the first consultation (p < 0.001). The MUIS-PF is valid and reliable. Utilizing the correct approach, the nurse could significantly reduce the uncertainty of persons with incontinence by listening, giving clear information and searching for the best solution for their continence issues.

The rapid development of technology has caused patients to start using artificial intelligence based applications more frequently to learn about their diseases. The aim of this study was to evaluate the reliability and usefulness of responses to questions related to intermittent catheterization using the large language model defined as ChatGPT. Ten questions were created based on the most searched keywords on Google Trends, the most searched questions on ChatGPT and the clinical experiences of the authors. The created questions were asked to ChatGPT and the answers were evaluated by five raters with seven-point Likert-type reliability and usefulness scales. The highest score in terms of reliability and usefulness was the response to “Is there a difference between the catheters used for intermittent catheterization in men and women?”(mean 6.4 ± 0.8; 6.0 ± 1.0). The lowest average reliability and usability score was for the response to “What is intermittent catheterization and how is it performed?”(mean 2.8 ± 0.8; 2.8 ± 0.8). ChatGPT is relatively very reliable and moderately useful in providing patients with information about intermittent catheterization, but it may give incorrect and misleading answers. It should be remembered that simple errors in intermittent catheterization can lead to major problems.

Cycling is one of the leading sports activities practiced in the Western world; its promotion, even from political spaces, as a non-polluting transportation alternative in urban spaces has led to its frequent practice among men and women. Our objective was to review the association between regular cycling and the development of urological and sexual disorders in men and women. The intensity of cycling, the number of hours invested, the positioning of the seat, and the body position can lead to the development of urological and sexual disorders that can affect the quality of life. As for male cyclists, the intense practice of this sport has been associated with prostatic disturbances and pelvic pain. Sexual disorders have been identified with genital numbness and the development of injuries, and it is still controversial, although most of the literature does negate the development of erectile dysfunction. In women, it has been associated more frequently with dysuria and recurrent urinary infections; as for sexual disorders, it has been associated with chronic pelvic pain, genital numbness, and, more regularly, the development of genital sores. Regular and high-intensity cycling practice has urological and sexual effects in both men and women, but more studies are needed to reach better decisions.

What are the psychometric properties of the Continence and Mobility in Older Adults Knowledge Quiz? Our previous research revealed gaps in practicing and student nurses' knowledge of mobility and continence in older people. To address this gap, we developed a self-directed e-learning module on continence and mobility to enhance student nurses knowledge. The module provided education about continence, mobility, and the links between them. Since we were unable to locate a continence and mobility measure that captured both lower urinary track symptoms and elements of mobility, we developed a continence and mobility knowledge quiz. For researchers and educators to be able to use this quiz with confidence, psychometric testing of our continence and mobility knowledge quiz was required. When caring for older people, two geriatric challenges—continence and mobility—are often linked and viewed as indicators of frailty. Functional changes related to continence and/or mobility can indicate an acute illness in older persons and, if left untreated, can result in permanent changes managing continence needs. Continence care is often viewed negatively and is not prioritized by nurses. We employed stages in development of the Continence and Mobility Knowledge Quiz. In stage one, we developed 18 item true/false items from the literature with the guidance of a continence expert. In stage two, we tested the Quiz with nursing students from three universities in Canada. In stage three, (the current stage) we assessed the validity of the scale using a factor analysis and a reliability analysis (via standardized Cronbach's alpha). From our sample of 420, factor analysis indicated a two-factor model (as suggested by Kaiser's rule), explained 22% of the variation in responses to the assessment items. We recommend removing item 7 as it does not contribute to the internal consistency of the tool. Cronbach's alpha after removing 7 is 0.65, indicating satisfactory reliability. To our knowledge, this is the first validated tool for measuring nurse knowledge about continence and mobility that addresses both a range of lower urinary tract symptoms and elements of mobility in older adults.