This study was conducted to determine the prevalence and risk factors of urinary incontinence in menopausal women. This systematic review and meta-analysis followed PRISMA and COSMOS-E guidelines. The searches were conducted on 1–15 April, 2022 using PubMed, EBSCO, Embase, PsycINFO, DOAJ, Web of Science, DergiPark, Scopus, Turkish Medline, Turkish Citation Index, TR Index and National Thesis Center search engines. The keywords ‘menopause, climacteric, urinary incontinence, risk factors, prevalence’ were used in the searches. The risk of bias was assessed using the Critical Appraisal Checklist for cross-sectional studies developed by the Joanna Briggs Institute. Data were synthesized by meta-analysis, meta-regression and narrative methods. Eleven studies published between 2012 and 2022 were included. The total sample size of the studies was 2531. In this meta-analysis, the estimated rate of urinary incontinence in women aged 40–65 years was 46.9% (95% CI: 0.346–0.595), and this result was statistically significantly affected by the moderator variables risk of bias (Q = 8.76, p = 0.013) and urinary incontinence diagnostic tools (Q = 27.60, p < 0.001). The estimated stress urinary incontinence rate was 19.1% (95% CI: 0.130–0.271), urge urinary incontinence rate was 5.1% (95% CI: 0.020–0.124) and the mixed urinary incontinence rate was 13.4% (95% CI: 0.092–0.192). The risk factors affecting urinary incontinence were found to be advanced age, menopause, diabetes mellitus, constipation, obesity, history of urinary incontinence during pregnancy and the postpartum period, mode of delivery, four or more births, urinary tract infection, family history of urinary incontinence and genetic predisposition. This meta-analysis revealed that urinary incontinence and its types are highly prevalent in women aged 40–65 years and that the prevalence is influenced by the quality of research and the type of diagnostic tool used in addition to many risk factors. Planning and offering appropriate health care services based on these results could contribute to the protection and improvement of women's health.
{"title":"The prevalence of urinary incontinence and risk factors in menopausal women in Turkey: A systematic review and meta-analysis","authors":"Zekiye Karaçam PhD, Sevgi Özsoy PhD, Nazlı Emel Özer Yurdal MSc","doi":"10.1111/ijun.12382","DOIUrl":"10.1111/ijun.12382","url":null,"abstract":"<p>This study was conducted to determine the prevalence and risk factors of urinary incontinence in menopausal women. This systematic review and meta-analysis followed PRISMA and COSMOS-E guidelines. The searches were conducted on 1–15 April, 2022 using PubMed, EBSCO, Embase, PsycINFO, DOAJ, Web of Science, DergiPark, Scopus, Turkish Medline, Turkish Citation Index, TR Index and National Thesis Center search engines. The keywords ‘menopause, climacteric, urinary incontinence, risk factors, prevalence’ were used in the searches. The risk of bias was assessed using the Critical Appraisal Checklist for cross-sectional studies developed by the Joanna Briggs Institute. Data were synthesized by meta-analysis, meta-regression and narrative methods. Eleven studies published between 2012 and 2022 were included. The total sample size of the studies was 2531. In this meta-analysis, the estimated rate of urinary incontinence in women aged 40–65 years was 46.9% (95% CI: 0.346–0.595), and this result was statistically significantly affected by the moderator variables risk of bias (<i>Q</i> = 8.76, <i>p</i> = 0.013) and urinary incontinence diagnostic tools (<i>Q</i> = 27.60, <i>p</i> < 0.001). The estimated stress urinary incontinence rate was 19.1% (95% CI: 0.130–0.271), urge urinary incontinence rate was 5.1% (95% CI: 0.020–0.124) and the mixed urinary incontinence rate was 13.4% (95% CI: 0.092–0.192). The risk factors affecting urinary incontinence were found to be advanced age, menopause, diabetes mellitus, constipation, obesity, history of urinary incontinence during pregnancy and the postpartum period, mode of delivery, four or more births, urinary tract infection, family history of urinary incontinence and genetic predisposition. This meta-analysis revealed that urinary incontinence and its types are highly prevalent in women aged 40–65 years and that the prevalence is influenced by the quality of research and the type of diagnostic tool used in addition to many risk factors. Planning and offering appropriate health care services based on these results could contribute to the protection and improvement of women's health.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136376638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catheter-associated urinary tract infection (CAUTI) is a common complication associated with indwelling urinary catheters, frequently used in healthcare settings. Nurses play a critical role in preventing CAUTI, as they are often responsible for inserting, maintaining and removing urinary catheters. Therefore, it is important to comprehensively assess nurses' level of knowledge about CAUTIs and the variables that influence their application of best practices and recommendations for preventing these infections. The PRISMA principles were used to conduct a literature search for relevant research publications across several online databases (Web of Science, PubMed, MEDLINE and Scopus). The quality of these studies was evaluated using the Mixed Methods Appraisal Tool. There were 397 research articles, however only 21 articles were included after the screening. The majority of participants possessed diplomas ranging from 3% to 88.2%. In addition, the percentage of nurses with bachelor's degree's ranges from 11.80% to 100%. Moreover, 23.90% of registered nurses hold a master's degree. Most nurses had between 1 and 5 and more than 5 years of experience. Nurses held good/adequate and average knowledge and practices regarding prevention and control of CAUTIs. Furthermore, age, gender, work experience, professional experience, in-service training, CAUTI prevention guidelines, time, equipment, personnel availability and work unit were all identified barriers. While continuing/in-service education and self-guided modules served as facilitators for the prevention of CAUTIs. Meanwhile, studies were found of good methodological quality. Improving nurses' knowledge and practice towards preventing CAUTI is crucial to reducing the prevalence of the infection and improving patient outcomes. Implementing evidence-based interventions can help bridge the gap in knowledge and practice among nurses, ultimately leading to better patient care and outcomes.
{"title":"Nurse's knowledge and practice towards prevention of catheter-associated urinary tract infection: A systematic review","authors":"Fatmah Alsolami MSN, RN, PhD, Nahla Tayyib MSN, RN, PhD","doi":"10.1111/ijun.12380","DOIUrl":"10.1111/ijun.12380","url":null,"abstract":"<p>Catheter-associated urinary tract infection (CAUTI) is a common complication associated with indwelling urinary catheters, frequently used in healthcare settings. Nurses play a critical role in preventing CAUTI, as they are often responsible for inserting, maintaining and removing urinary catheters. Therefore, it is important to comprehensively assess nurses' level of knowledge about CAUTIs and the variables that influence their application of best practices and recommendations for preventing these infections. The PRISMA principles were used to conduct a literature search for relevant research publications across several online databases (Web of Science, PubMed, MEDLINE and Scopus). The quality of these studies was evaluated using the Mixed Methods Appraisal Tool. There were 397 research articles, however only 21 articles were included after the screening. The majority of participants possessed diplomas ranging from 3% to 88.2%. In addition, the percentage of nurses with bachelor's degree's ranges from 11.80% to 100%. Moreover, 23.90% of registered nurses hold a master's degree. Most nurses had between 1 and 5 and more than 5 years of experience. Nurses held good/adequate and average knowledge and practices regarding prevention and control of CAUTIs. Furthermore, age, gender, work experience, professional experience, in-service training, CAUTI prevention guidelines, time, equipment, personnel availability and work unit were all identified barriers. While continuing/in-service education and self-guided modules served as facilitators for the prevention of CAUTIs. Meanwhile, studies were found of good methodological quality. Improving nurses' knowledge and practice towards preventing CAUTI is crucial to reducing the prevalence of the infection and improving patient outcomes. Implementing evidence-based interventions can help bridge the gap in knowledge and practice among nurses, ultimately leading to better patient care and outcomes.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>What are the experiences, evaluations and satisfaction levels of service users requiring ambulatory, urgent and emergency urological care who attended a newly implemented urology assessment unit (UAU) in a National Health Service (NHS) hospital in the United Kingdom (UK)? A UAU within an acute care setting was set up for ambulatory, emergency and urgent urological care. The objectives of the unit was to improve patient satisfaction, divert patients from the emergency department, provide an area for early specialist review, allow earlier discharge from hospital and prevent unnecessary admissions to hospital. The aim of this service evaluation (SE) was to evaluate the service user experience and satisfaction when attending this unit. Surgical assessment units are well-supported in terms of reducing admissions and diverting patients from emergency departments, however, there is little published research regarding units specifically for urology. Important sources involved in urological care delivery and services advocate their implementation but there remains very little published evidence to support this. Opinion pieces and short case studies have yielded positive results. No research was found that has looked into patient satisfaction, experience and feedback of these units in any detail. A SE was conducted involving sending a postal questionnaire to a random selection of 150 patients who attended the UAU. The questionnaire contained a set of 13 Likert-style questions with additional free text open-ended questions for provision of further clarification and service user expression. Questions around age, reason for admission and accessibility to the UAU were also included. The Likert-style and demographic questions were analysed by quantifying responses to percentages and the open-ended responses were analysed thematically. The questionnaire response rate of 51% was seen from 76 respondents and these were most commonly over 71 years old (47%). The most common reasons for attending were urinary retention, infection and post-operative urological problems. Of these, 22% did not need to see a doctor and were treated and discharged by the urology nurse practitioner. The care on the UAU was rated highly and generally found to be preferable over the care provided by emergency departments (ED) and general practitioners (GP) family doctors and patients were grateful to avoid being admitted to hospital. Patients appreciated easy access to specialist care and knowledge. Good levels of communication were highlighted as important. Open-ended response themes included; nursing, doctors, environment, access, communication, specialist access, preventing ED attendances and hospital admissions. Participants rated the care from the nurses and doctors highly; there was a focus on appreciating seeing a specialist directly and avoiding admission to hospital. They were satisfied with being able to avoid attending their GP or ED, and generally preferred the unit over thes
{"title":"A urological urgent assessment unit service evaluation in a United Kingdom hospital","authors":"Emma L. White MSc, RN","doi":"10.1111/ijun.12373","DOIUrl":"10.1111/ijun.12373","url":null,"abstract":"<p>What are the experiences, evaluations and satisfaction levels of service users requiring ambulatory, urgent and emergency urological care who attended a newly implemented urology assessment unit (UAU) in a National Health Service (NHS) hospital in the United Kingdom (UK)? A UAU within an acute care setting was set up for ambulatory, emergency and urgent urological care. The objectives of the unit was to improve patient satisfaction, divert patients from the emergency department, provide an area for early specialist review, allow earlier discharge from hospital and prevent unnecessary admissions to hospital. The aim of this service evaluation (SE) was to evaluate the service user experience and satisfaction when attending this unit. Surgical assessment units are well-supported in terms of reducing admissions and diverting patients from emergency departments, however, there is little published research regarding units specifically for urology. Important sources involved in urological care delivery and services advocate their implementation but there remains very little published evidence to support this. Opinion pieces and short case studies have yielded positive results. No research was found that has looked into patient satisfaction, experience and feedback of these units in any detail. A SE was conducted involving sending a postal questionnaire to a random selection of 150 patients who attended the UAU. The questionnaire contained a set of 13 Likert-style questions with additional free text open-ended questions for provision of further clarification and service user expression. Questions around age, reason for admission and accessibility to the UAU were also included. The Likert-style and demographic questions were analysed by quantifying responses to percentages and the open-ended responses were analysed thematically. The questionnaire response rate of 51% was seen from 76 respondents and these were most commonly over 71 years old (47%). The most common reasons for attending were urinary retention, infection and post-operative urological problems. Of these, 22% did not need to see a doctor and were treated and discharged by the urology nurse practitioner. The care on the UAU was rated highly and generally found to be preferable over the care provided by emergency departments (ED) and general practitioners (GP) family doctors and patients were grateful to avoid being admitted to hospital. Patients appreciated easy access to specialist care and knowledge. Good levels of communication were highlighted as important. Open-ended response themes included; nursing, doctors, environment, access, communication, specialist access, preventing ED attendances and hospital admissions. Participants rated the care from the nurses and doctors highly; there was a focus on appreciating seeing a specialist directly and avoiding admission to hospital. They were satisfied with being able to avoid attending their GP or ED, and generally preferred the unit over thes","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"236-245"},"PeriodicalIF":0.5,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44355755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan V. Leroy MSN, CPNP, Dylan Hutchison MD, MS, Nora G. Kern MD
<p>We aimed to investigate how staying at home and stress from the pandemic shutdown impacts lower urinary tract symptoms in paediatric patients. The COVID-19 pandemic shut down most of the world in March 2020. In the state of Virginia, a mandatory Stay-at-Home order was issued requiring students to participate in school from home. Paediatric patients often have difficulty complying with standard urotherapy while at school, with timed voiding being particularly hard to maintain. To our knowledge, only one other study investigated lower urinary tract dysfunction (LUTD) in children during the COVID-19 shutdown. This study compared lower urinary tract symptoms (LUTS) in paediatric patients seen in their bladder dysfunction clinic for their initial 6 months of treatment during the shutdown to patients treated before the shutdown. Of the studies available that examine how the school environment effects lower urinary tract symptoms, all show a lack of education among teachers and school nurses, classroom rules that oppose adherence to standard urotherapy, and facilities that are often inadequate and unhygienic. Stress is known to have a bidirectional effect on LUTD, so we also investigated the effect of parental stress from the shutdown on LUTD. Parents of patients followed in our bladder dysfunction clinic were given a survey to evaluate the use of a timed voiding regimen, improvement in LUTS and perceived parental stress during the COVID shut down of 2020. Spearman's rank correlation coefficient (rho) was calculated to measure the correlation of the survey responses. We received 42 responses from 202 surveys administered (20.8%). Only 21.4% of respondents maintained timed voiding while at home, despite 78.6% indicating improved bathroom access. A small number (4.8%) indicated total resolution of voiding symptoms. Half of the respondents (50%) indicated some degree of improvement in LUTS, though almost the entire remaining population saw no change in their symptoms (42.9%). Only a very small number indicated slightly worse LUTS (7.1%) and none indicated that symptoms were much worse. There was no correlation between dysfunctional voiding scoring system (DVSS) scores and improvement in bathroom access. There was a moderate correlation between perceived parental stress and their child's DVSS score, Rho = 0.54 <i>p</i> = 0.0002. Additionally, DVSS scores were weakly, negatively correlated with improvement in LUTS, Rho = −0.3 <i>p</i> = 0.047. Despite the majority of parents perceiving increased access to bathrooms during the Stay-at-Home order, a minority of patients were maintained on timed voiding regimens while at home. About half of parents still indicated some degree of improvement in their child's LUTS. There was a correlation between parental stress and their child's dysfunctional voiding score. This survey highlights that the relationship between timed voiding, bathroom access, and severity of LUTS is complex and compliance with timed voiding rem
我们的目的是调查呆在家里和大流行关闭的压力如何影响儿科患者的下尿路症状。2020年3月，COVID - 19大流行导致世界大部分地区关闭。在弗吉尼亚州，颁布了一项强制性的“呆在家里”命令，要求学生在家上学。儿童患者在上学时通常难以遵守标准的泌尿治疗，定时排尿尤其难以维持。据我们所知，只有一项其他研究调查了COVID - 19关闭期间儿童下尿路功能障碍(LUTD)。本研究比较了在停药期间和停药前6个月膀胱功能障碍门诊就诊的儿科患者的下尿路症状(LUTS)。在现有的关于学校环境如何影响下尿路症状的研究中，所有的研究都表明教师和学校护士缺乏教育，课堂规则反对坚持标准的泌尿治疗，设施往往不足且不卫生。众所周知，压力对LUTD有双向影响，因此我们还研究了关闭过程中父母压力对LUTD的影响。我们对膀胱功能障碍门诊患者的父母进行了一项调查，以评估在2020年COVID关闭期间定时排尿方案的使用、LUTS的改善和父母感受到的压力。计算Spearman等级相关系数(rho)来衡量调查结果的相关性。我们从202份调查中收到42份回复(20.8%)。只有21.4%的受访者坚持在家定时排尿，尽管78.6%的受访者表示卫生间的使用情况有所改善。少数患者(4.8%)表示排尿症状完全缓解。一半的应答者(50%)表示LUTS有一定程度的改善，尽管几乎所有其余人口的症状没有变化(42.9%)。只有极少数患者表现出稍差的LUTS(7.1%)，没有人表现出明显的症状。功能障碍排尿评分系统(DVSS)评分与卫生间使用改善无相关性。感知父母压力与孩子的DVSS得分有中度相关，Rho = 0.54 p = 0.0002。此外，DVSS评分与LUTS改善呈弱负相关，Rho = - 0.3 p = 0.047。尽管大多数家长认为在住院期间增加了卫生间的使用，但少数患者在家时仍坚持定时排尿方案。大约一半的父母仍然表示他们孩子的LUTS有一定程度的改善。父母的压力和孩子的功能失调排尿得分之间存在相关性。这项调查强调了定时排尿、卫生间使用和LUTS严重程度之间的关系是复杂的，遵守定时排尿仍然是一个挑战。
{"title":"Parental perception of paediatric lower urinary tract dysfunction during the COVID-19 shutdown","authors":"Susan V. Leroy MSN, CPNP, Dylan Hutchison MD, MS, Nora G. Kern MD","doi":"10.1111/ijun.12379","DOIUrl":"10.1111/ijun.12379","url":null,"abstract":"<p>We aimed to investigate how staying at home and stress from the pandemic shutdown impacts lower urinary tract symptoms in paediatric patients. The COVID-19 pandemic shut down most of the world in March 2020. In the state of Virginia, a mandatory Stay-at-Home order was issued requiring students to participate in school from home. Paediatric patients often have difficulty complying with standard urotherapy while at school, with timed voiding being particularly hard to maintain. To our knowledge, only one other study investigated lower urinary tract dysfunction (LUTD) in children during the COVID-19 shutdown. This study compared lower urinary tract symptoms (LUTS) in paediatric patients seen in their bladder dysfunction clinic for their initial 6 months of treatment during the shutdown to patients treated before the shutdown. Of the studies available that examine how the school environment effects lower urinary tract symptoms, all show a lack of education among teachers and school nurses, classroom rules that oppose adherence to standard urotherapy, and facilities that are often inadequate and unhygienic. Stress is known to have a bidirectional effect on LUTD, so we also investigated the effect of parental stress from the shutdown on LUTD. Parents of patients followed in our bladder dysfunction clinic were given a survey to evaluate the use of a timed voiding regimen, improvement in LUTS and perceived parental stress during the COVID shut down of 2020. Spearman's rank correlation coefficient (rho) was calculated to measure the correlation of the survey responses. We received 42 responses from 202 surveys administered (20.8%). Only 21.4% of respondents maintained timed voiding while at home, despite 78.6% indicating improved bathroom access. A small number (4.8%) indicated total resolution of voiding symptoms. Half of the respondents (50%) indicated some degree of improvement in LUTS, though almost the entire remaining population saw no change in their symptoms (42.9%). Only a very small number indicated slightly worse LUTS (7.1%) and none indicated that symptoms were much worse. There was no correlation between dysfunctional voiding scoring system (DVSS) scores and improvement in bathroom access. There was a moderate correlation between perceived parental stress and their child's DVSS score, Rho = 0.54 <i>p</i> = 0.0002. Additionally, DVSS scores were weakly, negatively correlated with improvement in LUTS, Rho = −0.3 <i>p</i> = 0.047. Despite the majority of parents perceiving increased access to bathrooms during the Stay-at-Home order, a minority of patients were maintained on timed voiding regimens while at home. About half of parents still indicated some degree of improvement in their child's LUTS. There was a correlation between parental stress and their child's dysfunctional voiding score. This survey highlights that the relationship between timed voiding, bathroom access, and severity of LUTS is complex and compliance with timed voiding rem","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43093024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatma Hilal Kaya Türk MSc, Hatice Serap Koçak RN, PhD
This study was conducted to determine the quality of life and self-esteem levels of women with urinary incontinence (UI). A total of 180 women participated in this cross-sectional study. This study was conducted in two stages. First, the international consultation on incontinence questionnaire-UI short form (ICIQ-SF) was implemented, and then other measures were applied to the women who scored 8 or more as the most appropriate cut-off point for ‘irritating’ UI. More specifically, a personal information form, the Rosenberg self-esteem scale (RBSS), the urogenital distress inventory-6 (UDI-6), and the incontinence impact questionnaire-7 (IIQ-7) were applied. It was observed that the mean self-esteem score of women with UI was generally sufficient. In line with the data obtained, it was observed that as the UI levels of women increased, their quality of life decreased. Similarly, a decrease was observed in the self-esteem levels of women whose quality of life decreased. As a woman's UI worsens, levels of urogenital distress increase and quality of life decreases, which leads to decreased self-esteem. Urinary incontinence is often kept secret, ignored, considered private, and seen as an unavoidable consequence of ageing.
{"title":"Quality of life and self-esteem in women living with urinary incontinence in Turkey","authors":"Fatma Hilal Kaya Türk MSc, Hatice Serap Koçak RN, PhD","doi":"10.1111/ijun.12377","DOIUrl":"10.1111/ijun.12377","url":null,"abstract":"<p>This study was conducted to determine the quality of life and self-esteem levels of women with urinary incontinence (UI). A total of 180 women participated in this cross-sectional study. This study was conducted in two stages. First, the international consultation on incontinence questionnaire-UI short form (ICIQ-SF) was implemented, and then other measures were applied to the women who scored 8 or more as the most appropriate cut-off point for ‘irritating’ UI. More specifically, a personal information form, the Rosenberg self-esteem scale (RBSS), the urogenital distress inventory-6 (UDI-6), and the incontinence impact questionnaire-7 (IIQ-7) were applied. It was observed that the mean self-esteem score of women with UI was generally sufficient. In line with the data obtained, it was observed that as the UI levels of women increased, their quality of life decreased. Similarly, a decrease was observed in the self-esteem levels of women whose quality of life decreased. As a woman's UI worsens, levels of urogenital distress increase and quality of life decreases, which leads to decreased self-esteem. Urinary incontinence is often kept secret, ignored, considered private, and seen as an unavoidable consequence of ageing.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"278-288"},"PeriodicalIF":0.5,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46692164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Does nursing directed education have any impact on severity of symptoms and quality of life among BPH patients? This study aims to develop a nurse-directed education program, to assess and compare the effectiveness of the program on symptoms-severity and quality of life among BPH patients. BPH, one of the most common causes of Lower Urinary Tract Symptoms (LUTS) in elderly men, is caused by a combination of prostate proliferation and lower urinary tract obstruction. A cross-sectional study conducted by Divmehar Kaur et al. 2020 at Rajindra Hospital, Patiala, Punjab concluded that BPH patients' quality of life is negatively affected by LUTS associated with BPH (p ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH-QLS ratings varied statistically significantly (p 0.05) depending on the age, educational attainment, the occurrence of micturition issues, and whether they had ever applied to a medical facility. Then another descriptive study, correlational-type carried by Pinto et al. in 2014 in Singapore found that patients with BPH had a poor health-related quality of life and suffered significantly from their psychological wellbeing. And a RCT conducted in Korea by Jung et al. in 2011 with the aim of examining the benefits of tai chi on patients with benign prostatic hypertrophy's (BPH's) lower urinary tract symptoms (LUTSs) and quality of life (QoL) found that tai chi group's change in overall QoL score was more notable (t = 3.06; p = 0.005) and it demonstrated significant improvements. A quasi-experimental study was conducted among the BPH patients visiting the Urology OPD of AIIMS Jodhpur. Data were collected from 10 BPH patients (5 in each group) using a purposive sampling technique from those over 40 years diagnosed with BPH for the last 6 months after taking informed consent, excluding those being advised for surgery. Self-structured sociodemographic and clinical variables tool, International Prostate Symptom Score (IPSS), and 12-item Short Form Survey (SF-12) were administered. Statistical analysis was performed by employing the SPSS version 23. Chi-square and Mann–Whitney U tests were used. It was seen that there was a significant difference (p-value < 0.05) concerning the IPSS-QOL Index (p-value = 0.008) of symptoms-severity (IPSS) and PCS-12 (p-value = 0.009) of quality of life scale (SF-12) between control and experimental groups after 4th-week post-intervention (nurse-directed education program). Findings from this study will help reinforce designing a cost-effective care delivery system in the care of BPH patients. This program is a novel approach to improving preventive, curative, and rehabilitative services to BPH patients in India.
{"title":"The feasibility trial of nurse-directed education programme among benign prostatic hyperplasia patients","authors":"Dakshta Choudhary MSc Nursing, Nipin Kalal MSc Nursing, Ashok Kumar MSc Nursing, PhD, Gautam Ram Choudhary MS, MCh, Priya Sharma MSc Nursing","doi":"10.1111/ijun.12378","DOIUrl":"10.1111/ijun.12378","url":null,"abstract":"<p>Does nursing directed education have any impact on severity of symptoms and quality of life among BPH patients? This study aims to develop a nurse-directed education program, to assess and compare the effectiveness of the program on symptoms-severity and quality of life among BPH patients. BPH, one of the most common causes of Lower Urinary Tract Symptoms (LUTS) in elderly men, is caused by a combination of prostate proliferation and lower urinary tract obstruction. A cross-sectional study conducted by Divmehar Kaur et al. 2020 at Rajindra Hospital, Patiala, Punjab concluded that BPH patients' quality of life is negatively affected by LUTS associated with BPH (<i>p</i> ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH-QLS ratings varied statistically significantly (<i>p</i> 0.05) depending on the age, educational attainment, the occurrence of micturition issues, and whether they had ever applied to a medical facility. Then another descriptive study, correlational-type carried by Pinto et al. in 2014 in Singapore found that patients with BPH had a poor health-related quality of life and suffered significantly from their psychological wellbeing. And a RCT conducted in Korea by Jung et al. in 2011 with the aim of examining the benefits of tai chi on patients with benign prostatic hypertrophy's (BPH's) lower urinary tract symptoms (LUTSs) and quality of life (QoL) found that tai chi group's change in overall QoL score was more notable (<i>t</i> = 3.06; <i>p</i> = 0.005) and it demonstrated significant improvements. A quasi-experimental study was conducted among the BPH patients visiting the Urology OPD of AIIMS Jodhpur. Data were collected from 10 BPH patients (5 in each group) using a purposive sampling technique from those over 40 years diagnosed with BPH for the last 6 months after taking informed consent, excluding those being advised for surgery. Self-structured sociodemographic and clinical variables tool, International Prostate Symptom Score (IPSS), and 12-item Short Form Survey (SF-12) were administered. Statistical analysis was performed by employing the SPSS version 23. Chi-square and Mann–Whitney <i>U</i> tests were used. It was seen that there was a significant difference (<i>p</i>-value < 0.05) concerning the IPSS-QOL Index (<i>p</i>-value = 0.008) of symptoms-severity (IPSS) and PCS-12 (<i>p</i>-value = 0.009) of quality of life scale (SF-12) between control and experimental groups after 4th-week post-intervention (nurse-directed education program). Findings from this study will help reinforce designing a cost-effective care delivery system in the care of BPH patients. This program is a novel approach to improving preventive, curative, and rehabilitative services to BPH patients in India.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48025490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şeyma Yurtseven RN, PhD, Sevgi Deniz Doğan RN, PhD, Sevban Arslan RN, PhD
Benign prostatic hyperplasia (BPH) is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. This study was conducted to examine in-depth the difficulties experienced by BPH patients who have no other option but to undergo surgery due to their symptoms. The study is qualitative research with a phenomenological design. A total of 18 patients were included in the study. Research data were obtained using the interview method, which is one of the qualitative data collection methods, and the content analysis method was used to analyse the data obtained from the interviews. Eighteen patients with ages ranging from 57 to 75 years and experiencing BPH-related symptoms for 2–11 years participated in the study. The reactions of patients to living with BPH-related symptoms were presented under the themes of social anxiety, social disconnection, impaired quality of sleep, and decreased sexual self-confidence. The themes mentioned by BPH patients regarding the duration of their illness are the result of a combination of many factors. In this context, it is recommended that urology nurses provide psychological support, medical information, self-care skills, and self-monitoring skills to BPH patients to develop individual coping mechanisms. BPH is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. It is not impossible to find solutions to patients by understanding them deeply.
{"title":"Difficulties experienced by patients with benign prostatic hyperplasia regarding their physical symptoms","authors":"Şeyma Yurtseven RN, PhD, Sevgi Deniz Doğan RN, PhD, Sevban Arslan RN, PhD","doi":"10.1111/ijun.12376","DOIUrl":"10.1111/ijun.12376","url":null,"abstract":"<p>Benign prostatic hyperplasia (BPH) is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. This study was conducted to examine in-depth the difficulties experienced by BPH patients who have no other option but to undergo surgery due to their symptoms. The study is qualitative research with a phenomenological design. A total of 18 patients were included in the study. Research data were obtained using the interview method, which is one of the qualitative data collection methods, and the content analysis method was used to analyse the data obtained from the interviews. Eighteen patients with ages ranging from 57 to 75 years and experiencing BPH-related symptoms for 2–11 years participated in the study. The reactions of patients to living with BPH-related symptoms were presented under the themes of social anxiety, social disconnection, impaired quality of sleep, and decreased sexual self-confidence. The themes mentioned by BPH patients regarding the duration of their illness are the result of a combination of many factors. In this context, it is recommended that urology nurses provide psychological support, medical information, self-care skills, and self-monitoring skills to BPH patients to develop individual coping mechanisms. BPH is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. It is not impossible to find solutions to patients by understanding them deeply.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"272-277"},"PeriodicalIF":0.5,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47759902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nelson Perneta MSc Advanced Practice, BSc, RN, Rachel Tims MA, BSc, RN, Lucy A. M. Simmons FRCS (Urol)
The prostate cancer pathway has evolved rapidly over the last decade responding to evidence-based recommendations. These changes were accelerated further over the last 5 years due to the Covid-19 pandemic and the antibiotic stewardship policies regarding nosocomial/iatrogenic infections. Local anaesthetic transperineal ultrasound-guided biopsy is a relatively new technique that became gold-standard practice for prostate cancer diagnosis due to decreased sepsis rates. However, data that justified its implementation was more focused on its efficacy and clinically significant cancer detection rates, lacking robust methodological complications data, including in some cases the utilization of validated tools to assess complications. In patients subjected to local anaesthetic transperineal ultrasound-guided prostate biopsies, what are the most recent reported complications? This systematic literature review followed Bettany-Saltikov and McSherry's Manual guidance for systematic literature reviews. Patient/target, Intervention, Comparison, Outcome (PICO) research method, and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were used to structure the search strategy and report results. This review was conducted using PubMed/Medline, Excerpa Medica database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Inclusion criteria focused on recent studies which matched current national and international prostate cancer pathway guidelines (National Institute for Health and Care Excellence and European Association of Urology). Quality assessments were performed using Critical Appraisal Skills Programme checklists. Four cohort studies were included in this review. A total of 946 men were submitted to local anaesthetic transperineal prostate biopsy. Patient experience showed procedure was tolerated with the most painful part of the procedure being local anaesthetic infiltration with Visual Analogue Score variation [2–5]. Few complications were reported. Haematuria had broad definitions across studies, being difficult to interpret the results of this complication. Only one case reported gross haematuria leading to acute urinary retention. Historically, acute urinary retention was mentioned as one of the main adverse effects of transperineal biopsies. However, in this systematic literature review it had similar incidence as transrectal biopsies, particularly when local anaesthesia was utilized. Lower urinary tract symptoms and erectile dysfunction seemed to not be affected by prostate biopsy procedures, however, more data is required as only two studies addressed these issues. Six urinary tract infection patients were reported (0.63%), and one urosepsis case (0.10%). This seems to demonstrate few urinary infections occur and fewer sepsis cases, particularly when compared with transrectal biopsies data, concurring with previous research. Marginal difference was noted between infection rates
{"title":"Complications of local anaesthetic transperineal ultrasound-guided prostate biopsy: A systematic literature review","authors":"Nelson Perneta MSc Advanced Practice, BSc, RN, Rachel Tims MA, BSc, RN, Lucy A. M. Simmons FRCS (Urol)","doi":"10.1111/ijun.12374","DOIUrl":"10.1111/ijun.12374","url":null,"abstract":"<p>The prostate cancer pathway has evolved rapidly over the last decade responding to evidence-based recommendations. These changes were accelerated further over the last 5 years due to the Covid-19 pandemic and the antibiotic stewardship policies regarding nosocomial/iatrogenic infections. Local anaesthetic transperineal ultrasound-guided biopsy is a relatively new technique that became gold-standard practice for prostate cancer diagnosis due to decreased sepsis rates. However, data that justified its implementation was more focused on its efficacy and clinically significant cancer detection rates, lacking robust methodological complications data, including in some cases the utilization of validated tools to assess complications. <i>In patients subjected to local anaesthetic transperineal ultrasound-guided prostate biopsies, what are the most recent reported complications?</i> This systematic literature review followed Bettany-Saltikov and McSherry's Manual guidance for systematic literature reviews. Patient/target, Intervention, Comparison, Outcome (PICO) research method, and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were used to structure the search strategy and report results. This review was conducted using PubMed/Medline, Excerpa Medica database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Inclusion criteria focused on recent studies which matched current national and international prostate cancer pathway guidelines (National Institute for Health and Care Excellence and European Association of Urology). Quality assessments were performed using Critical Appraisal Skills Programme checklists. Four cohort studies were included in this review. A total of 946 men were submitted to local anaesthetic transperineal prostate biopsy. Patient experience showed procedure was tolerated with the most painful part of the procedure being local anaesthetic infiltration with Visual Analogue Score variation [2–5]. Few complications were reported. Haematuria had broad definitions across studies, being difficult to interpret the results of this complication. Only one case reported gross haematuria leading to acute urinary retention. Historically, acute urinary retention was mentioned as one of the main adverse effects of transperineal biopsies. However, in this systematic literature review it had similar incidence as transrectal biopsies, particularly when local anaesthesia was utilized. Lower urinary tract symptoms and erectile dysfunction seemed to not be affected by prostate biopsy procedures, however, more data is required as only two studies addressed these issues. Six urinary tract infection patients were reported (0.63%), and one urosepsis case (0.10%). This seems to demonstrate few urinary infections occur and fewer sepsis cases, particularly when compared with transrectal biopsies data, concurring with previous research. Marginal difference was noted between infection rates","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"246-257"},"PeriodicalIF":0.5,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47535870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This research aims to analyse the validity and reliability of the Turkish version of the Urinary Catheter Self-Efficacy Scale (C-SE) and the Urinary Catheter Self-Management Scale (C-SMG), which comprise the Urinary Catheter Self-Care Management Questionnaire. This research is planned as a cross-sectional, methodological type of scale adaptation study. The research was conducted in three hospitals in the northwest of Turkey with 101 patients. Content validity index and confirmatory factor analysis were used in the validity analyses. In the reliability analyses, Cronbach's alpha coefficient, the split-half method, the item-total score, and Pearson's correlation analyses were used. The content validity index was 0.911 for the C-SE and 0.989 for the C-SMG. Cronbach's alpha values for the scales were 0.928 and 0.882, respectively. Besides, the item-total correlations changed between 0.562 and 0.831 for the C-SE and between 0.315 and 0.759 for the C-SMG. The coefficients got in halving were 0.960 and 0.943, respectively. The two scales that make up the Urinary Catheter Self-Care Management Questionnaire are valid and reliable measurement tools that can be used for patients undergoing long-term urinary catheterization in Turkey. In line with the results obtained from this study, we suggest that the Urinary Catheter Self-Care Management Questionnaire should be used to evaluate the self-efficacy or self-management levels of Turkish patients undergoing long-term urinary catheterization and to evaluate the effects of nursing interventions on the self-efficacy or self-management levels of patients who have undergone long-term urinary catheterization.
{"title":"Validity and reliability of the Turkish version of the Urinary Catheter Self-Care Management Questionnaire","authors":"Duygu Soydaş RN, BSN, MSc, PhD, Ümmü Yildiz Findik RN, BSN, MSc, PhD","doi":"10.1111/ijun.12375","DOIUrl":"https://doi.org/10.1111/ijun.12375","url":null,"abstract":"<p>This research aims to analyse the validity and reliability of the Turkish version of the Urinary Catheter Self-Efficacy Scale (C-SE) and the Urinary Catheter Self-Management Scale (C-SMG), which comprise the Urinary Catheter Self-Care Management Questionnaire. This research is planned as a cross-sectional, methodological type of scale adaptation study. The research was conducted in three hospitals in the northwest of Turkey with 101 patients. Content validity index and confirmatory factor analysis were used in the validity analyses. In the reliability analyses, Cronbach's alpha coefficient, the split-half method, the item-total score, and Pearson's correlation analyses were used. The content validity index was 0.911 for the C-SE and 0.989 for the C-SMG. Cronbach's alpha values for the scales were 0.928 and 0.882, respectively. Besides, the item-total correlations changed between 0.562 and 0.831 for the C-SE and between 0.315 and 0.759 for the C-SMG. The coefficients got in halving were 0.960 and 0.943, respectively. The two scales that make up the Urinary Catheter Self-Care Management Questionnaire are valid and reliable measurement tools that can be used for patients undergoing long-term urinary catheterization in Turkey. In line with the results obtained from this study, we suggest that the Urinary Catheter Self-Care Management Questionnaire should be used to evaluate the self-efficacy or self-management levels of Turkish patients undergoing long-term urinary catheterization and to evaluate the effects of nursing interventions on the self-efficacy or self-management levels of patients who have undergone long-term urinary catheterization.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"258-271"},"PeriodicalIF":0.5,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50118657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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