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Genital and sexual alterations in regular cyclists: A urological point of view 经常骑自行车的人的生殖器和性功能改变:泌尿科观点
IF 0.4 Q4 NURSING Pub Date : 2024-10-23 DOI: 10.1111/ijun.12427
Mariana Giraldo Gómez BSc, Daniel Andrés Nieva-Posso BSc, MD, Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS

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.

骑自行车是西方世界最主要的体育活动之一;骑自行车作为城市空间中一种无污染的替代交通方式,甚至从政治层面进行推广,导致男性和女性都经常骑自行车。我们的目的是研究经常骑自行车与男性和女性泌尿系统疾病和性疾病之间的关系。骑车的强度、投入的时间、座位的位置和身体的姿势都可能导致泌尿系统和性功能障碍的发生,从而影响生活质量。对于男性自行车运动员来说,这项运动的高强度练习与前列腺功能紊乱和骨盆疼痛有关。性功能障碍已被确认与生殖器麻木和受伤有关,尽管大多数文献否定了勃起功能障碍的发生,但仍存在争议。在女性中,它与排尿困难和反复泌尿感染的关系更为密切;至于性障碍,它与慢性骨盆疼痛、生殖器麻木以及更常见的生殖器溃疡的发生有关。经常进行高强度的自行车运动对男性和女性的泌尿系统和性功能都有影响,但需要进行更多的研究才能做出更好的决定。
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引用次数: 0
Psychometric testing of the continence and mobility in older adults knowledge quiz 老年人尿失禁和行动能力知识问答心理测试
IF 0.4 Q4 NURSING Pub Date : 2024-10-22 DOI: 10.1111/ijun.12423
Sherry Dahlke PhD, RN, GNC(C), Kathleen F. Hunter PhD, RN, GNC(C), Jeffrey I. Butler PhD, Matthew Pietrosanu MSc

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.

老年人尿失禁和行动能力知识测验的心理测量特性如何?我们之前的研究发现,执业护士和学生护士对老年人的行动能力和尿失禁知识知之甚少。为了弥补这一差距,我们开发了一个有关尿失禁和行动能力的自学电子学习模块,以增强学生护士的知识。该模块提供有关尿失禁、行动能力以及它们之间联系的教育。由于我们无法找到既能反映下尿路症状又能反映行动能力要素的尿失禁和行动能力测量方法,因此我们开发了尿失禁和行动能力知识测验。为了让研究人员和教育工作者能够放心地使用该测验,我们需要对尿失禁和行动能力知识测验进行心理测试。在照顾老年人的过程中,尿失禁和行动不便这两项老年医学难题经常被联系在一起,并被视为体弱的指标。与大小便失禁和/或行动能力有关的功能变化可能预示着老年人患有急性疾病,如果不及时治疗,可能会导致大小便失禁需求发生永久性变化。护士通常对大小便失禁护理持否定态度,并不将其放在首位。我们分阶段开发了失禁与行动能力知识测验。在第一阶段,我们在尿失禁专家的指导下,根据文献编写了 18 个真/假题目。在第二阶段,我们对来自加拿大三所大学的护理专业学生进行了测验测试。在第三阶段(现阶段),我们使用因子分析和信度分析(通过标准化的克朗巴赫α)评估了量表的有效性。在我们的 420 个样本中,因子分析显示,一个双因子模型(如凯撒规则所建议的)解释了 22% 的评估项目反应差异。我们建议删除第 7 项,因为它对工具的内部一致性无益。删除第 7 项后的 Cronbach's alpha 值为 0.65,表明可靠性令人满意。据我们所知,这是第一个经过验证的测量护士尿失禁和行动能力知识的工具,它同时涉及了老年人的一系列下尿路症状和行动能力要素。
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引用次数: 0
The effect of self-care levels on erectile dysfunction in Turkish men with heart disease 自我保健水平对土耳其男性心脏病患者勃起功能障碍的影响
IF 0.4 Q4 NURSING Pub Date : 2024-10-02 DOI: 10.1111/ijun.12421
Esra Türker PhD, RN

For many years there has been evidence of an association between heart disease and erectile dysfunction (ED). This is a health problem that affects patients both physically and psychologically. Individuals affected by coronary heart disease need a comprehensive care approach to achieve optimal health outcomes. However, there is a gap in nursing research on the sexual life of men with coronary artery disease. This descriptive research will identify the prevalence of self-care and ED in Turkish men having coronary heart disease and examine potential interactions between them. This descriptive study conducted between March 2022 and March 2023 with 178 men aged 18–70 years who were followed up in the cardiology polyclinic of a hospital with a diagnosis of coronary artery disease. Data collected via face-to-face meetings using a Socio-Demographic Questionnaire Form, Coronary Heart Disease Self-Care Inventory and International Index of Erectile Function questionnaire. Ethical approval was obtained before starting research. The Declaration of Helsinki was complied with during the research period. Of the participating patients, 52.2% were older than 65 years and 37.6% had high school education or higher. A significant proportion of patients (42.1%) had been married for 20–29 years. The majority of the participants (59%) were still working and 88.8% reported that their income was equal to their expenses. The mean scores of the scales were found to be moderate and when the correlation between the scales was examined, a moderate positive correlation was found (p < 0.05). A regression was performed to determine the causal relationship linking self-care scores and ED. The results yielded significant findings (F = 46.854; p < 0.05). The change in the level of ED was found to be explained by self-care at a rate of 43.7% (R2 = 0.437). This study showed that ED levels decreased with improving self-care levels in men with coronary heart disease. While counselling these patients, health professionals should aim to increase their self-care competencies related to cardiac rehabilitation and decrease their ED levels by considering the characteristics of the patients.

多年来,有证据表明心脏病与勃起功能障碍(ED)之间存在关联。这是一个对患者身心都有影响的健康问题。冠心病患者需要全面的护理方法来达到最佳的健康效果。然而,有关冠心病男性患者性生活的护理研究尚属空白。这项描述性研究将确定患有冠心病的土耳其男性自我护理和 ED 的发生率,并考察两者之间潜在的相互作用。这项描述性研究在 2022 年 3 月至 2023 年 3 月期间进行,178 名年龄在 18-70 岁之间的男性在一家医院的心脏病综合门诊接受了冠状动脉疾病诊断随访。通过社会人口调查表、冠心病自理能力调查表和国际勃起功能指数调查表进行面对面会谈收集数据。研究开始前已获得伦理批准。研究期间遵守了《赫尔辛基宣言》。在参与研究的患者中,52.2% 年龄在 65 岁以上,37.6% 具有高中或以上学历。相当一部分患者(42.1%)结婚 20-29 年。大多数参与者(59%)仍在工作,88.8%的人表示收入与支出持平。各量表的平均得分适中,在研究各量表之间的相关性时,发现它们之间存在适度的正相关(p <0.05)。为确定自理能力评分与 ED 之间的因果关系,进行了回归分析。结果得出了显著结论(F = 46.854; p < 0.05)。研究发现,自我保健对 ED 水平变化的解释率为 43.7% (R2 = 0.437)。这项研究表明,随着冠心病男性患者自我保健水平的提高,ED水平也随之降低。在对这些患者进行辅导时,医护人员应根据患者的特点,提高他们与心脏康复相关的自我护理能力,降低他们的 ED 水平。
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引用次数: 0
The relationship between testicular cancer and beliefs about testicular self-examination and health literacy 睾丸癌与睾丸自我检查信念和健康知识之间的关系
IF 0.4 Q4 NURSING Pub Date : 2024-09-15 DOI: 10.1111/ijun.12419
Hüseyin Çapuk RD, PhD, Hurşit Fidan RN, MSN, Kübra Akcan RN, MSc

Testicular cancer is one of the most common urogenital cancers in men. Early detection of this type of cancer through screening and self-examination increases the chances of survival and reduces healthcare expenses. Nurses, physicians and patients have critical responsibilities in preventing testicular cancer. The results of this research will make a significant contribution to the development of preventive services by determining the health beliefs and general knowledge level of patients about testicular cancer and testicular self-examination (TSE). Therefore, this study was conducted to determine the relationship between health beliefs and health literacy regarding testicular cancer and TSE of men who applied to the urology clinic. This descriptive study was conducted with male patients who applied to the urology outpatient clinic of a public hospital between March and June 2023. 337 volunteers participated in the study. Ethics committee and institutional permissions were obtained before starting the study. Data were collected using the socio-demographic information form, ‘Champion Health Belief Model Scale’ and ‘Health Literacy Scale’ prepared by the researchers. In evaluating the data, frequency, percentage, average, Student's t-test, one-way ANOVA (post hoc Lsd) was used. Significance was evaluated at p < 0.05 level. It was determined that 94.7% of the participants did not know a method to detect testicular cancer by themselves, 84.0% of them had not heard of TSE, and 78% of them did not perform TSE because they did not know TSE. According to the findings of the study, Champion Health Belief Model Scale subscale mean scores were 12.91 ± 4.89 for sensitivity perception, 20.51 ± 6.75 for caring/seriousness perception, 9.20 ± 3.03 for benefit perception, 13.61 ± 4.77 for obstacle perception, and 17.34 ± 5.51 for self-efficacy perception. Health literacy scale sub-dimension mean scores were 17.13 ± 6.00 for access to information, 20.81 ± 7.04 for understanding information, 28.04 ± 8.59 for appraisal/evaluation, 17.55 ± 5.80 for application/usage, and 87.16 ± 26.39 for total mean scores. In the study, it was determined that susceptibility and benefits of TSE perception increased, and barrier perception decreased as health literacy increased. Accordingly, since it is observed that increasing health literacy will increase the frequency of performing TSE, it should be supported by health literacy-enhancing training sessions.

睾丸癌是男性最常见的泌尿生殖系统癌症之一。通过筛查和自我检查及早发现这种癌症可增加生存机会并减少医疗费用。护士、医生和患者在预防睾丸癌方面负有重要责任。通过确定患者对睾丸癌和睾丸自我检查(TSE)的健康信念和常识水平,本研究的结果将对预防服务的发展做出重要贡献。因此,本研究旨在确定到泌尿科门诊就诊的男性患者有关睾丸癌和睾丸自我检查的健康信念与健康知识之间的关系。这项描述性研究的对象是 2023 年 3 月至 6 月期间到一家公立医院泌尿科门诊就诊的男性患者。共有 337 名志愿者参与了研究。研究开始前已获得伦理委员会和机构的许可。研究人员使用自己编制的社会人口信息表、"冠军健康信念模型量表 "和 "健康知识量表 "收集数据。数据评估采用频率、百分比、平均值、学生 t 检验、单因素方差分析(事后 Lsd)。显著性以 p < 0.05 为标准。结果表明,94.7% 的参与者不知道自己检测睾丸癌的方法,84.0% 的参与者没有听说过 TSE,78% 的参与者没有进行 TSE,因为他们不知道 TSE。研究结果显示,冠军健康信念模式量表分量表平均分为(12.91±4.89)分(敏感性知觉)、(20.51±6.75)分(关心/严肃性知觉)、(9.20±3.03)分(受益知觉)、(13.61±4.77)分(障碍知觉)和(17.34±5.51)分(自我效能知觉)。健康素养量表各子维度的平均得分分别为:获取信息(17.13 ± 6.00),理解信息(20.81 ± 7.04),评价/评估(28.04 ± 8.59),应用/使用(17.55 ± 5.80),总平均得分(87.16 ± 26.39)。研究结果表明,随着健康素养的提高,对 TSE 的易感性和益处感知增加,而障碍感知减少。因此,既然健康素养的提高会增加进行 TSE 的频率,就应该通过健康素养提高培训课程来支持。
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引用次数: 0
Pornography consumption and its effect on sexual performance in young men: Urology point of view 色情消费及其对年轻男性性能力的影响:泌尿学观点
IF 0.4 Q4 NURSING Pub Date : 2024-09-02 DOI: 10.1111/ijun.12420
Yorlavi Lucumi TAPH, MD, Daniel Andrés Nieva-Posso BSc, MD, Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS

Chronic pornography use is a public health problem that has considerable effects on men's health, especially on their sexual performance, having effects that can be encompassed from a biological, social, and psychological approach. Our objective was to conduct a literature review to evaluate the consequences in terms of sexual performance of young men who have chronic consumption of pornography. Chronic pornography consumption was related to erectile dysfunction, premature ejaculation, and alterations in genital anatomy and physiology. Social and psychological effects were also found, such as increased rates of violence towards women, problems with partners, and intimacy. However, benefits of controlled consumption of pornography have also been identified, such as reaffirmation of sexual orientation, stimulation of self-discovery of the body, and improved communication with partners. Chronic consumption of pornography has direct effects on the sexual performance of young people and should be evaluated by a multidisciplinary team that includes physiological, social, and psychological elements. However, its use may be recommended for people with psychological problems, urological problems, and urological cancer.

长期使用色情制品是一个公共健康问题,对男性的健康,尤其是对他们的性能力有相当大的影响,其影响可以从生物学、社会学和心理学的角度来分析。我们的目的是进行文献综述,以评估长期阅读色情作品的年轻男性在性能力方面的后果。长期阅读色情作品与勃起功能障碍、早泄、生殖器解剖学和生理学改变有关。此外,还发现了一些社会和心理影响,如对妇女施暴的比例增加、与伴侣的关系和亲密关系出现问题等。不过,也发现了有节制地消费色情制品的益处,如重新确认性取向、刺激对身体的自我发现、改善与伴侣的沟通等。长期阅读色情作品会对青少年的性能力产生直接影响,应由包括生理、社会和心理因素在内的多学科小组进行评估。不过,对于有心理问题、泌尿系统问题和泌尿系统癌症的人,可以建议他们使用。
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引用次数: 0
Primary endoscopic drainage of an infected renal cyst via a preexisting duodenal fistula 通过原有十二指肠瘘管对感染性肾囊肿进行原发性内窥镜引流术
IF 0.4 Q4 NURSING Pub Date : 2024-08-29 DOI: 10.1111/ijun.12417
Massad Mutaz MD, Dioscoridi Lorenzo MD, Forti Edoardo MD, Pugliese Francesco MD, Cintolo Marcello MD, Bonato Giulia MD, Bravo Marianna MD, Mutignani Massimiliano MD, Hashem Abu Serhan MD

Renal cyst – duodenal fistula is not common and we know little about their presentation and management. The present case report describes a unique endoscopic technique to manage an infected renal cyst through a preexisting duodenal fistula. A retrospective evaluation and analysis were performed of a patient with an infected renal cyst-duodenal fistula seen in our unit. Patient symptoms, imaging findings, and details of endoscopic procedures were evaluated. The Need for minimally invasive techniques is increasing nowadays as both diagnostic and therapeutic approaches. One of these modalities is the endoscopic management of gastrointestinal fistulae. Minimally invasive techniques can be used as a bridge to major surgeries in those who are not candidates initially.

肾囊肿-十二指肠瘘并不常见,我们对其表现和治疗知之甚少。本病例报告描述了一种独特的内镜技术,通过已有的十二指肠瘘管来治疗感染性肾囊肿。我们对在本单位就诊的一名感染性肾囊肿十二指肠瘘患者进行了回顾性评估和分析。对患者的症状、影像学检查结果以及内窥镜手术的细节进行了评估。如今,无论是诊断还是治疗方法,对微创技术的需求都在不断增加。内窥镜治疗胃肠道瘘管就是其中一种方式。对于那些最初不适合接受大手术的患者,微创技术可作为大手术的桥梁。
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引用次数: 0
The impact of male urinary incontinence on quality of life and sexual health 男性尿失禁对生活质量和性健康的影响
IF 0.4 Q4 NURSING Pub Date : 2024-08-23 DOI: 10.1111/ijun.12418
Elif Gezginci RN, PhD, Aysenur Ata RN, MSc, Sonay Goktas RN, PhD

Men with urinary incontinence problems may have a fear of urinary incontinence during sexual intercourse, which may negatively affect their sexual lives. This study aimed to determine the effect of urinary incontinence on quality of life and erectile dysfunction in men. A total of 203 men with urinary incontinence who presented to a urology outpatient clinic were assessed using a patient information form, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF), and the International Index of Erectile Function (IIEF). The mean age was 63.48 ± 8.80 years, the mean ICIQ-SF score was 13.45 ± 3.14 (moderate), and the IIEF erectile dysfunction score was 18.52 ± 6.48 (mild/moderate). Patient age correlated positively with the ICIQ-SF total score (r = 0.309, p < 0.001) and negatively with the IIEF total score (r = −0.452, p < 0.001). The ICIQ-SF score was negatively correlated with erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction scores (p < 0.001, p = 0.015, p = 0.037, p = 0.006 and p = 0.001, respectively). More severe urinary incontinence in men was associated with lower quality of life and greater erectile dysfunction. Further studies are needed to raise men's awareness of urinary incontinence.

有尿失禁问题的男性可能会对性交时尿失禁产生恐惧,这可能会对他们的性生活产生负面影响。本研究旨在确定尿失禁对男性生活质量和勃起功能障碍的影响。研究人员使用患者信息表、国际尿失禁咨询问卷-尿失禁简表(ICIQ-SF)和国际勃起功能指数(IIEF),对203名到泌尿科门诊就诊的尿失禁男性患者进行了评估。患者的平均年龄为(63.48 ± 8.80)岁,ICIQ-SF 的平均得分为(13.45 ± 3.14)分(中度),IIEF 的勃起功能障碍得分为(18.52 ± 6.48)分(轻度/中度)。患者年龄与 ICIQ-SF 总分呈正相关(r = 0.309,p < 0.001),与 IIEF 总分呈负相关(r = -0.452,p < 0.001)。ICIQ-SF 评分与勃起功能、性高潮功能、性欲、性交满意度和总体满意度评分呈负相关(分别为 p <0.001、p = 0.015、p = 0.037、p = 0.006 和 p = 0.001)。男性尿失禁越严重,生活质量越低,勃起功能障碍越严重。需要进一步开展研究,以提高男性对尿失禁的认识。
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引用次数: 0
Scoping review: Technology-based nursing interventions for urinary incontinence for individuals 65 years and older 范围界定审查:针对 65 岁及以上人群尿失禁的科技护理干预措施
IF 0.4 Q4 NURSING Pub Date : 2024-07-15 DOI: 10.1111/ijun.12409
Rico Gröning BSc, Elisabeth Schöttler BSc, Stefan Michalski BA, Stefan Schmidt PhD

To review and summarize the available evidence on technology-based nursing interventions for urinary incontinence. Scoping review. A review of english and German research articles published up to April 2024 examining nursing interventions in older people (> = 65 years) was conducted. Studies were retrieved by searching the Medline electronic database via PubMed and CINAHL database. Eight studies met the inclusion criteria. The review followed the updated methodological guidance for the conduct of scoping reviews published in 2020. Eight studies and three different types of interventions based on digital technologies were identified: sensor-based interventions, app-based interventions and computer-based digital expert systems. The interventions showed positive and no effects. The studies showed a high variety in terms of study designs, settings, measurement instruments, measured outcomes and were consequently not comparable. The current research density is too low to recommend interventions. Therefore, more high-quality studies are needed. Studies should be designed to be comparable, if possible. The definition of a core outcome set is therefore indicated. There is a research gap that should be closed by high-quality and comparable studies so that patients can benefit from evidence-based incontinence care in the future. Defining core outcomes can help to better compare future studies. Technology-based interventions should be investigated specifically for older people in the future as, in addition to the potential for improved incontinence care, they also have the potential to reduce the burden on caregivers and conserve staff resources. No patient or public contribution.

回顾并总结以技术为基础的尿失禁护理干预措施的现有证据。范围界定综述。综述截至 2024 年 4 月发表的有关老年人(65 岁)护理干预的英语和德语研究文章。研究通过 PubMed 和 CINAHL 数据库检索 Medline 电子数据库。八项研究符合纳入标准。综述遵循了 2020 年发布的最新范围界定综述方法指南。确定了八项研究和基于数字技术的三种不同类型的干预措施:基于传感器的干预措施、基于应用程序的干预措施和基于计算机的数字专家系统。这些干预措施产生了积极影响,也没有产生任何影响。这些研究在研究设计、环境、测量工具和测量结果方面存在很大差异,因此不具有可比性。目前的研究密度太低,无法推荐干预措施。因此,需要更多高质量的研究。如果可能,研究的设计应具有可比性。因此,需要定义一套核心结果。目前存在研究空白,应通过高质量和可比性的研究来填补这一空白,从而使患者在未来能够从循证尿失禁护理中受益。定义核心结果有助于更好地比较未来的研究。未来应专门针对老年人调查以技术为基础的干预措施,因为这些措施除了有可能改善失禁护理外,还有可能减轻护理人员的负担并节约人力资源。无患者或公众捐款。
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引用次数: 0
The effect of incontinence after radical prostatectomy on quality of life and frailty 根治性前列腺切除术后尿失禁对生活质量和虚弱程度的影响
IF 0.4 Q4 NURSING Pub Date : 2024-07-15 DOI: 10.1111/ijun.12416
Aysenur Ata RN, MSc, Sonay Goktas RN, PhD

This study aimed to determine the effect of incontinence after radical prostatectomy on quality of life and level of frailty. It is a descriptive study conducted with 107 radical prostatectomy patients who were hospitalized in the Urology Clinic of a training and research hospital in Istanbul between March–August 2021, and met the inclusion criteria. Data were collected using the Patient Identification Form, the International Consultation on Incontinence Questionnaire – Male Lower Urinary Tract Symptoms (ICIQ-MLUTS), and the Edmonton Frail Scale (EFS). The mean fragility score of the patients was 7.82 ± 2.63, and 27% of them were ‘Mildly Frail’ and 25.2% were ‘Moderately Frail’. The ICIQ-MLUTS voiding complaints sub-dimension score of the patients was 8.62 ± 3.48, and the voiding complaints bother score was found to be 24.8 ± 9.85. The ICIQ-MLUTS storage complaints sub-dimension score was 12.13 ± 3.05, and the storage complaints bother score was 36.25 ± 9.02. The ICIQ-MLUTS daytime urinary frequency subdimension score was 2.35 ± 0.93, and the daytime urinary frequency bother score was 6.94 ± 2.17. The ICIQ-MLUTS nocturnal urinary frequency sub-dimension score was 2.79 ± 0.88, and the nocturnal urinary frequency discomfort level score was found to be 7.37 ± 2.19. In this study, it was observed that patients' complaints regarding lower urinary tract symptoms and their quality of life were at a moderate level and the frailty levels increased with the increasing severity of incontinence symptoms after radical prostatectomy.

本研究旨在确定根治性前列腺切除术后尿失禁对生活质量和虚弱程度的影响。这是一项描述性研究,研究对象为 2021 年 3 月至 8 月期间在伊斯坦布尔一家培训和研究医院的泌尿科门诊住院并符合纳入标准的 107 名根治性前列腺切除术患者。数据收集采用了患者身份识别表、尿失禁国际咨询问卷--男性下尿路症状(ICIQ-MLUTS)和埃德蒙顿脆性量表(EFS)。患者的平均体弱评分为(7.82 ± 2.63)分,其中 27% 为 "轻度体弱",25.2% 为 "中度体弱"。患者的 ICIQ-MLUTS 排尿不适次维度得分为 8.62 ± 3.48,排尿不适困扰得分为 24.8 ± 9.85。ICIQ-MLUTS贮藏主诉子维度得分(12.13±3.05)分,贮藏主诉困扰得分(36.25±9.02)分。ICIQ-MLUTS 日间尿频次维度得分是 2.35 ± 0.93,日间尿频困扰得分是 6.94 ± 2.17。ICIQ-MLUTS 夜间尿频次维度得分为 2.79 ± 0.88,夜间尿频不适程度得分为 7.37 ± 2.19。本研究观察到,根治性前列腺切除术后,患者对下尿路症状的主诉及其生活质量处于中等水平,随着尿失禁症状严重程度的增加,患者的虚弱程度也随之增加。
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引用次数: 0
Investigation of quality of life and anxiety level of patients who have undergone pigtail placement 对接受辫子置入术的患者的生活质量和焦虑程度进行调查
IF 0.4 Q4 NURSING Pub Date : 2024-07-12 DOI: 10.1111/ijun.12414
Nikos Rikos RN, MPH, PhD, Athena Titomichelaki RN, MSc, Maria Katsalaki RN, MSc, Maria Assargiotaki RN, MSc, Georgia Kourlaba RN, MPH, PhD, Manolis Linardakis PhD, MSc

Worldwide, nephrolithiasis is a disease with an increased frequency of presence and symptoms. This study aimed to investigate the quality of life (QoL) and the factors influencing it in patients who have undergone pigtail catheter placement. Α cross-sectional study was implemented in 85 patients from the Urology Clinic/University General Hospital of Crete, Greece, recruited during November 2022 and January 2023. Patients' demographic and medical history profile were recorded and their QoL and state anxiety status assessed using the SF-36 and State–Trait Anxiety Inventory (STAI-S) scales based on multiple logistic regression analysis. The majority of patients were female (55.3%) and the mean age of all was 53.7 years (±11.5). QoL was moderate to high while 30.6% and 35.3% of patients presented high quality of Physical and Mental Components, respectively. For Anxiety, moderate mean scores were found while 62.4% presented high anxiety. Patients with low/moderate State Anxiety compared with their counterparts had better QoL in the SF-36 subscales (p < 0.05). In the Physical Component, higher odds of high QoL appear to be found in females versus males (odds ratio, OR = 8.68, p = 0.008), in higher income categories (OR = 5.74, p < 0.001) and in patients with low/moderate anxiety (OR = 12.87, p < 0.001), while in the Mental Component higher odds were found for higher income categories (OR = 2.19, p = 0.018) and patients with low/moderate anxiety (OR = 7.20, p = 0.001). Better QoL in patients with nephrolithiasis and pigtail is associated with female gender, higher living standards and lower state anxiety, allowing more effective interventions by health professionals to alleviate patients' symptoms and empower them.

在世界范围内,肾结石是一种发病率和症状都有所上升的疾病。本研究旨在调查接受尾纤导尿管置入术的患者的生活质量(QoL)及其影响因素。横断面研究的对象是希腊克里特岛大学总医院泌尿科诊所的85名患者,招募时间为2022年11月至2023年1月。研究人员记录了患者的人口统计学特征和病史,并使用 SF-36 和状态-特质焦虑量表(STAI-S)对患者的 QoL 和状态焦虑状况进行了评估(基于多元逻辑回归分析)。大多数患者为女性(55.3%),平均年龄为 53.7 岁(±11.5)岁。患者的生活质量为中高水平,分别有 30.6% 和 35.3% 的患者在身体和精神方面表现出较高的质量。焦虑方面,平均得分中等,62.4%的患者焦虑程度较高。与同类患者相比,低度/中度状态焦虑的患者在 SF-36 分量表中的 QoL 更好(p < 0.05)。在身体成分中,女性与男性(几率比,OR = 8.68,p = 0.008)、高收入类别(OR = 5.74,p <0.001)和低度/中度焦虑患者(OR = 12.87, p < 0.001),而在心理成分中,高收入类别(OR = 2.19, p = 0.018)和低度/中度焦虑患者(OR = 7.20, p = 0.001)的几率更高。肾结石和辫状肾病患者较好的生活质量与女性性别、较高的生活水平和较低的焦虑状态有关,这使得医疗专业人员能够采取更有效的干预措施来减轻患者的症状并增强他们的能力。
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International Journal of Urological Nursing
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