International Journal of Urological Nursing最新文献

The objective of the present study was to ascertain the impact of the training programme administered to parents of children aged between 1 and 3 years who have undergone urogenital surgery on their knowledge of toilet training, attitudes towards the subject, and parenting self-efficacy. The study was a quasi-experimental, one-group, pretest–posttest study. The present study was conducted with a sample of 43 parents. A personal information form containing a number of variables and questionnaire forms containing two different scales were used for the parents. A training programme consisting of three sessions for parents was used in the study. In the post-training stage, a significant divergence was observed in the mean scores of toilet training knowledge and attitude. Furthermore, a substantial discrepancy was identified in the mean scores of self-efficacy levels in parenting tasks within the play sub-dimension. Statistically significant differences were identified between certain variables of the parents and the Toilet Training Knowledge Attitude Scale, the Self-Efficacy Scale for Parenting Tasks Short Form scale and its sub-dimensions (p < 0.05). The educational intervention given to parents of children aged between 1 and 3 years who have undergone urogenital surgery has been shown to have a positive effect on both their knowledge and attitudes towards toilet training, as well as their self-efficacy levels in specific parenting tasks.

The purpose of this study was to investigate the sociodemographic and health-related characteristics, social activities, electronic device utilisation and their relationship with depression in older men and women with urinary incontinence (UI). Using data from the 2020 National Survey of Older Koreans, a survey of 10 097 older adults aged 65 and older, a total of 315 older adults were included in the analysis sample, comprising 155 men and 169 women diagnosed with UI. Depression was measured using the South Korean Geriatric Depression Scale-Short Form (SGDS-K). The independent variables encompassed participation in leisure and social activities, utilisation of leisure and cultural facilities, frequency of social relationships and use of electronic devices. The mean total depression score was 4.97 (SD 3.71) for men and 5.87 (SD 4.42) for women, indicating a statistically significant difference (t = −1.92, p = 0.028). For both men (R² = 0.30, p < 0.001) and women (R² = 0.36, p < 0.001), older adults, depression was associated with the number of chronic diseases and electronic device use. Development of integrated digital healthcare intervention programs utilising electronic devices for social connection, health information access and cognitive stimulation is essential for preventing depression in older adults with UI.

The use of theories and models in nursing care contributes to the scientific foundation of nursing practice. Jean Watson's Human Caring Model, one of the prominent nursing theories, is based on concepts such as interpersonal caring relationships, caring moments and healing processes, and it effectively reflects the essence of nursing. This model has been applied comprehensively to address the care process for urinary tract infections, one of the most common complications encountered by patients practicing clean intermittent catheterisation. Nursing interventions and outcomes for a patient practicing clean intermittent catheterisation were evaluated using the Human Caring Model. This model facilitated the implementation of nursing care and the treatment process, leading to infection parameters returning to normal ranges. Additionally, it contributed to increased adherence to and motivation for clean intermittent catheterisation. It is suggested that nursing care for urinary tract infections observed in individuals practicing clean intermittent catheterisation can raise awareness among nurses and caregivers about addressing the patient holistically, including physical, socio-cultural, psychological and spiritual dimensions.

Does psychological resilience (PR) play a role in reducing perioperative fatigue and improving quality of life (QoL) in urologic surgery patients? Advances in surgical methods have been promising in the treatment of urologic cancers, the incidence of which has been steadily increasing over the last 30 years. However, uro-oncologic surgical procedures may cause negative effects such as increased fatigue and decreased QoL. The role of PR in alleviating the negative effects of urologic cancer surgery has recently been an important topic of discussion. This study aims to determine the relationship between PR and fatigue and QoL in uro-oncologic surgery patients. The study is a descriptive and correlational study. It was conducted in a training and research hospital in Türkiye between September 1, 2021 and June 1, 2022. Data collection was performed using a questionnaire, Connor-Davidson Resilience Scale-Short Form (CD-RISC-SF), Functional Assessment of Chronic Illness Treatment-Fatigue (FACIT-F) and Functional Assessment of Cancer Treatment-General (FACT-G). The study included 148 urologic cancer patients with a mean age of 62.83 years, the majority of whom were male. While significant decreases were observed in all scale scores after surgery (p < 0.01), the results of multiple regression analysis revealed that PR and fatigue were important determinants of QoL during the surgical treatment process. Pre- and postoperative CD-RISC-SF scores were moderately correlated with FACIT-F score (r = 0.357–0.424) and highly correlated with FACT-G score (r = 0.542–0.578) (p < 0.001). CD-RISC-SF (β = 0.403) and FACIT-F (β = 0.481) explained 52.2% (adjusted R² = 0.522) of the variance of FACT-G preoperatively, which increased to 59.9% (adjusted R² = 0.599) postoperatively. Furthermore, the explanatory power of CD-RISC-SF score on FACIT-F score increased from 11.4% to 19.3% postoperatively (p < 0.001). In both periods, CD-RISC-SF score had a significant positive effect on FACIT-F and FACT-G scores. This study showed that PR and QoL decreased, and fatigue increased in patients undergoing uro-oncologic surgery. PR was identified as a factor that positively influenced both the reduction of fatigue and the improvement of QoL. The findings support the integration of interventions to enhance PR into the urosurgical care process.

Are ChatGPT 3.5's responses to patient inquiries about urologic health conditions (1) supported by the American Urological Association's guidelines and (2) readable and accessible to patients? Artificial intelligence technology continues to increase in popularity, but it still must be heavily vetted to ensure safety and accuracy prior to clinical implementation. ChatGPT has varying success when it comes to accurately answering medical questions. We wanted to see if the chatbot's responses to urologic inquiries were conveyed in a patient-friendly manner and supported by the American Urological Association's guidelines. Our results were compared to those of prior studies looking at ChatGPT's performance on the United States Medical Licensing Examination and American Urological Association Self-Assessment Study Programme. ChatGPT's responses to inquiries were compared to guideline statements set forth by the American Urological Association on its website. In this qualitative experiment, 30 prompts were written from a patient's perspective covering multiple urologic domains. The prompts were posed to ChatGPT 3.5 with responses recorded verbatim and graded with a Support Score and Quality Score by eight evaluators consisting of five board-certified urologists and three current urology residents. Readability of the responses was assessed with Flesch–Kincaid Readability Grade Level scores and statistical analysis was performed with Stata version 15.1. 20/30 (66%) of ChatGPT's responses were supported by the American Urological Association's guidelines (median SS of 4, IQR 3–5), although responses to oncology questions were less supported (5/12 supported). 11/30 (37%) of responses were deemed high quality (median QS of 4, IQR 3–5) with responses related to infertility having the highest quality (3/4). The average Flesch–Kincaid Readability Grade Level score across all domains was 18, equivalent to a college graduate reading level. Most responses from ChatGPT 3.5 to urologic inquiries were supported by current American Urological Association guidelines, but the majority were of overall low quality. Responses were at a college graduate reading level, making them inaccessible to most patients. ChatGPT 3.5 has limitations in its ability to answer urologic health questions in a patient-friendly manner, but future versions may improve its utility.