International Journal of Urological Nursing最新文献

What is the prevalence of urinary incontinence and its main subtypes among middle-aged women in Northern Italy? How do urinary incontinence severity and subtypes correlate with risk factors and healthcare costs? Urinary incontinence is a common yet underreported condition among women. Despite its impact, recent data on prevalence, severity and risk factors in Italy, particularly among middle-aged women, remain scarce. This study aims to investigate the correlation between urinary incontinence severity, subtypes and healthcare costs to inform targeted interventions. Urinary incontinence is the involuntary leakage of urine, classified into stress, urgency and mixed types. Its multifactorial aetiology includes demographic, lifestyle, comorbid and obstetric-gynaecological risk factors. Urinary incontinence negatively influences physical, psychological, social and financial well-being. A multicentre cross-sectional study was conducted in four hospitals in Northern Italy, enrolling 722 women. Participants were selected based on eligibility criteria and informed consent was obtained. Data on sociodemographic factors, lifestyle and gynaecologic history were collected. Urinary incontinence severity and subtypes were assessed using the International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ UI-SF). Multiple logistic regression was performed to identify predictors, while Pearson's correlation test analysed the relationship between urinary incontinence severity and healthcare costs. The prevalence of urinary incontinence was 44.8%, with stress urinary incontinence being the most common subtype (39.1%). Among participants, 19.6% experienced mild leakage, while 4.3% reported severe cases. Identified risk factors included hypertension, sleep disorders, bladder emptying difficulties, higher body mass index, multiple vaginal deliveries, depression and smoking. A significant positive correlation was found between urinary incontinence severity and healthcare costs (r = 0.480, p < 0.001). Urinary incontinence affects nearly half of middle-aged women in Northern Italy. Addressing modifiable risk factors and implementing targeted interventions based on urinary incontinence subtypes are crucial to reduce urinary incontinence prevalence, severity and improve outcomes. Further longitudinal research is essential to better understand urinary incontinence in this demographic.

Preoperative fasting, a common practise before surgical procedures, is primarily aimed at reducing the risk of pulmonary aspiration during anaesthesia. However, prolonged periods of fasting can lead to discomfort and postoperative complications, including nausea and vomiting, which contribute significantly to patient dissatisfaction and delayed recovery. This study aims to examine the relationship between preoperative fasting durations and postoperative nausea–vomiting. This study is a descriptive and correlational. The research was conducted at the Urology Clinic of a tertiary care hospital, with 259 hospitalised patients included in the study. Data were collected through face-to-face interviews with patients 24 h after surgery. The Patient Assessment Form and the Apfel Simplified Risk Factors Model were utilised for data collection. Statistical analysis was performed using the Statistical Package for Social Sciences 25. The average preoperative fasting duration for solid food was determined to be 12.52 ± 2.71 h, and for liquid food was 10.79 ± 2.68 h. It was found that 28.2% of patients experienced postoperative nausea, and 19.9% of the patients experienced vomiting in the postoperative period. Differences were observed in nausea scores according to age, smoking, and postoperative opioid use. A low-level positive correlation was observed between the duration of surgery and nausea scores. In conclusion, patients are exposed to prolonged fasting durations. There is a relationship between preoperative fasting durations and the severity of postoperative nausea.

The number of men diagnosed worldwide with prostate cancer (PC) has increased, and the age of patients diagnosed correspondingly has decreased. Men who undergo treatment for PC (particularly those who undergo surgical management) can subsequently be affected by erectile dysfunction (ED). This ED may be in combination with pre-existing impotence and/or due to the multifactorial aetiology of this condition; the management of ED is complicated and includes treatments, either alone or in combination, such as herbal and prescribed medications, surgery, counselling, and the use of vacuum erection device (VED). The aim of this focused literature review is to understand men's experience of using a VED after radical prostatectomy (RP) and to highlight key findings for future clinical practice to guide and improve the services for men. Suitable papers relating to men using VED for their ED following RP were identified by performing an electronic database search using appropriate MeSH terms; suitable papers were critically reviewed using the CASP tool, and relevant themes were extracted. Analysis of the literature concluded that VED is an important and useful tool in erectile function recovery post-RP, especially in combination with PDE5i. Six key themes were identified from the literature and are discussed in detail. The themes are VED as a treatment modality, effects of VED on penile length, effects of VED on penetration and intercourse, adverse events, and patients' selection and implications for clinical practice.

This review investigates which nursing organisational models are effective in improving quality of life, therapeutic education, and the use of healthcare services (costs and hospital readmissions) in patients with urinary incontinence and bladder outlet disorders. Numerous conceptual models have been developed to understand how the characteristics of an organisational model affect quality of life, therapeutic education, and healthcare service use in patients with bladder disorders. Such models were often developed by other healthcare professionals (e.g., urologists, primary physicians) in hospital and community settings and may not involve nurses. This systematic review was conducted using resources from PubMed, CINAHL, Scopus, and the Cochrane Library up until February 2024, following the Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A narrative synthesis was performed. Seven organisational models were identified. Four of these models were specifically conceptualised for the nursing field: the Transitional Care Model, the Continuous Care Model, Nurse-led Continence Care, and the Self-Referral Model. The main outcomes associated with the implementation of these models include improvements in bladder management, life-space mobility, quality of life, and reductions in healthcare costs and hospital readmissions due to complications. This review demonstrates that nursing organisational care models for patients with urinary incontinence and bladder outlet disorders can improve their quality of life, daily activities after hospital discharge, and reduce healthcare costs.