The objective of this study was to assess the prevalence and risk factors associated with lower urinary tract symptoms (LUTS) among female university students. This cross-sectional survey study included 397 female university students aged 18 years and older. Participants completed self-administered questionnaires that assessed sociodemographic and LUTS characteristics, as well as the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) Questionnaire. The study found that the mean age of the students was 20.89 ± 4.02 years. Among the female students, 37% (n: 147) did not experience urinary incontinence (UI), while 25.4% (n: 101) experienced stress UI. The BFLUTS total score was low, with a mean of 9.63 ± 6.49. Risk factors associated with LUTS in female university students include smoking, presence of chronic disease and chronic constipation, cleaning from front to back after toileting, frequent urinary tract infections, poor toilet hygiene, enuresis as a child and maternal history of UI. It has been determined that female university students experience a considerable level of LUTS. To prevent the development of negative symptoms in the future, it is important to identify the associated risk factors and increase knowledge and awareness of the problem.
{"title":"The Prevalence and Factors Affecting Lower Urinary Tract Symptoms in Young Female University Students","authors":"Eda Yakit Ak, Mehmet Ali Şen, Abdulkadir Aydin","doi":"10.1111/ijun.70012","DOIUrl":"https://doi.org/10.1111/ijun.70012","url":null,"abstract":"<div>\u0000 \u0000 <p>The objective of this study was to assess the prevalence and risk factors associated with lower urinary tract symptoms (LUTS) among female university students. This cross-sectional survey study included 397 female university students aged 18 years and older. Participants completed self-administered questionnaires that assessed sociodemographic and LUTS characteristics, as well as the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) Questionnaire. The study found that the mean age of the students was 20.89 ± 4.02 years. Among the female students, 37% (<i>n</i>: 147) did not experience urinary incontinence (UI), while 25.4% (<i>n</i>: 101) experienced stress UI. The BFLUTS total score was low, with a mean of 9.63 ± 6.49. Risk factors associated with LUTS in female university students include smoking, presence of chronic disease and chronic constipation, cleaning from front to back after toileting, frequent urinary tract infections, poor toilet hygiene, enuresis as a child and maternal history of UI. It has been determined that female university students experience a considerable level of LUTS. To prevent the development of negative symptoms in the future, it is important to identify the associated risk factors and increase knowledge and awareness of the problem.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809456","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}
Enuresis is a common pathological condition in children aged 6–12 years and adolescents, with percentages varying from 10% to 12% and 1%, respectively. It is mainly associated with genetic causes because a family history of enuresis is one of the main risk factors for suffering from the disease. Its pathophysiological mechanisms are still under discussion. However, it is mainly associated with deficiency at the level of hormones, such as antidiuretics, which are altered with circadian cycles, parasympathetic system alterations and sphincter-level problems. To determine the association between the development of enuresis as an early marker in children presenting neurological and behavioural problems. The review found 14 articles that support the strong association between enuresis and various behavioural alterations in children and adolescents, as well as neuropsychological, growth and learning problems. With the advancement of multidisciplinary health teams and a better understanding of conditions that were previously considered part of the expected growth process, it has been recognised that enuresis can be an early clinical sign of mental conditions that, if not addressed, can affect the quality of life and socialisation capacity of children in adulthood. The evidence provided so far shows a strong relationship between enuresis and problems of depression, anxiety, hyperactivity and issues such as obsessive–compulsive syndrome, among others, allowing paediatric urology an early approach to the identification of the issues at the mental health level, even before they are very evident, proposing an alternative for alerting and managing this type of patient.
{"title":"Enuresis as an Early Sign of Neuropsychological and Behavioural Disturbances: A Review","authors":"Valeria Perea Ocampo, Daniel Andrés Nieva-Posso, Alejandro Quintero Espinosa, Herney Andrés García-Perdomo","doi":"10.1111/ijun.70010","DOIUrl":"https://doi.org/10.1111/ijun.70010","url":null,"abstract":"<div>\u0000 \u0000 <p>Enuresis is a common pathological condition in children aged 6–12 years and adolescents, with percentages varying from 10% to 12% and 1%, respectively. It is mainly associated with genetic causes because a family history of enuresis is one of the main risk factors for suffering from the disease. Its pathophysiological mechanisms are still under discussion. However, it is mainly associated with deficiency at the level of hormones, such as antidiuretics, which are altered with circadian cycles, parasympathetic system alterations and sphincter-level problems. To determine the association between the development of enuresis as an early marker in children presenting neurological and behavioural problems. The review found 14 articles that support the strong association between enuresis and various behavioural alterations in children and adolescents, as well as neuropsychological, growth and learning problems. With the advancement of multidisciplinary health teams and a better understanding of conditions that were previously considered part of the expected growth process, it has been recognised that enuresis can be an early clinical sign of mental conditions that, if not addressed, can affect the quality of life and socialisation capacity of children in adulthood. The evidence provided so far shows a strong relationship between enuresis and problems of depression, anxiety, hyperactivity and issues such as obsessive–compulsive syndrome, among others, allowing paediatric urology an early approach to the identification of the issues at the mental health level, even before they are very evident, proposing an alternative for alerting and managing this type of patient.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809458","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}
Yousef Qan'ir, Lixin Song, Kathleen Knafl, Mary Lynn, Paschal Sheeran, Hung-Jui Tan, Baiming Zou, Mohammed Shahait
What factors influence pelvic floor muscle exercise (PFME) intention and engagement among men post-radical prostatectomy (RP), and how do demographic and medical characteristics moderate these relationships? Post-RP urinary incontinence (UI) affects up to 69% of patients, significantly impacting their quality of life. PFME is recommended to manage UI, but many patients fail to achieve the required frequency and intensity, leading to suboptimal outcomes. This study seeks to identify factors influencing PFME intention and engagement, using the Reasoned Action Approach (RAA), to fill the gaps in PFME research and practice. The literature highlights that experiential attitude, instrumental attitude, injunctive norm, autonomy, capacity and perceived UI influence PFME engagement. Previous studies have not fully explored the role of these determinants specifically among men post-RP. Additionally, the moderating effects of demographic and medical factors, such as education level and time since surgery, on these relationships remain underexamined. This gap underscores the need for targeted, evidence-based interventions to optimise UI management post-RP. This study utilised a correlational design with data collected at two points: baseline and a four-week follow-up. A total of 108 men with prostate cancer (PC) post-RP from two large hospitals in Amman, Jordan, participated. After obtaining IRB approval, we recruited patients during their follow-up visits, achieving a recruitment rate of 93.1%. Written informed consent was obtained from all participants. Data were collected through anonymous, printed questionnaires administered in private rooms at the hospitals. PFME engagement, RAA determinants and demographics were measured. A follow-up survey was completed by 107 participants, yielding a retention rate of 99.1%. Statistical analysis included hierarchical regression and moderation analyses. In the final model, PFME intention (β = 0.33, p < 0.001) and perceived UI (β = −0.08, p < 0.001) were significant predictors of PFME engagement. Follow-up regression showed that PFME intention predicted engagement less effectively (B = 0.51, p < 0.001), and perceived UI predicted engagement more strongly (B = −0.22, p < 0.001) when participants were 6 months or longer post-RP. Interactions between months since RP and intention (B = −0.60, p < 0.001) and perceived UI (B = −0.11, p < 0.017) significantly impacted PFME engagement. The study suggests that the RAA framework can effectively predict PFME engagement in men post-RP, guiding the development of tailored interventions to enhance PFME engagement, ultimately improving urinary incontinence outcomes. This research also has the potential to impact the research community by offering insights into behavioural determinants and enhancing the effectiveness of post-radical prostatectomy rehabilita
哪些因素影响根治性前列腺切除术（RP）后男性盆底肌运动（PFME）的意愿和参与？人口统计学和医学特征如何调节这些关系？rp后尿失禁（UI）影响高达69%的患者，显著影响其生活质量。PFME被推荐用于治疗尿失禁，但许多患者未能达到所需的频率和强度，导致不理想的结果。本研究旨在利用理性行动方法（RAA）确定影响PFME意向和参与的因素，以填补PFME研究和实践中的空白。文献强调经验态度、工具态度、禁令规范、自主性、能力和感知UI影响PFME参与。以前的研究并没有充分探讨这些决定因素在rp后男性中的作用。此外，人口和医学因素（如教育水平和手术后时间）对这些关系的调节作用仍未得到充分研究。这一差距强调需要有针对性的、基于证据的干预措施来优化rp后的UI管理。本研究采用了相关设计，收集了两点数据：基线和四周随访。共有108名来自约旦安曼两家大医院的前列腺癌（PC）术后患者参加了这项研究。在获得IRB批准后，我们在随访期间招募患者，招募率为93.1%。所有参与者均获得书面知情同意。数据是通过匿名、打印的问卷收集的，问卷在医院的私人房间里发放。测量PFME参与、RAA决定因素和人口统计数据。107名参与者完成了后续调查，保留率为99.1%。统计分析包括层次回归分析和适度分析。在最后的模型中，PFME意向（β = 0.33, p < 0.001）和感知UI （β = - 0.08, p < 0.001）是PFME参与的显著预测因子。随访回归显示，当参与者在rp后6个月或更长时间内，PFME意向对敬业度的预测效果较差（B = 0.51, p < 0.001），而感知UI对敬业度的预测效果较强（B = - 0.22, p < 0.001）。RP和意图（B = - 0.60, p < 0.001）和感知UI （B = - 0.11, p < 0.017）之间的交互作用显著影响了PFME参与。该研究表明，RAA框架可以有效预测rp后男性PFME的参与，指导量身定制的干预措施的发展，以提高PFME的参与，最终改善尿失禁的结果。这项研究也有可能通过提供对行为决定因素的见解和提高根治性前列腺切除术后康复策略的有效性来影响研究界。
{"title":"Factors Influencing Pelvic Floor Muscle Exercise Engagement Among Patients Post-Radical Prostatectomy: A Prospective Correlational Study","authors":"Yousef Qan'ir, Lixin Song, Kathleen Knafl, Mary Lynn, Paschal Sheeran, Hung-Jui Tan, Baiming Zou, Mohammed Shahait","doi":"10.1111/ijun.70011","DOIUrl":"https://doi.org/10.1111/ijun.70011","url":null,"abstract":"<div>\u0000 \u0000 <p>What factors influence pelvic floor muscle exercise (PFME) intention and engagement among men post-radical prostatectomy (RP), and how do demographic and medical characteristics moderate these relationships? Post-RP urinary incontinence (UI) affects up to 69% of patients, significantly impacting their quality of life. PFME is recommended to manage UI, but many patients fail to achieve the required frequency and intensity, leading to suboptimal outcomes. This study seeks to identify factors influencing PFME intention and engagement, using the Reasoned Action Approach (RAA), to fill the gaps in PFME research and practice. The literature highlights that experiential attitude, instrumental attitude, injunctive norm, autonomy, capacity and perceived UI influence PFME engagement. Previous studies have not fully explored the role of these determinants specifically among men post-RP. Additionally, the moderating effects of demographic and medical factors, such as education level and time since surgery, on these relationships remain underexamined. This gap underscores the need for targeted, evidence-based interventions to optimise UI management post-RP. This study utilised a correlational design with data collected at two points: baseline and a four-week follow-up. A total of 108 men with prostate cancer (PC) post-RP from two large hospitals in Amman, Jordan, participated. After obtaining IRB approval, we recruited patients during their follow-up visits, achieving a recruitment rate of 93.1%. Written informed consent was obtained from all participants. Data were collected through anonymous, printed questionnaires administered in private rooms at the hospitals. PFME engagement, RAA determinants and demographics were measured. A follow-up survey was completed by 107 participants, yielding a retention rate of 99.1%. Statistical analysis included hierarchical regression and moderation analyses. In the final model, PFME intention (<i>β</i> = 0.33, <i>p</i> < 0.001) and perceived UI (<i>β</i> = −0.08, <i>p</i> < 0.001) were significant predictors of PFME engagement. Follow-up regression showed that PFME intention predicted engagement less effectively (<i>B</i> = 0.51, <i>p</i> < 0.001), and perceived UI predicted engagement more strongly (<i>B</i> = −0.22, <i>p</i> < 0.001) when participants were 6 months or longer post-RP. Interactions between months since RP and intention (<i>B</i> = −0.60, <i>p</i> < 0.001) and perceived UI (<i>B</i> = −0.11, <i>p</i> < 0.017) significantly impacted PFME engagement. The study suggests that the RAA framework can effectively predict PFME engagement in men post-RP, guiding the development of tailored interventions to enhance PFME engagement, ultimately improving urinary incontinence outcomes. This research also has the potential to impact the research community by offering insights into behavioural determinants and enhancing the effectiveness of post-radical prostatectomy rehabilita","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770036","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}
Is there any effect of discharge education content delivered via SMS by nurses on the quality-of-life scores of patients who have undergone radical prostatectomy (RP)? Although RP offers the greatest potential for a definitive cure in localised prostate cancer and improves overall survival, it is associated with various psychosocial and psychological challenges after the discharge period. These issues can lead to decreased patients' quality of life. Surgical treatment-specific side effects can lead to some problems. So, patients are often unprepared for posttreatment self-management at home. A structured follow-up programme following surgery is necessary to increase quality of life and decrease some undesirable complications. Discharge training via SMS messages sent by clinical nurses may increase quality of life in patients after RP. This study was conducted with the aim of evaluating the effect of SMS messages containing discharge information sent by nurses on the quality of life of patients who underwent RP. This quasi-experimental study was conducted from May to December 2022, with 57 patients (29 in the intervention and 28 in the control group) who underwent RP in Istanbul, Turkiye. The intervention group received routine follow-up and discharge information via SMS message twice a week between 09:00 and 17:00 on Mondays and Thursdays for four weeks. The control group received routine information. A ‘Descriptive Characteristics Form’ and the ‘SF-36 Quality of Life Scale’ were used as data collection tools. The data was evaluated by descriptive statistics and paired-sample t-tests. The study findings indicated that the average scores across all SF-36 Quality of Life Scale subdimensions (physical functioning, physical role functioning, emotional role functioning, vitality, mental health, social role functioning and general health perceptions) were significantly higher in the intervention group after one month (p ⟨ 0.01). Postoperative SMS messages sent by clinical nurses increased patients' quality of life. These findings underscore the importance of discharge information reminders via SMS text messages by clinical nurses following RP for enhancing patients' quality of life.
{"title":"Does SMS Message Sent by Nurse After Radical Prostatectomy Affect Quality of Life?","authors":"Elif Nur Karasu, Isil Isik Andsoy","doi":"10.1111/ijun.70009","DOIUrl":"https://doi.org/10.1111/ijun.70009","url":null,"abstract":"<p>Is there any effect of discharge education content delivered via SMS by nurses on the quality-of-life scores of patients who have undergone radical prostatectomy (RP)? Although RP offers the greatest potential for a definitive cure in localised prostate cancer and improves overall survival, it is associated with various psychosocial and psychological challenges after the discharge period. These issues can lead to decreased patients' quality of life. Surgical treatment-specific side effects can lead to some problems. So, patients are often unprepared for posttreatment self-management at home. A structured follow-up programme following surgery is necessary to increase quality of life and decrease some undesirable complications. Discharge training via SMS messages sent by clinical nurses may increase quality of life in patients after RP. This study was conducted with the aim of evaluating the effect of SMS messages containing discharge information sent by nurses on the quality of life of patients who underwent RP. This quasi-experimental study was conducted from May to December 2022, with 57 patients (29 in the intervention and 28 in the control group) who underwent RP in Istanbul, Turkiye. The intervention group received routine follow-up and discharge information via SMS message twice a week between 09:00 and 17:00 on Mondays and Thursdays for four weeks. The control group received routine information. A ‘Descriptive Characteristics Form’ and the ‘SF-36 Quality of Life Scale’ were used as data collection tools. The data was evaluated by descriptive statistics and paired-sample t-tests. The study findings indicated that the average scores across all SF-36 Quality of Life Scale subdimensions (physical functioning, physical role functioning, emotional role functioning, vitality, mental health, social role functioning and general health perceptions) were significantly higher in the intervention group after one month (p ⟨ 0.01). Postoperative SMS messages sent by clinical nurses increased patients' quality of life. These findings underscore the importance of discharge information reminders via SMS text messages by clinical nurses following RP for enhancing patients' quality of life.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749671","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}
What are the nursing students' perspectives on clean intermittent catheterisation applied with hybrid simulation carried out with standard patients? Nursing students must develop clean intermittent catheterisation application skills before graduation. They have limited opportunities to practise these skills in a clinical setting. The literature shows that the studies examining the hybrid simulation training reported that participants' critical thinking, clinical decision-making, communication skills, and self-confidence improved, that they felt like real nurses during the simulation training, and that their self-confidence in terms of being able to deal with related scenarios while working in the clinical setting after graduation improved. The qualitative research design was used in the study. The students (n = 20) participated in face-to-face focus groups in December 2022. Five themes (i.e., emotions, outcomes gained by students, challenges with standard patient, fidelity perceptions and transfer to clinical practice) were determined in line with the study objectives. In the hybrid simulations carried out with the standard patients, nursing students generally reported that they had positive experiences. Accordingly, nursing students are recommended to use hybrid simulations for standard patients in applications such as clean intermittent catheterisation where patient privacy is at the forefront.
{"title":"Nursing Students' Perspectives on Clean Intermittent Catheterisation With Hybrid Simulation: A Qualitative Study","authors":"Gul Sahin Karaduman, Tulay Basak, Senem Duman","doi":"10.1111/ijun.70008","DOIUrl":"https://doi.org/10.1111/ijun.70008","url":null,"abstract":"<div>\u0000 \u0000 <p>What are the nursing students' perspectives on clean intermittent catheterisation applied with hybrid simulation carried out with standard patients? Nursing students must develop clean intermittent catheterisation application skills before graduation. They have limited opportunities to practise these skills in a clinical setting. The literature shows that the studies examining the hybrid simulation training reported that participants' critical thinking, clinical decision-making, communication skills, and self-confidence improved, that they felt like real nurses during the simulation training, and that their self-confidence in terms of being able to deal with related scenarios while working in the clinical setting after graduation improved. The qualitative research design was used in the study. The students (<i>n</i> = 20) participated in face-to-face focus groups in December 2022. Five themes (i.e., emotions, outcomes gained by students, challenges with standard patient, fidelity perceptions and transfer to clinical practice) were determined in line with the study objectives. In the hybrid simulations carried out with the standard patients, nursing students generally reported that they had positive experiences. Accordingly, nursing students are recommended to use hybrid simulations for standard patients in applications such as clean intermittent catheterisation where patient privacy is at the forefront.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749669","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}
Ilaria Marcomini, Giulia Villa, Andrea Poliani, Alessia Campoli, Camilla Elena Magi, Ercole Vellone, Paolo Iovino, Debora Rosa, Duilio Fiorenzo Manara
Strong social support plays a crucial role in shaping the overall quality of life for ostomy patients. However, no comprehensive review has yet explored the role of social support for both ostomy patients and their informal caregivers. This study aims to map the existing literature on social support for ostomy patients and their caregivers. We conducted a scoping review following the guidelines provided in the Joanna Briggs Institute Manual for Evidence Synthesis. A three-step search strategy was implemented across several databases, including MEDLINE via PubMed, CINAHL and Scopus. The review included 23 articles. However, none of the included studies specifically addressed the role of social support for informal caregivers. The social networks of ostomy patients typically include family members, friends, support groups and other significant individuals. There is still little literature examining the effect of social support in adolescents with ostomies. Our findings revealed considerable heterogeneity in the tools used to measure social support. Most of the research focussed on the relationship between social support and quality of life, with few studies investigating its impact on patients' self-care, mental health or clinical outcomes. This review serves as a foundation for future studies on the subject. Further research is needed to explore social support from the perspectives of both ostomy patients and their informal caregivers.
{"title":"Exploring Social Support in Ostomy Patients: A Scoping Review","authors":"Ilaria Marcomini, Giulia Villa, Andrea Poliani, Alessia Campoli, Camilla Elena Magi, Ercole Vellone, Paolo Iovino, Debora Rosa, Duilio Fiorenzo Manara","doi":"10.1111/ijun.70005","DOIUrl":"https://doi.org/10.1111/ijun.70005","url":null,"abstract":"<div>\u0000 \u0000 <p>Strong social support plays a crucial role in shaping the overall quality of life for ostomy patients. However, no comprehensive review has yet explored the role of social support for both ostomy patients and their informal caregivers. This study aims to map the existing literature on social support for ostomy patients and their caregivers. We conducted a scoping review following the guidelines provided in the Joanna Briggs Institute Manual for Evidence Synthesis. A three-step search strategy was implemented across several databases, including MEDLINE via PubMed, CINAHL and Scopus. The review included 23 articles. However, none of the included studies specifically addressed the role of social support for informal caregivers. The social networks of ostomy patients typically include family members, friends, support groups and other significant individuals. There is still little literature examining the effect of social support in adolescents with ostomies. Our findings revealed considerable heterogeneity in the tools used to measure social support. Most of the research focussed on the relationship between social support and quality of life, with few studies investigating its impact on patients' self-care, mental health or clinical outcomes. This review serves as a foundation for future studies on the subject. Further research is needed to explore social support from the perspectives of both ostomy patients and their informal caregivers.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717331","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}
Do lower urinary tract symptoms affect disease-specific quality of life, anxiety, depression and functional status in chronic stroke patients? Nervous system lesions associated with stroke can cause lower urinary tract symptoms (LUTS) in individuals. Post-stroke dysfunctions significantly affect quality of life by causing depression and anxiety. The primary purpose of this study is to investigate the effects of LUTS on disease-specific quality of life, functional status, anxiety and depression in individuals with chronic stroke. The secondary aim was to evaluate the coherence between Overactive Bladder Questionnaire-V8 (OAB-V8) and Core Lower Urinary Tract Symptom Score (CLSS) scores. This study was a planned single-centre prospective cohort study conducted on patients with chronic stroke undergoing inpatient treatment at a rehabilitation centre. Eighty people with chronic stroke were included. LUTS were evaluated with the CLSS and OAB-V8; functional status was evaluated with the functional independence measure (FIM); anxiety and depression levels were evaluated with the Hospital Anxiety and Depression Scale (HADS) and quality of life was evaluated with the Stroke-Specific Quality of Life Scale (SS-QoL). The SS-QoL, HADS depression and anxiety subscores were significantly affected by CLSS and OAB-V8 (p < 0.05). A statistically significant effect was observed for CLSS on FIM (p < 0.05); on the other hand, there was no statistically significant effect of OAB-V8 on FIM (p > 0.05). CLSS and OAB-V8 had a statistically significant, strong positive relationship (p < 0.05). A statistically significant coherence of 81.8% was found between CLSS and OAB-V8. In conclusion, our results showed that LUTS have effects on disease-specific quality of life, functional status, anxiety and depression in chronic stroke patients. Secondly, these questionnaires can be used in the diagnosis, treatment and follow-up of LUTS in chronic stroke patients.
{"title":"Psychological and Functional Outcomes of Lower Urinary Tract Symptoms in Chronic Stroke","authors":"Humeyra Kiloatar, Aylin Aydogdu Delibay, Aysun Ozlu","doi":"10.1111/ijun.70006","DOIUrl":"https://doi.org/10.1111/ijun.70006","url":null,"abstract":"<div>\u0000 \u0000 <p>Do lower urinary tract symptoms affect disease-specific quality of life, anxiety, depression and functional status in chronic stroke patients? Nervous system lesions associated with stroke can cause lower urinary tract symptoms (LUTS) in individuals. Post-stroke dysfunctions significantly affect quality of life by causing depression and anxiety. The primary purpose of this study is to investigate the effects of LUTS on disease-specific quality of life, functional status, anxiety and depression in individuals with chronic stroke. The secondary aim was to evaluate the coherence between Overactive Bladder Questionnaire-V8 (OAB-V8) and Core Lower Urinary Tract Symptom Score (CLSS) scores. This study was a planned single-centre prospective cohort study conducted on patients with chronic stroke undergoing inpatient treatment at a rehabilitation centre. Eighty people with chronic stroke were included. LUTS were evaluated with the CLSS and OAB-V8; functional status was evaluated with the functional independence measure (FIM); anxiety and depression levels were evaluated with the Hospital Anxiety and Depression Scale (HADS) and quality of life was evaluated with the Stroke-Specific Quality of Life Scale (SS-QoL). The SS-QoL, HADS depression and anxiety subscores were significantly affected by CLSS and OAB-V8 (<i>p</i> < 0.05). A statistically significant effect was observed for CLSS on FIM (<i>p</i> < 0.05); on the other hand, there was no statistically significant effect of OAB-V8 on FIM (<i>p</i> > 0.05). CLSS and OAB-V8 had a statistically significant, strong positive relationship (<i>p</i> < 0.05). A statistically significant coherence of 81.8% was found between CLSS and OAB-V8. In conclusion, our results showed that LUTS have effects on disease-specific quality of life, functional status, anxiety and depression in chronic stroke patients. Secondly, these questionnaires can be used in the diagnosis, treatment and follow-up of LUTS in chronic stroke patients.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689225","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}
To synthesise the qualitative knowledge of urinary incontinence in post-menopausal women to better understand the experiences and impact of urinary incontinence on quality of life. Urinary incontinence can be an unpleasant and stressful experience as many women assume it is a part of the natural ageing process. The experiences of urinary incontinence can impact many women in different ways as some are reluctant to discuss or report the incidences with health professionals. There were 85 studies identified in the review, and 61 were screened for eligibility. Only four were included in the review. Common themes were identified in the studies that included psychological, physical, informational/education, social, practical needs, intimacy and sexual aspects. The psychological and physical aspects were noted in all the included studies. Many of the studies identified the difficulties post-menopausal women endure in managing episodes of urinary incontinence, as many expressed shame and embarrassment when urinary incontinence occurred. The physical aspects included concerns about maintaining good hygiene and managing irritation on their skin from constant washing. The physical aspect also included exhaustion and tiredness from managing urinary incontinence episodes. Many women in the studies expressed a desire to have ongoing education about managing urinary incontinence and the need to discuss the topic more openly. The social impact of urinary incontinence was also captured in the review, as many women expressed the desire to be social with family and friends but felt reluctant due to the fear of urinary incontinence occurring in front of other people. The practical burden of managing urinary incontinence was illustrated in this review, as some women faced many challenges in managing soiled clothing, constant washing of clothing and the skin and the need to visit the bathroom regularly. The intimacy and sexual components of their lives have been disrupted by episodes of urinary incontinence and replaced with excuses for intimate activities. Post-menopausal women living with urinary incontinence experience a range of different burdens across many different areas in trying to manage their condition. Healthcare professionals need to acknowledge that post-menopausal women are reluctant to seek treatment due to shame and feelings that urinary incontinence is a normal part of aging. To ensure quality of life for post-menopausal women living with urinary incontinence, healthcare professionals need to tailor treatment strategies to provide better care.
{"title":"Experiences of Urinary Incontinence in Women Who Are Post-Menopausal: A Systematic Review","authors":"Amanda L. Mckie, Sharon Stanton","doi":"10.1111/ijun.70007","DOIUrl":"https://doi.org/10.1111/ijun.70007","url":null,"abstract":"<p>To synthesise the qualitative knowledge of urinary incontinence in post-menopausal women to better understand the experiences and impact of urinary incontinence on quality of life. Urinary incontinence can be an unpleasant and stressful experience as many women assume it is a part of the natural ageing process. The experiences of urinary incontinence can impact many women in different ways as some are reluctant to discuss or report the incidences with health professionals. There were 85 studies identified in the review, and 61 were screened for eligibility. Only four were included in the review. Common themes were identified in the studies that included psychological, physical, informational/education, social, practical needs, intimacy and sexual aspects. The psychological and physical aspects were noted in all the included studies. Many of the studies identified the difficulties post-menopausal women endure in managing episodes of urinary incontinence, as many expressed shame and embarrassment when urinary incontinence occurred. The physical aspects included concerns about maintaining good hygiene and managing irritation on their skin from constant washing. The physical aspect also included exhaustion and tiredness from managing urinary incontinence episodes. Many women in the studies expressed a desire to have ongoing education about managing urinary incontinence and the need to discuss the topic more openly. The social impact of urinary incontinence was also captured in the review, as many women expressed the desire to be social with family and friends but felt reluctant due to the fear of urinary incontinence occurring in front of other people. The practical burden of managing urinary incontinence was illustrated in this review, as some women faced many challenges in managing soiled clothing, constant washing of clothing and the skin and the need to visit the bathroom regularly. The intimacy and sexual components of their lives have been disrupted by episodes of urinary incontinence and replaced with excuses for intimate activities. Post-menopausal women living with urinary incontinence experience a range of different burdens across many different areas in trying to manage their condition. Healthcare professionals need to acknowledge that post-menopausal women are reluctant to seek treatment due to shame and feelings that urinary incontinence is a normal part of aging. To ensure quality of life for post-menopausal women living with urinary incontinence, healthcare professionals need to tailor treatment strategies to provide better care.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689226","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 study was conducted to determine lower urinary tract symptoms (LUTS) and their impact on the quality of life in obese women with LUTS. This study was conducted using a qualitative method at a university hospital. In-depth interviews were conducted with 30 obese women who had LUTS and no chronic illnesses using a semi-structured interview form. The interviews were evaluated through content analysis, and themes were identified and findings were interpreted. Qualitative analysis revealed that LUTS significantly affected women's lives, with complaints increasing as the degree of obesity increased. Most women reported searching for a restroom when going out, being unable to perform religious practices such as prayer, and experiencing negative effects on their sexual lives. Most women indicated that the causes of urinary tract symptoms were pregnancy/birth, excess weight and ageing. In conclusion, it was observed that obesity causes LUTS in women and negatively affects their quality of life.
{"title":"Lower Urinary Tract Symptoms and Quality of Life in Obese Women: A Qualitative Study","authors":"Arzu Malak, Ergul Aslan","doi":"10.1111/ijun.70003","DOIUrl":"https://doi.org/10.1111/ijun.70003","url":null,"abstract":"<p>This study was conducted to determine lower urinary tract symptoms (LUTS) and their impact on the quality of life in obese women with LUTS. This study was conducted using a qualitative method at a university hospital. In-depth interviews were conducted with 30 obese women who had LUTS and no chronic illnesses using a semi-structured interview form. The interviews were evaluated through content analysis, and themes were identified and findings were interpreted. Qualitative analysis revealed that LUTS significantly affected women's lives, with complaints increasing as the degree of obesity increased. Most women reported searching for a restroom when going out, being unable to perform religious practices such as prayer, and experiencing negative effects on their sexual lives. Most women indicated that the causes of urinary tract symptoms were pregnancy/birth, excess weight and ageing. In conclusion, it was observed that obesity causes LUTS in women and negatively affects their quality of life.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397063","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}
Luca Dal Corso, Veronica Gilioli, Michele Boldini, M. Bogoni, A. Bianchi, A. Gozzo, R. G. Bertolo, A. Antonelli, M. A. Cerruto
Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.
{"title":"Impact of Proctor Specialist on Scrub Nurse Experience in Sacral Neuromodulation Implant","authors":"Luca Dal Corso, Veronica Gilioli, Michele Boldini, M. Bogoni, A. Bianchi, A. Gozzo, R. G. Bertolo, A. Antonelli, M. A. Cerruto","doi":"10.1111/ijun.70004","DOIUrl":"https://doi.org/10.1111/ijun.70004","url":null,"abstract":"<div>\u0000 \u0000 <p>Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121249","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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