International Journal of Urological Nursing最新文献

Urinary retention is a common post-operative complication in the older patients. The use of hot and cold compresses can be considered a safe and non-invasive method to relieve urinary retention. In this study, the effects of these two methods are compared. In this randomised clinical trial study, 52 older patients with urinary retention underwent general surgery in two groups underwent local intervention of hot and cold water compresses. After the intervention, success in relieving retention and the exact duration of urine flow were measured and recorded. The mean age of the hot compress group was 69.38 ± 7.82 and the cold compress group was 68.96 ± 7.28 years and the majority of both groups were male. The mean duration of post-operative urinary retention was not significantly different between the two groups. Urinary retention was eliminated in 46.2% of patients in the hot compress group and 53.8% in the cold compress group without the need for catheterization. This difference was not statistically significant (p = 0.782). The duration of urination after compression did not show a statistically significant difference between the two groups. Due to very little research on the use of cold compresses in relieving urinary retention, the findings of this study showed that the success rate of cold compresses in relieving retention was slightly higher than hot compresses. Therefore, this type of compress can also be used to relieve retention.

The aim of this study protocol is to examine the effect of telephone-assisted smoking cessation programme based on the information motivation behavioural skills model on the self-efficacy, smoking behaviour, tumour recurrence and progression in patients diagnosed with non-muscle-invasive bladder cancer. A single-center, single-blind, parallel-group, randomized control trial. The intervention group will receive telephone-assisted smoking cessation programme, while no intervention will be applied to the control group. Face-to-face smoking cessation training will be provided for the information component of the programme, motivational interview will be conducted via WhatsApp for its motivation component. Motivational interviews will be undertaken in total of six sessions organized at two-week intervals. The patients' chronic disease management self-efficacy, smoking behaviour will be evaluated at the third, sixth, 12th months. Tumour recurrence, progression will be followed up by cystoscopy at the third, 12th months. This is a randomized controlled study protocol, results are not available at the time of the submission. All results will be reported on the completion of this study. This study protocol, will involve the implementation of comprehensive smoking cessation programme that is much needed for the target population around the world. It is expected that the use of this programme will increase the self-efficacy of smokers with bladder cancer, decrease their smoking behaviour and amount of smoking, eliminate tumour recurrence. Smoking is the most important, modifiable risk factor for bladder cancer. In this study, it is expected that the implementation of telephone-assisted smoking cessation programme based on the information–motivation–behavioural skills model will increase self-efficacy in cancer management and decrease smoking behaviour, tumour recurrence in patients diagnosed with bladder cancer. In the literature, there is no smoking cessation programme based on this model intended for patients diagnosed with bladder cancer.

Nocturnal enuresis is a common childhood problem impacting the quality of life of children and families. Treatment with an enuresis alarm is recommended for 8–12 weeks by the International Children's Continence Society as first line management of monosymptomatic nocturnal enuresis. However, the effectiveness of alarm therapy varies between 80% and 45.9%. There is minimal evidence within the literature exploring the factors impacting this varying response to alarm therapy. Therefore, this literature review aims to explore factors that impact the effectiveness of the enuresis alarm as a treatment for nocturnal enuresis, in children aged 5–17 years. Literature searches were conducted on MEDLINE (Ovid), SCOPUS and CINAHL Databases. The PRISMA tool was used to report the data in the search strategy. The inclusion criteria of children aged 5 to 17 years was chosen based on International Children's Continence Society Guidelines. English language, academic journals and studies in the past 10 years were selected as additional inclusion criterion to identify the most recent, robust literature for the review. All 13 primary research articles were critiqued using the Caldwell Framework. Data were extracted and presented in table format highlighting study methodology, sample, duration of treatment, relevance to review topic and key findings. The findings highlight factors influencing the effectiveness of alarm therapy related to the impact on the child and family, heighten arousal to the alarm, the duration of therapy, age of child and the impact of overlearning. This review provides health professionals with an insight into strategies that may help children and their family to respond successfully to enuresis alarm treatment.

The purpose of this study was to determine the effect of transurethral resection of the prostate (TURP) surgery on quality of sexual life in patients' spouses. A pre/post-operative test, quasi-experimental design with no control group was employed. The research was conducted in the urology clinics of two hospitals in the west of Turkey between 30 June and 30 September 2022. It was completed with 172 patient spouses recruited using non-probability sampling. The study data were collected using an individual information form and the Sexual Quality of Life-Female questionnaire. The preoperative test applied prior to surgery was administered by the face-to-face interview method, while the postoperative test was completed by telephone interviews 8 weeks after the initial data collection. The mean age of the individuals undergoing TURP surgery in this study was 62.69 ± 7.98 years (min 40, max 77), and the mean age of the spouses was 57.91 ± 7.46 (min 39, max 73). Sexual Quality of Life-Female scores after surgery were significantly higher than the pre-surgical values (p < 0.001). A significant difference in sex life quality was determined in terms of age, education, employment status, presence of chronic disease, number of children, and ‘love marriages’ (p < 0.05). The sexual life quality of the spouses of patients exposed to TURP surgery increased significantly 8 weeks after the procedure. The quality of sex life was higher among individuals with higher education levels, working individuals, and those who ‘married for love’, but decreased in line with age and number of children.

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.

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.