International Journal of Urological Nursing最新文献

This study was conducted to determine the quality of life and self-esteem levels of women with urinary incontinence (UI). A total of 180 women participated in this cross-sectional study. This study was conducted in two stages. First, the international consultation on incontinence questionnaire-UI short form (ICIQ-SF) was implemented, and then other measures were applied to the women who scored 8 or more as the most appropriate cut-off point for ‘irritating’ UI. More specifically, a personal information form, the Rosenberg self-esteem scale (RBSS), the urogenital distress inventory-6 (UDI-6), and the incontinence impact questionnaire-7 (IIQ-7) were applied. It was observed that the mean self-esteem score of women with UI was generally sufficient. In line with the data obtained, it was observed that as the UI levels of women increased, their quality of life decreased. Similarly, a decrease was observed in the self-esteem levels of women whose quality of life decreased. As a woman's UI worsens, levels of urogenital distress increase and quality of life decreases, which leads to decreased self-esteem. Urinary incontinence is often kept secret, ignored, considered private, and seen as an unavoidable consequence of ageing.

Does nursing directed education have any impact on severity of symptoms and quality of life among BPH patients? This study aims to develop a nurse-directed education program, to assess and compare the effectiveness of the program on symptoms-severity and quality of life among BPH patients. BPH, one of the most common causes of Lower Urinary Tract Symptoms (LUTS) in elderly men, is caused by a combination of prostate proliferation and lower urinary tract obstruction. A cross-sectional study conducted by Divmehar Kaur et al. 2020 at Rajindra Hospital, Patiala, Punjab concluded that BPH patients' quality of life is negatively affected by LUTS associated with BPH (p ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH-QLS ratings varied statistically significantly (p 0.05) depending on the age, educational attainment, the occurrence of micturition issues, and whether they had ever applied to a medical facility. Then another descriptive study, correlational-type carried by Pinto et al. in 2014 in Singapore found that patients with BPH had a poor health-related quality of life and suffered significantly from their psychological wellbeing. And a RCT conducted in Korea by Jung et al. in 2011 with the aim of examining the benefits of tai chi on patients with benign prostatic hypertrophy's (BPH's) lower urinary tract symptoms (LUTSs) and quality of life (QoL) found that tai chi group's change in overall QoL score was more notable (t = 3.06; p = 0.005) and it demonstrated significant improvements. A quasi-experimental study was conducted among the BPH patients visiting the Urology OPD of AIIMS Jodhpur. Data were collected from 10 BPH patients (5 in each group) using a purposive sampling technique from those over 40 years diagnosed with BPH for the last 6 months after taking informed consent, excluding those being advised for surgery. Self-structured sociodemographic and clinical variables tool, International Prostate Symptom Score (IPSS), and 12-item Short Form Survey (SF-12) were administered. Statistical analysis was performed by employing the SPSS version 23. Chi-square and Mann–Whitney U tests were used. It was seen that there was a significant difference (p-value < 0.05) concerning the IPSS-QOL Index (p-value = 0.008) of symptoms-severity (IPSS) and PCS-12 (p-value = 0.009) of quality of life scale (SF-12) between control and experimental groups after 4th-week post-intervention (nurse-directed education program). Findings from this study will help reinforce designing a cost-effective care delivery system in the care of BPH patients. This program is a novel approach to improving preventive, curative, and rehabilitative services to BPH patients in India.

Benign prostatic hyperplasia (BPH) is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. This study was conducted to examine in-depth the difficulties experienced by BPH patients who have no other option but to undergo surgery due to their symptoms. The study is qualitative research with a phenomenological design. A total of 18 patients were included in the study. Research data were obtained using the interview method, which is one of the qualitative data collection methods, and the content analysis method was used to analyse the data obtained from the interviews. Eighteen patients with ages ranging from 57 to 75 years and experiencing BPH-related symptoms for 2–11 years participated in the study. The reactions of patients to living with BPH-related symptoms were presented under the themes of social anxiety, social disconnection, impaired quality of sleep, and decreased sexual self-confidence. The themes mentioned by BPH patients regarding the duration of their illness are the result of a combination of many factors. In this context, it is recommended that urology nurses provide psychological support, medical information, self-care skills, and self-monitoring skills to BPH patients to develop individual coping mechanisms. BPH is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. It is not impossible to find solutions to patients by understanding them deeply.

This research aims to analyse the validity and reliability of the Turkish version of the Urinary Catheter Self-Efficacy Scale (C-SE) and the Urinary Catheter Self-Management Scale (C-SMG), which comprise the Urinary Catheter Self-Care Management Questionnaire. This research is planned as a cross-sectional, methodological type of scale adaptation study. The research was conducted in three hospitals in the northwest of Turkey with 101 patients. Content validity index and confirmatory factor analysis were used in the validity analyses. In the reliability analyses, Cronbach's alpha coefficient, the split-half method, the item-total score, and Pearson's correlation analyses were used. The content validity index was 0.911 for the C-SE and 0.989 for the C-SMG. Cronbach's alpha values for the scales were 0.928 and 0.882, respectively. Besides, the item-total correlations changed between 0.562 and 0.831 for the C-SE and between 0.315 and 0.759 for the C-SMG. The coefficients got in halving were 0.960 and 0.943, respectively. The two scales that make up the Urinary Catheter Self-Care Management Questionnaire are valid and reliable measurement tools that can be used for patients undergoing long-term urinary catheterization in Turkey. In line with the results obtained from this study, we suggest that the Urinary Catheter Self-Care Management Questionnaire should be used to evaluate the self-efficacy or self-management levels of Turkish patients undergoing long-term urinary catheterization and to evaluate the effects of nursing interventions on the self-efficacy or self-management levels of patients who have undergone long-term urinary catheterization.

The aims of this study are to simulate the insertion of the new T-Control® urinary catheter with experienced healthcare professionals in bladder catheterisation and evaluate the usability and functionality of the new catheter compared to conventional Foley-type catheter open and closed systems. A small-scale quantitative study was conducted with 11 professionals who had a minimum of 3 years of professional experience, and 1 year of experience in bladder catheterisation. To test the advantages of the new T-Control® urinary catheter, a Living Lab, which is an instrument designed to test innovative solutions in real-life environments with users, was performed. The catheters used in the simulation were: a conventional Foley-type catheter in an open system, a conventional Foley-type catheter in a closed system, and the new T-Control® catheter. The participants evaluated the insertions through a satisfaction questionnaire and by a nurse expert utilizing a usability questionnaire after the complete visualization of the Living Lab was recorded. T-Control® reduced by 27.3% the contamination of the urine collection bag and the contamination of the urine collection bag connector. Accidental spillages when connecting the urine collection bag were also reduced by 54.5% using the T-Control® catheter, reducing the workload and reducing occupational accidents before connecting the urine bag. The trainer considered satisfactory 9/12 T-Control® insertions performed, improving the number of satisfactory insertions observed with the Foley-type catheter open and closed systems (with 3/12 and 7/12 results respectively). T-Control® was the best-rated product by the participants, requiring less time, and physical and mental effort. Fifty percent of the nurses would exclusively recommend T-Control® in their units, while the other half would recommend it in combination with others. The insertion of T-Control® makes the bladder catheterisation procedure easier and safer. The preparation of the sterile field requires less material since it does not include the urine collection bag while the fluid-controlling system favours the reduction of contamination and accidental spillages. Based on the nurses’ evaluation, T-Control® with its integrated urine-controlling system could bring additional benefits to the healthcare staff for catheterisation.

This research aims to evaluate the effect of group-oriented peer education given to university students with testicular cancer on health beliefs and self-examination. Is there a statistical difference in the average of health belief points of university students before education compared to after education? Testicular cancer is one of the most common cancers in young men aged 0–34 years, and is the third most common cancer in men worldwide. It ranks first among the most common types of cancer in men of the same age in Turkey. This research is a semi-experimental quantitative study with a single group pre-test and post-test design. The students of the health care services and therapy rehabilitation department of a Turkish state university participated in the study. The number of students to be included in the study was determined as n = 78 when the calculation was made according to the sample selection formula for the group whose universe was known. Data were obtained from the personal information form, the testicular cancer and testicular self-examination-related health beliefs scale, and the self-examination form. This study followed the ethical directions of the Helsinki Declaration. Ethics committee approval and institutional permission were obtained before the study was conducted. The students were informed about the purpose of the research, and their consent was obtained to participate in the research. Mann–Whitney U, Wilcoxon, and chi-square analyses were performed for data analysis. A significant difference was found between pre-test and post-test scores of severity and care, benefit and health motivation, barriers, and self-efficacy (p < 0.05). In the study, it was determined that group-oriented peer education was effective in promoting testicular self-examination. Experimental studies with larger study groups are recommended to increase testicular self-examination. Practice educational initiatives should be planned to encourage nurses to perform testicular self-exam in the best environment and education model where they can reach men in the risk group between the ages of 15–25 organization of planned trainings for men. This study is the small sample size. A larger and more representative sample of students from the social and health departments of different faculties would have provided more reliable results.

We hypothesized that older patients who underwent a urinary catheter removal protocol would not have an increased risk of postoperative complications. We further hypothesized that the revised protocol would be more suitable for clinical application. This study aimed to develop a urinary catheter removal protocol after Transurethral Resection of the Prostate and to assess the feasibility of the protocol to support catheter removal and promote recovery of self-voiding function. Delayed catheter removal after Transurethral Resection of the Prostate was associated with urinary tract infection and longer hospital stays. However, no strategy has been described to promote recovery of self-voiding function after catheter removal after Transurethral Resection of the Prostate. The urinary catheter removal protocol was developed through expert consensus, including strategies for caring for urinary catheters, assessment of urinary catheter removal, and strategies after urinary catheter removal. Moreover, a quasi-experimental design was adopted in the urology ward of a tertiary care medical centre in southern Taiwan. Patients aged ≥65 years who underwent Transurethral Resection of the Prostate were included. A total of 13 patients (intervention = 5; control = 8) were included in the feasibility evaluation. A urinary catheter removal protocol after Transurethral Resection of the Prostate was developed and the consensus among experts on the urinary catheter removal protocol was 99%. There were no significant differences in terms of bleeding, urine retention, urinary tract infection, or re-catheterization between the two groups. However, in the intervention group, the pain score decreased significantly on the second day after Transurethral Resection of the Prostate. This revised urinary catheter removal protocol after Transurethral Resection of the Prostate may be suitable for clinical applications. However, small size reduces the statistical power of the findings and further studies are needed to examine the current protocol does not have an increased risk of postoperative complications.