International Journal of Urological Nursing最新文献

For many years there has been evidence of an association between heart disease and erectile dysfunction (ED). This is a health problem that affects patients both physically and psychologically. Individuals affected by coronary heart disease need a comprehensive care approach to achieve optimal health outcomes. However, there is a gap in nursing research on the sexual life of men with coronary artery disease. This descriptive research will identify the prevalence of self-care and ED in Turkish men having coronary heart disease and examine potential interactions between them. This descriptive study conducted between March 2022 and March 2023 with 178 men aged 18–70 years who were followed up in the cardiology polyclinic of a hospital with a diagnosis of coronary artery disease. Data collected via face-to-face meetings using a Socio-Demographic Questionnaire Form, Coronary Heart Disease Self-Care Inventory and International Index of Erectile Function questionnaire. Ethical approval was obtained before starting research. The Declaration of Helsinki was complied with during the research period. Of the participating patients, 52.2% were older than 65 years and 37.6% had high school education or higher. A significant proportion of patients (42.1%) had been married for 20–29 years. The majority of the participants (59%) were still working and 88.8% reported that their income was equal to their expenses. The mean scores of the scales were found to be moderate and when the correlation between the scales was examined, a moderate positive correlation was found (p < 0.05). A regression was performed to determine the causal relationship linking self-care scores and ED. The results yielded significant findings (F = 46.854; p < 0.05). The change in the level of ED was found to be explained by self-care at a rate of 43.7% (R² = 0.437). This study showed that ED levels decreased with improving self-care levels in men with coronary heart disease. While counselling these patients, health professionals should aim to increase their self-care competencies related to cardiac rehabilitation and decrease their ED levels by considering the characteristics of the patients.

Testicular cancer is one of the most common urogenital cancers in men. Early detection of this type of cancer through screening and self-examination increases the chances of survival and reduces healthcare expenses. Nurses, physicians and patients have critical responsibilities in preventing testicular cancer. The results of this research will make a significant contribution to the development of preventive services by determining the health beliefs and general knowledge level of patients about testicular cancer and testicular self-examination (TSE). Therefore, this study was conducted to determine the relationship between health beliefs and health literacy regarding testicular cancer and TSE of men who applied to the urology clinic. This descriptive study was conducted with male patients who applied to the urology outpatient clinic of a public hospital between March and June 2023. 337 volunteers participated in the study. Ethics committee and institutional permissions were obtained before starting the study. Data were collected using the socio-demographic information form, ‘Champion Health Belief Model Scale’ and ‘Health Literacy Scale’ prepared by the researchers. In evaluating the data, frequency, percentage, average, Student's t-test, one-way ANOVA (post hoc Lsd) was used. Significance was evaluated at p < 0.05 level. It was determined that 94.7% of the participants did not know a method to detect testicular cancer by themselves, 84.0% of them had not heard of TSE, and 78% of them did not perform TSE because they did not know TSE. According to the findings of the study, Champion Health Belief Model Scale subscale mean scores were 12.91 ± 4.89 for sensitivity perception, 20.51 ± 6.75 for caring/seriousness perception, 9.20 ± 3.03 for benefit perception, 13.61 ± 4.77 for obstacle perception, and 17.34 ± 5.51 for self-efficacy perception. Health literacy scale sub-dimension mean scores were 17.13 ± 6.00 for access to information, 20.81 ± 7.04 for understanding information, 28.04 ± 8.59 for appraisal/evaluation, 17.55 ± 5.80 for application/usage, and 87.16 ± 26.39 for total mean scores. In the study, it was determined that susceptibility and benefits of TSE perception increased, and barrier perception decreased as health literacy increased. Accordingly, since it is observed that increasing health literacy will increase the frequency of performing TSE, it should be supported by health literacy-enhancing training sessions.

Chronic pornography use is a public health problem that has considerable effects on men's health, especially on their sexual performance, having effects that can be encompassed from a biological, social, and psychological approach. Our objective was to conduct a literature review to evaluate the consequences in terms of sexual performance of young men who have chronic consumption of pornography. Chronic pornography consumption was related to erectile dysfunction, premature ejaculation, and alterations in genital anatomy and physiology. Social and psychological effects were also found, such as increased rates of violence towards women, problems with partners, and intimacy. However, benefits of controlled consumption of pornography have also been identified, such as reaffirmation of sexual orientation, stimulation of self-discovery of the body, and improved communication with partners. Chronic consumption of pornography has direct effects on the sexual performance of young people and should be evaluated by a multidisciplinary team that includes physiological, social, and psychological elements. However, its use may be recommended for people with psychological problems, urological problems, and urological cancer.

Renal cyst – duodenal fistula is not common and we know little about their presentation and management. The present case report describes a unique endoscopic technique to manage an infected renal cyst through a preexisting duodenal fistula. A retrospective evaluation and analysis were performed of a patient with an infected renal cyst-duodenal fistula seen in our unit. Patient symptoms, imaging findings, and details of endoscopic procedures were evaluated. The Need for minimally invasive techniques is increasing nowadays as both diagnostic and therapeutic approaches. One of these modalities is the endoscopic management of gastrointestinal fistulae. Minimally invasive techniques can be used as a bridge to major surgeries in those who are not candidates initially.

Men with urinary incontinence problems may have a fear of urinary incontinence during sexual intercourse, which may negatively affect their sexual lives. This study aimed to determine the effect of urinary incontinence on quality of life and erectile dysfunction in men. A total of 203 men with urinary incontinence who presented to a urology outpatient clinic were assessed using a patient information form, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF), and the International Index of Erectile Function (IIEF). The mean age was 63.48 ± 8.80 years, the mean ICIQ-SF score was 13.45 ± 3.14 (moderate), and the IIEF erectile dysfunction score was 18.52 ± 6.48 (mild/moderate). Patient age correlated positively with the ICIQ-SF total score (r = 0.309, p < 0.001) and negatively with the IIEF total score (r = −0.452, p < 0.001). The ICIQ-SF score was negatively correlated with erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction scores (p < 0.001, p = 0.015, p = 0.037, p = 0.006 and p = 0.001, respectively). More severe urinary incontinence in men was associated with lower quality of life and greater erectile dysfunction. Further studies are needed to raise men's awareness of urinary incontinence.

To review and summarize the available evidence on technology-based nursing interventions for urinary incontinence. Scoping review. A review of english and German research articles published up to April 2024 examining nursing interventions in older people (> = 65 years) was conducted. Studies were retrieved by searching the Medline electronic database via PubMed and CINAHL database. Eight studies met the inclusion criteria. The review followed the updated methodological guidance for the conduct of scoping reviews published in 2020. Eight studies and three different types of interventions based on digital technologies were identified: sensor-based interventions, app-based interventions and computer-based digital expert systems. The interventions showed positive and no effects. The studies showed a high variety in terms of study designs, settings, measurement instruments, measured outcomes and were consequently not comparable. The current research density is too low to recommend interventions. Therefore, more high-quality studies are needed. Studies should be designed to be comparable, if possible. The definition of a core outcome set is therefore indicated. There is a research gap that should be closed by high-quality and comparable studies so that patients can benefit from evidence-based incontinence care in the future. Defining core outcomes can help to better compare future studies. Technology-based interventions should be investigated specifically for older people in the future as, in addition to the potential for improved incontinence care, they also have the potential to reduce the burden on caregivers and conserve staff resources. No patient or public contribution.

This study aimed to determine the effect of incontinence after radical prostatectomy on quality of life and level of frailty. It is a descriptive study conducted with 107 radical prostatectomy patients who were hospitalized in the Urology Clinic of a training and research hospital in Istanbul between March–August 2021, and met the inclusion criteria. Data were collected using the Patient Identification Form, the International Consultation on Incontinence Questionnaire – Male Lower Urinary Tract Symptoms (ICIQ-MLUTS), and the Edmonton Frail Scale (EFS). The mean fragility score of the patients was 7.82 ± 2.63, and 27% of them were ‘Mildly Frail’ and 25.2% were ‘Moderately Frail’. The ICIQ-MLUTS voiding complaints sub-dimension score of the patients was 8.62 ± 3.48, and the voiding complaints bother score was found to be 24.8 ± 9.85. The ICIQ-MLUTS storage complaints sub-dimension score was 12.13 ± 3.05, and the storage complaints bother score was 36.25 ± 9.02. The ICIQ-MLUTS daytime urinary frequency subdimension score was 2.35 ± 0.93, and the daytime urinary frequency bother score was 6.94 ± 2.17. The ICIQ-MLUTS nocturnal urinary frequency sub-dimension score was 2.79 ± 0.88, and the nocturnal urinary frequency discomfort level score was found to be 7.37 ± 2.19. In this study, it was observed that patients' complaints regarding lower urinary tract symptoms and their quality of life were at a moderate level and the frailty levels increased with the increasing severity of incontinence symptoms after radical prostatectomy.

Worldwide, nephrolithiasis is a disease with an increased frequency of presence and symptoms. This study aimed to investigate the quality of life (QoL) and the factors influencing it in patients who have undergone pigtail catheter placement. Α cross-sectional study was implemented in 85 patients from the Urology Clinic/University General Hospital of Crete, Greece, recruited during November 2022 and January 2023. Patients' demographic and medical history profile were recorded and their QoL and state anxiety status assessed using the SF-36 and State–Trait Anxiety Inventory (STAI-S) scales based on multiple logistic regression analysis. The majority of patients were female (55.3%) and the mean age of all was 53.7 years (±11.5). QoL was moderate to high while 30.6% and 35.3% of patients presented high quality of Physical and Mental Components, respectively. For Anxiety, moderate mean scores were found while 62.4% presented high anxiety. Patients with low/moderate State Anxiety compared with their counterparts had better QoL in the SF-36 subscales (p < 0.05). In the Physical Component, higher odds of high QoL appear to be found in females versus males (odds ratio, OR = 8.68, p = 0.008), in higher income categories (OR = 5.74, p < 0.001) and in patients with low/moderate anxiety (OR = 12.87, p < 0.001), while in the Mental Component higher odds were found for higher income categories (OR = 2.19, p = 0.018) and patients with low/moderate anxiety (OR = 7.20, p = 0.001). Better QoL in patients with nephrolithiasis and pigtail is associated with female gender, higher living standards and lower state anxiety, allowing more effective interventions by health professionals to alleviate patients' symptoms and empower them.

Although stoma is often life-saving, evacuation outside of natural ways and changes in body image negatively affect the quality of life of the individual. To our knowledge, there is no Turkish scale that evaluates the self-care of individuals with a stoma. This study aimed to examine the validity and reliability of the Ostomy Self-Care Index in Turkish. This is a methodological study. The study sample consisted of 253 individuals with ostomy. ‘Ostomy Individual Information Form’ and ‘Ostomy Self-Care Index’ were used as data collection tools. Data were collected between September 2020 and January 2021 through face-to-face interviews conducted at two public hospitals in Turkey. In the analysis of the data, descriptive statistics, language and content validity, confirmatory factor analysis, item analysis, internal consistency and test–retest methods were used. The content validity index was 0.99, and Cronbach's alpha was 0.949. According to confirmatory factor analysis, the goodness of fit indices were at the desired level, the factor loads of the items were between 0.575 and 0.964, and all items were included in eight sub-dimensions in line with the original scale. As in the original version of the scale, item 18, which was not statistically significant, was excluded in the analysis and was accepted as an addition. The correlation of scale items in the test–retest was between 0.837 and 0.988. This study determined that the Ostomy Self-Care Index is valid and reliable for measuring the self-care of stoma patients in Turkey. This scale can be used as a guide for evaluating the self-care of individuals with a stoma and planning their care.

This study aimed to determine the prevalence of urinary tract infections in patients with urinary catheterization receiving home health services and the affecting factors. The population of this descriptive study consisted of patients who had lived in the central districts of Erzurum between February and March 2022, were actively registered to home health services, had a urinary catheter and met the research criteria. The period prevalence method (3 months) was used in the study, and 121 patients constituted the study sample. The study data were collected using a Sociodemographic and Information Form on Urinary Catheter. Before the home visit, patients' relatives were asked to clamp the urinary catheter. After completing the data collection forms, a sufficient amount of urine was taken from the attached urinary catheter, put into the urine and culture cup/tube, and labelled with a barcode. The samples were sent to the laboratory within 15 min at the latest. The medical specialist evaluated the results, and the necessary pharmacological treatment was delivered to the patient. Of the patients with indwelling urinary catheters who received home health services, 94.2% had a urinary tract infection. Moreover, it was determined that there was a statistically significant correlation between the presence of urinary tract infection in patients and the variables of constipation, frequency of perineal cleaning, and the use of toilet paper. It was concluded that the prevalence of urinary tract infections is very high in patients with urinary catheterization receiving home health services.