Psychological and Functional Outcomes of Lower Urinary Tract Symptoms in Chronic Stroke

IF 0.4 Q4 NURSING
Humeyra Kiloatar, Aylin Aydogdu Delibay, Aysun Ozlu
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引用次数: 0

Abstract

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.

慢性脑卒中患者下尿路症状的心理和功能结局
慢性脑卒中患者的下尿路症状是否影响疾病特异性生活质量、焦虑、抑郁和功能状态?与中风相关的神经系统病变可引起个体下尿路症状(LUTS)。卒中后功能障碍通过引起抑郁和焦虑显著影响生活质量。本研究的主要目的是探讨LUTS对慢性脑卒中患者疾病特异性生活质量、功能状态、焦虑和抑郁的影响。次要目的是评估膀胱过度活动量表- v8 (OAB-V8)和核心下尿路症状评分(CLSS)评分之间的一致性。本研究是一项有计划的单中心前瞻性队列研究,对在康复中心接受住院治疗的慢性卒中患者进行研究。80名慢性中风患者被纳入研究。采用CLSS和OAB-V8评估LUTS;采用功能独立性测量法(FIM)评价功能状态;采用医院焦虑抑郁量表(HADS)评估焦虑和抑郁水平,采用卒中特异性生活质量量表(SS-QoL)评估生活质量。CLSS和OAB-V8对SS-QoL、抑郁和焦虑评分有显著影响(p < 0.05)。CLSS对FIM的影响有统计学意义(p < 0.05);另一方面,OAB-V8对FIM的影响无统计学意义(p > 0.05)。CLSS与OAB-V8呈显著正相关(p < 0.05)。CLSS与OAB-V8的一致性为81.8%,具有统计学意义。总之,我们的研究结果表明,LUTS对慢性脑卒中患者的疾病特异性生活质量、功能状态、焦虑和抑郁有影响。其次,这些问卷可用于慢性脑卒中患者LUTS的诊断、治疗和随访。
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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
35
审稿时长
>12 weeks
期刊介绍: International Journal of Urological Nursing is an international peer-reviewed Journal for all nurses, non-specialist and specialist, who care for individuals with urological disorders. It is relevant for nurses working in a variety of settings: inpatient care, outpatient care, ambulatory care, community care, operating departments and specialist clinics. The Journal covers the whole spectrum of urological nursing skills and knowledge. It supports the publication of local issues of relevance to a wider international community to disseminate good practice. The International Journal of Urological Nursing is clinically focused, evidence-based and welcomes contributions in the following clinical and non-clinical areas: -General Urology- Continence care- Oncology- Andrology- Stoma care- Paediatric urology- Men’s health- Uro-gynaecology- Reconstructive surgery- Clinical audit- Clinical governance- Nurse-led services- Reflective analysis- Education- Management- Research- Leadership The Journal welcomes original research papers, practice development papers and literature reviews. It also invites shorter papers such as case reports, critical commentary, reflective analysis and reports of audit, as well as contributions to regular sections such as the media reviews section. The International Journal of Urological Nursing supports the development of academic writing within the specialty and particularly welcomes papers from young researchers or practitioners who are seeking to build a publication profile.
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