International Journal of Urological Nursing最新文献

{"title":"Relationship of Resilience With Fatigue and Quality of Life in Uro-Oncological Surgery","authors":"Ramazan Sakarya,&nbsp;Meryem Yilmaz","doi":"10.1111/ijun.70033","DOIUrl":"https://doi.org/10.1111/ijun.70033","url":null,"abstract":"<div>\u0000 \u0000 <p>Does psychological resilience (PR) play a role in reducing perioperative fatigue and improving quality of life (QoL) in urologic surgery patients? Advances in surgical methods have been promising in the treatment of urologic cancers, the incidence of which has been steadily increasing over the last 30 years. However, uro-oncologic surgical procedures may cause negative effects such as increased fatigue and decreased QoL. The role of PR in alleviating the negative effects of urologic cancer surgery has recently been an important topic of discussion. This study aims to determine the relationship between PR and fatigue and QoL in uro-oncologic surgery patients. The study is a descriptive and correlational study. It was conducted in a training and research hospital in Türkiye between September 1, 2021 and June 1, 2022. Data collection was performed using a questionnaire, Connor-Davidson Resilience Scale-Short Form (CD-RISC-SF), Functional Assessment of Chronic Illness Treatment-Fatigue (FACIT-F) and Functional Assessment of Cancer Treatment-General (FACT-G). The study included 148 urologic cancer patients with a mean age of 62.83 years, the majority of whom were male. While significant decreases were observed in all scale scores after surgery (<i>p &lt;</i> 0.01), the results of multiple regression analysis revealed that PR and fatigue were important determinants of QoL during the surgical treatment process. Pre- and postoperative CD-RISC-SF scores were moderately correlated with FACIT-F score (<i>r</i> = 0.357–0.424) and highly correlated with FACT-G score (<i>r</i> = 0.542–0.578) (<i>p</i> &lt; 0.001). CD-RISC-SF (<i>β</i> = 0.403) and FACIT-F (<i>β</i> = 0.481) explained 52.2% (adjusted <i>R</i>² = 0.522) of the variance of FACT-G preoperatively, which increased to 59.9% (adjusted <i>R</i>² = 0.599) postoperatively. Furthermore, the explanatory power of CD-RISC-SF score on FACIT-F score increased from 11.4% to 19.3% postoperatively (<i>p</i> &lt; 0.001). In both periods, CD-RISC-SF score had a significant positive effect on FACIT-F and FACT-G scores. This study showed that PR and QoL decreased, and fatigue increased in patients undergoing uro-oncologic surgery. PR was identified as a factor that positively influenced both the reduction of fatigue and the improvement of QoL. The findings support the integration of interventions to enhance PR into the urosurgical care process.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224037","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}

{"title":"Effect of a Standardized Laxative Regimen on Gastrointestinal Recovery Following Radical Cystectomy in Patients With Muscle-Invasive Bladder Cancer (MIBC) or High-Grade Non-Muscle Invasive Bladder Cancer (NMIBC)","authors":"J. Bajramovic,&nbsp;T. K. Dreyer,&nbsp;S. B. T. Nielsen,&nbsp;I. Søndergaard,&nbsp;J. B. Jensen,&nbsp;B. T. Jensen","doi":"10.1111/ijun.70030","DOIUrl":"https://doi.org/10.1111/ijun.70030","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145101270","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}

{"title":"Identifying the Need for Prehabilitation in Patients Undergoing Nephrectomy or Nephroureterectomy","authors":"B. T. Jensen,&nbsp;K. M. Melchiorsen,&nbsp;P. B. Hjort,&nbsp;H. V. Thaysen,&nbsp;I. Larsen,&nbsp;M. Lorenzen,&nbsp;R. Knudsen,&nbsp;A. K. Keller","doi":"10.1111/ijun.70031","DOIUrl":"https://doi.org/10.1111/ijun.70031","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022204","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}

{"title":"Implementing Nursing Practice in Italy: Steps for Nurse Training and Supervision in Urodynamic Studies","authors":"S. Dal Bello,&nbsp;C. Toneguzzi,&nbsp;S. Magon,&nbsp;L. Forner,&nbsp;F. Claps,&nbsp;A. Porreca,&nbsp;A. Amodeo","doi":"10.1111/ijun.70029","DOIUrl":"https://doi.org/10.1111/ijun.70029","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915058","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}

{"title":"Are ChatGPT's Responses to Urologic Inquiries Readable and Supported by AUA Guidelines?","authors":"Chase Morrison,&nbsp;Jack Vercnocke,&nbsp;Ana M. Moser,&nbsp;Michael L. Cher,&nbsp;Steven Lucas,&nbsp;John Cochrane,&nbsp;Aron Liaw,&nbsp;Kevin Ginsburg","doi":"10.1111/ijun.70023","DOIUrl":"https://doi.org/10.1111/ijun.70023","url":null,"abstract":"<div>\u0000 \u0000 <p>Are ChatGPT 3.5's responses to patient inquiries about urologic health conditions (1) supported by the American Urological Association's guidelines and (2) readable and accessible to patients? Artificial intelligence technology continues to increase in popularity, but it still must be heavily vetted to ensure safety and accuracy prior to clinical implementation. ChatGPT has varying success when it comes to accurately answering medical questions. We wanted to see if the chatbot's responses to urologic inquiries were conveyed in a patient-friendly manner and supported by the American Urological Association's guidelines. Our results were compared to those of prior studies looking at ChatGPT's performance on the United States Medical Licensing Examination and American Urological Association Self-Assessment Study Programme. ChatGPT's responses to inquiries were compared to guideline statements set forth by the American Urological Association on its website. In this qualitative experiment, 30 prompts were written from a patient's perspective covering multiple urologic domains. The prompts were posed to ChatGPT 3.5 with responses recorded verbatim and graded with a Support Score and Quality Score by eight evaluators consisting of five board-certified urologists and three current urology residents. Readability of the responses was assessed with Flesch–Kincaid Readability Grade Level scores and statistical analysis was performed with Stata version 15.1. 20/30 (66%) of ChatGPT's responses were supported by the American Urological Association's guidelines (median SS of 4, IQR 3–5), although responses to oncology questions were less supported (5/12 supported). 11/30 (37%) of responses were deemed high quality (median QS of 4, IQR 3–5) with responses related to infertility having the highest quality (3/4). The average Flesch–Kincaid Readability Grade Level score across all domains was 18, equivalent to a college graduate reading level. Most responses from ChatGPT 3.5 to urologic inquiries were supported by current American Urological Association guidelines, but the majority were of overall low quality. Responses were at a college graduate reading level, making them inaccessible to most patients. ChatGPT 3.5 has limitations in its ability to answer urologic health questions in a patient-friendly manner, but future versions may improve its utility.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833172","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}

{"title":"Urinary Catheterisation Practices: A Survey of Italian Healthcare Workers","authors":"Manuel Luque-González,&nbsp;Pedro Raúl Castellano-Santana,&nbsp;Max Mòdol-Vidal,&nbsp;Marta Muñoz-Serrano,&nbsp;Clara Moreno-Armas,&nbsp;Mattia Boarin,&nbsp;Giulia Villa","doi":"10.1111/ijun.70028","DOIUrl":"https://doi.org/10.1111/ijun.70028","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832452","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}

{"title":"Evaluation of a Nurse Led Trans-Urethral Laser Ablation Service in the Outpatient Setting in the United Kingdom","authors":"Rebecca Rushton","doi":"10.1111/ijun.70024","DOIUrl":"https://doi.org/10.1111/ijun.70024","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725408","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}

{"title":"A Longitudinal Study on Psychological Effects at Diagnosis and Over Time in Dutch Cohort of Men With Peyronie’s Disease","authors":"J. P. Verkerk-Geelhoed,&nbsp;J. J. H. Beck","doi":"10.1111/ijun.70026","DOIUrl":"https://doi.org/10.1111/ijun.70026","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725409","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}

{"title":"Prevalence, Risk Factors and Costs of Female Urinary Incontinence: A Multicentre Cross-Sectional Study","authors":"Sara Trapani,&nbsp;Giulia Villa,&nbsp;Ilaria Marcomini,&nbsp;Elisabetta Bagnato,&nbsp;Stefania Rinaldi,&nbsp;Martina Caglioni,&nbsp;Andrea Poliani,&nbsp;Debora Rosa,&nbsp;Stefano Salvatore,&nbsp;Massimo Candiani,&nbsp;Duilio Fiorenzo Manara","doi":"10.1111/ijun.70027","DOIUrl":"https://doi.org/10.1111/ijun.70027","url":null,"abstract":"<div>\u0000 \u0000 <p>What is the prevalence of urinary incontinence and its main subtypes among middle-aged women in Northern Italy? How do urinary incontinence severity and subtypes correlate with risk factors and healthcare costs? Urinary incontinence is a common yet underreported condition among women. Despite its impact, recent data on prevalence, severity and risk factors in Italy, particularly among middle-aged women, remain scarce. This study aims to investigate the correlation between urinary incontinence severity, subtypes and healthcare costs to inform targeted interventions. Urinary incontinence is the involuntary leakage of urine, classified into stress, urgency and mixed types. Its multifactorial aetiology includes demographic, lifestyle, comorbid and obstetric-gynaecological risk factors. Urinary incontinence negatively influences physical, psychological, social and financial well-being. A multicentre cross-sectional study was conducted in four hospitals in Northern Italy, enrolling 722 women. Participants were selected based on eligibility criteria and informed consent was obtained. Data on sociodemographic factors, lifestyle and gynaecologic history were collected. Urinary incontinence severity and subtypes were assessed using the International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ UI-SF). Multiple logistic regression was performed to identify predictors, while Pearson's correlation test analysed the relationship between urinary incontinence severity and healthcare costs. The prevalence of urinary incontinence was 44.8%, with stress urinary incontinence being the most common subtype (39.1%). Among participants, 19.6% experienced mild leakage, while 4.3% reported severe cases. Identified risk factors included hypertension, sleep disorders, bladder emptying difficulties, higher body mass index, multiple vaginal deliveries, depression and smoking. A significant positive correlation was found between urinary incontinence severity and healthcare costs (<i>r</i> = 0.480, <i>p</i> &lt; 0.001). Urinary incontinence affects nearly half of middle-aged women in Northern Italy. Addressing modifiable risk factors and implementing targeted interventions based on urinary incontinence subtypes are crucial to reduce urinary incontinence prevalence, severity and improve outcomes. Further longitudinal research is essential to better understand urinary incontinence in this demographic.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725546","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}

{"title":"Preoperative Fasting Times and Postoperative Nausea–Vomiting in Patients Undergoing Urological Surgery: Descriptive and Correlational Study","authors":"Hatice Demirdağ,&nbsp;Meftun Akgün,&nbsp;Büşra Erdoğan,&nbsp;Ece Sümeyra Soytürk,&nbsp;Batuhan Kurt,&nbsp;Alime Nur Uygun","doi":"10.1111/ijun.70025","DOIUrl":"https://doi.org/10.1111/ijun.70025","url":null,"abstract":"<div>\u0000 \u0000 <p>Preoperative fasting, a common practise before surgical procedures, is primarily aimed at reducing the risk of pulmonary aspiration during anaesthesia. However, prolonged periods of fasting can lead to discomfort and postoperative complications, including nausea and vomiting, which contribute significantly to patient dissatisfaction and delayed recovery. This study aims to examine the relationship between preoperative fasting durations and postoperative nausea–vomiting. This study is a descriptive and correlational. The research was conducted at the Urology Clinic of a tertiary care hospital, with 259 hospitalised patients included in the study. Data were collected through face-to-face interviews with patients 24 h after surgery. The Patient Assessment Form and the Apfel Simplified Risk Factors Model were utilised for data collection. Statistical analysis was performed using the Statistical Package for Social Sciences 25. The average preoperative fasting duration for solid food was determined to be 12.52 ± 2.71 h, and for liquid food was 10.79 ± 2.68 h. It was found that 28.2% of patients experienced postoperative nausea, and 19.9% of the patients experienced vomiting in the postoperative period. Differences were observed in nausea scores according to age, smoking, and postoperative opioid use. A low-level positive correlation was observed between the duration of surgery and nausea scores. In conclusion, patients are exposed to prolonged fasting durations. There is a relationship between preoperative fasting durations and the severity of postoperative nausea.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725547","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}