International Journal of Urological Nursing最新文献

{"title":"Does 2% Lignocaine Gel Reduce Urethral Catheterisation Pain in Women? A Systematic Review and Meta-Analysis","authors":"Wayne Varndell,&nbsp;Julie Blamires,&nbsp;Suzanne Sheppard-Law","doi":"10.1111/ijun.70039","DOIUrl":"https://doi.org/10.1111/ijun.70039","url":null,"abstract":"<p>Urinary catheterisation is an important aspect of patient care yet commonly causes discomfort or pain. Current international guidelines recommend water-based sterile lubricant during catheterisation of women, whereas local anaesthetic gel (e.g., lignocaine gel) is advocated in men, potentially highlighting a gender bias in clinical care. The purpose of this systematic literature review was to evaluate the effectiveness of 2% lignocaine gel compared to water-based lubricant in reducing pain during urethral catheterisation of women. A systematic search using key terms and their alternate spellings was used to identify relevant studies. Studies were included that examined the use of 2% lignocaine during urethral catheterisation of women. This review searched Cochrane Library, Cumulated Index in Nursing and Allied Health Literature (CINAHL), Emcare Nursing and Allied Health Database, Excerota Medica Database (EMBASE), Maternity and Infant Care Database, MEDLINE, OVID, ProQuest, PubMed and SCOPUS. In addition, clinical trial and systematic review registries were also searched from inception to May 2025. A total of 2030 studies were identified and screened. Three randomised controlled studies involving 214 female participants were included in this review. Pooled results indicated a statistically significant difference in favour of 2% lignocaine gel compared to water-based lubricant during urethral catheterisation in women (mean difference −10.81, 95% CI: −15.81 to −5.35). The application of 2% lignocaine gel is more effective in reducing catheterisation-associated pain in women compared to water-based lubricant. Current clinical guidelines suggest the use of a water-based lubricant for women, but an anaesthetic-based lubricant for men. The belief that women do not require local anaesthesia before catheterisation may be influenced by historical perspectives and warrants further investigation.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bladder Instillation Therapy Form (BITF)—Nursing Instrument for Intravesical Bacillus Calmette-Guérin Instillations","authors":"Gun Danielsson,&nbsp;Tomas Thiel,&nbsp;Helena Thulin","doi":"10.1111/ijun.70037","DOIUrl":"https://doi.org/10.1111/ijun.70037","url":null,"abstract":"<p>Instillation with Bacillus Calmette-Guérin (BCG) is recommended as adjuvant treatment in non-muscle invasive bladder cancer. It is well recognized that intravesical immunotherapy with BCG might cause side effects, commonly affecting the patient´s well-being. To enable detection of any symptoms important for decisions on the further treatment it is important to keep records of the patient's bladder and voiding status before and during the treatment. Management of side effects may be required and occasionally instillation must be postponed or stopped. We aimed to develop a validated instrument to capture and grade symptoms in patients with non-muscle invasive bladder cancer undergoing intravesical instillation therapy with BCG. Intravesical immunotherapy with BCG commonly results in side effects, that negatively affect the patient´s well-being. There is currently no validated instrument for follow-up of patients during long-term intravesical instillation treatment. Many individual reports as well as guideline recommendations, describe that intravesical instillation treatment with BCG can cause local or systemic side effects of both mild and severe character. Recommendations on how to treat various side effects exist and it is emphasized that patients with bladder cancers need continuous support during the instillation treatment. There is, however, shortage of information about how to best detect the patient's symptoms to give optimal support. A qualitative study design was used to gain knowledge about patients' symptoms and side effects during the instillation treatment. We used a previous study protocol to study questions, answer options and open-ended questions. In Sweden, different unvalidated forms have been applied to detect symptoms during instillation therapy. Those symptom forms were collected and analyzed. Dialogues were held with patients and representatives from various professions with knowledge in the field. All qualitative data were structured and categorized and subsequently used for the construction of a bladder instillation therapy form. The face-to-face validity method was used in the process. We developed and validated an instrument: Bladder Instillation Therapy Form (BITF), for use by patients who receive intravesical instillations with BCG. The form separately considered local and systemic symptoms. The answer options were adapted to the question and formulated to enable follow-up of the patient's symptoms. An instrument, BITF, was developed and validated for assessment of symptoms during intravesical instillation BCG therapy. BITF was designed to provide baseline information at the start of treatment as well as before each instillation. BITF can also be used for future research. The BITF enables assessment of side-effects during intravesical BCG instillation therapy and accordingly appropriate measures can be taken to support the patient throughout the treatment period. The BITF instrument will improve patient care as well ","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145469777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of the Education Given to the Parents of 1–3 Year Old Children With Urogenital Surgery on Toilet Training Knowledge Attitudes and Self-Efficacy Levels in Parenting Tasks","authors":"Beşir Çakir,&nbsp;Pınar Göv","doi":"10.1111/ijun.70038","DOIUrl":"https://doi.org/10.1111/ijun.70038","url":null,"abstract":"<div>\u0000 \u0000 <p>The objective of the present study was to ascertain the impact of the training programme administered to parents of children aged between 1 and 3 years who have undergone urogenital surgery on their knowledge of toilet training, attitudes towards the subject, and parenting self-efficacy. The study was a quasi-experimental, one-group, pretest–posttest study. The present study was conducted with a sample of 43 parents. A personal information form containing a number of variables and questionnaire forms containing two different scales were used for the parents. A training programme consisting of three sessions for parents was used in the study. In the post-training stage, a significant divergence was observed in the mean scores of toilet training knowledge and attitude. Furthermore, a substantial discrepancy was identified in the mean scores of self-efficacy levels in parenting tasks within the play sub-dimension. Statistically significant differences were identified between certain variables of the parents and the Toilet Training Knowledge Attitude Scale, the Self-Efficacy Scale for Parenting Tasks Short Form scale and its sub-dimensions (<i>p</i> &lt; 0.05). The educational intervention given to parents of children aged between 1 and 3 years who have undergone urogenital surgery has been shown to have a positive effect on both their knowledge and attitudes towards toilet training, as well as their self-efficacy levels in specific parenting tasks.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145406977","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":"Ultrasound-Assisted Continence Care Support in an Inpatient Care Setting: A Mixed-Method Pilot Study","authors":"Sebastian Hofstetter,&nbsp;Madeleine Ritter-Herschbach,&nbsp;Dominik Behr,&nbsp;Melina Hager,&nbsp;Marie-Luise Turzer,&nbsp;Alexander Linde,&nbsp;Sandra Schönburg,&nbsp;Patrick Jahn","doi":"10.1111/ijun.70036","DOIUrl":"https://doi.org/10.1111/ijun.70036","url":null,"abstract":"<p>This non-randomised exploratory intervention and feasibility study examines the impact of digital assistive technology (DAT), comprising a DFree Professional ultrasound sensor, on nursing care for continence support. Additionally, it evaluates nurses' willingness to incorporate DAT into the planning and practical implementation of care processes. The extent to which DFree Professional supports clinical care delivery and assists nurses in managing activities of daily living related to micturition remains unclear. It is anticipated that DFree will contribute to a reduction in nurses' workload in continence care settings. The device was designed with the objective of ensuring high usability for the nursing staff and of increasing user acceptance over the course of the study. This mixed-methods pilot study included 31 nurses from neurology and geriatrics wards over 3 months. Quantitative data were collected using the technology usage inventory (TUI) at three time points and System Usability Scale (SUS) assessments at one (final) point. Qualitative data were gathered through focus group interviews. Ethical approval and informed consent were obtained. The study revealed a decline in the intention to use (ITU) of the DFree Professional sensor. Usability ratings reported the SUS benchmark of the study, yielding a mean SUS score of 50.9, which is below the commonly referenced benchmark of 68 for acceptable usability. Nurses reported the device has potential reductions in workload and improved management of continence care, if further infrastructural and problems with interfaces are solved. Qualitative findings highlighted user-friendly features and identified barriers to implementation, such as technical integration into existing systems. The DFree Professional sensor shows promise in enhancing nursing efficiency and reducing the burden of continence care. Future research should explore long-term effects on defined patient groups and broader applicability across diverse clinical settings.</p><p><b>Trial Registration:</b> German Register of Clinical Studies: DRKS00031483</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships Between Leisure and Social Activities, Electronic Device Use and Depression Among Korean Older Men and Women With Urinary Incontinence","authors":"Sunah Park","doi":"10.1111/ijun.70035","DOIUrl":"https://doi.org/10.1111/ijun.70035","url":null,"abstract":"<div>\u0000 \u0000 <p>The purpose of this study was to investigate the sociodemographic and health-related characteristics, social activities, electronic device utilisation and their relationship with depression in older men and women with urinary incontinence (UI). Using data from the 2020 National Survey of Older Koreans, a survey of 10 097 older adults aged 65 and older, a total of 315 older adults were included in the analysis sample, comprising 155 men and 169 women diagnosed with UI. Depression was measured using the South Korean Geriatric Depression Scale-Short Form (SGDS-K). The independent variables encompassed participation in leisure and social activities, utilisation of leisure and cultural facilities, frequency of social relationships and use of electronic devices. The mean total depression score was 4.97 (SD 3.71) for men and 5.87 (SD 4.42) for women, indicating a statistically significant difference (<i>t</i> = −1.92, <i>p</i> = 0.028). For both men (<i>R</i>² = 0.30, <i>p</i> &lt; 0.001) and women (<i>R</i>² = 0.36, <i>p</i> &lt; 0.001), older adults, depression was associated with the number of chronic diseases and electronic device use. Development of integrated digital healthcare intervention programs utilising electronic devices for social connection, health information access and cognitive stimulation is essential for preventing depression in older adults with UI.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145316928","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":"Safe Administration of Mitomycin in Bladder Instillation for Cancer: A Pilot Study","authors":"Heleen Blom,&nbsp;Catherine Mc Carthy,&nbsp;Roland van den Berg,&nbsp;Mirjam Crul,&nbsp;Willem de Blok,&nbsp;Erik Wilms,&nbsp;Jorg R. Oddens","doi":"10.1111/ijun.70032","DOIUrl":"https://doi.org/10.1111/ijun.70032","url":null,"abstract":"<p>The treatment of non-muscle invasive bladder cancer patients with intravesical mitomycin-C reduces the chances of tumor recurrence. Mitomycin-C is a hazardous drug and should be handled and administered safely by healthcare workers. Recently, a new ready-to-use administration system for mitomycin-C has been developed. However, no research compares the healthcare workers' occupational exposure to mitomycin-C during its administration using the conventional administration system versus the new administration system. The aim of this study was to compare the occupational exposure of healthcare workers to mitomycin-C between two mitomycin-C administration systems. This quasi-experimental pilot study compared environmental contamination of mitomycin-C between the conventional (<i>n</i> = 6) and the new (<i>n</i> = 6) administration system in a nursing ward and outpatient clinic. Surface wipe samples were taken from four locations where spillage could have occurred (<i>n</i> = 48). The data were analyzed using a two-sample <i>t</i>-test. Mitomycin-C traces were found in two samples that exceeded the lower limit of quantification (0.09 and 0.14 ng/cm²). Both samples were from healthcare workers' gloves using the conventional administration system. No statistically significant difference was found when comparing the two systems (<i>p</i> = 0.18). The results indicate that both systems are safe to use in inpatient and outpatient clinical settings. Given that the new system is safe, this point-of-care preparation product may offer advantages for both the urology and hospital pharmacy departments.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145316767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Care for a Patient Practicing Clean Intermittent Catheterisation Who Developed a Urinary Tract Infection Based on Jean Watson's Human Caring Model: A Case Report","authors":"Senem Duman,&nbsp;Tulay Basak","doi":"10.1111/ijun.70034","DOIUrl":"https://doi.org/10.1111/ijun.70034","url":null,"abstract":"<div>\u0000 \u0000 <p>The use of theories and models in nursing care contributes to the scientific foundation of nursing practice. Jean Watson's Human Caring Model, one of the prominent nursing theories, is based on concepts such as interpersonal caring relationships, caring moments and healing processes, and it effectively reflects the essence of nursing. This model has been applied comprehensively to address the care process for urinary tract infections, one of the most common complications encountered by patients practicing clean intermittent catheterisation. Nursing interventions and outcomes for a patient practicing clean intermittent catheterisation were evaluated using the Human Caring Model. This model facilitated the implementation of nursing care and the treatment process, leading to infection parameters returning to normal ranges. Additionally, it contributed to increased adherence to and motivation for clean intermittent catheterisation. It is suggested that nursing care for urinary tract infections observed in individuals practicing clean intermittent catheterisation can raise awareness among nurses and caregivers about addressing the patient holistically, including physical, socio-cultural, psychological and spiritual dimensions.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271859","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":"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}