International Journal of Urological Nursing最新文献

{"title":"Parental perception of paediatric lower urinary tract dysfunction during the COVID-19 shutdown","authors":"Susan V. Leroy MSN, CPNP, Dylan Hutchison MD, MS, Nora G. Kern MD","doi":"10.1111/ijun.12379","DOIUrl":"10.1111/ijun.12379","url":null,"abstract":"<p>We aimed to investigate how staying at home and stress from the pandemic shutdown impacts lower urinary tract symptoms in paediatric patients. The COVID-19 pandemic shut down most of the world in March 2020. In the state of Virginia, a mandatory Stay-at-Home order was issued requiring students to participate in school from home. Paediatric patients often have difficulty complying with standard urotherapy while at school, with timed voiding being particularly hard to maintain. To our knowledge, only one other study investigated lower urinary tract dysfunction (LUTD) in children during the COVID-19 shutdown. This study compared lower urinary tract symptoms (LUTS) in paediatric patients seen in their bladder dysfunction clinic for their initial 6 months of treatment during the shutdown to patients treated before the shutdown. Of the studies available that examine how the school environment effects lower urinary tract symptoms, all show a lack of education among teachers and school nurses, classroom rules that oppose adherence to standard urotherapy, and facilities that are often inadequate and unhygienic. Stress is known to have a bidirectional effect on LUTD, so we also investigated the effect of parental stress from the shutdown on LUTD. Parents of patients followed in our bladder dysfunction clinic were given a survey to evaluate the use of a timed voiding regimen, improvement in LUTS and perceived parental stress during the COVID shut down of 2020. Spearman's rank correlation coefficient (rho) was calculated to measure the correlation of the survey responses. We received 42 responses from 202 surveys administered (20.8%). Only 21.4% of respondents maintained timed voiding while at home, despite 78.6% indicating improved bathroom access. A small number (4.8%) indicated total resolution of voiding symptoms. Half of the respondents (50%) indicated some degree of improvement in LUTS, though almost the entire remaining population saw no change in their symptoms (42.9%). Only a very small number indicated slightly worse LUTS (7.1%) and none indicated that symptoms were much worse. There was no correlation between dysfunctional voiding scoring system (DVSS) scores and improvement in bathroom access. There was a moderate correlation between perceived parental stress and their child's DVSS score, Rho = 0.54 <i>p</i> = 0.0002. Additionally, DVSS scores were weakly, negatively correlated with improvement in LUTS, Rho = −0.3 <i>p</i> = 0.047. Despite the majority of parents perceiving increased access to bathrooms during the Stay-at-Home order, a minority of patients were maintained on timed voiding regimens while at home. About half of parents still indicated some degree of improvement in their child's LUTS. There was a correlation between parental stress and their child's dysfunctional voiding score. This survey highlights that the relationship between timed voiding, bathroom access, and severity of LUTS is complex and compliance with timed voiding rem","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43093024","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":"Quality of life and self-esteem in women living with urinary incontinence in Turkey","authors":"Fatma Hilal Kaya Türk MSc,&nbsp;Hatice Serap Koçak RN, PhD","doi":"10.1111/ijun.12377","DOIUrl":"10.1111/ijun.12377","url":null,"abstract":"<p>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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"278-288"},"PeriodicalIF":0.5,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46692164","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":"The feasibility trial of nurse-directed education programme among benign prostatic hyperplasia patients","authors":"Dakshta Choudhary MSc Nursing,&nbsp;Nipin Kalal MSc Nursing,&nbsp;Ashok Kumar MSc Nursing, PhD,&nbsp;Gautam Ram Choudhary MS, MCh,&nbsp;Priya Sharma MSc Nursing","doi":"10.1111/ijun.12378","DOIUrl":"10.1111/ijun.12378","url":null,"abstract":"<p>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 (<i>p</i> ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH-QLS ratings varied statistically significantly (<i>p</i> 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 (<i>t</i> = 3.06; <i>p</i> = 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 <i>U</i> tests were used. It was seen that there was a significant difference (<i>p</i>-value &lt; 0.05) concerning the IPSS-QOL Index (<i>p</i>-value = 0.008) of symptoms-severity (IPSS) and PCS-12 (<i>p</i>-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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48025490","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":"Difficulties experienced by patients with benign prostatic hyperplasia regarding their physical symptoms","authors":"Şeyma Yurtseven RN, PhD,&nbsp;Sevgi Deniz Doğan RN, PhD,&nbsp;Sevban Arslan RN, PhD","doi":"10.1111/ijun.12376","DOIUrl":"10.1111/ijun.12376","url":null,"abstract":"<p>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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"272-277"},"PeriodicalIF":0.5,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47759902","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":"Complications of local anaesthetic transperineal ultrasound-guided prostate biopsy: A systematic literature review","authors":"Nelson Perneta MSc Advanced Practice, BSc, RN,&nbsp;Rachel Tims MA, BSc, RN,&nbsp;Lucy A. M. Simmons FRCS (Urol)","doi":"10.1111/ijun.12374","DOIUrl":"10.1111/ijun.12374","url":null,"abstract":"&lt;p&gt;The prostate cancer pathway has evolved rapidly over the last decade responding to evidence-based recommendations. These changes were accelerated further over the last 5 years due to the Covid-19 pandemic and the antibiotic stewardship policies regarding nosocomial/iatrogenic infections. Local anaesthetic transperineal ultrasound-guided biopsy is a relatively new technique that became gold-standard practice for prostate cancer diagnosis due to decreased sepsis rates. However, data that justified its implementation was more focused on its efficacy and clinically significant cancer detection rates, lacking robust methodological complications data, including in some cases the utilization of validated tools to assess complications. &lt;i&gt;In patients subjected to local anaesthetic transperineal ultrasound-guided prostate biopsies, what are the most recent reported complications?&lt;/i&gt; This systematic literature review followed Bettany-Saltikov and McSherry's Manual guidance for systematic literature reviews. Patient/target, Intervention, Comparison, Outcome (PICO) research method, and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were used to structure the search strategy and report results. This review was conducted using PubMed/Medline, Excerpa Medica database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Inclusion criteria focused on recent studies which matched current national and international prostate cancer pathway guidelines (National Institute for Health and Care Excellence and European Association of Urology). Quality assessments were performed using Critical Appraisal Skills Programme checklists. Four cohort studies were included in this review. A total of 946 men were submitted to local anaesthetic transperineal prostate biopsy. Patient experience showed procedure was tolerated with the most painful part of the procedure being local anaesthetic infiltration with Visual Analogue Score variation [2–5]. Few complications were reported. Haematuria had broad definitions across studies, being difficult to interpret the results of this complication. Only one case reported gross haematuria leading to acute urinary retention. Historically, acute urinary retention was mentioned as one of the main adverse effects of transperineal biopsies. However, in this systematic literature review it had similar incidence as transrectal biopsies, particularly when local anaesthesia was utilized. Lower urinary tract symptoms and erectile dysfunction seemed to not be affected by prostate biopsy procedures, however, more data is required as only two studies addressed these issues. Six urinary tract infection patients were reported (0.63%), and one urosepsis case (0.10%). This seems to demonstrate few urinary infections occur and fewer sepsis cases, particularly when compared with transrectal biopsies data, concurring with previous research. Marginal difference was noted between infection rates","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"246-257"},"PeriodicalIF":0.5,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47535870","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":"Validity and reliability of the Turkish version of the Urinary Catheter Self-Care Management Questionnaire","authors":"Duygu Soydaş RN, BSN, MSc, PhD,&nbsp;Ümmü Yildiz Findik RN, BSN, MSc, PhD","doi":"10.1111/ijun.12375","DOIUrl":"https://doi.org/10.1111/ijun.12375","url":null,"abstract":"<p>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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"258-271"},"PeriodicalIF":0.5,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50118657","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":"Evaluating possible improvements in indwelling urinary catheter insertion from nurses' point of view: A pilot comparative study of simulated insertion between the novel T-Control® and a Foley-type catheter","authors":"C. S. Molina-Mazón RN, MSN,&nbsp;M. Serrano PhD,&nbsp;L. Luque MSc,&nbsp;C. Armas BSc,&nbsp;M. Mòdol MSc,&nbsp;S. Endrényi MEc,&nbsp;M. Luque RN","doi":"10.1111/ijun.12372","DOIUrl":"10.1111/ijun.12372","url":null,"abstract":"<p>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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"226-235"},"PeriodicalIF":0.5,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45507894","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":"Hormone therapy in prostate cancer: Understanding patients' and caregivers' supportive care needs","authors":"Esra Uslu Tanış MSc,&nbsp;Özlem Uğur PhD, RN","doi":"10.1111/ijun.12370","DOIUrl":"10.1111/ijun.12370","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Research Question</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Q1: What are the supportive care needs of individuals with prostate cancer in hormone therapy?</li>\u0000 \u0000 <li>Q2: What are the supportive care needs of individuals who care for prostate cancer patients?</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Problem</h3>\u0000 \u0000 <p>Our study aims to identify the supportive care needs of not only prostate cancer patients receiving hormone therapy, but also their caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Literature Review</h3>\u0000 \u0000 <p>The literature review of this study was made by scanning the related field studies from the Google database, BNI, and so forth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This is a cross-sectional definitive study conducted between February and June 2022 in the Shock Wave Lithography Unit (ESWL—where patients are given hormone therapy treatment needles) at Dokuz Eylul University Hospital in Turkey. The study involved 66 prostate cancer patients and 64 caregivers. The sample size was found by power analysis. The data obtained in the study were analysed on the SPSS 25 software package.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>79.9% of the caregivers were female and 43.8% were patients' spouses. 36% of the patients had 80%–90% performance rates on the Karnofsky scale. Due to drug side effects, ±45.1 of patients required support for sexual issues before and after diagnosis, and ±46.27 needed supportive care for water retention. Due to the difficulties experienced in the care process the caregivers; ±40.88 needed family support, and ±21.25 needed social services support (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It was found that prostate cancer patients receiving hormone therapy and their caregivers had a range of supportive care needs due to the difficulties they faced.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"207-217"},"PeriodicalIF":0.5,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764784","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":"The effect of education given to university students on health beliefs and testicular self-examination","authors":"Ulku Saygili Duzova PhD,&nbsp;Mursel Duzova MD,&nbsp;Gorkem Golcur RN,&nbsp;Emin Arıcı RN,&nbsp;Muhammed Idin RN","doi":"10.1111/ijun.12371","DOIUrl":"10.1111/ijun.12371","url":null,"abstract":"<p>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 <i>n</i> = 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 <i>U</i>, 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 (<i>p</i> &lt; 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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"218-225"},"PeriodicalIF":0.5,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43922207","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 feasibility study of urinary catheter removal protocol following transurethral prostatectomy procedure in older patients","authors":"Jin-Hua Pan RN, MS,&nbsp;Yuh-Shyan Tsai MD, PhD,&nbsp;Yu-Sheng Cheng MD, PhD,&nbsp;Chia-Ming Chang MD,&nbsp;Kuei-Ying Wang RN, PhD,&nbsp;Fang-Wen Hu RN, GCNS, PhD","doi":"10.1111/ijun.12369","DOIUrl":"10.1111/ijun.12369","url":null,"abstract":"<p>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.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"199-206"},"PeriodicalIF":0.5,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46468048","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}