{"title":"Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy","authors":"Koji Amano","doi":"10.1111/ijun.12344","DOIUrl":"10.1111/ijun.12344","url":null,"abstract":"<p>How can nurses assess the self-management of lower urinary tract symptoms (LUTS) in patients with cancer after radical prostatectomy (RP)? Patients with prostate cancer who have undergone RP experience multiple LUTS. This study aimed to develop a self-management scale for LUTS in patients with cancer following RP (SMS-LUTS-RP), as well as to verify its reliability and validity. LUTS has physical, social, and psychological consequences for patients. As a result, patients are forced to self-manage their LUTS and LUTS-related issues. However, no indicators exist to assess self-management of LUTS. A total of 246 individuals were surveyed. A 49-item scale draft, whose content validity and face validity were confirmed, was used to develop a questionnaire for patients with LUTS after RP. The reliability and validity were determined using by item analysis, exploratory factor analysis, confirmatory factor analysis, and Cronbach's α coefficient. The exploratory factor analysis produced the following 18 items on five extracted factors: ‘monitoring of urinary status,’ ‘coping with daily life difficulties due to LUTS,’ ‘collaboration with medical professionals,’ ‘continued training to improve LUTS,’ and ‘living with LUTS.’ The goodness-of-fit-index (GFI) for confirmatory factor analysis was 0.876, and the root mean square error of approximation was 0.075. Cronbach's α coefficient was 0.754–0.820. SMS-LUTS-RP has desirable psychometric properties and can assess the cognitive and behavioural aspects of self-management of LUTS in patients with cancer who have undergone a RP. This scale can be used to provide individualized self-management support according to living conditions.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"103-115"},"PeriodicalIF":0.5,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46478375","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":"Postoperative symptom management perceptions and coping experiences of individuals with prostate cancer","authors":"Hatem Kazımoğlu MD, Nilgün Ulutaşdemir PhD, Nurşen Kulakaç PhD, Sevda Uzun PhD","doi":"10.1111/ijun.12345","DOIUrl":"10.1111/ijun.12345","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to examine in depth the perceptions of postoperative symptom management and coping experiences of individuals with prostate cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material-Method</h3>\u0000 \u0000 <p>The study was conducted with 15 individuals with prostate cancer using a phenomenological research design, which is a qualitative research design. Interviews were conducted via the WhatsApp application.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data were analysed using Colaizzi's phenomenological method. In the data analysis, two categories, five main themes, and 15 sub-themes emerged. In the category of symptom management perception, there are themes of pain management processes, the use of complementary and alternative therapies and practices to cope with symptoms and improve quality of life. In the category of coping experiences, the themes of individual coping, interpersonal relations, and productivity were obtained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study suggests that individuals with prostate cancer have difficulty in symptom management in the postoperative coping process, but they managed them effectively with the support of their spouse, family, and health care professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"116-122"},"PeriodicalIF":0.5,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46717769","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}
Evan R. Goldfischer MD, MBA, ElizaBeth Grubb PhD, MBA, Paul Nisbet PhD
{"title":"Preparation and administration of androgen deprivation therapy products: Retrospective survey results","authors":"Evan R. Goldfischer MD, MBA, ElizaBeth Grubb PhD, MBA, Paul Nisbet PhD","doi":"10.1111/ijun.12342","DOIUrl":"10.1111/ijun.12342","url":null,"abstract":"<p>Leuprolide acetate (LA) is a gonadotropin-releasing hormone agonist used as androgen deprivation therapy for advanced prostate cancer. LA is available in formulations intended for intramuscular (IM-LA) or subcutaneous (SC-LA) administration. Post-marketing reports have noted handling errors associated with the preparation and administration of SC-LA. This study gathered real-world evidence on administration and management of IM-LA and SC-LA in large, urology- or oncology-based practices. Over 200 staff were invited; 151 participated in an online survey. Main outcomes were time for each step of the ordering, inventory, mixing and administration processes. Mean values and standard errors are reported for continuous variables, and frequency and percentage are reported for categorical variables. Comparisons between groups were made with <i>t</i> tests and chi-square tests as appropriate. For IM-LA and SC-LA, ease of ordering and time to place an order (10.8 ± 1.3 vs. 10.6 ± 1.4 min, respectively) were similar. IM-LA was associated with a shorter time to complete preparation (2.5 ± 0.2 vs. 6.1 ± 0.6 min, <i>P</i> < 0.001) compared with SC-LA. This difference of 3.6 min per preparation could result in substantial time savings annually ranging from 120 h per year to 240 h per year in clinical practices administering 2000 injections per year or 4000 injections per year, respectively. For IM-LA vs. SC-LA, greater ease of preparation was reported by 64% vs. 43% of respondents, respectively. Over 15% of respondents used injection sites inconsistent with prescribing information, regardless of the type of injection. This study found that it takes a significantly shorter time to prepare and administer IM-LA than SC-LA in large urology- and oncology-based practices. The time saved could be utilized for other tasks such as seeing additional patients. Use of injection sites inconsistent with prescribing information suggests a need for more training of nursing staff in the proper administration of these drugs to ensure adequate testosterone suppression and patient safety.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"97-102"},"PeriodicalIF":0.5,"publicationDate":"2023-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45920965","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}
Laura Alejandra Esquivel Tunubala, H. García-Perdomo
{"title":"Should\u0000 Gleason\u0000 score six (\u0000 GS6\u0000 ) tumours be labelled as non‐cancer?","authors":"Laura Alejandra Esquivel Tunubala, H. García-Perdomo","doi":"10.1111/ijun.12343","DOIUrl":"https://doi.org/10.1111/ijun.12343","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62697448","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}