Department of Urology, Hospital Clinic, Barcelona, Spain.
J Wound Ostomy Continence Nurs. 2013 May-Jun;40(3):309-12. doi: 10.1097/WON.0b013e31828f5e22.
To determine the prevalence of urinary incontinence (UI) in patients undergoing prostatectomy and to evaluate the impact of UI on the everyday life in order to select the patients eligible to enter a pelvic floor rehabilitation program.
The sample comprised 114 consecutive men undergoing laparoscopic or open radical prostatectomy between April 2007 and April 2008. Participants' mean age was 59 years (range, 46-67 years). The research setting was a hospital-based clinic in Barcelona, Spain. Patients who required an indwelling urinary catheter due to other factors were excluded from the trial. During admission, nursing staff explained the study and obtained informed consent from patients willing to participate in the trial.
The impact of UI on daily living was evaluated via administration of the International Consultation on Incontinence Questionnaire-Short Form. Impact of UI was evaluated before surgery, and after 1 and 12 months following indwelling catheter removal.
A total of 95.5% patients developed UI 1 month following bladder catheter removal. Slightly less than 1 in 4 patients (24.8%) indicated that UI had no effect on activities of daily living. In contrast, 27.5% indicated that UI had a moderate impact and 47.7% indicated a severe impact. Ninety-one patients reported performing pelvic floor muscle exercises to improve UI, but only 45% were found to be performing them correctly. When evaluated at 1 year following catheter removal, 52.64% of the patients continued to experience UI. The majority (79.8%) indicated that UI did not impact their daily lives, 8.8% indicated a moderate impact, and 20.4% reported that UI had a severe impact on daily life. Seventy patients (61.4%) continued to perform pelvic floor muscle exercises; after 1 year, 93% were deemed to be correctly identifying, contracting, and relaxing their pelvic floor muscles.
Urinary incontinence remains prevalent as long as 12 months following catheter removal. Incontinence exerts a moderate to severe impact on daily life in 27.5% to 20.4% of respondents. In order to minimize the negative impact as much as possible, we advocate a pelvic floor muscle training program overseen by RNs.
确定接受前列腺切除术的患者中尿失禁（UI）的患病率，并评估 UI 对日常生活的影响，以便选择有资格参加盆底康复计划的患者。
该样本包括 2007 年 4 月至 2008 年 4 月间接受腹腔镜或开放性根治性前列腺切除术的 114 例连续男性患者。参与者的平均年龄为 59 岁（范围，46-67 岁）。研究地点为西班牙巴塞罗那的一家医院诊所。由于其他因素需要留置导尿管的患者被排除在试验之外。住院期间，护理人员会向患者解释研究内容，并从愿意参加试验的患者处获得知情同意。
通过国际尿失禁咨询问卷-简短表评估 UI 对日常生活的影响。在手术前、留置导尿管拔除后 1 个月和 12 个月时评估 UI 的影响。
在留置导尿管拔除后 1 个月，共有 95.5%的患者发生 UI。不到四分之一（24.8%）的患者表示 UI 对日常生活活动没有影响。相比之下，27.5%的患者表示 UI 有中度影响，47.7%的患者表示 UI 有严重影响。91 名患者报告进行了盆底肌肉锻炼以改善 UI，但只有 45%的患者被发现正确进行了锻炼。在拔除导尿管后 1 年进行评估时，52.64%的患者仍存在 UI。大多数（79.8%）患者表示 UI 不影响他们的日常生活，8.8%的患者表示 UI 有中度影响，20.4%的患者表示 UI 对日常生活有严重影响。70 名患者（61.4%）继续进行盆底肌肉锻炼；1 年后，93%的患者被认为正确识别、收缩和放松了他们的盆底肌肉。
留置导尿管拔除后长达 12 个月，尿失禁仍很常见。27.5%至 20.4%的患者表示，失禁对日常生活有中度至重度影响。为了尽可能减少负面影响，我们提倡由注册护士监督的盆底肌肉训练计划。
