Moriarty Helene J, Robinson Joanne P, Bunting-Perry Lisette, Bradway Christine W
Helene J. Moriarty, PhD, RN, FAAN, Villanova University College of Nursing, Villanova, Pennsylvania and Nursing Service, Department of Veterans Affairs Medical Center, Philadelphia, Pennsylvania. Joanne P. Robinson, PhD, RN, GCNS- BC, FAAN, Rutgers University - Camden, School of Nursing, Camden, NJ. Lisette Bunting-Perry, PhD, RN, University of Delaware School of Nursing, Newark, and formerly with the Parkinson's Disease Research, Education & Clinical Center, Department of Veterans Affairs Medical Center, Philadelphia, Pennsylvania, at the time of study. Christine W. Bradway, PhD, RN, FAAN, University of Pennsylvania School of Nursing, Philadelphia.
J Wound Ostomy Continence Nurs. 2016 Jan-Feb;43(1):80-7. doi: 10.1097/WON.0000000000000165.
Lower urinary tract symptoms (LUTS) in persons with Parkinson's disease (PD) have received little research attention. To address this gap in our knowledge, we examined the LUTS experience in men with PD, guided by The Theory of Unpleasant Symptoms.
A qualitative design was used to explore the LUTS experience in this population. Participants were recruited from a Veterans' Affairs PD Center. Maximum variation sampling was used to select diverse participants for audiotaped open-ended interviews. Additional data sources included field notes collected during interviews and observation of a PD support group. The template organizing analytic approach was used to code transcribed interviews and field notes.
Cognitive, affective, and behavioral dimensions of the LUTS experience were identified. Participants attributed LUTS to aging, medications, and effects of motor symptoms on their ability to respond to the urge to void. There was little awareness of the neurologic contributions of PD to LUTS, and most viewed LUTS as "something that you have to put up with." Negative effects of LUTS on self-identity were noted, which jeopardized relationships, intimacy, participation in social activities, and travel. Affective responses to LUTS, particularly embarrassment, had a profound impact on quality of life. Behavioral strategies to manage LUTS focused on "being prepared to go when you need to go" and consisted mostly of trial-and-error efforts.
Misconceptions about LUTS among men with PD may result in underreporting, missed opportunities for professional assistance, and diminished health-related quality of life. Future research should focus on developing and testing nursing interventions to address cognitive, affective, and behavioral aspects of the LUTS experience in men with PD.
帕金森病（PD）患者的下尿路症状（LUTS）很少受到研究关注。为填补这一知识空白，我们以不愉快症状理论为指导，研究了PD男性患者的LUTS体验。
采用质性设计来探索该人群的LUTS体验。参与者从退伍军人事务部PD中心招募。采用最大差异抽样法选择不同的参与者进行录音开放式访谈。其他数据来源包括访谈期间收集的现场记录以及对一个PD支持小组的观察。使用模板组织分析方法对转录的访谈和现场记录进行编码。
确定了LUTS体验的认知、情感和行为维度。参与者将LUTS归因于衰老、药物以及运动症状对其排尿冲动反应能力的影响。对PD对LUTS的神经学贡献了解甚少，大多数人将LUTS视为“不得不忍受的事情”。注意到LUTS对自我认同的负面影响，这危及人际关系、亲密关系、参与社交活动和旅行。对LUTS的情感反应，尤其是尴尬，对生活质量有深远影响。管理LUTS的行为策略侧重于“需要去的时候做好准备”，主要是反复尝试的努力。
PD男性患者对LUTS的误解可能导致报告不足、错过获得专业帮助的机会以及降低与健康相关的生活质量。未来的研究应侧重于开发和测试护理干预措施，以解决PD男性患者LUTS体验的认知、情感和行为方面的问题。
