Longmei Si, RN, ET, Urology Department, Peking University First Hospital, Xicheng District, Beijing, China.
Yanming Ding, RN, Nursing Department, Peking University First Hospital, Xicheng District, Beijing, China.
J Wound Ostomy Continence Nurs. 2021;48(5):440-446. doi: 10.1097/WON.0000000000000793.
The purpose of this study was to describe postprostatectomy incontinence (PPI) after laparoscopic radical prostatectomy (LRP), self-management strategies for managing incontinence, and factors influencing self-management.
A descriptive, cross-sectional study.
The sample comprising 37 males with prostate cancer who underwent LRP was recruited within first 2 years. The study setting was a tertiary care hospital in Beijing, China. An additional 78 individuals who responded to a mailed invitation sent from September 2015 to October 2016 participated in the study.
Participants completed a questionnaire that queried demographic and pertinent clinical data. The questionnaire also included 2 validated instruments. The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) was used to assess urinary incontinence (UI) following radical prostatectomy and its severity. The Strategy and Effectiveness of Symptom Self-Management questionnaire of Postprostatectomy Incontinence (SESSM-PPI) was used to evaluate self-management of UI, including strategies used and their perceived effectiveness.
Data analysis was based on 115 respondents who completed all components of the questionnaire; 95 (82.6%) indicated having UI. Forty-one patients (43.2%) indicated mild UI, 47 (49.5%) indicated moderate UI, and 7 (7.4%) indicated severe UI. The mean score of the SESSM-PPI was 14.04 ± 7.92, indicating a low level of self-management.The top 5 strategies with moderate effectiveness were in the following order: "use pads or adult diapers"; "pelvic floor muscle training"; "avoid extracting heavy objects"; "avoid drinking"; and "eat more fruit to prevent constipation." The Spearman correlation analysis revealed a positive correlation between the frequency of use of self-management strategies and incontinence severity.
Urinary incontinence is prevalent among males with prostate cancer managed by radical prostatectomy. Respondents tended to report mild to moderate UI severity. Self-management of UI among respondents is low.
本研究旨在描述腹腔镜前列腺根治性切除术（LRP）后前列腺切除术后尿失禁（PPI）、管理尿失禁的自我管理策略以及影响自我管理的因素。
描述性、横断面研究。
该样本包括 37 名接受 LRP 的前列腺癌男性，在术后 2 年内招募。研究地点是中国北京的一家三级保健医院。2015 年 9 月至 2016 年 10 月期间，还通过邮寄邀请信额外招募了 78 名参与者。
参与者完成了一份问卷，其中询问了人口统计学和相关临床数据。该问卷还包括 2 个经过验证的工具。国际尿失禁咨询问卷-尿失禁简短表（ICIQ-UI SF）用于评估前列腺根治性切除术后尿失禁及其严重程度。前列腺切除术后尿失禁自我管理策略和有效性问卷（SESSM-PPI）用于评估尿失禁的自我管理，包括使用的策略及其感知效果。
数据分析基于完成问卷所有部分的 115 名应答者；95 名（82.6%）表示存在尿失禁。41 名患者（43.2%）表示轻度尿失禁，47 名（49.5%）表示中度尿失禁，7 名（7.4%）表示重度尿失禁。SESSM-PPI 的平均得分为 14.04 ± 7.92，表明自我管理水平较低。效果中等的前 5 种策略依次为：“使用护垫或成人尿布”；“盆底肌肉训练”；“避免提取重物”；“避免饮酒”；和“多吃水果预防便秘”。Spearman 相关性分析显示，自我管理策略的使用频率与尿失禁严重程度呈正相关。
接受前列腺根治性切除术治疗的前列腺癌男性中，尿失禁较为普遍。应答者倾向于报告轻度至中度尿失禁严重程度。应答者对尿失禁的自我管理水平较低。
