Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.
Faculty of Nursing, Istanbul University, Istanbul, Türkiye.
Nurs Health Sci. 2024 Sep;26(3):e13143. doi: 10.1111/nhs.13143.
In diabetic patients, poor management of hyperglycemia and prolonged disease duration may lead to neuropathy-related overactive bladder (OAB) symptoms. To effectively manage OAB symptoms in women with type 2 diabetes, it is essential to know how patients perceive these problems, their lives, and strategies. This study aimed to understand the experience of OAB symptoms in Turkish women with type 2 diabetes from their point of view. A qualitative descriptive design was adopted with individual, semi-structured interviews. Participants were selected by purposive sampling. The data were evaluated by using Van Manen's thematic analysis method. The symptom management theory formed the conceptual framework of this study. The Consolidated Criteria for Reporting Qualitative Research checklist was used. A total of 18 patients were recruited and individually interviewed. Semi-structured interviews were conducted from May to August 2023. The three main themes emerged: (i) the meaning of OAB symptoms; (ii) difficulties caused by OAB symptoms; and (iii) coping with OAB symptoms. The subthemes included the negative effects of OAB symptoms on daily life, difficulties in physical, psychological, and sexual life, and positive and negative behavior in coping with OAB symptoms. OAB symptoms affect the physical, psychosocial, and sexual lives of women with type 2 diabetes. Women with type 2 diabetes try to cope in different ways but often do not receive the support they need from families. Therefore, nurses should integrate the urinary problems of women with type 2 diabetes into routine clinical assessments and provide counseling to women.
在糖尿病患者中，血糖控制不佳和疾病持续时间延长可能导致与神经病变相关的膀胱过度活动症（OAB）症状。为了有效管理 2 型糖尿病女性的 OAB 症状，了解患者如何感知这些问题、他们的生活和应对策略至关重要。本研究旨在从土耳其 2 型糖尿病女性的角度了解 OAB 症状的体验。采用个体、半结构式访谈的定性描述设计。通过目的抽样选择参与者。使用范马南的主题分析方法评估数据。症状管理理论构成了本研究的概念框架。使用了定性研究报告的统一标准清单。共招募了 18 名患者并进行了个体访谈。半结构式访谈于 2023 年 5 月至 8 月进行。出现了三个主要主题：（i）OAB 症状的意义；（ii）OAB 症状引起的困难；和（iii）应对 OAB 症状。子主题包括 OAB 症状对日常生活的负面影响、身体、心理和性生活方面的困难，以及应对 OAB 症状的积极和消极行为。OAB 症状会影响 2 型糖尿病女性的身体、社会心理和性生活。2 型糖尿病女性尝试以不同的方式应对，但往往得不到家庭的支持。因此，护士应将 2 型糖尿病女性的尿失禁问题纳入常规临床评估，并为女性提供咨询。
