患有膀外缩症的儿童的失禁是否会对护理人员产生负面影响? 一个心理健康清单调查调查
Kimberly Dawes1, Suhaib Abdulfattah1, Jay Shah1
1Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Journal of pediatric urology
|August 10, 2025
概括
护理人员的心理健康在很大程度上不受小便失禁的影响,在患有膀外缩症 (BEEC) 综合症的儿童中. 虽然抑郁症的症状随着失禁的增加而略有增加,但整体结果保持在正常范围内.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 心理健康研究 心理健康研究
- 护理人员福利 护理人员福利
背景情况:
- 尿是一个关键的手术目标,用于膀外缩表综合体 (BEEC),通常在童年后期实现.
- 持续性失禁对护理人员心理健康的影响及其对手术时间的影响尚不清楚.
研究的目的:
- 研究BEEC儿童尿失禁严重程度与护理人员心理健康结果之间的关联.
- 为了确定 incontinence是否会影响护理人员的焦虑,抑郁,情绪健康和社会功能.
主要方法:
- 110名患有BEEC儿童的照顾者完成了经过验证的心理健康调查 (SF-36,贝克焦虑,贝克抑郁症).
- 尿状态 (干燥间隔) 通过护理人员采访或医疗记录进行评估.
- 统计分析包括克鲁斯卡尔-瓦利斯和线性回归来确定关联.
主要成果:
- 大多数儿童 (76.3%) 经历了全身失禁或每天少于一个小时的干燥.
- 护理人员的焦虑,情绪健康和社会功能与失禁水平没有显著联系.
- 一个趋势表明,护理人员抑郁症得分增加,尿失禁增加,尽管所有得分都保持在正常范围内.
结论:
- 患有BEEC儿童的尿状态似乎不是大多数护理人员心理健康结果的独立预测因素.
- 增加的 incontinence 和更高的抑郁症之间的潜在联系需要进一步的纵向研究.
- 护理人员改善的社会功能和情感福祉可能与分别减少焦虑和抑郁相关.
相关概念视频
01:26Psychosexual Stages of Personality: Anal
1.8K
Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
1.8K
01:21Nursing Assessment of the Genitourinary System I: Health History
76
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
76
01:20Disorders of the Urinary System
477
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
477
01:30Stress and Mental Health
211
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
211
01:17Urinary Tract Infection IV: Nursing Management
87
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
87
01:26The Micturition Reflex
1.0K
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
1.0K