Living with ureteric stents: a phenomenological study

Kelly, Therese; Kelly, Marcella

doi:10.12968/bjon.2019.28.9.s29

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Indeed, it has been demonstrated that stents provoke irritating voiding symptoms, hematuria, stent incrustation and fragmentation, back pain, stent migration, infection, pyelonephritis, and ureteral trauma (12,13). These complications may significantly affect patients QoL and could explain the data in favor of mPCNL regarding psychological outcomes (14). Even though several studies demonstrated a significant difference in terms of discomfort and distress of stented and not stented patients, deeper insights are needed.…”

Section: Discussionmentioning

confidence: 99%

Clinical and psychological outcomes of patients undergoing Retrograde Intrarenal Surgery and Miniaturised Percutaneous Nephrolithotomy for kidney stones. A preliminary study

Mauro

Rosa

Cimino

et al. 2020

Arch Ital Urol Androl

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Purpose: To assess disease-specific and health-related QoL, anxiety and depression as well as satisfaction regarding retrograde intrarenal surgery (RIRS) and miniaturized percutaneous nephrolithotomy (mPCNL) intervention for kidney stones up to 2.5 cm. Secondarily, pain as well as perioperative and postoperative patient outcomes were evaluated. Methods: 60 consecutive patients with kidney stones of dimensions not exceeding 2.5 cm were enrolled in the study of which 30 underwent RIRS and 30 mPCNL. Perioperative characteristics (age, gender, body mass index (BMI), stone side and size, previous interventions for kidney stones and duration of hospitalization) and surgical outcomes (hemoglobin drop, stone-free rate, visual analogue scale (VAS), stenting time, size of ureteral access sheath (UAS) deployment, and postoperative complications) of patients were collected. Quality of life and psychological outcomes were evaluated using validated questionnaires. Results: No significant differences were found between the two groups in terms of age, gender, BMI, stone side and size (p > 0.05). Significant differences between the mPCNL and the RIRS groups were found regarding stenting time (p = 0.032) and duration of hospital stay (p < 0.001). The stone-free rates of mPCNL vs RIRS were not significantly different between the two groups (73.3% vs 66.7%, p > 0.05). Peri- and postoperative complications were not statistically different between the two groups (p > 0.05). RIRS group reported higher anxiety and depression scores compared with the mPCNL group (3 [range 0-15] vs 15 [range 6-24], p < 0.01). We found significant differences between the two groups in social (p < 0.05) and vitality (p < 0.01) scores. VAS pain score was significantly lower in the mPCNL group than in the RIRS one (p < 0.05). Conclusions: These results open new scenarios in the treatment of kidney stones up to 2.5 cm when RIRS and mPCNL have interchangeable indications. Since in our experience complications and success rate are similar, the surgical choice of switching from RIRS to mPCNL in real-time and viceversa may be proposed to the patient in the preoperative counseling.

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Section: Discussionmentioning

confidence: 99%

Clinical and psychological outcomes of patients undergoing Retrograde Intrarenal Surgery and Miniaturised Percutaneous Nephrolithotomy for kidney stones. A preliminary study

Mauro

Rosa

Cimino

et al. 2020

Arch Ital Urol Androl

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“…Recent studies have begun to examine the physical and psychosocial challenges of KSD from a qualitative perspective (Raja et al, 2020). These impacts tend to be characterized by frequent and painful urinary symptoms, gastrointestinal symptoms, sleep disturbances, work impacts (Ragab et al, 2020; Tran et al, 2018), impact on relationships (Raja et al, 2020) and treatment‐related anxiety (Kelly & Kelly, 2019; Ragab et al, 2020). Whilst psychological distress experienced by patients may be explained in part by the multi‐dimensional consequences of KSD, patients also report a fear of recurrence of KS (Nouri et al, 2021), anxiety about the future (Raja et al, 2020) and uncertainty of the condition (Ragab et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

‘Like a ticking time bomb’: A qualitative study exploring the illness experiences of adults with kidney stone disease

Néill

Richards

Hennessey

et al. 2023

British J Health Psychol

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ObjectiveKidney stone disease (KSD) is a common, complex and painful urological condition, but how patients make sense of and respond to the challenges of KSD is poorly understood. Using the common‐sense model of illness self‐regulation (CSM‐SR), we aimed to explore the illness experiences of individuals with KSD.DesignA qualitative design using individual semi‐structured interviews.MethodsThirty‐three patients with KSD attending outpatient urology services participated in interviews informed by the CSM‐SR. Data were analysed using reflexive thematic analysis. Themes were mapped onto the domains of the CSM‐SR.ResultsFive main themes were generated, broadly echoing domains within the CSM‐SR: (1) making sense of KSD, (2) normality paused, (3) the psychological burden of KSD, (4) the tensions of managing KSD, and (5) improving understanding of KSD. Additionally, findings suggested that partners' perceptions of KSD were an additional contextual factor that informed patients' own perceptions and management of KSD. Participants appraised initial KSD symptoms as indicative of a serious health threat. Diagnosis brought some relief, however, KSD wielded multi‐dimensional impacts on patients' perceptions, self‐management and well‐being. Anxiety, including fear of KSD recurrence, and low mood were common psychological burdens across narratives.ConclusionThe majority of the themes identified were commensurate with an extended CSM‐SR. This model has utility in informing how patients perceive and manage KSD. Examining patients' KSD representations and routinely assessing for psychological distress may be of benefit to improve health outcomes for this patient group.

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“…This paper also explores the role ANPs can have in becoming AAA champions. [29] in an Irish study undertaken by ANPs, explored the lived experience of patients with ureteric stents. They recommend that urological nurses can enhance the patient's experience of living with a ureteric stent by providing psychological support, including pain relief and education.…”

Section: Theme 2 Emergency Advanced Nurse Practice -Emergency Care Pe...mentioning

confidence: 99%

Advanced Nurse Practice: Present and Future: Where to now?

2023

Int J Nurs Health Care Res

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Background: Significant variations exist in how countries define the Advanced Nurse/Midwife Practice (ANP/AMP) role which has led to countries not yet recognising or partially recognising the role and its associated competencies. Even though the ANP/AMP role encompasses the assessment, diagnosis and treatment of a range of conditions by undertaking advanced decision making clinical skills and competencies the role remains undervalued in many countries. Aim: To identify the roles and competencies currently being undertaken by ANP/AMPs and the outcomes being achieved that highlight the complex nature of the roles and some of the successes in relation to patient care that are being achieved. Method: An evidence review was undertaken, in 2023, to identify what is known about the subject. A total of 65 manuscripts were retrieved through EBSCO host, Pub Med Central, Google Scholar, Medline and CINAHL. Themes were identified, defined, named, reviewed, analysed and coordinated. Findings: Where the role is recognised many advantages accrue to the patient, nurse, healthcare and society. This is especially true in the areas of emergency, cardiac, respiratory, trauma care, recovery from surgery, pain relief and neonatal amongst others. However, the contribution of ANP/AMPs remains under-recognised is some areas. Conclusions: ANP/AMPs realise and articulate the value and diversity that they bring to health systems. However, internationally, they have been under-utilised generally, creating barriers to achieving universal health coverage and the Sustainable Development Goals. Over-crowded clinical learning environments may contribute to this lack of role recognition. Recognition of the role and the sustainable innovations being achieved would be enhanced and further developed through advanced practitioners themselves promoting their roles, complexity and outcomes by research and publications. Identification of stakeholder collaboration, which is taking place needs highlighting, as do the systemic processes that enable and constrain the ANP/ AMP role and affect the role's potential contribution to the healthcare system. Recommendations: Advanced Practitioners need to increase the quantity and quality of their research in journal manuscripts that highlight the extraordinary growth of the role and of their impact. ANP/AMPs need to more actively articulate the value and diversity that they bring to health systems to strengthen their contribution to them and to global health sustainability.

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Living with ureteric stents: a phenomenological study

Cited by 4 publications

References 14 publications

Clinical and psychological outcomes of patients undergoing Retrograde Intrarenal Surgery and Miniaturised Percutaneous Nephrolithotomy for kidney stones. A preliminary study

Clinical and psychological outcomes of patients undergoing Retrograde Intrarenal Surgery and Miniaturised Percutaneous Nephrolithotomy for kidney stones. A preliminary study

‘Like a ticking time bomb’: A qualitative study exploring the illness experiences of adults with kidney stone disease

Advanced Nurse Practice: Present and Future: Where to now?

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