Psychosocial Adjustment and General State of Health In Patients With Ileal Conduit Urinary Diversion

Abstract

The psychosocial adjustment and general state of health were investigated in 66 patients (40 males, 26 females) who had been subjected to an ileal conduit urinary diversion on account of bladder cancer (44 patients) or incontinence or bladder dysfunction (22 patients). Seventy per cent of the patients reported unchanged, overall, social activity (OSA) after the operation. Twenty per cent reported less and 10% more activity. Bladder-cancer patients were more likely to curtail their social activities compared with the patients with incontinence or bladder dysfunction. Appliance-related problems were mentioned by half of the patients who reported decreased OSA. One-third of the patients considered accidental leakage or fear of such leakage as the most negative aspect of surgery. Factors related to an altered body image were the most common negative aspect reported by females. Despite psychosocial problems, the majority of the patients (80%) considered their health to be good. Males, individuals working full-time and patients with unchanged OSA scored higher on a Health Index, i.e. considered themselves healthier than the rest of the patients.

Nutritional status, well-being and functional ability in frail elderly service flat residents

“…General well-being was assessed by the Health Index (HI) (Nordström et al, 1992, Forsberg & Björvell, 1993. The HI refers to how people feel when they are experiencing different forms of ill-health.…”

Working Capacity and Well-Being after Radical Cystectomy with Continent Cutaneous Diversion

“…The median peak heart rate in PG was 155 (109-184) beats per min (bpm), whereas in CG it was RPE at peak work was 17 (13)(14)(15)(16)(17)(18)(19) for PG and 16 (12)(13)(14)(15)(16)(17) for CG (n.s.). The patient group worked on the bicycle for 11 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) minutes and the control group 10 (7-16) minutes (n.s.…”

“…Many previous studies on function after continent urinary diversions have focused on psychosocial adjustments, general state of health and health-related quality of life [5,18,19]. We used SF-36, an established instrument to measure quality of life [11].…”

Optimization of ileocystoplasty in bladder cancer patients after cystectomy

“…Каждый из них имеет незначи-тельные преимущества относительно других по функ-циональным характеристикам [14]. Частота ранних и поздних послеоперационных осложнений достига-ет 3-30 %, что требует дальнейшего поиска путей их профилактики и лечения [15,16].…”