Toileting behaviour and related health beliefs among Chinese female nurses

Xu, Dongjuan; Chen, L.; Wan, Xiaojuan; Zhang, Y.; Liu, N.; Wang, K.

doi:10.1111/ijcp.12798

Cited by 24 publications

(60 citation statements)

References 31 publications

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“…Our findings support those of previous studies that showed nurses had unhealthy toileting behaviours in terms of voiding their bladders (Liao et al., ; Xu et al., ). The most common behaviour was delayed voiding; more than 61% of nurses delayed emptying their bladders when busy, nearly half waited for extended periods of time (more than 4 hr) to urinate at work and nearly one‐third waited until they were unable to hold.…”

Section: Discussionsupporting

confidence: 92%

“…OAB is more common among bedside nursing staff than in the general population. Due to busy work, nurses will adopt a series of unhealthy urination behaviours (Xu et al., ). Toileting behaviour is a comprehensive concept that includes voiding place, position, time, and style (Wang & Palmer, ).…”

Section: Introductionmentioning

confidence: 99%

“…Due to increased demand and inadequate supply, nurses typically face heavy workloads during their shifts (Wu, Chi, Chen, Wang, & Jin, ). With so many tasks to complete in a limited period, nurses, and assistant nurses may suppress the desire to void during working hours (Bendtsen, Andersen, & Andersen, ; Xu et al., ). The occupational stress and psychological strain experienced by female nurses at the workplace are significantly associated with OAB (Zhang et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…Unhealthy toileting behaviours are common among female nurses and advanced practice providers (Palmer & Newman, ; Xu et al., ). More than half of female nurses often or always delayed emptying their bladders when they were busy and nearly half often or always waited more than 4 hr to urinate (Xu et al., ). Previous studies have found that unhealthy toileting behaviours were associated with bladder symptoms in female nurses (Wan et al., ), female advanced practice providers (Palmer & Newman, ), employed women at a large academic medical center (Palmer, Willis‐Gray, Zhou, Newman, & Wu, ) and patients with type 2 diabetes (Xu et al., ).…”

Section: Introductionmentioning

confidence: 99%

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Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Zhu

et al. 2019

Journal of Advanced Nursing

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Aims To investigate: (a) the prevalence of overactive bladder among male and female operating room nurses; (b) the unhealthy toileting behaviours that nurses adopt to void their bladders; and (c) the mediating roles that different toileting behaviours play in the relationship between occupational stress and overactive bladder. Design A cross‐sectional design was used. Methods This study was conducted from July ‐ September 2016 in Jinan, China. Four hundred eligible operating room nurses in five hospitals were recruited. Data were collected through survey questionnaires including the nurse job stress scale, the toileting behaviours scale and the overactive bladder symptom score questionnaire. Multivariate linear or logistic regression models, as appropriate, were used to test the mediation effect of each toileting behaviour on the relationship between occupational stress and overactive bladder. Results Overactive bladder was highly prevalent in both male and female nurses working in operating rooms. Approximately one of three nurses reported experiencing an overactive bladder. The most common unhealthy toileting behaviour was delayed voiding. Unhealthy toileting behaviours mediated the relationship between occupational stress and overactive bladder. With high levels of occupational stress, nurses tended to adopt unhealthy toileting behaviours to empty their bladders. The more the nurses engaged in unhealthy toileting behaviours (e.g. delayed voiding and straining to void), the greater the likelihood of having overactive bladders. Conclusions This study highlights the mediating role of toileting behaviours on occupational stress and overactive bladder. To accommodate occupational stress, nurses engaged in unhealthy toileting behaviours that were detrimental to their bladder health.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Zhu

et al. 2019

Journal of Advanced Nursing

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“…Moreover, suppressing the urge to void may have no detrimental effect in the short term; however, long-term suppression may threaten bladder’s health [14]. Avoiding using public toilets or toilets at someone else’s house may lead to premature or delayed voiding [36]. Thus, educating patients to adopt healthy toileting behaviors to improve and maintain their optimal bladder health is essential.…”

Section: Discussionmentioning

confidence: 99%

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

Cheng

et al. 2017

BMC Urol

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BackgroundOveractive bladder is more prevalent in patients with type 2 diabetes than in those without diabetes. Unhealthy toileting behaviors may be associated with the development and worsening of overactive bladder symptoms. However, little is known about the relationships between toileting behaviors and overactive bladder in patients with diabetes. This study aimed to identify unhealthy toileting behaviors that patients with type 2 diabetes adopted to empty their bladders and investigate the relationships between toileting behaviors and overactive bladder.MethodsPatients with type 2 diabetes from the endocrinology outpatient department of a hospital in China were recruited. The Toileting Behaviors-Women’s Elimination Behavior and Overactive Bladder Symptom Score questionnaires were used to assess the patients’ toileting behaviors and overactive bladder symptoms. A multivariate logistic regression model was used to explore the relationships between toileting behaviors and overactive bladder.ResultsAlmost 14% of patients with diabetes had overactive bladder. The unhealthiest toileting behavior was premature voiding. In the multivariate logistic regression analysis, premature voiding (OR = 1.286, p = 0.016) and straining to void (OR = 1.243, p = 0.026) were associated with overactive bladder. There was a greater likelihood of having overactive bladder when patients engaged in unhealthy toileting behaviors (premature voiding and straining to void).ConclusionsOveractive bladder in patients with type 2 diabetes was more than twofold higher than that in the general population. Thus, overactive bladder is not just an inconsequential condition for patients with diabetes. Unhealthy toileting behaviors, e.g., premature voiding and straining to void, may contribute to the onset or worsening of overactive bladder in patients with diabetes. Identification and awareness of these modifiable behavioral factors during diabetes care is an essential component of primary prevention, alleviation, and management of overactive bladder symptoms.

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Self‐reported toileting behaviors in employed women: Are they associated with lower urinary tract symptoms?

Palmer

Willis-Gray

Zhou

et al. 2017

Neurourology and Urodynamics

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Toileting behaviour and related health beliefs among Chinese female nurses

Cited by 24 publications

References 31 publications

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

Self‐reported toileting behaviors in employed women: Are they associated with lower urinary tract symptoms?

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