Læknablaðið : fylgirit - 01.06.2009, Blaðsíða 38

Læknablaðið : fylgirit - 01.06.2009, Blaðsíða 38
2 7 T H CONGR SCAND ASSOC UROL F Y L G I R I T 6 1 On the lst. of January 2009 there have been 320 operations. The experiences were summed in January 2007 after the first 76 operations, and it showed 73% of the patients had total continence 6 months after the operation. The empirical study was repeated in January 2009 and here the success rate had dropped so that only 49% of the patient had total continence 6 month after the operation. The aim of our project has been to investigate, if the nurses at the outpatient treatment could improve the continence degree, by increased efforts. The form to clarify "Continence after open radical prostatectomy" has been developed further, and used as a guide for interviewing the patients. Furthermore, the control of the patients pelvic muscle practice have been intensified, and nurses or physiotherapist have given individual guidance regarding pelvic muscle practice according to the patients needs. The results of the interviewing patients about their needs for increased guidance regarding pelvic muscle practice will be summed up as per the lst of May 2009. However, already now, after the pilot-project with 15 patients, we can see that the patients are very satisfied with this extra guidance. The results of the increased efforts towards pelvic muscle practice in regards to the level of continence are made up every year as per the lst of January. N-08 Pelvic floor rehabilitation treatment for post- prostatectomy incontinence B Pedersen', HB Jnrgensenl, BS Laursen2 'Department ofUrology, Aalborg Hospital, 2Clinical Nursing Research Unit, Aalborg Hospital, Denmark beritt.pedersen@rn.dk Background: The incidence of urinary incontinence after radi- cal prostatectomy is found to be 6%-87%. Different therapeutic approaches have been used in this continence treatment and studies show a continence rate between 82%-93% a year after surgery. There is no evidence which therapeutic approach is get- ting the best result. Purpose: The purpose of this quality assurance study is to evalu- ate individual pelvic muscles exercise (PME) using biofeedback in patient with incontinence after radical prostatectomy. Methods: From January 2009 a total of 100 men whom under- went radical prostatectomy for clinically localized cancer will be included. Within the first week after catheter removal they will be instructed in PME using biofeedback and again in week 2 and 3. The first session will last one hour. The second and third session will last Vi hour each. Before the first PME and 3, 6 and 12 month postoperative, the patients will undergo a one day 24 hours pad test. Results and conclusion: We expect the results can give us guidelines how to plan our pelvic floor rehabilitation treatment for post-prostatectomy incontinence that makes us able to offer the patients the best evidence based pelvic muscles exercise. N-09 Nurse-supported telephone calls to men after Robot-assisted laparoscopic prostatectomy surgery A Hagglund, J Svens Department of Urology, Karolinska University Hospital, Solna, Stockholm, Sweden anna.hagglund@karolinska.se, jessica.svens@karolinska.se Background: At Karolinska University Hospital Solna, Sweden, there were approximately 400 Robot-assisted laparoscopic prostatectomy operations performed last year. These patients are usually discharged the day after surgery with an indwelling catheter that remains in place for seven to ten days. Due to the short hospital stay patients are in need of further support and advice after being discharged. Today these patients have no organized support to turn to, so they often phone their urology ward. Method: In 2007 we started a follow-up through telephone calls, 3-5 days after the hospital discharge. Semi-structured questions were asked including questions about catheter care, bowel function and setbacks related to surgery. Result: Decreased random telephone calls to the urology wards as well as a positive response from patients. Conclusions: A majority of patients expressed that they felt more secured and better informed due to the semi structured phone calls. This system can prevent random phone-calls to the urology wards and unnecessary visits to the emergency clinics. We are into the starting process of a study focusing on phone calls as a method of support to newly operated patients. N-10 Nurses outpatient clinic for men with lower urinary tract symptoms. Patient acceptance and satisfaction B Bonfils-Rasmussen, G Smidt, B Vendelbo, AL Persson, P Klarskov Department ofUrology, Herlev Hospital, Copenhagen, Denmark bibo@heh.regionh.dk Introduction and aim: Nurses in the urological outpatient clinic felt that many patients with LUTS had an unmet need for guidance and behavioural modification. The diagnostic program could involve a number of outpatient visits and last 2-4 months. The aim of this study was to see if continence nurses were able to manage a structured diagnostic setup and provide guidance to male patients with LUTS in 2 visits to the satisfaction of the patients. Material and methods: Included were 114 men referred with LUTS. The nurses recorded the medical history, arranged tests and counselled the patient on his LUTS. The patient completed a 32-item questionnaire on his experience in the program. An audit of all patient records was done and a comparison with records of 40 consecutive patients, investigated in the previously used doctor-based set-up was made. Results: After the nurse's investigations, approximately 80% received advice on drinking habits, and 27% had guidance on incontinence aids. The nurse's dialogue with the patients reduced LUTS in 58% of the patients. 38 LÆKNAblaðið 2009/95

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