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Article: Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms

TitleEvaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms
Authors
Issue Date2015
PublisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action
Citation
PLoS One, 2015, v. 10 n. 6, article no. e0129875, p. 1-14 How to Cite?
AbstractBackground: The aim of this study was to evaluate whether community-based nurse-led continence care interventions are effective in improving outcomes for adult Chinese primary care patients with lower urinary tract symptoms (LUTS). Research Design and Subjects: A case-controlled intervention study was conducted. An intervention group of 360 primary care patients enrolled into a nurse-led continence care programme were recruited by consecutive sampling. A control group of 360 primary care patients with LUTS identified by screening were recruited from the waiting rooms of primary care clinics by consecutive sampling. Both groups were monitored at baseline and at 12 months. Measures: Outcome measures included symptom severity, health-related quality of life (HRQOL), self-efficacy, global health and self-reported health service utilization at 12-months. The effect of the continence care programme on symptom severity and HRQOL was assessed by the difference-in-difference estimation, using independent t-test and multiple liner regression. Chi-square test was used to compare the self-efficacy, global health and self-reported health service utilization between the two groups at 12-months. Results: After adjusting for baseline severity and socio-demographics, the intervention group had significant improvements in LUTS severity (P<0.05) and HRQOL (P<0.05). Improvements in the amount of urine leakage were not significantly different between the two groups. A higher proportion of subjects in the intervention group reported increased self-efficacy (43.48% vs. 66.83%), improved global health condition (17.74% vs. 41.5%), having doctor consultation (18.5% vs. 8.06), having medication due to LUTS (26.50% vs.11.29%) and having non-drug therapy due to LUTS (59.5% vs.9.68%). Conclusions: Community-based nurse-led continence care can effectively alleviate symptoms, improve health-related quality of life, and enhance self-efficacy and the global health condition of Chinese male and female primary care patients with LUTS.
Persistent Identifierhttp://hdl.handle.net/10722/214283
ISSN
2017 Impact Factor: 2.766
2015 SCImago Journal Rankings: 1.395
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChoi, PH-
dc.contributor.authorChin, WY-
dc.contributor.authorLam, CLK-
dc.contributor.authorWan, YF-
dc.contributor.authorChan, KC-
dc.contributor.authorChan, KH-
dc.date.accessioned2015-08-21T11:09:12Z-
dc.date.available2015-08-21T11:09:12Z-
dc.date.issued2015-
dc.identifier.citationPLoS One, 2015, v. 10 n. 6, article no. e0129875, p. 1-14-
dc.identifier.issn1932-6203-
dc.identifier.urihttp://hdl.handle.net/10722/214283-
dc.description.abstractBackground: The aim of this study was to evaluate whether community-based nurse-led continence care interventions are effective in improving outcomes for adult Chinese primary care patients with lower urinary tract symptoms (LUTS). Research Design and Subjects: A case-controlled intervention study was conducted. An intervention group of 360 primary care patients enrolled into a nurse-led continence care programme were recruited by consecutive sampling. A control group of 360 primary care patients with LUTS identified by screening were recruited from the waiting rooms of primary care clinics by consecutive sampling. Both groups were monitored at baseline and at 12 months. Measures: Outcome measures included symptom severity, health-related quality of life (HRQOL), self-efficacy, global health and self-reported health service utilization at 12-months. The effect of the continence care programme on symptom severity and HRQOL was assessed by the difference-in-difference estimation, using independent t-test and multiple liner regression. Chi-square test was used to compare the self-efficacy, global health and self-reported health service utilization between the two groups at 12-months. Results: After adjusting for baseline severity and socio-demographics, the intervention group had significant improvements in LUTS severity (P<0.05) and HRQOL (P<0.05). Improvements in the amount of urine leakage were not significantly different between the two groups. A higher proportion of subjects in the intervention group reported increased self-efficacy (43.48% vs. 66.83%), improved global health condition (17.74% vs. 41.5%), having doctor consultation (18.5% vs. 8.06), having medication due to LUTS (26.50% vs.11.29%) and having non-drug therapy due to LUTS (59.5% vs.9.68%). Conclusions: Community-based nurse-led continence care can effectively alleviate symptoms, improve health-related quality of life, and enhance self-efficacy and the global health condition of Chinese male and female primary care patients with LUTS.-
dc.languageeng-
dc.publisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action-
dc.relation.ispartofPLoS One-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleEvaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms-
dc.typeArticle-
dc.identifier.emailChin, WY: chinwy@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.emailWan, YF: yfwan@hku.hk-
dc.identifier.emailChan, KC: kcchanae@hku.hk-
dc.identifier.emailChan, KH: khychan4@hku.hk-
dc.identifier.authorityChin, WY=rp00290-
dc.identifier.authorityLam, CLK=rp00350-
dc.identifier.authorityWan, YF=rp02518-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1371/journal.pone.0129875-
dc.identifier.pmid26076486-
dc.identifier.pmcidPMC4467983-
dc.identifier.scopuseid_2-s2.0-84943523409-
dc.identifier.hkuros249071-
dc.identifier.volume10-
dc.identifier.issue6-
dc.identifier.spagearticle no. e0129875, p. 1-
dc.identifier.epagearticle no. e0129875, p. 14-
dc.identifier.isiWOS:000356329900107-
dc.publisher.placeUnited States-

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