Authors (including presenting author) :
Au HT1, Wong SW Arale1, Chung YY1, Cheng Elaine2, Sha KY Edmund2
Affiliation :
1 Continence Nurse Clinic 2 Department of Geri-medical Department, United Christian Hospital, KEC, HA
Introduction :
Bladder Diary (BD) is an essential assessment tool that allows medical professions to assess urinary symptoms and monitor the treatment effects via the subjective and objective information. In United Christian Hospital (UCH) Continence Nurse Clinic, patients had been educated to record and return the BD in subsequent follow-up. The adherence with completing BD and its impact on patients ‘quality of life (QoL), improvement in urinary incontinence (UI) and lower urinary tract symptoms (LUTS) will be evaluated.
Objectives :
1. To review patients’ compliance on completion of BD
2. To review the relationship between compliance of completing BD and urinary symptoms control
Methodology :
A retrospective study was done in November 2022 to review patients’ compliance on BD completion. Total 100 patients who were instructed to complete 2-day BD from UCH SOPD were randomly retrieved and their subsequent follow-up urinary condition were reviewed. The level of improvement in LUTS was compared between patients who had completed the BD (completers) with those who did not completed BD (non-completers). The level of improvement was reflected from varies assessment tools such as International Prostate Symptom Score (I-PSS), Overactive bladder questionnaire (OAB-V8), and International Consultation on Incontinence Questionnaire (ICIQ). The results were analyzed by SPSS version 20.0.
Result & Outcome :
The mean age of patients was above 61 years (77%). Total BD completers (n=50) and non-BD completers (n=50) ‘s data on IPSS, V8 and ICIQ (Q1 & Q2) were reviewed. Greater improvement in IPSS score was observed in completers (????̅???? =7.9) than non-completers (????̅????=4.9). There was a double improvement of QoL in completers (????̅???? =1.9) than non-completers (????̅???? =0.9). Moreover, alleviating of OAB symptoms was found more effective in completers (????̅????=7.6) than non-completers (????̅????=6).
Within these 100 patients, ICIQ assessment were done to 24 completers and 46 non- completers who presented with UI. Completers reported similar UI episode about once a week or less that scored from 1.7 to 1 in ICIQ-Q1 (????̅????=0.7). In contrast, non-completers reported UI episode was reduced from 2 to 3 times a week to about once a week or less often that scored from 2.1 to 1.2 (????̅????=0.8). Both groups reported a reduction in the amount of urine leakage from small to none. Yet BD completers reported to have greater improvement in decreasing urine leakage severity (????̅????=1) compared to non- completers (????̅????=0.4).
