Self-esteem and quality of life in patients with neurogenic dysfunction and continent urinary diversion and/or procedures for anterograde enemas.

Actas Urol Esp (Engl Ed)

Clínica Comfamiliar, Pereira, Colombia; Cirugía General y Cirugía Pediátrica, Sección de Cirugía Pediátrica, Departamento de Cirugía, Universidad del Valle, Cali, Colombia. Electronic address:

Published: October 2023

Introduction And Objective: The importance of evaluating the self-esteem and quality of life of patients with a chronic disease has become increasingly relevant. The study describes self-esteem and quality of life outcomes in patients with neurogenic dysfunction and continent urinary diversions and/or antegrade enema procedures.

Materials And Methods: Cross-sectional observational study, including patients with neurogenic dysfunction who required a continent urinary diversion and/or an antegrade enema conduit during their treatment. The self-esteem evaluation was done with the Rosenberg scale and the quality of life with the KIDSCREEN-27 questionnaire.

Variables Measured: socio-demographic, clinical and economic characteristics. Descriptive statistics were applied.

Results: The mean age of the 9 patients was 15.6 years, the mean time elapsed from surgery to application of the questionnaires was 60.9 ± 37.1 months. With a perception of improvement in 8 of the 9 patients and a normal or higher self-esteem score in all cases. In the description of physical activity and health, it was found that 7 of the 9 young people presented a perception of good health in general. A considerable reduction in the use of diapers was achieved after the intervention, going from consuming 6.2 ± 1.4 diapers per day to only 1.7 ± 1.3 diapers per day.

Conclusions: Despite the sequelae, comorbidities and procedures, the results of self-esteem and quality of life in patients with neurogenic dysfunction are high.

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Source
http://dx.doi.org/10.1016/j.acuroe.2023.04.008DOI Listing

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