Patients undergoing urinary diversion; needs assessment

ABSTRACT

There continuous to be debate about how best to replace bladder function following radical cystectomy. All the usual options currently involve the use of transported intestinal segments, and all have advantage and disadvantages. The impact of each option on patient's needs is an important consideration. The aim of this study was to assess needs for patients undergoing urinary diversion as regarding to physical, psychological, social, and financial needs. The study was carried out at urology unit of El-Demerdash Hospital at Ain shams university and Urology and Nephrology Center of Mansoura University Hospitals. Sample included 100 patients whose undergoing urinary diversion from both sexes. The investigator used Patient's needs assessment questionnaire, and observational checklist to assess patient's response [unverbated needs].The study results revealed that, highest needs were the physical needs with mean +/- SD percentage 96.93 +/- 20.34 followed by unverbated needs with mean +/- SD percentage 13.61 +/- 3.51; psychological problems with mean +/- SD percentage 12.66 +/- 1.94; social needs with mean +/- SD percentage 10.03 +/- 3.31 and financial needs with mean +/- SD percentage 5.88 +/- 0.33. It can be concluded from the study that highest needs were the physical needs followed by unverbated needs; psychological problems; social needs and financial needs. The study recommended the application of guiding educational and cultural programme for patients with urinary diversion to improve their self-care for urinary diversion and urostomy. Emphasizing the importance of more perspective studies to shed light on patient's needs assessment and quality of life for patients with urinary diversion