Relation between Body Image, Quality of Life, and Sexual Function among Patients Post Urinary Diversion at Urology and Nephrology Center | ||||
| Port Said Scientific Journal of Nursing | ||||
| Volume 12, Issue 2, June 2025, Page 181-206 PDF (720.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2025.393810.1364 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Elsayda Ramadan Elnagar 
| ||||
| Nursing department. Ministry of health and population. Mansoura Technical Health Institute | ||||
| Abstract | ||||
| Background: Urinary diversion (UD) is a surgical procedure which redirects the path of urine excretion and creating an alternative route. It is considered a an approach of therapeutic type which can be either interim or persistent, with creating a stoma usually from the ureters. Aim: the study’s aim was exploring the correlation between life quality, body image, and sexual function among patients undergoing urinary diversion at Urology and Nephrology Center. Subjects and Method Design: A research design of descriptive correlation type was utilized. Setting: the study was carried out in inpatient and outpatient clinics at urology and nephrology center in Mansoura, Egypt. Subjects: an inclusion of 148 patients as purposive sample of whom undergoing urinary diversion were conducted. Tools: for collection of data, four tools were employed which comprised of; Structured interview, Body Image Scale, WHO Quality of Life (QOL) Scale, and Sexual function index (male and female). The Results: It has been demonstrated by the current study that, the males were more prevalent in this study compared to females with a moderate level of body image and high quality of life level. Both sex had an optimal sexual function. Conclusion: A positive correlation which is statistically significant was evident between the image of body, life’s quality and the sexual function of males and females. Recommendations: Designing future health education programs about urinary diversion based on patients' experiences and needs to promote the body image, quality of their life and sexual function regarding urinary diversion. | ||||
| Keywords | ||||
| Body Image; Patients; Quality of Life; Sexual Function; Urinary Diversion | ||||
| References | ||||
|
Abd El-waged, M.S., Abd El-Latif, S.A., & Mohamed,R.E.(2022).Psycho-Educational Nursing Program for Enhancement the Quality of Life among Bladder Cancer Patients with Urinary Diversion. Journal of Nursing Science Benha University, 3(1), 582-594. doi: 10.21608/jnsbu.2022.215175.
Abdelwahid, A., Salama, H., Mohamed, A., & Mohamed, W. (2022). Learning needs and self-care assessment among patients’ undergoing ileal conduit. Mansoura Nursing Journal, 9(2), 429-435. doi: 10.21608/mnj.2022.295607.
Ahmed, M. A. E., Abou-Abdou, S. E. & Gaballah, S. (2019). Body image, self-esteem and quality of life among stoma patients. IOSR Journal of Nursing and Health Science, 8, 47-57.doi: 10.9790/1959-0802054757.
Ahmed, R. L., Prizment, A., Lazovich, D., Schmitz, K. H., & Folsom, A. R. (2008). Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. Journal of Clinical Oncology, 26(35), 5689-5696.
Alshaar, M.G.I., Ali, M.M. & Allam, H.M.(2023). Effect of Designed Nursing Protocol on Self-Reported Outcomes among Patients with Bladder Cancer Undergoing Radical Cystectomy. Journal of Nursing Science Benha University, 4(2), 926-952. doi:10.21608/jnsbu.2023.310634.
Amaral, G. L. G. D., Costa, K. M. D. M., Lima, C. M. F. D., Domingues, T. A. M., Barbosa, D. A., & Belasco, A. G. S. (2020). Quality of life and body image of patients with urinary disorders. Revista Brasileira de Enfermagem, 73(Suppl 1), e20190522.
Babjuk, M., Burger, M., Capoun, O., Cohen, D., Compérat, E. M., Escrig, J. L. D., ... & Sylvester, R. J. (2022). European Association of Urology guidelines on non–muscle-invasive bladder cancer (Ta, T1, and carcinoma in situ). European urology, 81(1), 75-94.
Bahlburg, H., Reicherz, A., Reike, M., Bach, P., Butea-Bocu, M. C., Tully, K. H., ... & Müller, G. (2024). A prospective evaluation of quality of life, psychosocial distress, and functional outcomes two years after radical cystectomy and urinary diversion in 842 German bladder cancer patients. Journal of Cancer Survivorship, 1-9.
Barnes, M., Abhyankar, P., Dimova, E., & Best, C. (2020). Associations between body dissatisfaction and self-reported anxiety and depression in otherwise healthy men: A systematic review and meta-analysis. PloS one, 15(2), e0229268.
Barros, R., Favorito, L. A., Nahar, B., Almeida Jr, R., & Ramasamy, R. (2023). Changes in male sexuality after urologic cancer: a narrative review. International braz j urol, 49(2), 175-183.
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, 68(6), 394-424.
Capone, L. (2022).Genital Sparing Radical Cystectomy in Women: Oncological and Functional Results. Journal on Oncology; 2 (1), 1022. Available at http://journalononcology.org/pdf/1022.pdf.
Chan, C. Y., Lee, A. M., Koh, Y. W., Lam, S. K., Lee, C. P., Leung, K. Y., & Tang, C. S. K. (2020). Associations of body dissatisfaction with anxiety and depression in the pregnancy and postpartum periods: A longitudinal study. Journal of affective disorders, 263, 582-592.
Cisternino, A., Capone, L., Rosati, A., Latiano, C., & Croce, M. (2022). Genital Sparing Radical Cystectomy in Women: Oncological and Functional Results. Journal of Urology and Renal Diseases, 7, 1265. doi.org/10.29011/2575-7903.001265.
Den Ouden, M. E., Pelgrum-Keurhorst, M. N., Uitdehaag, M. J., & De Vocht, H. M. (2019). Intimacy and sexuality in women with breast cancer: professional guidance needed. Breast Cancer, 26, 326-332.
Elalfi, S., Saadoon, O. H., Hemida, R., & Khedr, N. (2019). EFFECT OF MODE OF DELIVERY ON COUPLE'S SEXUAL FUNCTION. Mansoura Nursing Journal, 6(1), 39-47.
Elbadry, M. S., Ali, A. I., Hassan, A., Clement, K. D., Hammady, A. R., Abdbelaal, A., ... & Gabr, A. H. (2020). The relationship between type of urinary diversion and quality of life after radical cystectomy: Ileal conduit versus orthotopic bladder. BJUI compass, 1(4), 133-138. doi: 10.1002/bco2.29.
El-Masry, F. A., & Al-Ghamdi, A. M. (2023). EMPOWERING PATIENTS: EDUCATIONAL INTERVENTIONS FOR ENHANCED KNOWLEDGE AND PRACTICE IN URINARY DIVERSION. Contemporary Journal of Nursing and Allied Research, 11(3), 1-17.
Ferlay, J., Colombet, M., Soerjomataram, I., Parkin, D. M., Piñeros, M., Znaor, A., & Bray, F. (2021). Cancer statistics for the year 2020: An overview. International journal of cancer, 149(4), 778-789.
Gamal S. (2015).body image, self –esteem and quality of sexual life after mastectomy. Mansoura nursing journal 2.
Ghodoussipour, S., & Daneshmand, S. (2020). Voiding Dysfunction After Neobladder Urinary Diversion. Current Bladder Dysfunction Reports, 15, 38-43.
Grimm, T., Grimm, J., Buchner, A., Schulz, G., Jokisch, F., Stief, C. G., ... & Kretschmer, A. (2019). Health-related quality of life after radical cystectomy and ileal orthotopic neobladder: effect of detailed continence outcomes. World Journal of Urology, 37, 2385-2392.
Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European journal of cancer, 37(2), 189-197.
Huddart, R. A., Hall, E., Lewis, R., Porta, N., Crundwell, M., Jenkins, P. J., ... & BC2001 Investigators. (2020). Patient-reported quality of life outcomes in patients treated for muscle-invasive bladder cancer with radiotherapy± chemotherapy in the BC2001 phase III randomised controlled trial. European urology, 77(2), 260-268.doi: org/10.1016/j.eururo.2019.11.001.
Jubber, I., Rogers, Z., Catto, J. W., Bottomley, S., Glaser, A., Downing, A., & Absolom, K. (2022). Sexual activity, function and dysfunction after a diagnosis of bladder cancer. The journal of sexual medicine, 19(9), 1431-1441. doi.org/10.1016/j.jsxm.2022.06.016.
Jung, A., Nielsen, M. E., Crandell, J. L., Palmer, M. H., Smith, S. K., Bryant, A. L., & Mayer, D. K. (2020). Health‐related quality of life among non‐muscle‐invasive bladder cancer survivors: a population‐based study. BJU international, 125(1), 38-48.doi: 10.1111/bju.14888.
Kabbash, I., Zidan, O., & Saied, S. (2022). Substance abuse among university students in Egypt: prevalence and correlates. Eastern Mediterranean Health Journal, 28(1).
Kamat, A. M., & Black, P. C.(2021). Bladder Cancer: A Practical Guide. 1st(Ed.). Springer Nature. Printed by the registered company Springer Nature Switzerland. Printed in Cham, Switzerland.
Lenis, A.T., Lec, P.M.& Chamie, K.(2020).Urinary diversion. Jama,324(21), 2222. doi:10.1001/jama.2020.17604.
Lin, S., Yin, G. & Chen, L. (2023). The sexuality experience of stoma patients: a meta-ethnography of qualitative research. BMC health services research, 23(1), 489. doi.org/10.1186/s12913-023-09532-2.
Mahdy, N.E., Ameen, D.A.,& Mousa, W.E., (2018). Urinary Stoma Care Guidelines: The Effect on Patients' Self-efficacy and Incidence of Peristomal Complications After Permanent Urostomy. stoma, 47. ISSN 2422-8419. Available at https://core.ac.uk/download/pdf/234692473.pdf.
Mahmoud, M. A. H., Hindawy, M. A. A., & Hathout, E. S. M. (2019). Quality of Life after Different Types of Ileal Diversions Following Radical Cystectomy. The Egyptian Journal of Hospital Medicine, 77(5), 5662-5667.doi: 10.21608/ejhm.2019.62417.
Mahmoud, M.R., Ahmed, S.T., Gendy, J.F.& Ali, A.A.(2022). Quality of Life after Radical Cystectomy for Patients with Bladder Cancer. Egyptian Journal of Health Care, 13(4), 510-522.doi:10.21608/ejhc.2022.263003.
McDermott, E., Moloney, J., Rafter, N., Keegan, D., Byrne, K., Doherty, G. A., ... & Mulcahy, H. E. (2014). The body image scale: a simple and valid tool for assessing body image dissatisfaction in inflammatory bowel disease. Inflammatory bowel diseases, 20(2), 286-290.
Milling, R. V., Seyer-Hansen, A. D., Graugaard-Jensen, C., Jensen, J. B., & Kingo, P. S. (2024). Female Sexual Function After Radical Cystectomy: A Cross-sectional Study. European Urology Open Science, 70, 142-147.
Mitra, A. P., Cai, J., Miranda, G., Bhanvadia, S., Quinn, D. I., Schuckman, A. K., ... & Daneshmand, S. (2022). Management trends and outcomes of patients undergoing radical cystectomy for urothelial carcinoma of the bladder: evolution of the University of Southern California experience over 3,347 cases. The Journal of Urology, 207(2), 302-313.
Mohamed, S. A. & Fashafsheh, I. H. (2019). The effect of simulation-based training on nursing students’ communication skill, self-efficacy and clinical competence for nursing practice. Open Journal of Nursing, 9(08), 855. doi.org/10.15640/ijn.v6n1a7.
Nguyen, T. (2024). Development of Novel Preclinical Models and Repair Approaches for Urogenital Tissue Reconstruction. University of California, Irvine.
Ramasamy, M. N., Kelly, E. J., Seegobin, S., Dargan, P. I., Payne, R., Libri, V., ... & Konieczny, M. (2023). Immunogenicity and safety of AZD2816, a beta (B. 1.351) variant COVID-19 vaccine, and AZD1222 (ChAdOx1 nCoV-19) as third-dose boosters for previously vaccinated adults: A multicentre, randomised, partly double-blinded, phase 2/3 non-inferiority immunobridging study in the UK and Poland. The Lancet Microbe, 4(11), e863-e874.
Rossetti, A. O., Schindler, K., Sutter, R., Rüegg, S., Zubler, F., Novy, J., ... & Alvarez, V. (2020). Continuous vs routine electroencephalogram in critically ill adults with altered consciousness and no recent seizure: a multicenter randomized clinical trial. JAMA neurology, 77(10), 1225-1232.
Saidian, A., Hingtgen, H. G., Meagher, M. F., Suarez, M. E., Yuen, K. L., Stewart, T., ... & Salmasi, A.(2024). Reliability and Preliminary Validation of a Body Image Scale Survey for Use in Bladder Cancer Patients. Ann Urol Oncol,7(4).143-147. doi.org/10.32948/auo.2024.10.11.
Saleh, E. E. S. A., Ali, A. R. M., & Elkhateb, M. A. (2020). Quality of Life in Patients with Continent Urinary Diversion after Radical Cystectomy in Upper Egypt. The Egyptian Journal of Hospital Medicine, 78(2), 294-297.
Seghers, P. A., Kregting, J. A., van Huis-Tanja, L. H., Soubeyran, P., O’hanlon, S., Rostoft, S., ... & Portielje, J. E. (2022). What defines quality of life for older patients diagnosed with cancer? A qualitative study. Cancers, 14(5), 1123.
Shaaban, A. E. A., Ibrahim, A. M., Hamed, L. A., Mohammed, B. M. A., Shahin, M. A., & Sofar, S. M. (2022). Effect of teaching package on awareness and quality of life among patients with cystectomy. ANNALS OF FOREST RESEARCH, 65(1), 10825-10840. ISSN: 18448135, 20652445.
Sperling, C. D., Lee, D. J., & Aggarwal, S. (2021). Urinary diversion: core curriculum 2021. American Journal of Kidney Diseases, 78(2), 293-304.
Wiegel, M., Meston, C., & Rosen, R. (2005). The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of sex & marital therapy, 31(1), 1-20.
Witjes, J. A., Bruins, H. M., Cathomas, R., Compérat, E. M., Cowan, N. C., Gakis, G., ... & van Der Heijden, A. G. (2021). European Association of Urology guidelines on muscle-invasive and metastatic bladder cancer: summary of the 2020 guidelines. European urology, 79(1), 82-104.
World Health Organization. The World Health Organization Quality of Life (WHOQOL). Available online: https://www.who.int/tools/whoqol (accessed on 25 August 2021).
Zewude, W. C., Derese, T., Suga, Y., & Teklewold, B. (2021). Quality of life in patients living with stoma. Ethiopian journal of health sciences, 31(5). doi.org/10.4314/ejhs.v31 i5.11.
Zou, H. Y., Zhang, L. Y., Qin, Y. L., Li, P., Zhang, L., & Yang, K. (2022). Influences of Heider Balance on knowledge, attitude, practice, and quality of life in bladder cancer patients after urinary diversion. Journal of Healthcare Engineering, 2022(1), 5635971, 1-8. doi.org/10.1155/2022/5635971. | ||||
|
Statistics Article View: 77 PDF Download: 49 |
||||
