The aim of this study was to determine the types of urinary incontinence prevalent among Kuwaiti women with Type two Diabetes Mellitus attending the outpatient clinic at the Urology center and suggest appropriate nursing interventions. Urinary incontinence is not a life threatening condition but it can be emotionally devastating and therefore affects the sufferer's quality of life. This cross-sectional descriptive survey consisted of 250 Kuwaiti women with type two diabetes mellitus receiving treatment at the outpatient department at Sabah Al-Ahmad Urology Center, Kuwait. The questionnaire comprised of a total of 33 questions, twelve of which explored participants' socio demographic characteristics, risk factors and symptoms of their urinary incontinence. The remaining 21 items were adapted from King's Health Questionnaire (KHQ) formulated in 1997 at King's college, London, for the assessment of quality of life in women with urinary incontinence. Data collection was from February to May 2014. The result revealed that mixed urinary incontinence was the most prevalent type of urinary incontinence affecting Kuwaiti women with type two diabetes mellitus. Symptoms of both stress incontinence and urge incontinence (Over active bladder) were not mutually exclusive as they were present in 247 (98.8%) and 240 (96%) of the participants respectively. Key risk factors for developing incontinence were over three years duration of diabetes mellitus in 115 (56%) and delivery of one or more children reported by 206 (82%) of the participants. Analysis and result of King Health Questionnaire on quality of life will be reported in separate paper on the psychosocial impact of urinary incontinence on diabetic Kuwaiti women. In conclusion, urinary incontinence had a devastating effect on the lives of sufferers and therefore should be prevented at all cost by nurses providing anticipatory guidance to all pregnant and diabetic women and routinely teaching pelvic floor exercises to all postnatal women. However, in the event that there are symptoms of urinary incontinence then thorough investigation and early treatment is advocated.
Background: Nurses are very important frontline health care professionals as they spend more time with patients than other professionals. This is even more so at this critical time of the COVID-19 pandemic. The nursing profession is facing great challenges in coping with the pandemic as they are more vulnerable to exposure and infection with the disease. Kuwait is not spared from the global pandemic which has put the health sector under immense pressure. Because COVID-19 is highly transmissible and deadly, it poses a huge health risk to nurses and has a huge impact on their cognitive, emotional, behavioural and physical dimensions. Aim: The study aims to explore the positive and negative emotions and feelings of staff nurses while giving care to COVID-19 patients. Materials and Methods: A descriptive cross-sectional study was carried out. 300 nurses from different general hospitals, field hospitals, and quarantine facilities in Kuwait participated in the study. A questionnaire was used to collect the data. Results: The findings show that for the cognitive evaluation, 72% were moderately affected, for the emotional evaluation 51.3% and 44% were moderately and mildly affected respectively, for the behavioural evaluation, 66.7% were severely affected, and for the physical evaluation, 43.3% and 31.7% were moderately and severely affected respectively. Prolonged working hours has a highly significant negative correlation to emotional (r −0.165), behavioral (r −0.177) and physical (r −0.155) dimension of the nurses at 0.01 level using Spearman's correlation. Conclusion: The study concluded that the COVID-19 pandemic has affected the psychophysical dimensions of staff nurses.
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