Effect of Work‐Related Factors on Lower Urinary Tract Symptoms in Nurses and Secretaries

Kaya, Yeliz; Kaya, Çoşkun; Başeskioğlu, Barbaros; Özerdoğan, Nebahat; Yenilmez, A.; Demirüstü, Canan

doi:10.1111/luts.12073

Cited by 12 publications

(43 citation statements)

References 29 publications

(56 reference statements)

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“…The instruments used for evaluation varied widely, with 13 studies using validated instruments and one study using a questionnaire designed and prepared by the authors (Tables , , and ) . Four studies used the Medical Outcomes Study 36‐item Health Survey (SF‐36) and all four found that social functioning was the subscale most affected, followed by physical health and general health (Tables and ) …”

Section: Resultsmentioning

confidence: 99%

“…Accordingly, the prevalence was shown to be high among nursing staff, with the most frequently investigated symptoms being unspecified UI, SUI, UUI, MUI, and OAB. While the prevalence of LUTS ranges from 25.0% to 61.1% among women, in female nurses the rates ranged from 15.2% to 90.5% . This is directly related to nurses’ behaviors in the workplace, such as heavy lifting and toileting behavior, with these factors associated with urinary symptoms.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

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Aim To investigate the prevalence, risk factors, and impact of pelvic floor dysfunctions in female nurses. Design A systematic review. Data Sources Searches were conducted in the following five electronic databases: PubMed/Medline, LILACS, SCIELO, Cochrane Library, and CINAHL. There were no period or language limitations. Review Methods Data extraction and synthesis were conducted and the appraisal of the quality of the studies was performed using the Joanna Briggs Institute critical appraisal tool checklist for prevalence data. Results A total of 15 studies were included. The symptoms investigated were lower urinary tract symptoms, including urinary incontinence and its subtypes, sexual dysfunctions, constipation, faecal incontinence, and dual incontinence. Overall, prevalence ranged from 9.9% to 89.6%. Associated factors related to occupational roles were lifting heavy weights and poor bladder habits. Quality of life was significantly worse for nurses with pelvic floor disorders. Conclusion Pelvic floor dysfunctions are very common among female nurses, considerably affecting their quality of life. Additional studies are needed to investigate the impact on work productivity, causal relationships with the occupation and the performance of prevention and treatment interventions directed toward this population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Six publications focused on OAB, including three that used validated OAB measures . Five publications reported general LUTS, and all five used validated LUTS measures . Other publications focused on daytime frequency, UTIs, and one on nocturia .…”

Section: Resultsmentioning

confidence: 99%

“…13 Studies also varied in the type of bladder symptoms reported, the frequency of the symptom recorded, and the use of validated measures to ascertain symptoms (Table 1). UI was the most common bladder symptom reported in 30 publications, [11][12][13][14][15][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][42][43][44][45][46] 7 of which used validated UI measures. 21,26,28,37,38,42 Six publications focused on OAB, 15,22,31,33,44,47 including three that used validated OAB measures.…”

Section: Resultsmentioning

confidence: 99%

Occupation and lower urinary tract symptoms in women: A rapid review and meta‐analysis from the PLUS research consortium

Markland

et al. 2018

Neurourology and Urodynamics

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Aims: Chronic, infrequent voiding may be a risk factor for lower urinary tract symptoms (LUTS) in women. To inform this hypothesis, we conducted a rapid literature review and meta-analysis of LUTS by occupation as an indirect measure of infrequent voiding behaviors. Methods: Two independent medical librarians searched Pubmed.gov studies (1990–2017) on adult women for occupations, industries, and workplace environment and LUTS outcomes: overactive bladder (OAB), urinary incontinence (UI), urinary tract infections (UTIs), and individual voiding and storage LUTS. Two authors reviewed full text articles meeting content criteria. Among studies with similar UI definitions, we estimated the prevalence of monthly UI using a random effects meta-analysis model. Results: Of 1078 unique citations identified, 113 underwent full article review and 33 met inclusion criteria. Twenty-six of these studies examined specific occupation groups, including nurses/midwives (n = 6 studies), healthcare workers/support staff (n = 6), military personnel (n = 3), teachers (n = 3), and other groups (n = 7), whereas eight compared findings across broad occupation groups. UI was reported in 30 studies (23% using validated measures), OAB in 6 (50% validated), and UTIs in 2 (non-validated). In pooled models, the degree of heterogeneity was too high (I2 = 96.9–99.2%) among the studies to perform valid prevalence estimates for LUTS. Conclusions: Current literature limits the ability to evaluate LUTS by occupation types. Future studies should characterize voiding frequency and toilet access in a consistent manner by occupation and explore its relation to LUTS development.

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“…Likewise, 67.3% of female nurse practitioners surveyed in the USA ( N = 113, mean age 43 years) delayed voiding when busy (Palmer & Newman, ) and it was again the most common “unhealthy bladder habit” in Chinese female clinical nurses ( N = 636; mean age 31 years) (Wan et al, ). Finally, female Turkish nurses were reported to have “poorer bladder habits” (although habits were not clearly defined) compared with secretaries, the authors concluding that where job control is low, prolonged voiding intervals are likely (Kaya et al, ). Clearly, delayed voiding is a common international phenomenon for female nurses in many roles and settings.…”

Section: Discussionmentioning

confidence: 99%

Delaying voiding, limiting fluids, urinary symptoms, and work productivity: A survey of female nurses and midwives

Pierce

Perry

Gallagher

et al. 2019

Journal of Advanced Nursing

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Aim To examine the relationships between workplace bladder practices, urinary symptoms, and work productivity. Design Cross‐sectional observational survey. Methods Surveys were distributed June–November 2016 to at least 600 female nurses and midwives at three urban hospitals in New South Wales, Australia. Nurses self‐reported restricted workplace access to toilets, delaying voiding, limiting of fluid intakes and urinary symptoms at work. Logistic modelling was used to examine whether nurses’ bladder practices impaired their time management, ability to concentrate or perform physical demands. Results Of 353 useable surveys, one in five nurses (22.4%; N = 79) reported restricted access to toilets at work, most (77.1%; N = 272) delayed voiding and one in four (26.9%; N = 95) limited fluid intakes to delay voiding at work. Almost half the sample had urinary symptoms at work (46.7%; N = 165); delaying voiding increased the likelihood of impaired mental concentration and limiting fluid intakes increased the likelihood of impaired time management. Conclusion As workplace access to toilets and related bladder practices are modifiable, associated urinary symptoms and productivity loss may be preventable. Impact Nurses’ often experience restricted accesses to amenities due to job demands and workplace environments. The impact of nurses’ poor bladder practices in the workplace is not known. In this study most nurses delayed voiding and many purposefully limited fluid intakes at work. These behaviours impacted a nurse's ability to manage time and/or concentrate at work. Results have implications for nurses’ personal health, the design of workplace environments, workforce management, occupational health policy, and patient care.

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Effect of Work‐Related Factors on Lower Urinary Tract Symptoms in Nurses and Secretaries

Cited by 12 publications

References 29 publications

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Occupation and lower urinary tract symptoms in women: A rapid review and meta‐analysis from the PLUS research consortium

Delaying voiding, limiting fluids, urinary symptoms, and work productivity: A survey of female nurses and midwives

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