Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research

Abstract

PurposeWe aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea.Materials and MethodsQuestionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas.ResultsThe study was carried out from July to December 2014; 75.6% of patients (1,858/2,458) and 77.5% (779/1,031) of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110–367), 189.1 patients (range, 90–345), and 40.2 nurses (range, 10–83). The average number of physicians was 6.2 (range, 3–11), but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%), indwelling catheters (19.5%), clean intermittent catheters (12.2%), and external collection urinary drainage (7.9%). However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%.ConclusionsUrologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.

Care of Voiding Dysfunction in Rehabilitation and Convalescent Hospitals

“…Incontinence is the most common urologic problem in RCHs. Its reported prevalence was 43-77% in US patients [17] and 42-50% in South Korean patients [4,18].…”

“…Regarding urologic complications, 20.2% had urologic complications related to voiding difficulty, including UTI, acute or chronic urinary obstruction, chronic renal failure, or urolithiasis, and 18.8% had secondary complications related to urologic diseases, including pressure sore or dermatitis. The total prevalence of urologic complications was 39.0%, including duplicates [4]. Incontinence is the most common urologic problem in RCHs.…”

“…Lee et al [4] investigated the prevalence of urologic diseases in 13 South Korean geriatric hospitals. They reported that, among 1,858 patients, 48.4% had voiding difficulties, 50.1% had UI, and 64% had both conditions.…”

“…On the other hand, urologic problems have not been managed optimally for many reasons, including a lack of certified urologists and nursing staff who actually care about the urologic problems in RCHs, a paucity of standardized urologic assessment tools tailored to real-world practice, and the current health insurance systems in South Korea [1,4]. For these reasons, this review examined the problems…”

Health‐related quality of life in patients undergoing TURP: Translating evidence into urological nursing practice

“…59 "Cognitive state symptoms" signifies cognitive impairment and mental status increasing urinary tracts infection. 60 Cognitive impairment (CI), such as delirium and dementia, were known as the common co-morbidities found in the older adult population with BPH. To deal with this issue, urological nurses have duties to give what is needed in clinical practice include providing a concerted effort focusing on interprofessional collaboration, conducting effective communication amid healthcare providers and patients.…”