Patients' experiences at home after day case cystoscopy.
OBJECTIVE
To determine patients' problems with day case cystoscopy and their problem solving ways and patients' self-care at home.


BACKGROUND
Day surgery has become increasingly common in the last 20 years. Cystoscopic procedures are increasingly being carried out as a diagnostic and therapeutic procedures.


METHODS
This descriptive/prospective study comprised 50 patients undergoing day case cystoscopic procedures in the university hospital of Turkey. The data were collected using telephone interview three days after the procedure. The two questionnaire used were Symptom Measurement Questionnaire and Symptom Management Questionnaire. Discharge information and written instruction was given to all patients.


RESULTS
It was found in the investigation that the most common problems experienced by the patients were tiredness, haematuria, dysuria, pain over bladder and difficulty in voiding after flexible cystoscopy in first day. Generally, urinary elimination problems were experienced by majority of the patients. At second day, these problems were also common. The mean score for all problems decreased after three days. The patients stated that they were able to deal with their symptoms either independently or to a lesser extent with assistance of a carer. But they were unable to deal with problems such as especially haematuria.


CONCLUSIONS
Problems experiences by the patients at home after cystoscopy influenced some daily living activities. The problems related to voiding are more frequently observed after cystoscopy. Although some these problems are related to the procedures, some were present previously.


CONCLUSIONS
This findings indicate that patient-centred care should be strengthened at home in urological day surgery.
Erkal
S
S
Ankara University, Cebeci School of Health, Ankara, Turkey. serkal@ankara.edu.tr
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000451:nursing / Q000523:psychology*; D001294:Attitude to Health; D003558:Cystoscopy / Q000009:adverse effects / Q000451:nursing / Q000523:psychology*; D005221:Fatigue / Q000209:etiology; D005260:Female; D006417:Hematuria / Q000209:etiology; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D010149:Postoperative Pain / Q000209:etiology; D010351:Patient Discharge; D010353:Patient Education as Topic; D011340:Problem Solving; D011446:Prospective Studies; D012648:Self Care / Q000379:methods / Q000523:psychology*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014421:Turkey; D014555:Urination Disorders / Q000209:etiology