Personalized Pre-clinic Nursing Telemedicine Visit: An Efficient and Efficacious Approach for Bowel and Bladder Dysfunction in Children.

Autor: Finup JL; University of Wisconsin Hospitals and Clinics, Madison, WI. Electronic address: Finup@urology.wisc.edu., Bhatia VP; University of Wisconsin Hospitals and Clinics, Madison, WI., Perry DM; University of Wisconsin Hospitals and Clinics, Madison, WI., Truscott SJ; University of Wisconsin Hospitals and Clinics, Madison, WI., Cannon ST; University of Wisconsin Hospitals and Clinics, Madison, WI., O'Kelly F; Beacon for Kids, Dublin 18, Ireland., Farhat WA; University of Wisconsin Hospitals and Clinics, Madison, WI.
Jazyk: angličtina
Zdroj: Urology [Urology] 2023 Sep; Vol. 179, pp. 158-163. Date of Electronic Publication: 2023 Jun 20.
DOI: 10.1016/j.urology.2023.06.006
Abstrakt: Objectives: To evaluate the effectiveness and efficacy of a Registered Nurse (RN) led educational pre-clinic telephone call on compliance and outcomes in children with bowel and bladder dysfunction (BBD).
Methods: A retrospective chart review of a prospectively applied protocol in a single academic institution was performed for children aged 4-17 presenting with BBD. All children underwent a pre-clinic RN telemedicine visit where they were educated on pathophysiology of BBD, provided personalized urotherapy and bowel recommendations and instructed to complete pre-clinic questionnaires and voiding diaries. Patients were evaluated by a provider 4weeks following RN call. Data collected included compliance with forms, bowel management and need for imaging/testing, medications, and biofeedback. Patients were considered to improve with urotherapy alone if they were discharged from urology without the need for medications and/or biofeedback.
Results: In total, 277 patients completed an RN call and 224 patients attended a provider visit between December 2020 and June 2022. Mean age was 9.4years (3:1 Female to Male ratio). During the RN call, 154 (56%) patients had bowel management initiated. Of the 224 patients seen by a provider, 69% (n = 154) had symptom improvement or resolution with urotherapy alone. Thirty-eight patients (17%) enrolled in biofeedback with 7 (3%) completing all 8 sessions. Thirty-two patients (14%) required medication for daytime bladder symptoms.
Conclusion: Our novel RN-led pre-clinic telemedicine visit demonstrates excellent compliance and patient outcomes for children with BBD and can reduce the use of unnecessary imaging, medications, and time-consuming treatments such as biofeedback.
Competing Interests: Declaration of Competing Interest The authors have no conflict of interest to declare.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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