Background and Objectives: Retinal detachment is a severe ophthalmological condition requiring urgent surgical intervention and comprehensive postoperative management. This study aimed to evaluate the impact of perceived social support (PSS) on postoperative adherence, pain management, and reintervention rates in patients undergoing retinal detachment surgery. It was hypothesized that higher levels of PSS would be associated with better postoperative outcomes, particularly in adherence and anxiety management. Materials and Methods: A prospective observational study was conducted with 166 patients at a tertiary hospital between 2022 and 2024. Sociodemographic and clinical data were collected, and PSS was assessed using the Medical Outcomes Study (MOS) questionnaire (Cronbach’s alpha = 0.96). The primary outcomes included adherence to postoperative recommendations, reintervention rates, additional analgesic use, and local complications. Given the non-normal distribution of key variables, non-parametric statistical analyses were performed, with significance set at p < 0.05. Results: PSS scores were consistently high (median: 5; IQR: 4.7–5.0). Adherence rates were excellent (100% at 7 and 15 days; 99.04% at 30 days). Reintervention rates remained low (0.5%, 1.0%, and 1.5% at 7, 15, and 30 days, respectively). The need for additional analgesia decreased significantly over time (46.43% at 7 days vs. 13.33% at 30 days; p = 0.041). Preoperative anxiety was significantly associated with higher postoperative analgesic consumption (median STAI score: 38 [IQR: 34–42], p = 0.041). A significant relationship was found between higher preoperative anxiety levels and greater postoperative analgesic use (p = 0.041). However, no significant associations were found between PSS and major clinical outcomes such as reintervention or complications. Conclusions: These findings suggest that PSS may influence adherence to postoperative recommendations, although its direct impact on clinical outcomes remains uncertain. The significant association between higher preoperative anxiety and increased postoperative analgesic consumption highlights the need for psychosocial and educational interventions in RD surgical care. These results support a multidisciplinary approach incorporating psychosocial support alongside surgical treatment to optimize patient outcomes.
Background: Foley catheters have been subject to limited development in the last few decades. They fulfil their basic function of draining urine from the bladder but cause other associated problems. T‐Control is a new silicone Foley catheter with an integrated fluid control valve whose design aims to reduce the risks associated with bladder catheterisation by a multifactorial approach. The general purpose of this study is to evaluate the effectiveness and cost‐effectiveness of the T‐Control catheter versus the Foley‐type catheter in patients with Acute Urine Retention (AUR).Study design: This is a pragmatic, open, multicentre, controlled clinical trial with random allocation to the T‐Control catheter or a conventional Foley‐type catheter in patients with AUR.Endpoints: The magnitude of infections will be analysed as a primary endpoint. While as secondary endpoint, the following will be analysed: rate of symptomatic and asymptomatic infections; days free of infection; quality of life‐related to self‐perceived health; indication of associated antibiotic treatments; determination of biofilm; number of catheter‐related adverse events; use of each type of catheterisation's healthcare resources; level of satisfaction and workload of health professionals and acceptability of the T‐Control device as well as the patient experience.Patients and methods: Eligible patients are male adults aged ≥50 years, with AUR and with an indication of bladder catheterisation for at least 2 weeks. The estimated sample size is 50 patients. Patient follow‐up includes both the time of catheter insertion and its removal or change 2 weeks later, plus 2 weeks after this time when the patient will be called for an in‐depth interview.
Background and Objectives: retinal detachment is an ophthalmological emergency requiring immediate surgical intervention and comprehensive management. This study evaluated the in-fluence of Perceived Social Support (PSS) on postoperative outcomes, including reintervention rates, adherence to recommendations, pain management, and local complications. It was hy-pothesized that higher levels of PSS would be associated with improved postoperative outcomes. Materials and Methods: A prospective study was conducted involving 166 patients who under-went retinal detachment surgery at a tertiary hospital (2022–2024). Sociodemographic and clinical data were collected, and PSS was assessed using the Medical Outcomes Study (MOS) question-naire, which demonstrated a Cronbach’s alpha reliability coefficient of 0.96. Dependent variables included reintervention rates, adherence, analgesic consumption, and local complications. De-scriptive and inferential statistical analyses were performed, with significance set at p < 0.05. Results: PSS scores were high (median: 5; SD: 0.55). Adherence rates were excellent (100% at 7 and 15 days; 99.04% at 30 days). Reintervention rates were low (0.5%, 1.0%, and 1.5% at 7, 15, and 30 days, respectively). The need for additional analgesia significantly decreased (46.43% at 7 days versus 13.33% at 30 days; SD: 6.0 to 3.2). No significant associations were found between PSS and major clinical variables, although higher levels of preoperative anxiety were associated with greater analgesic use (p = 0.041). Conclusions: PSS positively influences adherence and emotional well-being, highlighting its relevance in comprehensive postoperative management. These findings support the integration of tailored psychosocial and educational strategies alongside surgical treatment.
16 April 2024 in International Journal of Urological Nursing