313
19–22 APRIL, 2017, BARCELONA, SPAIN
12:10–12:20
S2-2 (LO)
IMPACT OF RECURRENT HOSPITALIZATION IN BLADDER
EXSTROPHY
Muñoz Pérez MARIA
1
, Maria Teresa ALONSO TORRES
2
, Fernández
Maldonado GEMMA
3
, Casado Carro MARTA
3
, Pérez Sancho SANDRA
3
and Franquet
Barnils ESTHER
3
1) Fundación Puigvert, Nursing, Barcelona, SPAIN - 2) Fundación Puigvert, Nursing Department, Barcelona, SPAIN -
3) Fundación Puigvert, Nursing, Barcelona, SPAIN
PURPOSE
The European Society of Paediatric Urology estimates the incidence of bladder exstrophy in 1 /
71.0000 births. It requires several surgical interventions to preserve renal function, achieve satisfac-
tory aesthetic appearance of the genitals, preserve their sexual function and achieve continence.
The objective is to describe the care process of patients with bladder exstrophy.
MATERIAL AND METHODS
A descriptive, retrospective, and Unicentric study in an Uropaediatrics Unit from 1980 to 2016, in
Spain. The study population were all patients diagnosed with bladder exstrophy. The sample con-
sisted of 113 patients. Sociodemographic variables, clinical care, and complications were collected.
RESULTS
113 patients with bladder exstrophy were studied, 36.3% boys and 63.7% girls. Number of episodes
with hospitalization were 926, mean hospital stay 8,78 days (DE: 9,346). In a case, the same patient
was admitted up to 33 times. Among the main reasons of income: study, complications (urolithiasis,
urinary tract infections, abnormal reproductive tract, urinary tract fistulae, and urinary incontinence).
Professionals make a nursing care plan tailored to the needs of patients and families, including ac-
tive listening, emotional support, therapeutic education, and information when hospital discharged.
CONCLUSIONS
Recurring revenue of bladder exstrophy patients produced an emotional impact on them and their
families. The nursing role is to provide care aimed at reducing psychosocial consequences arising
hospitalization.