Vol.:(0123456789)
Discover Social Science and Health (2022) 2:7 | https://doi.org/10.1007/s44155-022-00010-4
1 3
Discover Social Science and Health
Research
Quality of life among out‑patients with long‑term indwelling
urinary catheter attending Urology Clinic at a Tertiary Hospital
in Northwestern Tanzania
Asteria L. M. Ndomba
1
· Rose M. Laisser
1
· Eveline T.Konje
2
· Vitus Silago
4
· Joseph R. Mwanga
3
· Stephen E. Mshana
4
Received: 11 February 2022 / Accepted: 26 May 2022
© The Author(s) 2022 OPEN
Abstract
Background This study aimed to determine quality of life (QoL) among patients living with long-term indwelling urinary
catheter (IUC) at home in the Northwestern Tanzania. To the best of our knowledge for the frst time in Africa, we report
on quality of life for patients living with a long-term IUC at home.
Methods This was a descriptive cross-sectional study conducted between December 2016 and September 2017. A total
of 202 out-patients aged 18 years and above living with a long-term IUC were conveniently recruited. The QoL was
determined using WHOQOL-BREF tool. Quantitative data were entered into Microsoft Excel for cleaning and coding,
then into STATA software version 13.0 for analysis. Descriptive statistics were used to compute means and standard
deviations for numerical variables as well as frequencies for nominal and ordinal variables. Signifcance of association
between various variables and QoL were tested using t test with equal variances. Inferential statistics applied included
an independent sample’s t-test for comparing numerical socio-demographic variables. A P-value < 0.05 was considered
statistically signifcant. The mean score indicating good QoL according to our study is a mean score of 50 and above. The
higher the score the higher the QoL.
Results Median age of participants was 69 (IQR 61–77) years. Majority of participants were males (195, 96.5%), mar-
ried (187, 92.6%), and having primary education (116, 57.3%). Generally, the QoL was poor in all the domains: mean
score for physical health being 36.67 ± 0.89, psychological 29.54 ± 0.87, social relationship 49.59 ± 1.61, and environment
26.05 ± 0.63. Married participants were slightly better under social domain 51.1 ± 1.6 than singles 31.1 ± 5.4; P-value 0.001.
Those with primary education & above were slightly better in environmental domain 26.1 ± 0.7 than those with no formal
education 23.5 ± 1.5; P-value 0.039.
Conclusion QoL of participants with a long-term IUC in Northwestern Tanzania is generally poor in all domains. Those
with primary education & above and the married were slightly better in environmental and social domains respectively.
We recommend on the needs of improved social economic status and the importance of close follow up at home for the
married participants living with long-term IUC.
* Asteria L. M. Ndomba, ndomban@yahoo.co.uk; Rose M. Laisser, roselaisser.rl@gmail.com; Eveline T.Konje, ekonje28@yahoo.com;
Vitus Silago, vsilago@bugando.ac.tz; Joseph R. Mwanga, jrmwanga@yahoo.co.uk; Stephen E. Mshana, stephen72mshana@gmail.com
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1
Archbishop Anthony Mayala School of Nursing, Catholic University of Health and Allied Sciences, Bugando Area, P.O. Box 1464,
Mwanza, Tanzania.
2
Department of Biostatistics, Epidemiology and Behavioral Sciences, Catholic University of Health and Allied Sciences,
Bugando Area, P.O. Box 1464, Mwanza, Tanzania.
3
School of Public Health, Catholic University of Health and Allied Sciences, Bugando
Area, P.O. Box 1464, Mwanza, Tanzania.
4
Department of Microbiology and Immunology, Catholic University of Health and Allied Sciences,
Bugando Area, P.O. Box 1464, Mwanza, Tanzania.