• Title/Summary/Keyword: Urinary catheterization

Search Result 26, Processing Time 0.196 seconds

The Effect of Urinary Elimination Facilitation Program for Stroke Patients During Rehabilitation: Residual Urine, the Number of Urinary Catheterization, Urinary Discomfort, and Urinary Tract Infections (배뇨중재 프로그램이 뇌졸중 재활대상자의 잔뇨량, 도뇨횟수, 배뇨불편감, 요로감염에 미치는 효과)

  • Song, Young Ae;Lee, Jung Hee;Jung, Ji Young;Kim, Nan Ji;Yang, Yi Eun;Shin, Chae Won;Cho, Moon Suk
    • Journal of Korean Clinical Nursing Research
    • /
    • v.22 no.2
    • /
    • pp.132-141
    • /
    • 2016
  • Purpose: The aims of this study were to develop and apply the urinary elimination facilitation program for stroke patients with urinary disorders and evaluate the effectiveness of the program. Methods: This study was conducted using the non-equivalent control group pre- posttest design. The participants included 23 patients in the control group and 22 in the experimental group. Data were collected from Nov. 25, 2013 to Nov. 25, 2014 in acute rehabilitation inpatient wards. For the final analysis, 35 patients' data were utilized 17 in the control group and 18 in the experimental group. The developed urinary elimination facilitation program was continued for 7 days and the program consisted of logging urination, monitoring timely voiding, assisting urinary elimination, and stimulating urination using sound. The data were analyized using the SPSS-win (version 21). Results: The number of urinary catheterization and the urinary discomfort were significantly improved in the experimental group compared to the control group. However residual urine and the occurrence of urinary tract infections were not significantly different between the experimental and control groups. Conclusion: The results of this study indicated that the urinary elimination intervention program for stroke patients with urination disorder could be useful in decreasing the number of urinary catheterization and the urinary discomfort.

Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews (의무기록지 분석과 간호사 면담을 통한유치도뇨관 관리에 관한 간호활동 및 환자결과)

  • Jang, Keum-Seong;Chung, Kyung-Hee;Choi, Ja-Yun;Yang, Jin-Ju;Park, Soon-Joo;Ryu, Se-An;Kim, Nam-Young;Sim, Jae-Youn
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.15 no.4
    • /
    • pp.438-448
    • /
    • 2008
  • Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.

  • PDF

Development of Indwelling Urinary Catheterization Guideline by Adaptation Process (수용개작방법을 활용한 유치도뇨 간호실무지침 개발)

  • Jeong, Ihn Sook;Jeong, Jae Sim;Seo, Hyun Ju;Lim, Eun Young;Hong, Eun-Young;Park, Kyung Hee;Jung, Young Sun;Choi, Eun Kyoung;Park, Hee Youn;Park, Sun-A
    • Journal of Korean Clinical Nursing Research
    • /
    • v.21 no.1
    • /
    • pp.31-42
    • /
    • 2015
  • Purpose: This study was done to develop evidence-based nursing practice guidelines to prevent complications related to indwelling urinary catheterization (IUC) in patients in Korea. Methods: A guideline adaptation process was conducted according to the guideline adaptation manual which consists of three main phases, and 9 modules with a total of 24 steps. Results: The newly developed IUC guideline consisted of an introduction, urinary catheterization, summary of recommendations, recommendations, references, and appendices. There were 110 recommendations in 8 sections including assessment, equipment, catheter insertion, catheter maintenance, catheter change, catheter removal, management of complications, and education/consultation. For the grade of recommendations, there were 6.4% for A, 22.7% for B, 67.3% for C. Conclusion: The IUC guideline was developed based on evidence and therefore it is recommended that this guideline be disseminated and utilized by nurses nationwide to improve the quality of care for patients with IUC and decrease complications related to IUC and that it be revised regularly.

Development of Nursing Practice Guideline on Intermittent Urinary Catheterization by Using Remake Process (수용개작방법을 활용한 간헐도뇨 간호실무지침 개발)

  • Jeong, Ihn Sook;Jeong, Jae Sim;Seo, Hyun Ju;Hong, Eun-Young;Park, Kyung Hee;Jung, Young Sun;Choi, Eun Kyoung;Kwon, Kyoung Min;Yu, Yang Sook;Lee, Yeon Hee
    • Journal of Korean Clinical Nursing Research
    • /
    • v.22 no.3
    • /
    • pp.285-293
    • /
    • 2016
  • Purpose: The purpose of this study was aimed to develop evidence-based nursing practice guideline for preventing intermittent urinary catheterization (IUC) related complications using guideline remake process. Methods: Guideline remake process was conducted according to guideline adaptation manual developed by Gu et al (2012) which consisted of three main phases and 9 modules including a total of 24 steps. Results: Newly developed IUC guideline consists of introduction, overview of intermittent catheterization, summary of recommendations, recommendations, references, and appendices. There were 50 recommendations in 5 sections including assessment, equipments, catheterization, complications management, and education/consult. Three recommendations (6%) were graded A, and five (10%) and 41 recommendations(82%) were B and C, respectively. Conclusion: The IUC remade-guideline was developed based on evidence-based nursing and therefore, this guideline is recommended to be disseminated and utilized by nurses nationwide to improve the quality of care for IUC and to decrease the IUC related complications.

The Effects of Self-directed Practice using Peer-tutoring on Confidence, Performance and Learning Satisfaction of Nursing Students in Practicing Core Nursing Skills (동료 교수학습이 핵심기본간호술 수행자신감, 숙련도와 학습만족도에 미치는 효과)

  • Yoo, Myoung-Ran;Kang, Myungsuk;Kim, Hyewon;Han, Hye-Lee;Choi, Ju-Young
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.23 no.1
    • /
    • pp.27-36
    • /
    • 2017
  • Purpose: The purpose of the non-equivalent control group pretest-posttest study was to test the effects of self-directed nursing practice using peer-tutoring, on the level of confidence, performance and learning satisfaction of nursing students in practicing core nursing skills. Methods: The data were collected from 80 junior nursing students at a nursing college in Daejeon before and after 3 weeks of intervention on practicing six core nursing skills, according to the highest order of priority. The subjects were divided into the peer-tutoring practice group (PTPG, n=40) and the lecturer-guided practice group (LGPG, n=40). The data were analyzed using mean, frequency, and t-test. Results: The PTPG scored statistically higher than the LGPG on the performance of 'indwelling urinary catheterization' and 'wearing protection equipment while entering quarantine room & disposing waste'. The PTPG scored statistically higher than the LGPG on the confidence of 'indwelling urinary catheterization' and 'inserting intravenous catheterization'. The PTPG scored statistically higher on learning satisfaction than LGPG. Conclusion: The results showed that self-directed nursing practice using peer-tutoring could be effective for nursing students in improving proficiency in core nursing skills and might be applied to core nursing skills training.

Pain Reduction Effects of Lidocaine Gel for Urethral Catheterization : A Systematic Review and Meta-Analysis (요도 카테터 삽입술에서 리도카인 윤활제의 통증 감소 효과 : 체계적 문헌고찰과 메타분석)

  • Hong, Hyun-Jung;Kim, Ga-Eun;Lee, Ha-Nee;Lee, A-Reum
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.18 no.6
    • /
    • pp.438-448
    • /
    • 2017
  • This study was a systematic review and meta-analysis that evaluated the results of research on the pain reduction effects of lidocaine gel for urethral catheterization in adults. A literature search was conducted using seven electronic databases, gray literature and other resources based on the guidelines of Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA). A Risk of Bias (RoB) tool was applied to assess the quality of selected studies. Data were analyzed using the RevMan 5.3.-program. Sixteen randomized controlled trials involving 1904 adults were included. RoB was not observed in the funnel plot. Overall, lidocaine gel was effective for pain reduction during urethral catheterization (Standard Mean Difference[SMD] -0.96;95% CI: -1.43, -0.49). To explore the cause of heterogeneity (I2=95%, p<.001), subgroup analysis was conducted according to three catheter types (urinary catheter, flexible cystoscopy, and rigid cystoscopy) and the SMDs were -0.88 (95% CI:-1.51, -0.26), -0.31 (95% CI:-0.63, 0.01), and -1.93 (95% CI:-2.88, -0.97), respectively. A significant pain reduction effect was observed regardless of gender in urinary catheterization. However, in rigid cystoscopy, a significant pain reduction effect was observed only in male subjects. Pain reduction effects were observed when 10~11ml lidocaine gel was used during rigid cystoscopy and when lubrication was used during urinary catheterization, irrespective of application time. These findings suggest that lidocaine gel is a useful anesthetic lubricant for urinary catheterization and rigid cystoscopy in male adults.

Imperforate Hymen Causing Hematocolpos and Acute Urinary Retention in a 14-Year-Old Adolescent

  • Lee, Geum Hwa;Lee, Mi-Jung;Choi, Young Sik;Shin, Jae Il
    • Childhood Kidney Diseases
    • /
    • v.19 no.2
    • /
    • pp.180-183
    • /
    • 2015
  • We report the case of a 14-year-old girl who visited the emergency room because of suprapubic discomfort and sudden acute urinary retention. She did not have any significant medical and surgical history, and her neurological examinations were all normal. Urinary catheterization led to the passage of 500 mL urine. Abdominal ultrasonography showed a hematocolpos that was compressing the urinary bladder. Gynecologic history taking revealed that the patient has not had menarche yet. Therefore, a cruciate incision was performed and her urination became normal. As the surgical outcome after adequate hymenotomy for imperforate hymen is usually good, the diagnosis of imperforate hymen is important. However, this condition is easily missed in the clinic because the first physician visited by the patient rarely takes a detailed gynecologic history or performs appropriate physical examinations. Although rare, imperforate hymen should be considered as a cause of acute urinary retention in the adolescence period. If an adolescent girl presents with abdominal pain and voiding dysfunction, a detailed gynecologic history and appropriate physical examinations of the genital introitus should be performed.

A Nursing Skills Enhancement Program Improves the Self-efficacy and Self-esteem of Senior Nursing Students (간호수기향상 프로그램이 간호학생의 자기효능감과 자존감에 미치는 효과)

  • Jin, Eun Hee;Kang, Hwa Jung
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.20 no.2
    • /
    • pp.105-112
    • /
    • 2013
  • Purpose: The purpose of the present study was to assess the effectiveness of a nursing skills enhancement program in improving the self-efficacy and self-esteem of senior nursing students. Methods: This was a nonequivalent control group pretest-posttest design study that enrolled 306 senior nursing students. The nursing students were randomly assigned to an experimental(n=132) or control group (n=174), and students assigned to the experimental group completed a nursing skills enhancement program, which consisted of four skills training components: IV infusion, enema, $O_2$ therapy by means of cannulation and urinary catheterization. Data were analyzed with frequency, the chi-squared test, and the paired t-test using the SPSS/pc 15.0 statistical program. Results: Our results showed that the self-esteem and self-efficacy of nursing students who were assigned to the nursing skills enhancement program were significantly better compared to those of nursing students in the control group (t=10.198 and t=6.452, for self-efficacy and self-esteem, respectively, p<.001 for both variables). Conclusion: Our findings clearly show that a nursing skills enhancement program is effective in improving the self-efficacy and self-esteem of senior nursing students.

  • PDF

A Systematic Review and Meta-Analysis on the Effects of Urinary Tract Infections in the Water or Antiseptic for Periurethral Cleaning Before Urinary Catheterization (도뇨관 삽입 전 소독제 또는 물의 사용이 요로감염 발생에 미치는 효과에 대한 체계적 문헌고찰과 메타분석)

  • Kim, Jin-Sook;Kim, Mi-Jung;Kim, Kuk-Hwa;Lim, Da-Hae
    • Quality Improvement in Health Care
    • /
    • v.23 no.2
    • /
    • pp.81-94
    • /
    • 2017
  • Purpose:The purpose of this study was to evaluate the effects of periurethral cleaning with water or antiseptics in preventing catheter-associated urinary tract infections through systemic review Methods:The randomized clinical trials published between 2000 and 2016 were searched using domestic and international databases, and five randomized studies were selected for this study. The quality of study was assessed by assessment tool from the cochrane's Risk of Bias and meta-analysis was performed using the Cochrane Review Manager software Version 5.3 (RevMan) Results: The two groups of antiinfectants used in this study include povidone-iodine and chlorhexidine, water and chlorhexidine vs water and chlorhexidine. there was no significant difference in urinary tract infection rate between the two groups. Conclusion: Based on the findings, periurethral cleaning with water is safer and cost-efficient than using antiseptics. and it can make reduce a patient's discomfort.

Reconsideration of urine culture for the diagnosis of acute pyelonephritis in children: a new challenging method for diagnosing acute pyelonephritis

  • Lee, Jun Ho;Rhie, Seonkyeong
    • Clinical and Experimental Pediatrics
    • /
    • v.62 no.12
    • /
    • pp.433-437
    • /
    • 2019
  • Acute pyelonephritis (APN) should be detected and treated as soon as possible to reduce the risk of the development of acquired renal scarring. However, in the medical field, urine culture results are not available or considered when the prompt discrimination of APN is necessary and empirical treatment is started. Furthermore, urine culture cannot discriminate APN among children with febrile urinary tract infection (UTI) (pyelitis, lower UTI with other fever focus). Therefore, the usefulness of urine culture for diagnostic purposes is small and the sampling procedure is invasive. Congenital hypoplastic kidney is the most common cause of chronic kidney injury in children. Thus, it is desirable that a main target be detected as early as possible when imaging studies are performed in children with APN. However, if APN does not recur, no medical or surgical treatment or imaging studies would be needed because the acquired renal scar would not progress further. Therefore, the long-term prognosis of APN in young children, particularly infants, depends on the number of recurrent APN, not other febrile UTI. New methods that enable prompt, practical, and comfortable APN diagnosis in children are needed as alternatives to urinary catheterization for urine culture sampling.