Popoola A A, Kuranga S A, Babata A L I, Adekanye A O, Yusuf S A
Department of surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Niger Postgrad Med J. 2007 Jun;14(2):118-20.
Urethral catheterisation is a procedure which is daily performed in clinical practice. Though, interns are expected to be proficient in this, the situation is always not so and complications have occurred due to inadequate knowledge of safe urethral catheterisation.
The study is intended to assess the knowledge and the practice of urethral catheterisation of prospective interns with a view of making suggestions for improvement in the teaching of this procedural skill to medical students and interns.
Questionnaires were administered to all prospective interns who had applied to do their compulsory one year internship in the University of Ilorin Teaching Hospital, Ilorin, Nigeria. The data were analysed using SPSS 11 statistical package.
There were 96 respondents 65 (69.9%) of these were males. They graduated from 6 medical schools in Nigeria and 1 in the Sudan and they were aged between 23 and 36 years. They all had observed urethral catheterisation before while 92.5% have performed urethral catheterisation: 78.5 % under supervision and 14% under no supervision and 7 (7.5%) have not. Only 19.4% had good knowledge of the indications for urethral catheterisation and 53.9% had knowledge of appropriate list of materials for safe urethral catheterisation. Only 29.1% could describe well the steps of safe catheterisation and 31.2%.could list well the possible complications of catheterisation. Less than half had good knowledge of appropriate catheter sizes.
Urethral catheterisation is yet to be well mastered by many newly qualified interns and improvement in the teaching of procedural skills in medical schools may likely improve the situation.
尿道插管是临床实践中每天都要进行的一项操作。尽管实习生应该熟练掌握此项操作，但实际情况并非总是如此，由于对安全尿道插管知识的欠缺，已出现了一些并发症。
本研究旨在评估未来实习生对尿道插管的知识和操作情况，以期对医学生和实习生此项操作技能的教学改进提出建议。
对所有申请在尼日利亚伊洛林大学教学医院进行为期一年强制实习的未来实习生发放问卷。使用SPSS 11统计软件包对数据进行分析。
共有96名受访者，其中65名（69.9%）为男性。他们毕业于尼日利亚的6所医学院和苏丹的1所医学院，年龄在23岁至36岁之间。他们都曾观摩过尿道插管操作，92.5%的人进行过尿道插管：78.5%在监督下进行，14%无人监督，7人（7.5%）未进行过。只有19.4%的人对尿道插管的适应证有充分了解，53.9%的人知晓安全尿道插管所需材料清单。只有29.1%的人能很好地描述安全插管步骤，31.2%的人能列出插管可能的并发症。不到一半的人对合适的导管尺寸有充分了解。
许多新获得资格的实习生尚未很好地掌握尿道插管技术，医学院校操作技能教学的改进可能会改善这种状况。
