Culha Yeliz, Acaroglu Rengin
Istanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, Fundamentals of Nursing Department, Istanbul, Turkey.
Int Neurourol J. 2022 Dec;26(4):331-341. doi: 10.5213/inj.2244166.083. Epub 2022 Dec 22.
This research was carried out in order to examine the effect of clean intermittent catheterization (CIC) training with a video developed by the researchers on patients' ability to practice CIC and self-confidence.
The population of the study consisted of patients who had just started performing CIC in the urology polyclinic of a city hospital in Istanbul. The sample consisted of a total of 80 patients, 40 of whom were in the experimental group and 40 in the control group. The experimental group patients were given CIC training with a training video that was downloaded to the mobile phone of the patient, a family member, or caregiver. The patients' practice skills were evaluated by 2 independent observers. The DISCERN Inquiry Form and the Global Quality Score, the Patient Information Form, the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were used to collect data.
In the experimental group, consisting of patients who received video-assisted training, the mean scores for the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were statistically significantly higher than in the control group (P<0.001), the experience of feeling pain during catheterization was less than in the control group, and the patients in the experimental group experienced statistically significantly fewer complications such as urinary tract infections, urgency, urinary incontinence, hematuria and urethral stricture (P<0.05).
Video-assisted CIC training had a positive effect on patients' practical skills and self-confidence.
开展本研究以检验研究人员制作的视频进行清洁间歇性导尿(CIC)训练对患者进行CIC操作能力及自信心的影响。
研究人群包括在伊斯坦布尔一家城市医院泌尿外科门诊刚开始进行CIC操作的患者。样本共80例患者,其中40例为实验组,40例为对照组。给实验组患者通过下载到患者、家庭成员或照护者手机上的训练视频进行CIC训练。患者的操作技能由2名独立观察者评估。使用DISCERN询问表、全球质量评分、患者信息表、CIC技能检查表和清洁间歇性自我导尿自信心量表收集数据。
在接受视频辅助训练的患者组成的实验组中,CIC技能检查表和清洁间歇性自我导尿自信心量表的平均得分在统计学上显著高于对照组(P<0.001),导尿期间的疼痛感受少于对照组,且实验组患者发生尿路感染、尿急、尿失禁、血尿和尿道狭窄等并发症的统计学显著较少(P<0.05)。
视频辅助CIC训练对患者的操作技能和自信心有积极影响。