Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands.
Department of Quality and Patient Safety, Leiden University Medical Center, Leiden, The Netherlands.
Br J Nurs. 2024 Oct 10;33(18):S4-S12. doi: 10.12968/bjon.2024.0182.
Diabetes insipidus (DI) is a common complication following pituitary surgery, causing significant health issues if left untreated. As part of the diagnostic process, accurate urinary output monitoring via indwelling urinary catheters (IDUCs) is essential, despite risks such as urinary tract infections and hindered recovery. Research on IDUC removal after pituitary surgery remains scarce.
To explore health professionals' perspectives on IDUC management following pituitary surgery.
Employing a qualitative design, semistructured interviews were conducted with 15 professionals in the neurosurgical ward of a Dutch academic hospital.
Four themes emerged: Concerns about missing identifying DI, patient-nurse dynamics, workload management, and lack of shared decision making.
The findings underscore the need to balance clinical needs with patient care efficiency. There is a need for evidence-based guidelines and a multidisciplinary approach to optimise IDUC management, given the importance of patient-centred care and shared decision-making.
尿崩症（DI）是垂体手术后的常见并发症，如果不治疗，会导致严重的健康问题。作为诊断过程的一部分，尽管留置导尿管（IDUC）存在尿路感染和阻碍恢复等风险，但准确监测尿量至关重要。关于垂体手术后 IDUC 去除的研究仍然很少。
探讨卫生专业人员对垂体手术后 IDUC 管理的看法。
采用定性设计，对荷兰一家学术医院神经外科病房的 15 名专业人员进行了半结构化访谈。
出现了四个主题：担心漏诊 DI、患者-护士关系、工作量管理和缺乏共同决策。
研究结果强调了需要在临床需求和患者护理效率之间取得平衡。鉴于以患者为中心的护理和共同决策的重要性，需要制定基于证据的指南和多学科方法来优化 IDUC 管理。
