Göransson Katarina E, von Vogelsang Ann-Christin, Engström Gabriella
Department of Caring Sciences, School of Health and Welfare, Dalarna University, Falun, Sweden.
Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
PLoS One. 2025 Jan 16;20(1):e0317501. doi: 10.1371/journal.pone.0317501. eCollection 2025.
There is currently a lack of clarity concerning the types and frequency of mucosa injuries occurring in urine bladders among patients with indwelling urine catheters that are of modern design and material. The aim of the study was to identify and present the available information regarding mucosa injuries in urine bladders among adult patients with indwelling urine catheters. The research question was: What is known about mucosa injuries in urine bladders among patients with indwelling urine catheters? A scoping review applying the patient, exposure, and outcome framework. A preliminary search was made to identify the keywords, and the selection process followed the Preferred Reporting Items for Systematic Review and Meta-Analysis flow diagram. The final search across five databases retrieved a total of 8,883 records. Eight studies from three countries were included and the studies used two main methods for collecting data. Eleven concepts to describe the injuries were identified, with a range from one to five studies using the same concept. Mucosa injuries, of which polypoid cystitis was most frequently reported, occurred in all studies, and ranged from 41% to 100% per study. The size of injured area varied between 0.5 to 2.5 cm. The posterior wall of the bladder was the most common area where injuries were found. This scoping review sheds light on the limited understanding of mucosal injuries in urine bladders among adult patients with indwelling urinary catheters. Moving forward, concerted efforts are warranted to bridge existing knowledge gaps to enhance our understanding of mucosal injuries and improve clinical outcomes for adult patients with indwelling urinary catheters. The lack of a robust scientific base for the impact of indwelling urine catheters on the urine bladder mucosa warrants future studies.
目前，对于使用现代设计和材料的留置导尿管的患者，膀胱黏膜损伤的类型和频率尚不清楚。本研究的目的是识别并呈现有关成年留置导尿管患者膀胱黏膜损伤的现有信息。研究问题是：关于留置导尿管患者的膀胱黏膜损伤，我们了解哪些情况？采用患者、暴露因素和结局框架进行范围综述。先进行初步检索以确定关键词，选择过程遵循系统评价与Meta分析的首选报告项目流程图。对五个数据库进行的最终检索共获得8883条记录。纳入了来自三个国家的八项研究，这些研究使用了两种主要的数据收集方法。确定了11个描述损伤的概念，使用同一概念的研究数量从1项到5项不等。所有研究均出现黏膜损伤，其中息肉样膀胱炎报告最为频繁，每项研究的发生率在41%至100%之间。损伤面积在0.5至2.5厘米之间。膀胱后壁是最常发现损伤的部位。这项范围综述揭示了对成年留置导尿管患者膀胱黏膜损伤的了解有限。展望未来，需要共同努力填补现有知识空白，以增进我们对黏膜损伤的理解，并改善成年留置导尿管患者的临床结局。留置导尿管对膀胱黏膜影响缺乏强有力的科学依据，这值得未来开展研究。
