医护人员进行经尿道导尿术的知识与自信心：一个值得关注的问题！

Knowledge and self-confidence of healthcare workers to perform transurethral catheterization: a matter deserving attention!

作者信息

Calik Gokhan, Bahadır Zeynep, Madendere Berk, Arikan Ozgur, Guzelburc Vahit, Evci Engin, Cakir Suleyman Sami, Altay Bulent, Laguna Pilar, Kocak Mehmet, Albayrak Selami, Horuz Rahim, Sabuncu Kubilay, Boz Mustafa, Erkurt Bulent, Alrifaai Mohamad Aosama, Al Chaabawi Abdullah, Alrais Mahmoud, Ali Ibrahim Abdi, Ashour Shaban M S, de la Rosette Jean

机构信息

Department of Urology, Faculty of Medicine, Medipol Mega University Hospital, Istanbul Medipol University, Istanbul, Turkey.

School of Medicine, Istanbul Medipol University, Istanbul, Turkey.

出版信息

World J Urol. 2025 May 16;43(1):311. doi: 10.1007/s00345-025-05677-3.

DOI:10.1007/s00345-025-05677-3

PMID:40377708

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084172/

Abstract

BACKGROUND

Patients may suffer from the sequela of complicated transurethral catheterization (TUC) such as urethral injury, infection, and stricture formation. We assessed the self-confidence, knowledge, and experience of healthcare professionals performing TUC.

METHODS

A multi-center, prospective, cross-sectional questionnaire-based study was performed among healthcare workers from 5 university hospitals. Data was transferred to an online Data Management System and self-confidence, knowledge, and experience levels among different healthcare roles were compared.

FINDINGS

Of all 747 participants, 8% did not feel confident, had enough knowledge or preparation skills regarding TUC. 23% never asked for help while performing TUC whereas 42% always asked for assistance (p < 0.0001). Healthcare roles did not differ statistically in terms of TUC knowledge and understanding. However, healthcare workers in surgical specialties felt more confident in their knowledge (29% vs 21%). Confidence in male catheterization skills rated as 'well' and 'very well' were reported highest by paramedics (71%, 20%) followed by nurses (48%, 20%), physicians (53%, 30%) and residents (50%, 36%). In the event of difficult catheterizations, physicians mostly preferred the assistance of "urologists and urology residents" (64%) while nurses mostly reached out to other nurses (39%). Paramedics were the least likely to ask for assistance (40%) followed by nurses (26%), doctors (24%), and residents (13%) (p < 0.0001).

CONCLUSION

A significant proportion of healthcare workers do not have the necessary knowledge and understanding of TUC and do not feel confident in their catheterization and preparation skills when challenged by a difficult TUC, which requires the reassessment of the training programs pre- and post-graduation. This will facilitate and create a safer environment for both the patient and the healthcare professionals.

TRIAL REGISTRY

ClinicalTrials.gov NCT05334225.

摘要

背景

患者可能会遭受复杂经尿道插管（TUC）的后遗症，如尿道损伤、感染和狭窄形成。我们评估了进行TUC的医护人员的自信心、知识水平和经验。

方法

在5所大学医院的医护人员中进行了一项多中心、前瞻性、基于问卷调查的横断面研究。数据被传输到一个在线数据管理系统，并比较了不同医护角色的自信心、知识水平和经验水平。

结果

在所有747名参与者中，8%的人对TUC没有信心，也没有足够的知识或准备技能。23%的人在进行TUC时从未寻求帮助，而42%的人总是寻求帮助（p<0.0001）。医护角色在TUC知识和理解方面没有统计学差异。然而，外科专科的医护人员对自己的知识更有信心（29%对21%）。护理人员对男性插管技能评为“良好”和“非常好”的比例最高（71%，20%），其次是护士（48%，20%）、医生（53%，30%）和住院医师（50%，36%）。在插管困难的情况下，医生大多更喜欢“泌尿科医生和泌尿科住院医师”的帮助（64%），而护士大多向其他护士求助（39%）。护理人员寻求帮助的可能性最小（40%），其次是护士（26%）、医生（24%）和住院医师（13%）（p<0.0001）。