Yetişkinlerde Temiz Aralıklı Üretral Kateterizasyon: Kanıta Dayalı Uygulamalar

Year 2023, , 428 - 439, 31.05.2023

Züleyha Aykut , Meryem Yavuz Van Gıersbergen

https://doi.org/10.46237/amusbfd.1140689

Abstract

Aralıklı kateterizasyon nörolojik veya nörolojik olmayan nedenlerden dolayı mesane fonksiyon bozukluğu olan bireylerde tercih edilen bir tedavi yöntemidir. Aralıklı kateterizasyon sürekli olarak bir drenaj torbasına ihtiyaç duymadan hastanın kendi kendine veya yakını tarafından gerçekleştirilebilen mesanenin boşaltılması işlemidir. Dört yaşındaki çocuklar da dahil olmak üzere her yaş grubundan insanın yapabileceği bir teknik olan aralıklı kateterizasyon bireye istediği zaman veya yerde mesanesini boşaltma ve öz bakımını sağlama fırsatı verdiğinden hastaya bağımsızlığını koruma yeteneği sunmaktadır. Bu makalede 2020 yılında yayınlanan Yetişkinlerde Temiz Aralıklı Üretral Kateterizasyon Hemşireler için Kanada En İyi Uygulama Önerileri rehberi incelenmiştir. Rehber aralıklı kateterizasyon endikasyonları, kontraendikasyonları, komplikasyonları, oluşabilecek enfeksiyon, hasta yaşam kalitesine etkisi, aralıklı kateterizasyon yönetimi ve hasta eğitimini içermektedir.
Bu makalede sağlık bakımı sağlayıcılarına yönelik aralıklı kateterizasyon ile ilgili oluşabilecek enfeksiyonlar, hasta yaşam kalitesi, aralıklı kateterizasyon yönetimi, hasta eğitimi konularında kanıta dayalı uygulamaların paylaşılması amaçlamaktadır.

Keywords

Aralıklı kateterizasyon, kanıt, rehber, hemşire

Clean Intermittent Urethral Catheterization in Adults: Evidence-Based Practices

Abstract

Intermittent catheterization is a preferred treatment method in individuals with bladder dysfunction due to neurological or non-neurological causes. Intermittent catheterization is the process of emptying the bladder, which can be performed by the patients themselves or by their relatives without the need for a continuous drainage bag. Intermittent catheterization, which is a technique that can be performed by people of all age groups, including four-year-old children, provides the patient with the ability to maintain independence as it gives the individual the opportunity to empty their bladder whenever or wherever they want and to perform self-care. This article reviews The Clean Intermittent Urethral Catheterization in Adults Canadian Best Practice Recommendations for Nurses, published in 2020. Guidelines include indications, contraindications, complications, possible infection, impact on patient quality of life, intermittent catheterization management, and patient education.
In this article, it is aimed to share evidence-based practices on infections related to intermittent catheterization, patient quality of life, intermittent catheterization management, and patient education for health care providers.

Keywords

Intermittent catheterization, Evidence, Guide, Nurse

References

• 1. Yıldız, N., Çatalbaş, N., Alkan, H., Akkaya, N., & Ardıç, F. (2010). Omurilik yaralanmalı hastalarda temiz aralıklı kateterizasyona uyum ile ilişkili faktörler. Pamukkale Tıp Dergisi, (3), 115-123.
• 2. Kibar, Y., Demir, E., Aydur, E., & Dayanç, M. (2006). Ürolojide temiz aralıklı kateterizasyon uygulamaları. Türk Üroloji Dergisi, 32 (4), 529-532.
• 3. Burki, T., Abasher, A., Alshahrani, A., Al Hams, A.W., Ibrahim, H., Albadawe, H., et al. (2019). Complications and patient satisfaction with urethral clean intermittent catheterization in spina bifida patients: comparing coated vs uncoated catheters. Journal of Pediatric Urology, 15 (6), 646-650.
• 4. Saadat, S. H., Shepherd, S., Van Asseldonk, B., & Elterman, D. S. (2019). Clean intermittent catheterization: single use vs. reuse. Canadian Urological Association Journal= Journal de l'Association des Urologs du Canada, 13 (2), 64-69.
• 5. Markiewicz, A., Goldstine, J., & Nichols, T. (2020). Emotional attributes, social connectivity and quality of life associated with intermittent catheterization. International Journal of Urological Nursing, 14 (1), 27–35.
• 6. Engberg, S., Clapper, J., McNichol, L., Thompson, D., Welch, V. W., & Gray, M. (2020). Current evidence related to ıntermittent catheterization, Journal of Wound, Ostomy and Continence Nursing, 47 (2), 140-165.
• 7. Chartier-Kastler, E. & Denys, P. (2011). Intermittent catheterization with hydrophilic catheters as a treatment of chronic neurogenic urinary retention. Neurourology and Urodynamics, 30 (1), 21-31.
• 8. Crescenze, I. M., Myers, J. B., Lenherr, S. M., Elliott, S. P., Welk, B., & O’Dell, D. et al. (2019). Predictors of low urinary quality of life in spinal cord injury patients on clean intermittent catheterization. Neurourology and Urodynamics, 38 (5), 1332-1338.
• 9. Newman, D. K., New, P. W., Heriseanu, R., Petronis, S., Hakansson, J., & Hakansson, M. A., et al. (2020). Intermittent catheterization with single- or multiple-reuse catheters: clinical study on safety and impact on quality of life. International Urology and Nephrology, 52 (8), 1443–1451.
• 10. Çulha, Y., & Acaroğlu, R. (2020). Temiz aralıklı kendi kendine kateterizasyonda özgüven ölçeği Türkçe formunun geçerlik ve güvenirliği. Cukurova Medical Journal, 45 (4), 1690-1697.
• 11. Huang, C. M., Wang, J. C., Chen, J. J., Du, Y. C., & Chen, J. Y. (2019). Development of an assistant system of clean intermittent catheterization for neurogenic bladder dysfunction patients. Applied Sciences, 9 (7), 1433.
• 12. Goetz, L. L., Droste, L., Klausner, A. P., & Newman, D. K. (2018). Catheters used for ıntermittent catheterization: In clinical application of urologic catheters, devices and products. Springer, Cham. 47-77.
• 13. Clean ıntermittent urethral catheterization in adults canadian best practice recommendations for nurses 2020. https://ipac-canada.org/photos/custom/Members/pdf/Clean-Intermittent- Urethral-Catheterization-Adults-for-Nurses-BPR-May2020.pdf (Erişim Tarihi: 04.07.22)
• 14. Clean intermittent urethral catheterisation in adults 2019. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/553647/ACI-0307-Urology-toolkit-CISC.pdf (Erişim Tarihi: 29.08.21)
• 15. Adult catheterisation and catheter care guidelines NHS. 2019. https://www.hi-netgrampian.org/wp-content/uploads/2020/01/Urinary-Catheter-Adult-Catheterisation-and-Catheter-Care- Guidelines-1.pdf (Erişim Tarihi: 07.09.2021)
• 16. Catheterisation clinical guidelines 2019. https://www.anzuns.org/wp-content/uploads/2015/03/ANZUNS-Guidelines_Catheterisation-Clinical-Guidelines.pdf (Erişim Tarihi: 29.08.21)
• 17. Beauchemin, L., Newman, D. K., Le Danseur, M., Jackson, A., & Ritmiller, M. (2018). Best practices for clean intermittent catheterization. Nursing, 48 (9), 49-54.
• 18. Guidelines for intermittent catheterisation in children-ESPU Nurses (European Society For Pediatric Urology Nurses) 2018. https://www.espu.org/e-books/CIC_guidelines/ (Erişim Tarihi: 29.09.21)
• 19. Wound, Ostomy and Continence Nurses Society. Care and management of patients with urinary catheters: A clinical resource guide. Mt. Laurel: NJ. Author 2016. https://levityproducts.com/wp- content/uploads/2020/09/Care-and-Management-of-Patients-w.-Catheters.pdf (Erişim Tarihi: 07.09.2021)
• 20. OCEBM Levels of Evidence Working Group*. "The Oxford 2011 Levels of Evidence". Oxford Centre for Evidence-Based Medicine. http://www.cebm.net/index.aspx?o=5653 (Erişim Tarihi: 21.09.2022)
• 21. Cardenas, D. D., Moore, K. N., Dannels-McClure, A., Scelza, W. M., Graves, D. E., & Brooks, M. et al. (2011). Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract ınfections in acute spinal cord ınjury: a prospective, randomized, multicenter trial. PM&R, 3 (5), 408-417.
• 22. Lucas, E. J., Baxter, C., Singh, C., Mohamed, A. Z., Li, B., & Zhang, J. et al. (2016). Comparison of the microbiological milieu of patients randomized to either hydrophilic or conventional PVC catheters for clean intermittent catheterization. Journal of Pediatric Urology, 12 (3), 172-e1.
• 23. Faleiros, F., de Oliveira Käppler, C., Rosa, T., & Gimenes, F. R. E. (2018). Intermittent catheterization and urinary tract ınfection. Journal of Wound, Ostomy and Continence Nursing, 45 (6), 521-526.
• 24. Rognoni, C., & Tarricone, R. (2017). Intermittent catheterisation with hydrophilic and non-hydrophilic urinary catheters: systematic literature review and meta-analyses. BMC Urology, 17 (1), 1-11.
• 25. Lamin, E., & Newman, D. K. (2016). Clean intermittent catheterization revisited. International Urology and Nephrology, 48 (6), 931–939.
• 26. Yılmaz, B., Akkoç, Y., Alaca, R., Erhan, B., Gündüz, B., & Yıldız, N. et al. (2014). Intermittent catheterization in patients with traumatic spinal cord injury: obstacles, worries, level of satisfaction. Spinal Cord, 52 (11), 826–830.
• 27. Bahnson, E., & Mahdy, A. (2015). Clean ıntermittent catheterization in the elderly. Current Bladder Dysfunction Reports, 10 (4), 376–380.
• 28. Seth, J. H., Haslam, C., & Panicker, J. N. (2014). Ensuring patient adherence to clean intermittent self-catheterization. Patient Preference and Adherence, 8, 191–198.
• 29. Özbilen, M., Ergani, B., Çetin, T., Yalçın, M., & İlbey, Y. (2020). Temiz aralıklı katetere bağlı nadir bir komplikasyon: unutulmuş 'no touch' materyalleri. Ege Tıp Bilimleri Dergisi, 3 (2), 77-79.
• 30. Yılmaz Karabulut, E., & Balcı Akpınar, R. (2010). Temiz aralıklı kateterizasyon. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 10 (4), 83-90.