TY  - JOUR
T1  - Effects of Different Urinary Catheterization Practices on Urinary Complications and Quality of Life
TT  - Farklı Üriner Kateterizasyon Uygulamalarının Üriner Komplikasyonlar ve Yaşam Kalitesi Üzerindeki Etkisi
AU  - Çulha, Mehmet Gökhan
AU  - Çulha, Yeliz
AU  - Büyükyılmaz, Funda
PY  - 2025
DA  - February
Y2  - 2025
DO  - 10.33719/nju1614575
JF  - The New Journal of Urology
JO  - New J Urol
PB  - Ali İhsan TAŞÇI
WT  - DergiPark
SN  - 3023-6940
SP  - 32
EP  - 39
VL  - 20
IS  - 1
LA  - en
AB  - Objective: This study investigates the effects of different urinary catheterization methods—transurethral catheterization (TC), suprapubic catheterization (SC), and clean intermittent catheterization (CIC)—on urinary complications and quality of life. Material and Methods: This research conducted as a descriptive design with 91 patients at a urology clinic in Istanbul between November 2023 and September 2024, the research evaluates catheterization-related complications and their impact on patients’ emotional, social, and physical well-being over a six-month period. Data collection utilized the Patient Information Form and the King’s Quality of Life Questionnaire.Results: Indicate that while all methods present complications such as urinary tract infections (UTIs), urgency, and hematuria, CIC and SC showed significant reductions in UTI rates over time (p=0.001 and p=0.042, respectively). CIC also resulted in fewer cases of hematuria compared to other methods (p=0.039). In terms of quality of life, SC demonstrated improvements in emotional and social domains over six months, whereas CIC offered enhanced autonomy and better physical health outcomes. Transurethral catheterization, despite its widespread use, was associated with higher complication rates, particularly UTIs.Conclusion: The findings underscore the importance of individualized catheterization decisions as based on multidisciplinary team approach and emphasize the critical role of nursing in following patient outcomes. Comprehensive patient education and adherence to hygiene protocols were instrumental in reducing complications and enhancing quality of life. Future studies should explore the long-term implications of these catheterization methods and further assess the role of nursing interventions in improving patient care.
KW  - clean intermittent catheterization
KW  - transuretral catheterization
KW  - suprapubic cystostomy
KW  - complications
KW  - quality of life
N2  - Amaç: Bu çalışmada farklı üriner kateterizasyon yöntemlerinin (transüretral kateterizasyon (TC), suprapubik kateterizasyon (SC) ve temiz aralıklı kateterizasyon (TAK) üriner komplikasyonlar ve yaşam kalitesi üzerindeki etkileri araştırılmıştır.Yöntem: Tanımlayıcı olarak planlanan, Kasım 2023 ile Eylül 2024 arasında İstanbul'daki bir üroloji kliniğinde 91 hasta ile yürütülen araştırma, kateterizasyonla ilişkili komplikasyonları ve bunların altı aylık bir süre boyunca hastaların duygusal, sosyal ve fiziksel refahı üzerindeki etkilerini değerlendirmektedir. Veri toplamada Hasta Bilgi Formu ve King's Yaşam Kalitesi Anketi kullanılmıştır.Bulgular: Tüm kateterizasyon yöntemleri idrar yolu enfeksiyonları (İYE), aciliyet ve hematüri gibi komplikasyonlara yol açarken, SC ve TAK’ın zamanla İYE oranlarında önemli azalmalar gösterdiği saptanmıştır (sırasıyla p=0,001 ve p=0,042). TAK ayrıca diğer yöntemlere kıyasla daha az hematüri vakasıyla sonuçlanmıştır (p=0,039). Yaşam kalitesi açısından, SC altı ay boyunca duygusal ve sosyal alanlarda iyileşmeler gösterirken, TAK gelişmiş özerklik ve daha iyi fiziksel sağlık sonuçları sunmaktadır. TC, yaygın kullanımına rağmen, özellikle İYE'ler olmak üzere daha yüksek komplikasyon oranlarıyla ilişkilendirilmiştir.Sonuç: Bulgular, multidisipliner ekip yaklaşımına temelli bireyselleştirilmiş kateterizasyon kararlarının önemini vurgular ve hasta sonuçlarının izleminde hemşireliğin kritik rolünü vurgular. Kapsamlı hasta eğitimi ve hijyen protokollerine uyum, komplikasyonları azaltmada ve yaşam kalitesini artırmada etkilidir. Gelecekteki çalışmalar, bu kateterizasyon yöntemlerinin uzun vadeli etkilerini araştırmalı ve hasta bakımını iyileştirmede hemşirelik girişimlerinin rolünü daha fazla değerlendirmelidir.
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UR  - https://doi.org/10.33719/nju1614575
L1  - https://dergipark.org.tr/tr/download/article-file/4498028
ER  -