Effects of clamping on micturition time and amount of urine before removing indwelling urinary catheters in patients who underwent total knee and hip arthroplasty

Year 2021, Volume: 46 Issue: 3, 1132 - 1139, 30.09.2021

Duygu Bayraktar , Leyla Khorshid

https://doi.org/10.17826/cumj.913607

Cited By: 1

Abstract

Purpose: This research was carried out to examine the effect of clamping on amount of urine and micturation time before removing indwelling urinary catheters in patients who underwent total knee and hip arthroplasty.
Materials and Methods: The sample consisted of 60 patients who underwent total knee and hip arthroplasty. Patients were randomized according to the age group and gender were included in the study. After receiving request to removal the indwelling urinary catheters in patients in the experimental group, the patient’s indwelling urinary catheter was clamped twice for 3 hours for urine to accumulate in the bladder and clamping was performed at each clamping interval and urine flow was provided for 5 minutes. In the control groups patients, the catheter was removed without clamping. After removal of the catheter, the amount of urine in the first urine was measured and the first micturation time was calculated as minutes
Results: After removal of the urinary catheter, the experimental and control groups had a mean amount of urine of 293.50±239.53 ml and 204.00±195.25 ml, respectively. The experimental and control groups had a mean micturition time of 214.63±185.72 min and 211.16±192.77 min, respectively. The clamping does not affected the amount of urine and the micturation time before the indwelling urinary catheter was removed.
Conclusion: Clamping indwelling urinary catheters before removing them had no effect on amount of urine and micturition time among patients who underwent total knee and hip arthroplasty.

Keywords

Clamping, urinary catheterization, nursing

Total diz ve kalça protezi ameliyatı geçiren hastalarda kalıcı üriner kateteri çıkarmadan önce klemplemenin idrar miktarına ve miksiyon süresine etkisi

Abstract

Amaç: Bu araştırma, total diz ve kalça protezi ameliyatı geçiren hastalarda kalıcı üriner kateteri çıkarmadan önce kateteri klemplemenin idrar miktarı ve miksiyon süresine etkisini incelemek amacıyla yapılmıştır.
Gereç ve Yöntem: Örneklemi total diz ve kalça protezi ameliyatı geçiren 60 hasta oluşturmuştur. Yaş grubu ve cinsiyete göre randomize edilerek hastalar çalışma kapsamına alınmıştır. Deney grubundaki hastalarda kalıcı üriner kateteri çıkarma istemi verildikten sonra, idrarın mesanede birikmesi için hastaların kalıcı üriner kateteri 3 saat süreyle üst üste iki kez klemplenmiştir ve her 3 saatin sonunda klemp açılarak 5 dakika süreyle idrarın akması sağlanmıştır. Kontrol grubundaki hastalarda ise klempleme yapılmaksızın kateter çıkarılmıştır. Kateter çıkarıldıktan sonra ilk idrar yapmada çıkan idrar miktarı ölçülmüş olup ilk miksiyon süresi dakika olarak hesaplanmıştır.
Bulgular: Üriner kateter çıkarıldıktan sonra deney ve kontrol grubundaki hastaların ortalama idrar miktarı sırasıyla 293.50±239.53 ml, 204.00±195.25 ml’dir. Deney ve kontrol grubundaki hastaların ortalama miksiyon süresi sırasıyla 214.63±185.72 dk, 211.16±192.77 dk’dır. Kalıcı üriner kateteri çıkarmadan önce klemplemenin idrar miktarını ve miksiyon süresini etkilemediği saptanmıştır.
Sonuç: Bu araştırma sonuçları, total diz ve kalça protezi ameliyatı geçiren hastalarda kalıcı üriner kateter çıkarılmadan önce kateteri klemplemenin idrar miktarına ve miksiyon süresine etkisinin olmadığını göstermiştir.

Keywords

Klempleme, üriner kateterizasyon, hemşirelik

Supporting Institution

yok

Thanks

Yazarlar, çalışmaya gönüllü olan hastalara teşekkür eder.

References

• 1. Griesdale DEG, Neufeld J, Dhillon D, Joo J, Sandhu S, Swinton F, et. al. Risk factors for urinary retention after hip or knee replacement: A cohort study. Canadian Journal of Anesthesia 2011;58:1097-1104. http://dx.doi.org/10.1007/s12630-011-9595-2.
• 2. Markopoulos G, Kitridis D, Tsikopoulos K, Georgiannos D, Bisbinas I. Bladder training prior to urinary catheter removal in total joint arthroplasty. A randomized controlled trial. International Journal of Nursing Studies 2019;89:14-17. http://dx.doi.org/10.1016/j.ijnurstu.2018.09.007.
• 3. Agrawal K, Majhi S, Garg R. Post-operative urinary retention: review of literature. World Journal of Anesthesiology 2019;8(1):1-12. http://dx.doi.org/10.5313/wja.v8.i1.1.
• 4. Gong Y, Zhao L, Wang L, Wang F. The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy. Journal of Clinical Nursing 2016;26:1131-1136. http://dx.doi.org/10.1111/jocn.13579.
• 5. Liu Y, Wei S, Elliott M. The effects of a catheter clamping protocol on bladder function in neurosurgical patients: A controlled trial. International Journal of Nursing Practice 2015;21:29-36. http://dx.doi.org/10.1111/ijn.12209.
• 6. Joanna Briggs Institute. Removal of short-term indwelling uretral catheters. Nursing Standard 2008;22(22):42-45. http://dx.doi.org/10.7748/ns2008.02.22.22.42.c6357.
• 7. Balcı Akpınar R. Üriner Boşaltım. Hemşirelik Esasları Hemşirelik Bilimi ve Sanatı (Ed. A Atabek & A Karadağ):974-1000. İstanbul, Akademi Basın ve Yayıncılık, 2014.
• 8. Nazarko L. Effective evidence-based catheter management: An update. British Journal of Nursing 2010;19(15):948-953. http://dx.doi.org/10.12968/bjon.2010.19.15.77689.
• 9. Yılmaz F, Özden D. Hemşirelerin kalıcı üriner kateterizasyonda mesane jimnastiğine ilişkin uygulama ve görüşleri. Hemşirelikte Araştırma ve Geliştirme Dergisi 2019;21(1-2):55-68.
• 10. Craven RF, Hirnle C, Jensen S. Hemşirelik Esasları: İnsan Sağlığı ve Fonksiyonları (Çev. Ed. N Uysal & E Çakırcalı):1013-1068. 7. Baskı. Ankara, Palme Yayıncılık, 2015.
• 11. Süzen B, Sarı D. Üriner Sistem ve Uygulamaları. Sağlık Uygulamalarında Temel Kavramlar ve Beceriler (Ed. F Akça Ay): 606-636. 4.baskı. İstanbul, Nobel Tıp Kitabevleri, 2012.
• 12. Nyman M, Johansson J, Gustafsson M. A randomised controlled trial on the effect of clamping the indwelling urinary catheter in patients with hip fracture. Journal of Clinical Nursing 2010;19:405-413. http://dx.doi.org/10.1111/j.1365-2702.2009.03050.x.
• 13. Fernandez RS, Griffiths RD. Clamping short-term indwelling catheters: A systematic review of the evidence. Journal of Wound, Ostomy, and Continence Nursing 2005;32:329-336. http://dx.doi.org/10.1097/00152192-200509000-00012.
• 14. Lynn, P. Taylor Klinik Hemşirelik Becerileri Bir Hemşirelik Süreci Yaklaşımı (Çev. Ed. H Bektaş):595-635. 3. Baskı. Ankara, Nobel Yayıncılık, 2015.
• 15. Stevens E. Bladder Ultrasound: Avoiding unnecessary catheterizations. MEDSURG Nursing 2005;14(4):249-253.
• 16. Roe B. Do we need to clamp catheters? Nursing Times 1990;86(43):66-67.
• 17. Zhengyong Y, Changxiao H, Shibing Y, Caiwen W. Randomized controlled trial on the efficacy of bladder training before removing the indwelling urinary catheter in patients with acute urinary retention associated with benign prostatic hyperplasia. Scandinavian Journal of Urology 2014;48(4):400-404. http://dx.doi.org/10.3109/21681805.2014.903512.
• 18. Agarwal BK, Agarwal N. Randomized controlled trial on the efficacy of bladder training before removing indwelling urinary catheter in patients with acute urinary retention. International Journal of Scientific Research 2015;4(7):327-328.
• 19. Wang LH, Tsai MF, Han CS, Huang YC, Liu HE. Is bladder training by clamping before removal necessary for short-term indwelling urinary catheter inpatient? A systematic review and meta-analysis. Asian Nursing Research 2016;10(3):173-181. http://dx.doi.org/10.1016/j.anr.2016.07.003.
• 20. Williamson ML. Reducing post-catheterization bladder dysfunction by reconditioning. Nursing Research 1982;31:28-30.
• 21. Büyükyılmaz F, Culha Y, Zümreler H, Özer M, Culha MG, Ötünçtemur A. The effects of bladder training on bladder functions after transurethral resection of prostate. Journal of Clinical Nursing 2019:1-7. http://dx.doi.org/10.1111/jocn.14939.
• 22. Moon HJ, Chun MH, Lee SJ, Kim BR. The usefulness of bladder reconditioning before ındwelling urethral catheter removal from stroke patients. American Journal of Physical Medicine & Rehabilitation 2012;91(8):681-688. http://dx.doi.org/10.1097/PHM.0b013e31825a0a1b.
• 23. Oberst MT, Graham D, Geller NL, Stearns MW, Tiernan E. Catheter management programs and postoperative urinary dysfunction. Research Nursing and Health 1981;4(1):175-81. http://dx.doi.org/10.1002/nur.4770040103.
• 24. Talreja V, Ali A, Saeed S, Rani K, Samnani SS, Farid FN, et. al. Trail without Catheter after Transurethral Resection of Prostate: Clamp It or Not? Hindawi Publishing Corporation, Scientifica 2016:1-3. http://dx.doi.org/10.1155/2016/1562153.
• 25. Biricik E, Güneş Y. Nörocerrahi ve ERAS (Enhanced Recovery After Surgery). Arşiv Kaynak Tarama Dergisi 2020;29(1):37-50.
• 26. Turnbull H, Burbos N, Abu-Freij M, Duncan TJ, Nieto JJ. A novel approach to postoperative bladder care in women after radical hysterectomy. Archives of Gynecology and Obstetrics 2012;286:1007-1010. http://dx.doi.org/10.1007/s00404-012-2393-4.
• 27. Griffiths R, Fernandez R. Strategies for the removal of short-term indwelling urethral catheters in adults. The Cochrane Database of Systematic Reviews 2007; Issue 2, Art. No.: CD004011. http://dx.doi.org/10.1002/14651858.CD004011.pub3.