A Current View on Nurses and Caregivers Education in the Application of Clean Intermittent Catheterization

Öz

Clean intermittent catheterization is the most effective and safe method that has been used for nearly 50 years to drain urine from the bladder in patients with both neurogenic and non-neurogenic bladder disorders. As a result of the studies, the use of CIC; It has been determined that it increases the quality of life, body image, and self-confidence development of the patients, protects the organs that make up the urinary system, and reduces the morbidity and mortality rate. Caregivers who apply to CIC their children need to receive health education in line with standard guidelines and protocols created by nurses and adapt to this new process they live in. It has been determined that the rate of making mistakes increases in cases where caregivers do not receive adequate training and are not adequately adapted to the application of CIC. Thus, the incidence of complications that may result in organ failure, such as urinary tract infection, increases. In our country, there are no standard guides and protocols created for both the health personnel who give training on CIC practice for caregivers and the caregivers who will receive this training. For this reason, standard protocols and guidelines to be used throughout the country should be established in order to prevent complications that may arise from the use of CIC.

Anahtar Kelimeler

• Caregivers
• Child
• Nurses
• Urinary tract infections
• İntermittent urethral catheterization

Temiz Aralıklı Kateterizasyon Uygulamasında Hemşire ve Bakım Vericilerin Eğitimine Yönelik Güncel Bakış

Öz

Temiz aralıklı kateterizasyon hem nörojenik hem de nonnörojenik mesane bozuluğu olan hastalarda, mesaneden idrarın boşaltılması amacıyla, yaklaşık 50 yıldır kullanılan en etkin ve güvenli yöntemdir. Yapılan çalışmalar sonucunda TAK kullanımının; hastaların yaşam kalitesi, beden imajı, öz güven gelişimini artırdığı, üriner sistemi oluşturan organları koruduğu, morbidite ve mortalite oranını ise azalttığı belirlenmiştir. Çocuklarına TAK uygulaması yapan bakım vericilerin, hemşireler tarafından oluşturulmuş standart klavuz ve protokoller doğrultusunda sağlık eğitimi alması ve yaşadıkları bu yeni sürece adapte edilmesi gerekmektedir. Bakım vericilerin TAK uygulamasına yönelik yeterli eğitim almadığı ve yeterince adapte edilmediği durumda hata yapma oranının arttığı belirlenmiştir. Böylece hastalarda idrar yolu enfeksiyonu olmak üzere sonucu organ yetmezliğine varabilecek komplikasyonların görülme sıklığı da artmaktadır. Ülkemizde hem bakım vericilere yönelik TAK uygulama eğitimi veren sağlık personeli hem de bu eğitimi alacak bakım vericiler için oluşturulmuş standart klavuz ve protokoller bulunmamaktadır. Bu sebeple TAK kullanımının oluşturabileceği komplikasyonların önlenmesi amacıyla ülke genelinde kullanılacak standart protokol ve klavuzlar oluşturulmalıdır.

Anahtar Kelimeler

• Bakım verici
• Çocuk
• Hemşire
• İdrar yolu enfeksiyonu
• Temiz aralıklı kateterizasyon

Kaynakça

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