Positioning Device for Female Urinary Catheterization

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Status: Completed

Conditions: Randomised Controlled Trial; Positioning (Prone, Right Lateral and Semi-Elevated Supine Position); Device; Urinary Catheterization; Nursing

Treatments: Device: dorsal recumbent positioning device

Study type: Interventional

Funder types: Other

Identifiers

NCT07327671

23232323

Details and patient eligibility

About

In female patients, the dorsal recumbent position is required to visualize the urethral meatus. In female patients, direct visualization of the urethral meatus after providing a suitable position is very important for successful catheter advancement while maintaining sterile conditions. Especially in unconscious or uncooperative female patients, it is much more difficult to maintain and maintain an appropriate position, and more than one staff may be needed for this. Although it is clear that it is important and difficult to position female patients during catheterization and maintain it throughout the procedure, no device used to assist positioning has been encountered. Therefore, in this project; The aim of this study is to provide a comfortable and safe position for the patient in urinary catheterization in female patients, to develop an auxiliary device to maintain this position throughout the procedure, and to evaluate the effectiveness of this device.

Full description

Urinary elimination is one of the most fundamental physiological needs, and when it cannot be met by the individual for any reason, urinary catheterisation is required to drain urine accumulated in the bladder. Urinary catheterisation consists of a series of sequential steps. The first step is positioning the patient. In female patients, the dorsal recumbent position is required to visualise the urethral meatus. Once an appropriate position has been achieved in female patients, direct visualisation of the urethral meatus is crucial for the successful advancement of the catheter under sterile conditions. Providing and maintaining an appropriate position is particularly difficult in unconscious or uncooperative female patients, and may require multiple personnel. Although it is clear that positioning female patients during catheterisation and maintaining this position throughout the procedure is important and difficult, no devices have been found to assist with positioning. Therefore, this project aims to develop an assistive device to provide female patients with a comfortable and safe position during urinary catheterisation and to maintain this position throughout the procedure, and to evaluate the effectiveness of this device. To this end, a new positioning cushion will be developed, and a preclinical validation study will be conducted using a mixed-methods research design that includes a randomised controlled trial and a descriptive qualitative study.

Enrollment: 60 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a nurse with at least a bachelor's degree
• Previous experience of urinary catheterization
• Having worked or working in intensive care
• Having voluntarily agreed to participate in the research

Exclusion criteria

• Leaving work voluntarily

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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60 participants in 2 patient groups

dorsal recumbent positioning device

Experimental group

Description:

procedure performed with dorsal recumbent positioning device

Treatment:

Device: dorsal recumbent positioning device

Control group

No Intervention group