The Effect of Nursing Interventions for Clean Intermittent Catheterization Caregivers and Child

Karadeniz Technical University

Status: Unknown

Conditions: Urinary Tract Infections; Intermittent Urethral Catheterization; Spinal Dysraphism

Treatments: Other: Control gruop; Other: experimental group: Training of caregivers

Study type: Interventional

Funder types: Other

Identifiers

NCT04763382

Nurse_clean intermittent cat.

Details and patient eligibility

About

In neurogenic or non-neurogenic bladder disorders, the removal process after the catheter is inserted into the bladder and the urine has been drained is called Clean intermittent catheterization (CIC). After 1972, Lapides started using CIC in the treatment of people who cannot empty their bladder on their own. The decision to apply CIC to patients is made by the doctor. After CIC application, patients's increase body image, self-confidence development and quality of life. CIC application to children is done by caregivers. CIC use has negative effects as well as positive effects for patients. If the caregiver has not received enough training about CIC application and does not pay attention to CIC performing hours and procedure steps, urinary tract infection can be seen in children. Common urinary tract infections in children cause permanent kidney damage. Studies conducted to prevent complications that may develop in patients using CIC emphasize the importance of patient education. The aim of this study is to evaluate the effect of based on the roy adaptation theory supported android phone application CIC training, on the knowledge / skills, coping / adaptation and anxiety level of caregivers and the development of urinary tract infection in children.

Full description

Background: It is the bladder, one of the organs with important functions in the urinary system. However, the bladder sometimes cannot work effectively as a result of neurological and sometimes non-neurological reasons. After this situation, urine in the bladder should be emptied. The bladder is one of the most frequently used organs in the urinary system. In neurogenic or non-neurogenic bladder disorders, the process of entering the bladder with a catheter in clean conditions, evacuating urine, and then removing the catheter is called Clean Intermittent Catheterization (CIC). CIC has been used by patients for nearly 40 years. CIC is one of the effective methods used to protect the urinary system, especially in children with Spina Bifida and people with urinary system problems. CIC application to children is done by caregivers. In the education of caregivers who have to apply CIC to their child the role of nurse to become more and more important. The aim of this study is to evaluate the effect of based on the roy adaptation theory supported android phone application CIC training, on the knowledge / skills, coping / adaptation and anxiety level of caregivers and the development of urinary tract infection in children.

Metod: The universe of the study consisted of the patients and their caregivers who were decided to perform CIC by Karadeniz Technical University Farabi Hospital Pediatric Nephrology Department. In order to determine the sample of the study, the test power in power analysis was calculated with the G * Power 3.1 program. 95% confidence interval in determining the strength of the study; With 5% significance level and 0.50 effect size a total of 36 patients (df = 1; F = 4.130). 36 conforming patients were divided into experimental and control groups for a single- blind randomized control. The data will be collected using the introductory information form, the CIC application knowledge and skills form, based on North American Association of Nursing Diagnoses (NANDA) nursing diagnoses and Psychosocial Adaptation Area of Roy Adaptation Model form, Coping and Adaptation Scale and State Trait Anxiety Scale. In addition, for the diagnosis of urinary tract infection in participants undergoing CIC, urinalysis will be performed once a month, three times for three months. Patients with 100,000 colonies per milliliter of urine for urinalysis will be considered to have a urinary tract infection. No additional intervention will be made to caregivers in the control groups. Caregivers in the intervention group (Caregivers who will receive CIC training supported by Android phone application based on Roy adaptation model) will be given CIC training, home visit, and telephone conversation. In addition, an android phone application will be installed on the phones of the caregivers in the intervention group, which reminds the CIC times, procedure steps and hospital appointments. The data will be analyzed using SPSS versiyon with descriptive statistics, Independent t test and Anova in repeated measurements p<0.05 will be statistically significant

Enrollment: 40 patients

Sex: All

Ages: 27 days to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Volunteering to participate in the study
• Being literate
• Having a smart phone with an android application
• He should not have received information from the nurse about CIC application.

The children included in our research;

• Between the ages of 0-17
• Karadeniz Technical University Farabi Hospital Pediatric Nephrology Department decided to apply and implement CIC
• It should not have a complex congenital anatomical anomaly of the urogenital system

Exclusion criteria

• Being 18 years old and above
• Being a communication problems
• Having mental confusion or any psychiatric problem caregiver
• Not volunteering to participate in the research
• Not have androıd smart phone

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Experimental grups: Training of caregivers

Other group

Description:

1. Application of data collection: Tools as pre-test, post-test and retention test to participants in the experimental group, 2. Education:It includes the training given to the caregivers in the experimental group, delivery of the guide booklet at the end of the training 3. Android phone application: Installing on the phones of the caregivers in the experimental group of the android application, which includes the frequency of CIC application, the CIC application process steps and hospital appointments, created by the nurse for the caregivers in the experimental group and the software is made by the computer engineer. 4. One home visit and three phone calls were made in order to solve the problems that the caregivers in the experimental group experienced with the use of CIC or android use. 5. Urinalysis for children who are inserted and put into the study:All participants in the study were asked to give urine tests three times with an interval of one month after discharge.

Treatment:

Other: experimental group: Training of caregivers

Control: Control grups

Other group

Description:

1. As in the experimental group, the caregivers in the control group were pre-tested and post-tested using data collection tools. 2. No intervention was made to the caregivers in the control group. 3. However, caregivers in the control group performed urinalysis three times with an interval of one month after discharge.

Treatment:

Other: Control gruop