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Exploring the educational, self-monitoring and self-management needs of community dwelling patients living with indwelling urinary catheters: a mixed methods study

Not Applicable
Recruiting
Conditions
Urinary catheter blockage
Urinary tract infection
Renal and Urogenital - Other renal and urogenital disorders
ong-term indwelling urinary catheter
Urine leakage
Catheter dislodgement or accidental removal of the catheter
Bladder spasms, pain/discomfort
Long-term indwelling urinary catheter
Urethral trauma or rupture, bladder perforation, stricture formation, development of false passage and incidence of para-phimosis
Urethral erosion and hypergranulation tissue around supra pubic catheter site
Registration Number
ACTRN12621000683831
Lead Sponsor
Integrated and Community Health, Western Sydney Local Health District,
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
260
Inclusion Criteria

Patients
Adult patients (18 years and over)
•Patients living in the community with indwelling urinary catheters
•Patients attending one of the five Community health centres (CHC) in Western Sydney Local Health District (WSLHD) or Hospital in the Home (HITH) within WSLHD

Nurses
•Nurses working in Community Health Centres across the Western local Health District or Blacktown Hospital or the Hospital In the Home (HITH) service

Exclusion Criteria

Patients
•Patients with cognitive impairment (Identified through documentation, e.g. dementia)
•Patients using intermittent, self-catheterisation
•Paediatric patients (Under 18 years)

Nurses
• Nurses aged under 18 years old

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patients:<br>Primary outcome for patients will be measured by change in patients’ catheter self-management as indicated by the C-SMG scale<br>[ Baseline and 6 month post-intervention]
Secondary Outcome Measures
NameTimeMethod
Patients:<br>Change in patients’ self-efficacy, including help-seeking behaviour in catheter care will be assessed by using Urinary Catheter Self-Efficacy Scale (C-SE)[ Time points will be:<br>baseline and 6 months post-intervention];Nurses:<br>Changes in knowledge and skills of nurses in providing catheter care to patients. This will be assessed by using 'questionnaire for staff' developed by Oswald (2020)[ Before completion of Qstream modules, after completion of Qstream modules and 6 months post-intervention];Patients:<br>Changes in patient's number of hospital presentations with catheter associated complications by extracting demographic and clinical data from the electronic medical records, and auditing patient’s electronic medical records.<br>[ Base line, 6 months and 12 months post intervention]
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