The Effect of Education on Patients' Attitudes Towards Preventing Catheter-Associated Urinary Tract Infections and Anxiety After Urologic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- CAUTI Prevention Attitude
研究概览
简要总结
This research will be carried out determine the effect of education given to patients after urological surgery on their attitudes and anxiety levels towards preventing catheter-related urinary tract infections.
详细描述
Urology surgeries are surgical procedures performed to treat diseases of the kidneys, ureters, bladder, prostate, and urethra. Urinary catheterization is a procedure performed to drain urine from the bladder or collect a urine sample using a catheter. A urinary catheter is inserted in 15-25% of hospitalized patients during their hospital stay, and many patients are discharged home with a urinary catheter after urology surgery.
Urinary tract infection (UTI) is the most common healthcare-associated infection, accounting for 36% of all healthcare-associated infections.
Approximately 75% of hospital-acquired urinary tract infections are associated with urinary catheters. A catheter-associated urinary tract infection is defined as a urinary tract infection that occurs when a urinary catheter has been in place for at least two days. Patients discharged with a urinary catheter; They may encounter various problems, including urinary tract infections, bag emptying, catheter changes, clothing adjustments, (hand) hygiene, odor, and catheter kinking. They may also experience physical and psychosocial difficulties related to catheter care. These problems also bring with them the risk of urinary catheter-related complications. Today, nursing practice prioritizes supporting individuals and families in their own self-care by providing them with the necessary knowledge and skills, rather than assuming full responsibility for their care.
Guidelines for preventing catheter-associated urinary tract infections recommend involving patients and their families in their care to prevent these infections.Therefore, nurses, in their role as educators, should provide training to ensure patients maintain their daily activities with their catheters, particularly regarding catheter care.
In this direction, this study will attempt to reveal the effects of post-urological surgery education on patients' attitudes and anxiety levels towards preventing catheter-related urinary tract infections.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Age 18 and over,
- •Male patients,
- •Discharged with a urinary catheter after TURP, HOLEP, Internal Urethrotomy, and Open Prostatectomy surgeries at the urology department of the University Hospital where the study will be conducted,
- •Possess the cognitive, affective, and psychomotor skills to perform self-care (no coordination problems affecting the upper extremities),
- •Are literate,
- •Have no visual or auditory communication problems,
- •Have no previous psychiatric disorder/diagnosis and are not currently taking medication for psychiatric disorders,
- •Individuals who volunteer to participate in the study will be included.
排除标准
- •Patients who are under 18 years of age,
- •Female patients,
- •Patients who have undergone surgeries other than TUR-P, HOLEP, Internal Urethrotomy, and Open Prostatectomy,
- •Patients with an oncological diagnosis and ongoing care/treatment, or who have previously received oncological treatment,
- •Patients who develop postoperative complications/whose general health deteriorates, who do not wish to participate in the study, or who wish to withdraw/exit from any aspect of the study will not be included in the study.
结局指标
主要结局
CAUTI Prevention Attitude
时间窗: Time Frame: "Baseline (discharge planning day)" Time Frame: "Day of catheter removal (within 3-7 days after discharge)
The scale developed by Koçyiğit Kavak et al. (2024) is a 31-item instrument designed to assess patients' attitudes towards preventing catheter-associated urinary tract infections. The Turkish validity and reliability study of the scale was conducted by Koçyiğit Kavak et al. in 2024. The Cronbach's alpha coefficient of the scale was reported as 0.882. The scale consists of 31 items in a five-point Likert type format, with response options ranging from "Never = 1," "Rarely = 2," "Sometimes = 3," "Often = 4," to "Always = 5." The minimum possible score is 31, and the maximum score is 155. Higher scores indicate more positive patient attitudes towards preventing catheter-associated urinary tract infections.
Anxiety
时间窗: Time Frame: "Baseline (discharge planning day)" Time Frame: "Day of catheter removal (within 3-7 days after discharge)
To determine individuals' anxiety levels, the State-Trait Anxiety Inventory (STAI) will be used. The scale consists of a total of 40 items and is a four-point Likert-type instrument composed of two subscales: the State Anxiety Inventory (first 20 items) and the Trait Anxiety Inventory (last 20 items). The State Anxiety subscale measures how an individual feels at a particular time and under specific conditions, whereas the Trait Anxiety subscale assesses how an individual generally feels regardless of the situation and conditions. A score between 0-19 indicates no anxiety, 20-39 indicates mild anxiety, 40-59 indicates moderate anxiety, and 60-79 indicates severe anxiety.
次要结局
未报告次要终点
研究者
Kübra ATA
MSc canditate of nursing
Istanbul University - Cerrahpasa