Conversion of Evidence, Intermittent Catheterization
Conditions
Brief summary
In this study, the investigators summarize the existing best evidence of intermittent catheterization in patients after radical cervical cancer surgery from the perspective of clinical translation of evidence through systematic search, evaluation and evidence integration, construct a nursing protocol of intermittent catheterization for patients after radical cervical cancer surgery based on the best evidence combined with the clinical context, and explore the clinical application effect of the above nursing protocol. It will provide a reference basis for the development of the standardization and management of intermittent catheterization for postoperative patients with cervical cancer in China, as well as the development of guidelines for intermittent catheterization after radical cervical cancer surgery.
Interventions
A best evidence-based protocol for intermittent catheterization after radical cervical cancer surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≧ 18 years old * Radical cervical cancer surgery and intermittent catheterization were performed at the Institute's hospital * Patients or their family members can operate a smartphone * No cognitive or psychiatric disorders, and can communicate effectively
Exclusion criteria
* People with serious heart, brain, lung and other important organ diseases * People with water, electrolyte, acid-base balance disorders at the beginning of intermittent catheterization * People with previous serious renal diseases, bladder and urethra surgery * People with urinary tract infections * People who did not complete all interventions or data collection * People who voluntarily withdrew from the study or died during the study period; * Refuse to participate in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of urinary complications | Within 2 months of discharge | the occurrence of urologic complications within 2 months after discharge of the patients from the hospital for follow-up, which in this study included urinary tract infections, urethral injuries, bladder stones, hydronephrosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intermittent Catheterization Compliance Scale | Pre-intervention, immediately post-intervention, and 1 month post-discharge | A questionnaire was used to investigate patients' adherence to carrying out intermittent catheterization before the intervention, immediately after the intervention, and 1 month after discharge from the hospital. Higher scores indicate better adherence. |
| 12-Item Short Form Survey | Pre-intervention, immediately post-intervention, and 1 month post-discharge | A questionnaire was used to investigate patients' quality of life before and immediately after the intervention and 1 month after discharge. Higher scores indicate better quality of life. |
| Self-Rating Anxiety Scale | Pre-intervention, immediately post-intervention, and 1 month post-discharge | A questionnaire was used to investigate patients' anxiety before and immediately after the intervention and 1 month after discharge from the hospital. Higher scores indicate greater anxiety. |
| Intermittent Catheterization Confidence Scale | Pre-intervention, immediately post-intervention, and 1 month post-discharge | A questionnaire was used to investigate patients' self-efficacy before and immediately after the intervention and 1 month after discharge from the hospital. Higher scores indicate greater confidence. |
| Utilization of health services | Within 2 months of discharge | Follow-up to record the number of unplanned readmissions, outpatient visits, and emergency room visits within 2 months of discharge and to evaluate the patient's health service utilization |
Countries
China