Infant, Nursing Interventions, Urine
Conditions
Keywords
Infant, Urine collection, Noninvasive stimulation
Brief summary
This study will be conducted to determine the effects of bladder stimulation and subrapubic cutaneous stimulation techniques applied during urine sampling in infants on the success of urine sampling, pain and procedure time.
Detailed description
Urinary tract infections are common in children. Urine samples and urinalysis are needed to confirm the diagnosis of urinary tract infection. Various invasive and noninvasive techniques are used for urine sample collection in children. These techniques include suprapubic aspiration, urinary catheterization, a sterile urine bag, and clean catch techniques. The clean catch technique is a commonly used noninvasive technique for urine sample collection in children. Parents have described clean catch urine collection in children who are not toilet-trained as time-consuming and complex. Alternative techniques that stimulate voiding in children who are not toilet-trained, allowing for quicker collection of urine samples using clean catch techniques, are beneficial. The noninvasive stimulation methods whose effectiveness in infant urine collection will be evaluated in this study are bladder stimulation and suprapubic cutaneous stimulation.
Interventions
PROCEDUREBladder stimulation
This stimulation consists of two stages. In the first maneuver, the bladder is stimulated by gentle tapping of the suprapubic area for 30 seconds. In the second maneuver, the paravertebral area is massaged in a circular motion for 30 seconds. The two stimulation maneuvers are repeated sequentially for 5 minutes.
PROCEDURESubrapubic cutaneous stimulation
Circular rubbing movements will be made on the baby's suprapubic area with gauze soaked in cold salt water until micturition begins.
Sponsors
Istanbul Medeniyet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Using the block randomization technique, participants will be divided into 3 groups. A web-based randomization list creation tool will be used to create the blocked randomization list. Control and intervention groups will be coded as A, B and C using the sealed envelope method. Randomization information will be kept from the researcher involved in data collection until data collection begins. The researcher will learn which group each child is in just before the application (researcher blinding).Research data will be entered into the computer database by coding the group name as A, B and C, and statistical analysis will be performed using this coding (statistician blinding).
Intervention model description
Participants will be assigned to experimental and control groups using block randomization method. Age and sex variables will be used for block randomization. In order to reach the sample size calculated in the study, strata will be repeated two times (2X2X6) and 24 infant will be included in each group.
Eligibility
Sex/Gender
ALL
Age
1 Months to 6 Months
Healthy volunteers
No
Inclusion criteria
* A urine sample must be collected due to suspicion of a urinary tract infection, * The infant must be being fed orally, * The skin in the area where the maneuver will be performed must be intact, * The infant must be conscious and have stable vital signs. * The infant must be from families that can speak and understand Turkish and are willing to participate in the study
Exclusion criteria
* Presence of respiratory distress and signs of dehydration, * Presence of a diagnosed chronic health problem, * Presence of a neurological or anatomical abnormality that may affect bladder function, * Presence of any diagnostic suspicion (distension, intussusception, appendicitis, etc.) that would preclude the application of the stimulation maneuver, * Presence of cold stress.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedural pain score- FLACC Pain Scale | At the beginning of the procedure, at the end of the procedure | The Face, Legs, Activity, Cry, and Consolability (FLACC) scale consists of five categories (face, legs, activity, crying, and consolability), and each category is scored between 0 and 2 depending on the pain or distress behaviors observed. The total score ranges from 0 to 10, with 0 indicating no pain or distress and 10 indicating extreme pain or distress. The FLACC scale was developed to assess pain in children aged 2 months to 7 years and is one of the widely recommended scales for assessing pain and distress among pediatric patients. |
| Urine sample collection success | During the procedure (Average 5 minutes) | Infants who can have a urine sample collected during the procedure will be recorded as having a successful procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedure time | Through the procedure completion, an average of 5 minutes. | Procedure time is the time between the start of the stimulation method and the start of micturition. |
Countries
Turkey (Türkiye)
Outcome results
None listed