Authors (including presenting author) :
Wong SW Arale (1), Kwok PF(1), LEE YM(1), Chin CF(1), Chung YY(1), Yung CY (2), Sha KY Edmund(2)
Affiliation :
(1)Continence Care Services, Nursing Service Division, United Christian Hospital (2) M&G, United Christian Hospital
Introduction :
Indwelling urinary catheter is commonly used for patients who needed urine drainage, however, proper security of the catheter usually being little cared despite it is important to prevent potential complications such as urethral trauma, catheter associated urinary tract infection, urethral pain, and catheter dislodgement. In order to increase patient’s quality care and prevent catheter related complications, products of Foley Security Holder (FSH)* were recommended for targeted patients and evaluation on the effectiveness had been done from 1st April to 31st August 2020.
Objectives :
Patients who had received recommendation of using FSH by Continence Nurse with pre & post subjective symptoms score and patient’s objective improvement rate on urinary condition had be evaluated.
Methodology :
Prospective study was designed for capable patients who had acute retention of urine with indwelling urethral catheter in-situ were recruited, with questionnaire on patient ‘s objective and subjective data were collected before and after the FSH device was applied, related information was obtained from Catheter Care Clinic (CCC) at United Christian Hospital and related data were analyzed by SPSS version 20.0.
Result & Outcome :
In the study, 47 patients with average age 70.7 were analyzed. 12.8% (n=6) of patients never receiving any nursing education about catheter fixation anchoring and 34% (n=16) of them were attending CCC without any security device applied. After continence nurse ’s education and recommendation for proper method and device for urethral catheter security. Post evaluation with paired-t test had been carried on domains of skin breakdown, haematuria and urethral pain on using FSH were obtained. The P-value was 0.569, 1.000 and 0.411 representatively, although insignificant P-values were shown, 87.2% of patients expressing great satisfaction on using the FSH device. On the other hand, parameters of preventing skin redness and leading less catheter pulling experience could be significantly prevented (the p-value was 0.047 and 0.001 accordingly which P-Value < 0.05 is considered statistically significant).
In conclusions, continence nurses in CCC provided definite assessment and care management to prevent catheter related potential complications and increase patient satisfaction by introduction of advance FSH products and provision of related education to patients/carers.
