Author/Editor		Peršolja Černe, Melita
Title		Varna tehnika dolgotrajne intermitentne samokatetrizacije
Translated title		Safe long-term intermittent self-catheterisation technique
Type		članek
Vol. and No.		Letnik 50, št. 2
Publication year		2016
Volume		str. 144-156
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		slv
Abstract		Uvod: Intermitentna samokatetrizacija je prednostna metoda praznjenja sečnega mehurja pri pacientih z zastojem urina. Medicinska sestra običajno pacienta nauči čiste ali aseptične tehnike samokatetrizacije. Namen prispevka je s pregledom literature ugotoviti, ali obstaja optimalna tehnika intermitentne samokatetrizacije, ki bi jo medicinske sestre priporočale pacientom. Metode: Uporabljen je bil sistematični pregled literature v bazah podatkov: CINAHL, Medline, ProQuest, COBIB.SI in Cochrane Library. Vključena je bila literatura od prve omembe samokatetrizacije leta 1972 do leta 2016. S selekcijo prvotnih 350 virov smo glede na njihovo skladnost z namenom raziskave izbrali 67 enot literature. Rezultati: Osemnajst referenc, izbranih z orodjem CASP, je bilo objavljenih med letoma 1992 in 2015: šest randomiziranih kliničnih in pet kohortnih raziskav ter šest sistematičnih pregledov literature in ena kritika. Ključne spremenljivke analize zbranih podatkov so bile sterilnost katetra, vrsta vlažilnega gela in higiena periuretralnega področja. Diskusija in zaključek: Nobena tehnika intermitentne samokatetrizacije se ne izkaže kot optimalna. Ob upoštevanju značilnosti in sposobnosti pacienta je za slovenske razmere najboljša uporaba sterilnega materiala za enkratno uporabo (katetra in vlažilnega gela), higiena periuretralnega področja s sterilno solucijo in tamponi ter tehnika nedotikanja.Introduction: Intermittent self-catheterisation is a safe and effective way of managing patients with urinary retention. It provides periodical drainage of urine from the bladder when normal bladder function is impaired or absent. The nurses usually provide patients with adequate information about clean or aseptic self-catheterisation techniques. The research aims to determine whether there is evidence for recommending an optimal intermittent self-catheterisation technique. Methods: A systematic literature review of current procedures undertaken was employed. The search was conducted in data bases of CINAHL, Medline, ProQuest, COBIB.SI and the Cochrane Library. The time frame covered in the search was from 1972, when the technique was first described, to 2016. Sixty-seven sources filtered by the research purpose were selected from the initial 350 identified. Results: Using CASP quality appraisal tools, eighteen references were selected. Six randomized clinical trials, five cohort studies, six systematic reviews and one critical review were published between 1992 and 2015. The analysis of the data gathered focuses on three self-catheterisation procedure details: catheter sterility, lubricant type and periurethral area hygiene. Discussion and conclusion: As none of the techniques proved to be optimal for all patients, it is important that the health care professional enables the patient to make an informed choice when choosing the best method and product for their individual needs. Due to the lack of evidence and in accordance with the Slovenian chronic patients' rights, the recommended technique should include sterile disposable material (catheter and lubricant), periurethral area hygiene with sterile swabs and solution, and a no-touch technique.
Keywords		zdravstvena nega z dokazi podprta intermitentna samokatetrizacija optimalna tehnika izobraževanje kakovost domače okolje nursing evidence-based self-catheterisation optimal technique education quality home care services