Page 83 - Petelin, Ana. 2020. Zdravje delovno aktivne populacije / Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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dence-based catheter selection for intermittent ohranjanje in krepitev zdravja | maintaining and promoting health
self-catheterization: Integrative review
Tjaša Hrovat Ferfolja, Melita Peršolja
University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola, Slovenia
Introduction: Intermittent catheterization is known as a safe method suitable
for long-term use that can protect the upper urinary tract and improve the
quality of patients’ life with significant voiding problems. This research aimed to
identify an optimal type of catheter for intermittent self-catheterization consid-
ering patient outcomes.
Methods: A literature review was used. The search terms were self-catheter-
iz(s)ation, bleeding, injury, infection, material, catheter type, length, circum-
ference, shape, coating, packing. Boolean operators (AND, OR) were used.
Searches were limited to scientific journals, full text accessibility, English and
Slovene language, and publication time between 1999 and 2019. We used a
four-step PICO search strategy to obtain and validate the literature. The liter-
ature review was performed in July 2019.
Results: From 440 results found, 41 were selected according to the purpose
and quality of the research. The selected research were 16 literature reviews, 4
randomized control trials, 20 cohort research, and one case study. The synthe-
sis of the review was done using the PRISMA tool. The quality of the research
was assessed by two reviewers using hierarchy of evidence.
Discussion and conclusions: The review found that none of the catheter types
can be generally recommended for intermittent self-catheterization. Due
to the lack of evidence, the selection of the catheter depends primarily on
the patients’ preference of the catheter type considering selected technique
of self-catheterization. This integrative review may serve as a reference for
healthcare workers in caring for a new patient with urine retention. It is rec-
ommended that nurses and patients together firstly select the technique of
self-catheterization, and only after that select the catheter type.
Key words: evidence-based nursing; intermittent urethral catheterization;
literature review; patient outcome assessment; quality assurance
81
self-catheterization: Integrative review
Tjaša Hrovat Ferfolja, Melita Peršolja
University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola, Slovenia
Introduction: Intermittent catheterization is known as a safe method suitable
for long-term use that can protect the upper urinary tract and improve the
quality of patients’ life with significant voiding problems. This research aimed to
identify an optimal type of catheter for intermittent self-catheterization consid-
ering patient outcomes.
Methods: A literature review was used. The search terms were self-catheter-
iz(s)ation, bleeding, injury, infection, material, catheter type, length, circum-
ference, shape, coating, packing. Boolean operators (AND, OR) were used.
Searches were limited to scientific journals, full text accessibility, English and
Slovene language, and publication time between 1999 and 2019. We used a
four-step PICO search strategy to obtain and validate the literature. The liter-
ature review was performed in July 2019.
Results: From 440 results found, 41 were selected according to the purpose
and quality of the research. The selected research were 16 literature reviews, 4
randomized control trials, 20 cohort research, and one case study. The synthe-
sis of the review was done using the PRISMA tool. The quality of the research
was assessed by two reviewers using hierarchy of evidence.
Discussion and conclusions: The review found that none of the catheter types
can be generally recommended for intermittent self-catheterization. Due
to the lack of evidence, the selection of the catheter depends primarily on
the patients’ preference of the catheter type considering selected technique
of self-catheterization. This integrative review may serve as a reference for
healthcare workers in caring for a new patient with urine retention. It is rec-
ommended that nurses and patients together firstly select the technique of
self-catheterization, and only after that select the catheter type.
Key words: evidence-based nursing; intermittent urethral catheterization;
literature review; patient outcome assessment; quality assurance
81
