Creation and Use of Continuous Leading Checklist for Clean Intermittent Self-Catheterization for Prevention of Upper Urinary Tract Infections

概要

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Shorter hospital stays and post-discharge home treatment are being promoted in Japan due to the advent of an aging society and reductions in medical costs. Accordingly, patients must acquire new skills related to any ongoing home treatment during the short hospitalization period. In the present study, we investigated the state of initial and ongoing instruction provided to 10 patients undertaking clean intermittent self-catheterization (CIC). Initial CIC instruction sometimes comprised only verbal explanation. In addition, even if nursing procedural instruction was provided, the results clarified that patients' individual requirements and physical abilities, dealing with unexpected situations, and understanding of home situations were not considered during instruction. Patients also lacked comprehension of bladder hyperdistention prophylaxis and the purpose of completing urination records. Ongoing instruction including procedural confirmation and postural adjustments to avoid urinary retention after voiding was not conducted on an outpatient basis. These findings indicate the importance of ongoing instruction focused on understanding bladder hyperdistention prophylaxis and completing urination records to facilitate appropriate urine volume and voiding intervals under CIC. Based on the issues identified in the present study, we created a continuous leading checklist.