A randomised controlled trial on the effect of clamping the indwelling urinary catheter in patients with hip fracture

Abstract

Clamping is an additional task for the nursing staff in the removal of the indwelling urinary catheter. Therefore, when considering the present results, it seems that clamping the indwelling urinary catheters in patients with hip fracture is not indicated.

Hip fracture and urinary incontinence – use of indwelling catheter postsurgery

“…In another randomized trial, Nyman et al. (9) assessed the effect of clamping indwelling urinary catheter in patients with hip fracture. They found no effect on the time to normal bladder function.…”

“…Parkinson et al (11) conducted a pilot study with a randomized sample that assessed continence promotion for older patients following surgery for hip fracture. In another randomized trial, Nyman et al (9) assessed the effect of clamping indwelling urinary catheter in patients with hip fracture. They found no effect on the time to normal bladder function.…”

The effects of bladder training on bladder functions after transurethral resection of prostate

“…In the experimental group (bladder training), the urinary catheters of the patients were clamped at 4-hr intervals and then were left open for 5 min on the second postoperative day by the registered nurse. This bladder training (intermittent clamping procedure) ordered by the urologist in compliance with the literature (Griffiths & Fernandez, 2007;Nyman et al, 2010;Moon et al, 2012;Liu et al, 2015;Gong et al, 2017;Wang et al, 2016;Zhengyong, Changxiao, Shibing, &Caiwen, 2014). The clamping of urinary catheters in the experimental group patients was opened when they reported the sense of urgency before completing the 4-hr intervals.…”

“…The incidences of these clinical conditions are reported to vary from 5%-35% in the literature (Nitti, Kim, & Combs, 1997). Therefore, follow-up of the patients with urinary catheters is important as their postoperative removal in the shortest possible time is critical for the prevention of urinary retention and normalisation of bladder function (Nyman, Johansson, & Gustafsson, 2010). Long-term catheterisation may cause problems such as bladder dysfunction and postoperative voiding disorder with the potential of leading to urinary tract infections (Griffiths & Fernandez, 2007).…”

“…Gong, Zhao, Wang, and Wang (2017) showed that residual urine volume was higher in bladder training group, 24 hr following catheter removal. Other studies were determined that indwelling urethral catheter clamping did not show any advantage or disadvantage in stroke and hip fracture patients (Nyman et al, 2010;Moon, Chun, Lee, & Kim, 2012;Zhengyong, Changxiao, Shibing, &Caiwen, 2014). Furthermore, Liu, Wei, and Elliott (2015) showed that early bladder training protocol is effective in facilitating bladder function, reducing dysuria and making patients feel more comfortable.…”