Nursing Care Including NANDA Diagnoses and NIC Interventions in Clean Intermittent Catheterization: A Case Report

Abstract

Temiz aralıklı kateterizasyon (TAK), çeşitli nedenler ile kendi kendine idrar yapamayan hastaların bakım vericileri tarafından mesanenin boşaltılması amacıyla kullanılan en etkin yöntemdir. Bakım vericilerin TAK uygulamasına yönelik yeterli bilgi/beceri sahibi olmaması, yaşadığı sürece uyum sağlayamaması durumunda hastalarda başta böbrek yetmezliği olmak üzere çeşitli komplikasyonlar görülmektedir. Bu sebeple TAK uygulaması yapan bakım vericilere yönelik verilen eğitimlerin hemşirelik modelleri ve Hemşirelik Girişimleri Sınıflama Sistemleri doğrultusunda planlanması ve uygulanması gerekmektedir. Roy Adaptasyon Modeli (RAM) kişilerin yaşadığı farklı sürece uyum sağlamasında sık kullanılan hemşirelik modellerindendir. Bu olgu sunumda, RAM doğrultusunda Hemşirelik Girişimleri Sınıflandırma Sistemi kullanılarak planlanan hemşirelik sürecinde bakım vericinin yaşadığı ve yaşayabileceği düşünülen olası problemlere yönelik uygun girişimlerin planlanması amaçlanmıştır.

Investigation of anxiety levels in caregivers who perform clean intermittent catheterization on their children and affecting factors

“…2,3 Furthermore, the decision for mothers to carry out CIC as caregivers in this study was explained by the predominant cultural norm in Turkey, where the caregiving role is primarily undertaken by women, particularly mothers of children. 1,13 In this study, it was discovered that some caregivers performed CIC without any formal training, either by observing the doctor's technique or by attempting it on their own child. The caregivers who did receive training on CIC applications reported that they received it mainly from the physician, typically in a single session focusing on catheter placement.…”

“…In the relevant literature, CIC is reported to have been utilized by patients and caregivers for around 50 years. 4,13 However, it is evident that standardized protocols and guidelines regarding who should provide health training to caregivers and how to enhance their knowledge and skills in CIC application are inadequate and not widely available. 4,[24][25][26] In Turkey, the guidelines determined by the European Association of Urology are used in the training of caregivers who perform CIC.…”

“…11,12 Furthermore, it has been observed that the frequency of hospital readmissions increases in children due to complications, and in severe cases, they may require dialysis treatment due to kidney damage. [9][10][11]13 Nurses play a crucial role in enhancing the knowledge and skills of caregivers and reducing their anxiety during the learning process of the CIC application. Hence, it is recommended that caregivers responsible for performing CIC receive health education from nurses.…”