EDUKASI CLEAN INTERMITTENT CATHETERISATION (CIC) UNTUK MENCEGAH INFEKSI SALURAN KEMIH PADA PASIEN PEMAKAI KATETER JANGKA PANJANG
Abstract
As life expectancy increases, there is more elderly population and incontinence cases that require long-term catheter. Long-term use of catheters can cause morbidity for patients, because they have to come to the hospital every 2 weeks on weekdays to change the catheter, thus compromising their work or if they are elderly who need to be accompanied by their families, it can burden their families. Improper catheter care can also cause urinary tract infections (UTIs). Therefore, a solution is needed. Clean intermittent catheterization (CIC) or also called self-catheterization can be a solution for this problem. The use of CIC can make patients do not have to carry tubes and catheter bags everywhere. Patients also do not need to change the catheter every 2 weeks, therefore are more efficient in terms of cost and time. We gave CIC education to long-term catheter users at the Urology Polyclinic of Tabanan Hospital using a urinary tract mannequin. The outcome revealed that all patient's post-test scores increased compared to the pre-test. The patients can apply CIC independently so that they no longer change catheters at the hospital, and no urinary tract infections occur based on urinalysis.
References
Shackley DC, Whytock C, Parry G, et al. (2017). Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England. BMJ Open. 7(6):e013842.
Wilde MH, McMahon JM, Crean HF, Brasch J. (2017). Exploring relationships of catheter-associated urinary tract infection and blockage in people with long-term indwelling urinary catheters. J Clin Nurs. 26(17-18):2558-2571.
Harrison SC, Lawrence WT, Morley R, et al. (2017). British Association of Urological Surgeons’ suprapubic catheter practice guidelines. BJU Int. 107(1):77-85.
Ritonga, E. P. (2018). Upaya Pencegahan Infeksi Saluran Kemih oleh Perawat pada Pasien Terpasangnya Kateter di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Jurnal Ilmiah Keperawatan Imelda. 4(1): 431-43
Naiolon, Regina E. (2019). Surveillance of home health central venous catheter care outcomes: Challenges and future directions. American Journal of Infection Control. 47(11):1382-1387