Thay đổi tuân thủ quy trình đặt thông tiểu ngắt quãng sạch trong điều trị bàng quang thần kinh ở trẻ em tại Bệnh viện Nhi Trung ương sau tập huấn

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Tác giả: Đức Trường Nguyễn, Ngọc Yến Trần, Hương Thu Trịnh, Thị Thơm Trịnh, Thị Mai Hương Vũ

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2022

Mô tả vật lý: tr.128

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Mục tiêu: Mô tả thay đổi tuân thủ quy trình đặt thông tiểu ngắt quãng sạch(CIC) của người chăm sóc chính cho trẻ em bị bệnh bàng quang thần kinh đến tái khám tại bệnh viện Nhi Trung ương năm 2021. Đối tượng và phương pháp nghiên cứu: Nghiên cứu can thiệp có so sánh trước sau trên 47 trẻ bị bệnh àng quang thần kinh đến tái khám và 47 người tham gia chính đặt thông tiểu cho trẻ tại Bệnh viện Nhi Trung ương được thực hiện từ tháng 5 đến tháng 10 năm 2021. Kết quả: Trẻ được đặt CIC 3-4 lần/ngày lần chiếm tỷ lệ cao nhất (51,1%) tiếp theo là từ 5 lần trở lên (38,3%), thấp nhất là 1-2 lần chiếm tỷ lệ 10,6% trước tập huấn mức độ tuân thủ quy trình đặt CIC đạt mức tốt có tỷ lệ thấp (32%), nhiều người thực hiện chưa đúng hoặc chưa đủ các bước trong quy trình. Ngay sau tập huấn, tỷ lệ tuân thủ đạt mức tốt là 100%. Sau 3 tháng được tập huấn và thực hành tại nhà, tỷ lệ tuân thủ đạt mức tốt là 83%. Hầu hết các triệu chứng lâm sàng và cận lâm sàng đã giảm rõ rệt sau khi được tập huấn và thực hành thông tiểu ngắt quãng sạch. Kết luận: Mức độ tuân thủ quy trình đặt CIC cho trẻ sau tập huấn có thay đổi rõ rệt, tỷ lệ tuân thủ quy trình đạt mức tốt tăng lên tập huấn và thực hành tại nhà.Triệu chứng lâm sàng và cận lâm sàng giảm rõ, trong đó 3 triệu chứng có sự khác biệt ý nghĩa thống kê p<
0,01: Trẻ bị táo bón, nước tiểu đục, kết quả xét nghiệm cấy nước tiểu có vi khuẩn. Do đó, cần đề xuất các biện pháp nâng cao mức độ tuân thủ đặt thông tiểu ngắt quãng sạch cho trẻ bị bệnh bàng quang thần kinhObjective: Describe of changes in compliance with clean intermittent catheterization (CIC) CIC in children with Neurogenic bladder during a routine checkup at the National Children’s Hospital in 2021. Method: Interventional study with before-after comparison on 47 children with neurogenic bladder and 47 caretakers. Data collected during their routine checkup at National children’s hospital from May to July 2021. Result: The group which CIC was performed 3-4 times/a day has the highest proportion of patients (51,1%), the next group which did CIC 5 or more times a day contributed to 38,3% of patients. The group that had CIC 1-2 times a day only made up 10,6% of the patients. Before CIC training, good CIC technique was observed in 32% of caretakers. The percentage of caretakers who performed good CIC immediately after training was 100%. 3 months after training, good CIC was observed in 83% of caretakers. Conclusion: The level of compliance with CIC process for children after training has changed markedly, the rate of good compliance increased after training and practicing at home. Clinical signs and symptoms have resolved distinctively after CIC, and 3 symptoms which are constipation, cloudy urine, and positive bacteria in urinalysis and urine culture were statistically different with p<
0.01 before and after training. Therefore, interventional methods to improve CIC compliance rate in children with neurogenic bladder needs to be suggested

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