The Role of Clean Intermittent Catheterization in Patients Undergoing Radiotherapy After Radical Hysterectomy for Cervical Cancer
Condition: Uterine Cervical Neoplasms
MeSH terms: Uterine Cervical Neoplasms
Study type: Interventional

Summary: 
      Through a prospective, randomized and controlled research design method, this study
      implemented intermittent catheterization for patients with urinary dysfunction after
      postoperative radiotherapy of cervical cancer, formulated a reasonable bladder rehabilitation
      training plan, reduced the amount of residual urine, restored bladder function as soon as
      possible, reduced the incidence of urinary complications and readmission rate, and improved
      the quality of life of patients, To comprehensively evaluate the application value of
      intermittent catheterization in patients with micturition dysfunction after postoperative
      radiotherapy for cervical cancer.
    

Detailed description: 
      In this study, patients with postoperative radiotherapy for cervical cancer complicated with
      voiding dysfunction in the Department of gynecology and oncology radiotherapy of our hospital
      from July 2018 to December 2020 were selected as the research objects. At the beginning of
      the study, a total of 80 people were randomly divided into two groups: 40 cases in the
      observation group and 40 cases in the control group. The observation group implemented
      intermittent catheterization and formulated a reasonable bladder rehabilitation training
      plan, and the control group received routine indwelling catheterization. The observation
      group gave one-to-one training and education to patients and their families before the
      implementation of the project, including 1. Watching the operation video of intermittent
      catheterization for female patients. 2. The nurse demonstrated on the simulator. 3.
      Distribution of drinking water and urination plan, such as paper urination plan, etc.
      Drinking water plan: patients are required to drink about 1800ml-2000ml of water every day,
      including drinking water, soup, fruit, etc. it is recommended that the water intake for three
      meals in the morning, noon and evening is 400ml respectively, and about 200ml water is taken
      between meals. 200ml water is taken 2 hours after dinner, and no water is taken 2-3 hours
      before going to bed. Frequency and timing of intermittent catheterization: it is recommended
      to catheterize once every 4 hours and no more than 6 times every 24 hours. If the residual
      urine volume decreases, the number of catheterization can be appropriately reduced; Before
      each catheterization, urinate by yourself. The derived urine volume is the residual urine
      volume. The total amount of urine shall not exceed the safe capacity of the bladder. 4. The
      nurse guides the catheterization with hands on the patient until the patient or family
      members fully master the operation. 5. Nurses add wechat to patients or their families to
      answer patients' questions and solve operational problems at any time; For three consecutive
      days after the beginning of intermittent catheterization, patients need to take photos and
      upload their drinking water and urination diaries every day. Nurses assess the existing risks
      and deficiencies, give guidance and continue to follow up. 6. If the residual urine volume of
      the patient is less than 100ml or less than 20% of the safe capacity of the bladder for 3
      consecutive days, it is judged that the bladder function has been restored and intermittent
      catheterization can be stopped. 7. In case of adverse events during the implementation of the
      project, such as urinary tract infection and impaired renal function, it is necessary to
      communicate with the doctor in time to decide whether to continue intermittent
      catheterization. During radiotherapy, the bladder function of the observation group and the
      control group was evaluated every 7 days until the end of radiotherapy. All patients need to
      fill in SF-36 questionnaire before and after radiotherapy. In principle, the questionnaire
      star or paper questionnaire is required to be filled in by the patients themselves. For those
      who can communicate but can not read and fill in by themselves, the family members shall
      assist in completing it together. All options of the scale are required to be the opinions of
      the patients themselves. Drinking water and urination diary records shall be completed by
      patients and their families. The general information of patients is completed by medical
      staff at the end of radiotherapy.
    

Intervention name(s): Clean Intermittent Catheterization; Indwelling catheterization
Intervention type(s): Device; Device
Intervention description(s): Under clean conditions, the method of regularly inserting the urinary catheter into the bladder through the urethra and emptying the urine regularly is called clean intermittent catheterization.; A catheter is inserted into the bladder through the urethra to drain urine. The catheter has been left in the patient's body.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Triple (Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Cervical cancer; Radiotherapy; Clean intermittent catheterization; Bladder function