The Effect of Clamping Method the Indwelling Urinary Catheters

Study Overview
=================
Brief Summary
-----------------
Background: Bladder training through catheter clamping is an important nursing practice. There is no clear information and sufficient evidence for catheter clamping in bladder training before urinary catheter removal in guidelines for clinical practice. Objective: To evaluate the results of bladder training in ICU patients. Design: Randomized controlled trial. Setting general surgery ıntensıve care. Methods: Patients were randomly assigned either to have their urinary catheter clamped before removal or to have their catheter removed with free drainage.. Patients who will continue to have urinary catheterization for at least 5 days were included in the study. Results: - Conclusion: -

Detailed Description
-----------------
Nurses are key professionals in the prevention of complications associated with indwelling urinary catheterization in the hospital setting. In this context, bladder training through catheter clamping is an important nursing practice. Indwelling catheter clamping in bladder training was first proposed by Ross in 1936. There is no clear information and sufficient evidence for catheter clamping in bladder training before urinary catheter removal in national and international guidelines for clinical practice. In a study by Williamson (1982) on this subject, it was reported that intermittent clamping before removal of the indwelling urinary catheter reduces the frequency of urinary retention and shortens the time to return to normal bladder function. However, a systematic review published in Cochrane (2007) on strategies for removal of short-term indwelling urethral catheters in adults found insufficient evidence to suggest that catheter clamping prior to termination of catheterization is effective to induce normal bladder filling. In another systematic review published in Cochrane (2016), there was no significant difference between the patients' subjective perceptions of recatheterization, urinary retention, catheter-related urinary tract infection and urination symptoms in the clamping and free drainage groups. In the limited number of studies on bladder training performed by clamping the indwelling urinary catheter, no evidence for practice could be obtained, and there is no consensus among clinicians yet. Ultimately, more research, better quality methodology, and more diverse study designs are needed until strong evidence is available to remove this uncertainty.

Official Title
-----------------
The Effect on Catheter-Related Complıcatıons of Clamping Method the Indwelling Urinary Catheters in ICU Patıents: A Randomızed Controlled Trial

Conditions
-----------------
Bladder Training by Clamping Before Removal

Intervention / Treatment
-----------------
* Other: clamped catheter


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Glasgow Coma Scale between 13-15 when clamping will be performed. Within the first 12 hours of admission to the intensive care unit, Will continue urinary catheterization for at least 5 days, No diagnosed or recurrent urinary tract infection, Patients who agreed to participate in the study by obtaining their informed consent and who will not leave the study during the study. Exclusion Criteria: Having urinary outflow resistance/difficulty (prostate enlargement, urethral stenosis, etc.), Those who have suprapubic catheters or who will undergo intermittent catheterization, Patients with impaired nerve conduction, Patients taking anticholinergic drug therapy such as tricyclic antidepressants, Patients receiving sympathomimetric drug therapy, Having a neurogenic bladder, Having diabetic cystopathy, Have a previous history of urinary retention or urination dysfunction,

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: clamped catheter group<br>Q3 clamped catheter protocol is applied before urinary catheter removal | Other: clamped catheter<br>* Q3 clamped catheter protocol is applied before urinary catheter removal<br>|
| No Intervention: free dranaige group<br>Free dranaige is applied before urinary catheter removal | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Enfectious complications | Catheter-Related Infectious Complications Follow-up Form | 1-5 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Other complications | Catheter-Related Non-Infectious Complications Follow-up Form | 6. days 1-12 hour between | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Clamping, Indwelling Urinary Catheters, Nursing