Is reducing the early postoperative complications of percutaneous suprapubic catheterization affected by the method of healthcare education in low-literacy patients? A prospective randomized comparative study.

IF 0.9 4区 医学 Q4 UROLOGY & NEPHROLOGY
Current Urology Pub Date : 2025-05-01 Epub Date: 2022-09-19 DOI:10.1097/CU9.0000000000000151
Rabea Ahmed Gadelkareem, Shalabia Elsayed Abozead, Rasha Abozead Khalaf, Nasreldin Mohammed, Shaymaa Sayed Khalil
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引用次数: 0

Abstract

Background: Suprapubic catheters (SPCs) are associated with a wide spectrum of undesirable symptoms and complications, ranging from skin overgranulation to septicemia. They can be effectively managed through various medical and healthcare interventions. We compared the impact of illustrated brochure healthcare education (IBHE) and verbal-only healthcare education (VOHE) on early postoperative complications of SPC in patients with low literacy levels.

Materials and methods: Eighty patients with low literacy levels who underwent SPC insertion were randomly allocated to receive either IBHE or VOHE between January 2019 and June 2020. Variables, including postoperative complications (within 30 days), were compared. This study was approved by our institutional review board (IRB number: 1780011/2019).

Results: The IBHE and VOHE groups included 40 patients each. The mean age ± standard deviation was 52.75 ± 16.46 and 53.25 ± 17.19 years, respectively. Acute urinary retention was the main presenting symptom (36 [90%] vs. 34 [85%]), and benign prostatic hyperplasia was the main underlying pathology (16 [40%] vs. 15 [37.5%]). The incidence of SPC obstruction (p = 0.000), urine leakage (p = 0.006), falling out (p = 0.003), suprapubic pain (p = 0.012), exit skin manifestations (p = 0.000), bleeding (p = 0.041), change (p = 0.003), and hematuria (p = 0.000) was significantly lower in IBHE than in VOHE. However, catheter-associated bladder discomfort (p = 0.247), bacteriuria (p = 0.154), and gross pyuria (p = 0.625) were not significantly different between the groups. The frequency of Clavien-Dindo grades was significantly higher in the VOHE group than in the IBHE group. Grade I (87.5% vs. 67.5%, p = 0.032) and grade IIIa (2.5% vs. 22.5%, p = 0.007) were significantly more frequent in the highest grade in IBHE and VOHE groups, respectively.

Conclusions: Illustrated brochure healthcare education appears to be a suitable and effective method for educating low-literacy patients undergoing SPC insertion. It significantly reduced the incidence and grade of early postoperative SPC complications compared with VOHE, except for catheter-associated bladder discomfort, bacteriuria, and gross pyuria.

低文化患者的健康教育方法对减少经皮耻骨上置管术后早期并发症有影响吗?一项前瞻性随机比较研究
背景:耻骨上导管(SPCs)与广泛的不良症状和并发症相关,从皮肤过肉芽肿到败血症。它们可以通过各种医疗和保健干预措施得到有效管理。我们比较了图解手册健康教育(IBHE)和纯语言健康教育(VOHE)对低文化水平患者SPC术后早期并发症的影响。材料和方法:在2019年1月至2020年6月期间,随机分配80例接受SPC插入的低文化水平患者接受IBHE或VOHE。比较各种变量,包括术后并发症(30天内)。本研究已由我们的机构审查委员会批准(IRB号:1780011/2019)。结果:IBHE组和VOHE组各40例。平均年龄±标准差分别为52.75±16.46岁和53.25±17.19岁。急性尿潴留是主要的表现症状(36例[90%]对34例[85%]),良性前列腺增生是主要的潜在病理(16例[40%]对15例[37.5%])。SPC梗阻(p = 0.000)、尿漏(p = 0.006)、脱落(p = 0.003)、耻骨上疼痛(p = 0.012)、出口皮肤表现(p = 0.000)、出血(p = 0.041)、改变(p = 0.003)和血尿(p = 0.000)的发生率IBHE组明显低于VOHE组。然而,导尿管相关性膀胱不适(p = 0.247)、细菌尿(p = 0.154)和总脓尿(p = 0.625)在两组间无显著差异。VOHE组Clavien-Dindo评分频率显著高于IBHE组。I级(87.5% vs. 67.5%, p = 0.032)和IIIa级(2.5% vs. 22.5%, p = 0.007)分别在IBHE组和VOHE组的最高分级中出现的频率显著增加。结论:对低文化水平患者行SPC插入术进行健康教育是一种合适而有效的方法。与VOHE相比,它显著降低了术后早期SPC并发症的发生率和级别,但导管相关性膀胱不适、细菌尿和脓尿除外。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Urology
Current Urology Medicine-Urology
CiteScore
2.30
自引率
0.00%
发文量
96
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