The Effect of Video-Assisted Clean Intermittent Catheterization Training on Patients’ Practical Skills and Self-Confidence / 대한배뇨장애요실금학회지

Purpose@#This research was carried out in order to examine the effect of clean intermittent catheterization (CIC) training with a video developed by the researchers on patients’ ability to practice CIC and self-confidence. @*Methods@#The population of the study consisted of patients who had just started performing CIC in the urology polyclinic of a city hospital in Istanbul. The sample consisted of a total of 80 patients, 40 of whom were in the experimental group and 40 in the control group. The experimental group patients were given CIC training with a training video that was downloaded to the mobile phone of the patient, a family member, or caregiver. The patients’ practice skills were evaluated by 2 independent observers. The DISCERN Inquiry Form and the Global Quality Score, the Patient Information Form, the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were used to collect data. @*Results@#In the experimental group, consisting of patients who received video-assisted training, the mean scores for the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were statistically significantly higher than in the control group (P<0.001), the experience of feeling pain during catheterization was less than in the control group, and the patients in the experimental group experienced statistically significantly fewer complications such as urinary tract infections, urgency, urinary incontinence, hematuria and urethral stricture (P<0.05). @*Conclusions@#Video-assisted CIC training had a positive effect on patients’ practical skills and self-confidence.

Evaluation of YouTube Videos Regarding Clean Intermittent Catheterization Application / 대한배뇨장애요실금학회지

Purpose@#The aim of this study was to assess the clean intermittent catheterization (CIC) training and education videos on YouTube. @*Methods@#This study was conducted in English language in descriptive type to evaluate the content, reliability, and quality of Internet videos related to CIC training. The search was performed by using term “clean intermittent catheterization” and “intermittent self catheterization” on YouTube in August 2019. The content of the selected videos was analyzed by 2 independent experts in the field. The DISCERN questionnaire was used to analyze the reliability of the video and the global quality score (GQS) was used for the quality of the video. @*Results@#When the contents of the 64 videos included in the study were examined, it was found that 41 of them contained useful information and 23 of them contained misleading information. DISCERN scores, video coverage scores, and GQS of videos with useful information were found to be statistically higher than those with misleading information (P<0.001). When the sources of the videos were examined, it was seen that 78.05% of the videos containing useful information were published by medical advertisement/for-profit companies (P<0.001). The reliability scores, coverage scores, and GQS of the videos from medical advertisement/for-profit companies were significantly higher than the other sources (P<0.001). @*Conclusions@#In this study, it was seen that the majority of YouTube CIC training videos examined within the scope of the research were published by medical advertisement/for-profit companies and most of these videos contain useful information.

Levels of anxiety and ways of coping of family members of patients hospitalized in the Neurosurgery Intensive Care Unit

To evaluate the levels of anxiety and ways of coping of family members of patients hospitalized in the Neurosurgery Intensive Care Unit [NICU]. The descriptive study was carried out with the families of 120 patients hospitalized in the NICU of a University Hospital in Turkey, between November 2005 and July 2006. Data were collected using a questionnaire for demographical information, The State and Trait Anxiety Inventory, and Ways of Coping Inventory. Statistical analysis of the data was carried out with SPSS software, using arithmetic mean and standard deviation, percentage, t test, Kruskall Wallis, Mann-Whitney U, and correlation analyses. Of the family members evaluated, 56.7% were males and the mean age of the family members was 34.7 +/- 11.13. The average score for the State Anxiety was 47.03 +/- 9.55, and Trait Anxiety was 44.11 +/- 7.62. Financial problems were the main source of anxiety, being experienced by 56.7% of the participants due to hospitalization of the patient in the intensive care unit. Submissive and helpless coping styles were observed more frequently, as the level of anxiety increased. In light of these findings, it has been found that members of the families of the patients hospitalized in the NICU experienced a significant amount of anxiety, and that they faced difficulties in coping with anxiety, indicating that they require help and support

Evaluation of quality of sleep and effecting factors in hospitalized neurosurgical patients

To evaluate the quality of sleep and effecting factors in hospitalized patients in a neurosurgery clinic. This research was conducted as a descriptive study in a neurosurgery clinic of a University Hospital, in Turkey, between November 2005 and June 2006. The study sample consisted of 102 patients who met the inclusion criteria and agreed to participate in the study. Data were collected using the "Questionnaire Form," which included socio-demographic, illness, sleep, and hospital characteristics, and the "Pittsburgh Sleep Quality Index" [PSQI]. The data obtained were assessed by SPSS 10.00 Program, using number, percentage, arithmetic mean, t-test, variance, and correlation analysis. The mean age of the patients was 43.22 +/- 16.72 years, 54.9% were females, and 72.5% were married. Hospitalization duration of the patients was 14.31 +/- 8.97 days on average, 84.3% had previous hospital experience, and 72.5% had knowledge about their illnesses. Of them, 51% expressed a sleep problem. Pain [41.2%] and noise [31.4%] was found to affect the sleep quality of hospitalized patients. Of the patients hospitalized in the neurosurgery ward, 64.7% were found to have poor quality of sleep prior to admission, while poor quality of sleep was determined for 49% before being discharged from the hospital. However, a better sleep quality was noted prior to discharge, compared to that at their admission to the hospital. Varied degrees of quality of sleep have been reported by the patients and influences of personal and environmental factors on sleep quality have been noted. Strategies to enhance physical and mental comfort, and to minimize disruptions should positively enhance sleep quality