RESUMO
A five year study was conducted to determine the appropriate frequency for routine changing of condom catheters in males with spinal cord injury. One hundred and thirteen outpatient subjects participated in a non-randomized study. Eighty subjects changed their condom catheters on a daily basis, and 33 changed their condom catheters every other day. The subjects were questioned and the clinic record was reviewed by a nurse clinician about the incidence of skin and urinary complications occurring in the previous year. The most common skin complication found in both groups was redness, followed by excoriation. The most common urinary complication reported by both groups was urinary tract infection, followed by bladder and renal stones. There was no significant difference found in the incidence of skin or urinary complications between the subjects who changed their condom catheters daily and those who changed their condom catheters every other day. It is recommended that selected patients can change their condom catheters every other day as long as appropriate guidelines are followed.
Assuntos
Traumatismos da Medula Espinal/complicações , Cateterismo Urinário/enfermagem , Incontinência Urinária/enfermagem , Adulto , Dermatite das Fraldas/etiologia , Humanos , Masculino , Registros de Enfermagem , Cateterismo Urinário/efeitos adversos , Cateterismo Urinário/métodos , Incontinência Urinária/etiologia , Infecções Urinárias/etiologiaRESUMO
The purpose of this study was to develop a reliable and valid tool that assesses the cognitive and functional skills needed for self-care in persons with spinal cord injury (SCI). The Self-Care Assessment Tool (SCAT) assesses cognitive and functional skills in eight self-care areas: bathing/grooming, nutritional management, taking medications, mobility/transfers/safety, skin management, bladder management, bowel management and dressing. The tool was carefully developed and has demonstrated content validity. Interrater reliabilities for the cognitive, functional and total scores ranged from .69 to .94 (n = 10). Test-retest reliabilities for the cognitive, functional and total scores ranged from -.06 to .86 (n = 14, 16). Regarding predictive validity, R2 ranged from .61 to .90 for the cognitive, functional and total scores (n = 18). Although continued reliability and validity studies are needed, the SCAT has potential to measure patient rehabilitation outcomes, to evaluate nursing care approaches and to serve as a quality assurance indicator for nursing care.
