단기 유치도뇨관 제거 전 방광훈련효과에 대한 체계적 문헌고찰 및 메타분석

• 영문명: Effectiveness of Bladder Training before Short-Term Indwelling Urinary Catheters Removal for Adults in Acute Care Settings: A Systematic Review and Meta-Analysis
• 발행기관: 한국근거기반간호학회
• 저자명: 장정복(Jang, Jung Bok) 윤미선(Yoon, Mi Seon) 김영미(Kim, Young Mee)
• 간행물 정보: 『근거와 간호』제8권 제1호, 18~30쪽, 전체 13쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2020.12.31

영문 초록

Purpose: The aim of this systematic review was to evaluate the effectiveness of bladder training prior to removing short-term indwelling urinary catheters (IUC). Method: A systematic review followed PRISMA and NECA’s guidelines. We searched seven different electronic databases; PubMed, Ovid-MEDILINE, Cochrane Library, CINAHL, KISS, KoreaMed, KMBASE for interventions studies published between January 1980 and June 2020. Only bladder training comparative studies upon adult patients with IUC within 14 days in an acute care setting were included. The quality of the studies was assessed using Cochrane’s Risk of Bias for randomized controlled trials and RoBANS for non-randomized studies. Result: Nine trial studies included according to the inclusion criteria. Total 903 patients from the selected studies were included in the meta-analysis with RevMan. No significant difference of effects was found in both reduction rate of urinary retention (OR 0.75, 95% CI 0.26 to 2.18) and incidence of re-catheterization (OR 0.82, 95%CI 0.50 to 1.34) between the intervention group with bladder training and the control with free drainage. Conclusion: There was no clear evidence to suggest any benefits from bladder training prior to short term IUC removal.

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결론 및 제언

키워드

Urinary catheters Catheters indwelling Urinary retention Bladder training