Üriner Kateterizasyon Uygulamaları
Özet
Üriner kateterizasyon, mesanede depolanan idrarın bir kateter kullanılarak boşaltılması yöntemi olarak tanımlanmaktadır. Üriner kateterizasyon, kullanım amacına ve hastanın gereksinimlerine göre transüretral kalıcı kateterizasyon ve temiz aralıklı kateterizasyon olmak üzere iki farklı şekilde uygulanmaktadır. Transüretral kalıcı kateterizasyon, hastanelerde en sık gerçekleştirilen uygulamalardan biridir. Temiz aralıklı kateterizasyon (TAK) ise, çeşitli nedenlerle mesanesini boşaltamayan hastalarda, kalıcı kateterizasyon yerine tercih edilen bir yöntemdir.
Üriner sistem fonksiyonlarının sürdürülmesi açısından yaşamsal öneme sahip olan, ancak doğru uygulanmadığında ciddi komplikasyonlara neden olabilen üriner kateterizasyon uygulamalarında hemşirelerin önemli rol ve sorumlulukları vardır. Üriner kateterin uygulanması veya çıkarılması kararı hekim tarafından verilirken, kateterin uygulanması, çıkarılması ve rutin bakım uygulamalarından klinik hemşireleri sorumludur. Hasta /bakım verene TAK uygulamalarına yönelik uygulama becerisi kazandırmada ise hemşirelerin önemli sorumlulukları vardır.
Urinary catheterization is defined as the method of draining urine stored in the bladder using a catheter. Urinary catheterization is applied in two different ways, transurethral indwelling catheterization and clean intermittent catheterization, depending on the purpose of use and the needs of the patient. Transurethral indwelling catheterization is one of the most frequently performed applications in hospitals. Clean intermittent catheterization (CIC) is a method preferred over indwelling catheterization in patients who cannot empty their bladders for various reasons.
Nurses have important roles and responsibilities in urinary catheterization applications, which are vital for maintaining urinary system functions but can cause serious complications if not applied correctly. While the decision to apply or remove the urinary catheter is made by the physician, clinical nurses are responsible for the application, removal and routine care of the catheter. Nurses have important responsibilities in providing the patient/caregiver with the skills to apply CIC applications.
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