Segurança do Paciente e Medidas de Prevenção de Infecção do Trato Urinário Relacionados ao Cateterismo Vesical de Demora

Doreste, Fernanda Coimbra Pinho Lima; Pessoa, Ana Lúcia Lira de Souza; Queiroz, Nataly da Rocha; Luna, Aline Affonso; Silva, Natália Chantal Magalhães da; souza, Priscila Alfrandique de

doi:10.31011/reaid-2019-v.89-n.27-art.61

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“…Foi observado que a maioria dos participantes apresentou um alto nível de resiliência, o que pode estar relacionado ao fato de serem idosos, haja vista que, em detrimento de sua experiência passada, teriam vivenciado um maior número de eventos de risco e elaboraram estratégias de enfrentamento eficazes ao longo do tempo (Doreste et al, 2019;Health Quality Ontario, 2019;Mota & Oliveira, 2019).…”

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Patients' perceptions of long-term urinary catheter use

Tsuboi¹,

Barros²,

Silva³

et al. 2022

Contributions and Limitations of the Qualitative Approach in Evaluative Research on the Patient Safety Culture

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Introduction: Urinary catheterization is a procedure widely used in the clinic, which benefits the patient in several situations. Research related to the long-term urinary catheter has focused on its possible complications and little on subjectivities. Goal: To understand the patient's perception of long-term urinary catheter use. Method: A qualitative, descriptive study carried out with 17 adult patients using long-term urinary catheters, treated at the outpatient clinic of a university hospital in Rio de Janeiro, Brazil. A semi-structured interview was applied, from November 2020 to March 2021, and thematic content analysis. Results: Most patients reported difficulties at the beginning, especially in modified physiological issues, self-esteem, self-image, sex, sexuality, work and social life. But gradually they can adapt to the new condition, which in some cases can be lifelong. The family and professional care, especially on the part of the nurse in the regular consultations for the exchange of the catheter, proved to be an important support network and fundamental structure in the adaptation to the use of the catheter. The nurse is essential in this context, being the professional who has the most opportunities to establish bonds and encourage self-care. Conclusions: The patients' perceptions were related to the view of the catheter as a foreign body, generator of discomfort and deprivation, but also to the notion of relief from suffering and comfort. It is essential to pay attention to these different perceptions, to take care with sensitivity, in an integral and individualized way.

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Section: Discussionunclassified