The effect of clean intermittent catheterization-based nursing interventions on the knowledge/skill, coping/adaptation, and anxiety in child caregivers and infection development in children

This study was conducted to evaluate the effect of clean intermittent catheterization training (RAMTAKE) given by nurses to caregivers, based on the Roy Adaptation Model and supported by android phone application, on knowledge/skills, coping/adaptation and anxiety levels of caregivers, and infection development in children. The study was a randomized controlled experimental study with 40 patients and caregivers, who were decided to perform clean intermittent catheterization and followed up by Karadeniz Technical University Farabi Hospital in Trabzon, in the order of pre-test, post-test and retention test in the hospital and home environment. It was carried out between 2021. The data of the study were collected using the Sociodemographic Characteristics Questionnaire of the Participants, the Knowledge and Skill Level Evaluation Form for TAK Application, the Roy Adaptation Model and the North American Nursing Diagnosis Association-International Questionnaire on Nursing Diagnoses, the Coping and Adaptation Process Scale, the Trait State/Trait Anxiety Inventory and the Urine Culture Evaluation Form. The caregivers were made pre-tested at the first, post-test, retention test, urine culture analysis three times with a one-month interval after discharge, once home visit and three phone calls. As a result of the study, it was determined that the level of knowledge/skill of caregivers towards clean intermittent catheterization, and the level of adaptation to coping with anxiety increased (p<0.05), and the incidence of urinary tract infection in children decreased (p<0.05). This study has been an important study in which the positive effect of model-based, android phone application supported education for caregivers who apply clean intermittent catheterization to their children was determined.