Effectiveness of Bladder Training in Post-Ureteroscopy Patients at Siloam Hospital Bekasi Sepanjang Jaya: A Quasi-Experimental Study
Keywords:
bladder training, ureteroscopy, catheterization, urinary retention, postoperative careAbstract
Background: Ureteroscopy is a commonly performed urological procedure for the diagnosis and treatment of ureteral stones and other urinary tract conditions. Despite its minimally invasive nature, postoperative complications such as urinary retention, urgency, dysuria, and incomplete voiding are frequently reported following ureteral stent placement and catheter use.
Objective: This study aimed to evaluate the effectiveness of bladder training in patients following ureteroscopy surgery at a tertiary private hospital in West Java, Indonesia.
Methods: A quasi-experimental, post-test-only control group design was employed. The study was conducted from May 1 to June 5, 2023, at the inpatient urology ward of Siloam Hospital Bekasi Sepanjang Jaya. A total of 82 postoperative ureteroscopy patients were selected using total population sampling. Patients were divided into intervention and control groups. The intervention group received bladder training prior to catheter removal, while the control group did not. The primary outcome was the presence of urinary complaints within 24 hours of catheter removal. Chi-square analysis was used to determine statistical significance.
Results: In the bladder training group, 25 patients (61%) reported no urinary complaints after catheter removal, while 16 (39%) experienced urinary discomfort. Statistical analysis yielded a p-value of 0.004 (p < 0.05), indicating a significant difference between the two groups. The results suggest that bladder training effectively reduces urinary complaints post-catheter removal.
Conclusion: Bladder training significantly improves urinary outcomes in post-ureteroscopy patients, supporting its implementation as a standard nursing practice in postoperative urological care
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