Estrategias para promover el autosondaje intermitente en adultos con vejiga neurógena

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Abstract

Resumen Se ha documentado que en las personas con vejiga neurogénica se ha reducido la tasa de mortalidad por la disminución de las complicaciones urológicas mediante el auto-sondaje. Por ello es importante disponer de la mejor evidencia sobre ventajas/desventajas, criterios de idoneidad y estrategias más eficaces para promover el cumplimiento a largo plazo y la continuidad del auto-sondaje independiente. Varias revisiones sistemáticas han abordado el reto de reducir las complicaciones del sondaje mediante la identificación de la mejor evidencia disponible referente a la técnica y al equipamiento.

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The JBI model of evidence-based healthcare.

Craig Lockwood, Rick Wiechula, Alan Pearson … (2005)

Evidence-based healthcare as it is contemporarily conceived is based on the view that clinical decisions should be based on the best available scientific evidence but recognising patient preferences, the context of healthcare and the judgement of the clinician. The ongoing debate on the nature of evidence for practice across all of the health professions is influenced by the experience of clinicians in everyday practice who, in using the evidence, assert that there are diverse sources of research-based and non-research-based evidence and that the process of evidence-based practice should be placed within a broader context that is grounded in practice; recognises different evidentiary bases; and is directed towards improving global health across vasty different practice contexts. We present a developmental framework of evidence-based practice that builds and expands on the work of leaders in the field of evidence-based healthcare; is contextualised; is inclusive of diverse forms of evidence; and incorporates understandings of knowledge transfer and utilisation. The conceptual model attempts to situate healthcare evidence and its role and use within the complexity of practice settings globally.

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Current evidence on intermittent catheterization: sterile single-use catheters or clean reused catheters and the incidence of UTI.

Kathryn Getliffe, Mandy Fader, Colleen Allen … (2007)

Intermittent catheterization is a commonly prescribed procedure for people with incomplete bladder emptying not managed by other methods. The most frequent complication of intermittent catheterization is urinary tract infection (UTI). It is unclear what strategies, including sterile vs clean catheters or coated vs uncoated PVC catheters, affect the incidence of UTIs. This systematic review summarizes current evidence on the relationship between sterile single-use catheters or clean reused catheters and the incidence of UTIs.