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NCT Number: NCT05580289

The Effect of Local Dry Heat Applıcatıon and Half Shower on The Development of Urinary Retentıon and Paın

Urinary retention is defined as the inability to empty the bladder spontaneously even though the bladder is full. Although urinary retention is seen in two forms as acute and chronic, acute urinary retention is defined by the International Continence Society (ICS) as the situation where the patient is unable to urinate, the bladder is felt when palpated by hand, and the bladder content contains at least 150 ml of urine with pain. Chronic bladder retention is defined by ICS as a painless condition that can be felt when the bladder is palpated manually after urinating, with at least 150 ml of urine in the bladder content.

aim:The aim of this study is to determine the Effect of Postoperative Local Dry Hot Application and Half Shower Application on the Development of Bladder Retention and Pain in Patients undergoing Spinal Anesthesia.

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Key information

Conditions

Spinal Anesthesia Bladder Retention Dry Heat Application Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Half Shower Male Urogenital Diseases Neurologic Manifestations Nursing Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Urinary Retention Urination Disorders Urogenital Diseases Urologic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Duzce Univercity Medical Fauculty

Düzce, 81600, Turkey (Türkiye)

About this study

Urinary retention is defined as the inability to empty the bladder spontaneously even though the bladder is full. Although urinary retention is seen in two forms as acute and chronic, acute urinary retention is defined by the International Continence Society (ICS) as the situation where the patient is unable to urinate, the bladder is felt when palpated by hand, and the bladder content contains at least 150 ml of urine with pain. Chronic bladder retention is defined by ICS as a painless condition that can be felt when the bladder is palpated manually after urinating, with at least 150 ml of urine in the bladder content.

aim:The aim of this study is to determine the Effect of Postoperative Local Dry Hot Application and Half Shower Application on the Development of Bladder Retention and Pain in Patients undergoing Spinal Anesthesia.

methot : The study was planned as a single-blind randomized controlled experimental study with a parallel group design. In the study, half shower and dry hot application will be applied to the patients in the experimental group. On the other hand, the control group patients will not receive any intervention other than general treatment and care. Dry hot application and half shower application method used in the study is a method used routinely in nursing care. In this study, the effectiveness of this method, which is used routinely, will be tried to be demonstrated. Randomization will be done by block randomization method. Patients meeting the inclusion criteria will be assigned to the groups after obtaining their informed consent to accept the study. Assignment to groups will be made at randomizer.org.

In the analysis made in the G* power 3.1.9.7 program, it was determined that a total of 60 people should be reached. After the calculated sample size, 20% more of the sample will be included in the study in order to avoid the attrition bias. Therefore, it is aimed to complete the study with 72 patients.

There will be two groups as control and experimental groups in the research. Warm half shower + dry hot application will be applied to the experimental group in the early postoperative period, and the other group will be the control group, whose routine care will be performed.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Receiving spinal anesthesia
  • Be over 18 years old
  • Mobilize
  • Agreeing to participate in the study voluntarily.
  • To speak Turkish and to be able to read and write

Exclusion criteria

  • Having any kidney disease
  • Having a urological problem involving the bladder and urethra
  • Not being able to mobilize
  • Not being willing to participate in the study
  • Presence of incision in the suprapubic region

Treatment and study plan

half-shower and hot pack

Other

The patients in the experimental group will be given hot application and half shower applications and the pain levels of the patients and the development of bladder retention will be followed.

Primary outcomes

  1. bladder retention

    Time frame: one day

    The risk of developing bladder retention after surgery is expected to decrease in the experimental group compared to the post-intervention control group.

    We will use an implementation checking form that researchers prepare. İt contains every step related to research intervention such as bladder examination times, pain levels, etc.

    • It will be decided that the patient can be mobilized after the surgery, and this process takes approximately 1 hour.
    • It will be checked whether bladder retention has developed before the application.
    • Hot application (20 minutes) and half shower (5 minutes) will be applied for a total of 25 minutes.
    • It will be checked whether bladder retention develops after the application.
    • Bladder palpation will be performed every hour until patients pass their first urination.

    This process will take approximately 6-8 hours.

  2. pain level

    Time frame: one day

    Pain is expected to decrease in the experimental group compared to the control group after half-shower and hot application.

    Pain measurement will be made by McGill Pain Survey Short Form. The survey includes a visual analog score. The intensity of pain will measure the area in which the individual mark between 0 (no pain) and 10 (worst pain I felt in my life).

    The risk of developing pain after surgery is expected to change in the experimental group compared to the post-intervention control group.

    • It will be decided that the patient can be mobilized after the surgery, and this process takes approximately 1 hour.
    • It will be checked whether the pain has developed before the application.
    • Hot application (20 minutes) and half shower (5 minutes) will be applied for a total of 25 minutes.
    • It will be checked whether pain develops or pain level change after the application.
    • Pain level will be performed every hour until patients pass their first urination.

Sponsors and collaborators

Lead sponsor

Duzce University

Other

Registry information

Official study title

The Effect of Local Dry Heat Applıcatıon and Half Shower on The Development of Postoperative Urinary Retentıon and Paın ın Patıents Applıed With Spınal Anesthesıa

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Oct 14, 2022
Registry last updated
Oct 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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