Summary of the best evidence for prevention and management of unplanned removal of indwelling urinary catheters in adult patients
10.3760/cma.j.cn115682-20241212-06823
- VernacularTitle:成人患者留置尿管非计划性拔管预防及管理的最佳证据总结
- Author:
Yan CAI
1
;
Yuan LIU
;
Cong WANG
;
Lei YE
;
Yan JIANG
Author Information
1. 四川大学华西医院循证护理研究室/四川大学华西护理学院，成都 610041
- Publication Type:Journal Article
- Keywords:
Indwelling catheterization;
Urinary catheters;
Unplanned removal;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2025;31(22):2978-2985
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence on the prevention and management of unplanned removal of indwelling urinary catheters in adult patients.Methods:Clinical decisions, evidence summaries, guidelines, systematic reviews, expert consensus, and randomized controlled trials related to the prevention and management of unplanned urinary catheter removal were systematically searched in UpToDate, BMJ Best Practice, Joanna Briggs Institute Evidence-Based Health Care Center Database, Cochrane Library, CINAHL, Embase, PubMed, China National Knowledge Infrastructure, Wanfang Data, guideline websites and professional society websites. The search period was from database establishment to May 2024. Two researchers with evidence-based training independently evaluated the methodological quality of the literature and extracted and summarized relevant evidence.Results:A total of nine papers were included, including one guideline, three clinical decisions, two evidence summaries, one expert consensus, and two randomized controlled trials. Twenty-two pieces of evidence were summarized in seven aspects of clinical indications and early removal, urinary catheter selection, methods of internal fixation, methods of external fixation, risk assessment and management, management after accidental removal of the catheter, and personnel training and education.Conclusions:This study summarizes the best evidence for the prevention and management of unplanned removal of indwelling urinary catheters in adult patients. The subsequent process of evidence translation should be combined with the actual clinical situation in China to promote the effective translation of evidence, thereby reducing the incidence of unplanned urinary catheter removal.
