The Effect of Education on Patients' Attitudes and Anxiety Towards CAUTI Prevention

NCT07172750 | Not Yet Recruiting DMC

• 1 other identifier: IstanbulUC-KATA
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

This research will be carried out determine the effect of education given to patients after urological surgery on their attitudes and anxiety levels towards preventing catheter-related urinary tract infections.

Conditions

Catheter Associated Urinary Tract Infection; Indwelling Urinary Catheter; Urologic Surgery

Keywords

Catheter associated urinary tract infection; Anxiety; self-care; Urologic Surgery; patient education

Outcome Measures

Primary Outcomes (2)

• CAUTI Prevention Attitude

  The scale developed by Koçyiğit Kavak et al. (2024) is a 31-item instrument designed to assess patients' attitudes towards preventing catheter-associated urinary tract infections. The Turkish validity and reliability study of the scale was conducted by Koçyiğit Kavak et al. in 2024. The Cronbach's alpha coefficient of the scale was reported as 0.882. The scale consists of 31 items in a five-point Likert type format, with response options ranging from "Never = 1," "Rarely = 2," "Sometimes = 3," "Often = 4," to "Always = 5." The minimum possible score is 31, and the maximum score is 155. Higher scores indicate more positive patient attitudes towards preventing catheter-associated urinary tract infections.

  Time Frame: "Baseline (discharge planning day)" Time Frame: "Day of catheter removal (within 3-7 days after discharge)

• Anxiety

  To determine individuals' anxiety levels, the State-Trait Anxiety Inventory (STAI) will be used. The scale consists of a total of 40 items and is a four-point Likert-type instrument composed of two subscales: the State Anxiety Inventory (first 20 items) and the Trait Anxiety Inventory (last 20 items). The State Anxiety subscale measures how an individual feels at a particular time and under specific conditions, whereas the Trait Anxiety subscale assesses how an individual generally feels regardless of the situation and conditions. A score between 0-19 indicates no anxiety, 20-39 indicates mild anxiety, 40-59 indicates moderate anxiety, and 60-79 indicates severe anxiety.

  Time Frame: "Baseline (discharge planning day)" Time Frame: "Day of catheter removal (within 3-7 days after discharge)

Study Arms (2)

Experimental: Intervention Group: Urinary catheter care training

EXPERIMENTAL

Urology patients in this group will receive urinary catheter care training based on Roper, Logan, Tierney Model of Nursing (based on Activities of Living).

Other: Education on Urinary Catheter Care

No Intervention: Control Group: Standard discharge training

NO INTERVENTION

Urology patients in this group will not receive any training other than the discharge training routinely applied in the clinic.

Interventions

Education on Urinary Catheter Care OTHER

Urinary catheter care training based on the Roper, Logan, and Tierney Lifestyle Model was developed based on daily living activities. A training booklet was created based on 11 daily living activities (providing and maintaining a safe environment, communication, breathing, nutrition, etc.). To increase the effectiveness of the training, a booklet based on this model will be prepared and used as a guide in the training program.

Experimental: Intervention Group: Urinary catheter care training

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 and over,
• Male patients,
• Discharged with a urinary catheter after TURP, HOLEP, Internal Urethrotomy, and Open Prostatectomy surgeries at the urology department of the University Hospital where the study will be conducted,
• Possess the cognitive, affective, and psychomotor skills to perform self-care (no coordination problems affecting the upper extremities),
• Are literate,
• Have no visual or auditory communication problems,
• Have no previous psychiatric disorder/diagnosis and are not currently taking medication for psychiatric disorders,
• Individuals who volunteer to participate in the study will be included.

You may not qualify if:

• Patients who are under 18 years of age,
• Female patients,
• Patients who have undergone surgeries other than TUR-P, HOLEP, Internal Urethrotomy, and Open Prostatectomy,
• Patients with an oncological diagnosis and ongoing care/treatment, or who have previously received oncological treatment,
• Patients who develop postoperative complications/whose general health deteriorates, who do not wish to participate in the study, or who wish to withdraw/exit from any aspect of the study will not be included in the study.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstanbul University-Cerrahpasa

Istanbul, Istanbul, Turkey (Türkiye)

Location

Related Publications (7)

• Safdar N, Codispoti N, Purvis S, Knobloch MJ. Patient perspectives on indwelling urinary catheter use in the hospital. Am J Infect Control. 2016 Mar 1;44(3):e23-4. doi: 10.1016/j.ajic.2015.10.011. Epub 2015 Dec 14.

  PMID: 26698670 BACKGROUND

• Inman DM, Jacobson TM, Maxson PM, Wang H, Lohse CM. Effects of urinary catheter education for patients undergoing prostatectomy. Urol Nurs. 2013 Nov-Dec;33(6):289-98.

  PMID: 24592522 BACKGROUND

• Drake MJ, Clavica F, Murphy C, Fader MJ. Innovating Indwelling Catheter Design to Counteract Urinary Tract Infection. Eur Urol Focus. 2024 Sep;10(5):713-719. doi: 10.1016/j.euf.2024.09.015. Epub 2024 Sep 28.

  PMID: 39341718 BACKGROUND

• Ryan P, Sawin KJ. The Individual and Family Self-Management Theory: background and perspectives on context, process, and outcomes. Nurs Outlook. 2009 Jul-Aug;57(4):217-225.e6. doi: 10.1016/j.outlook.2008.10.004.

  PMID: 19631064 BACKGROUND

• Laan BJ, Nieuwkerk PT, Geerlings SE. Patients knowledge and experience with urinary and peripheral intravenous catheters. World J Urol. 2020 Jan;38(1):57-62. doi: 10.1007/s00345-018-02623-4. Epub 2019 Jan 24.

  PMID: 30680418 BACKGROUND

• Garcia DM, Makic MBF, Casey K. Rounding and Quick Access Education to Reduce Catheter-Associated Urinary Tract Infections. Clin Nurse Spec. 2023 May-Jun 01;37(3):117-123. doi: 10.1097/NUR.0000000000000741.

  PMID: 37058702 BACKGROUND

• Parker V, Giles M, Graham L, Suthers B, Watts W, O'Brien T, Searles A. Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Serv Res. 2017 May 2;17(1):314. doi: 10.1186/s12913-017-2268-2.

  PMID: 28464815 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Aylin ÖZAKGÜL

  Istanbul University - Cerrahpasa

  STUDY DIRECTOR

Central Study Contacts

Kübra ATA

CONTACT

+905398417871; kubraata@ogr.iuc.edu.tr

Aylin ÖZAKGÜL

CONTACT

aylin.ozakgul@iuc.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc canditate of nursing

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: August 28, 2025
• First Posted: September 15, 2025
• Study Start: September 15, 2025
• Primary Completion: February 28, 2026
• Study Completion: April 30, 2026
• Last Updated: September 15, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)