The Development of Patient Care Model with Urinary Catheterization at Home to Prevent Urinary Tract Infections

Abstract

Raman Hospital has reported an incidence of urinary tract infections (UTI) in patients with urinary catheters at home. This research and development project aims to 1) study the current situation, 2) develop a model, and 3) evaluate the effectiveness of the care model for patients with urinary catheters at home. The study is divided into three phases, from October 1, 2023, to April 30, 2024. The sample group consists of caregivers of patients with urinary catheters at home, both new and old cases, in September 2023, totaling 25 individuals. The data collection tools include questionnaires and focus group interviews. Data analysis will use frequency and percentage values, and the evaluation will compare the results of infection prevention practices and care for patients with urinary catheters before and after the intervention.

The study found that caregivers required support for equipment (88%), knowledge (60%), and that 48% of the patients under their care had a history of urinary tract infections. Factors affecting infections included age, NCD disease group, and duration of catheterization. The home catheter care model (CCUTI model) consists of C = caregiver, C = continue, U = unity, T = training, and I = instrument. After implementing the model and following up with patients for six months, it was found that infection prevention practices and care for catheterized patients improved from 37.42% before to 94.72% after. The incidence of urinary tract infections decreased by 26.27%. Recommendations include studying each group with similar risk factors and conducting satisfaction surveys on the model.