Cognition Status Of Medical Staffs In A Third-Grade Class-A Hospital In Chong Qing On Intermittent Catheterization Uesd In The Neurogenic Bladder And The Countermeasure

Objective:To investigate and analyze the cognition of medical staffs in a third-grade class-A hospital in ChongQing on intermittent catheterization used in the neurogenic bladder and to put forward the corresponding countermeasures aimed at the the cognitive status.Methods:Self-made questionnaire was adopted in this study, convenience sampling method was used according to the survey requirements. Seven departments were inquired, they were orthopedics, neurosurgery, urology, geriatrics, endocrinology, neurology and department of rehabilitation.Results:1. A total of 387 medical staffs accepted the survey, including 161 doctors with aged of 22-62, average age (31.1±7.8), and 226 nurses with aged of 21-54 years, average age (28.3±5.7).2. Focusing rate on the neurogenic bladder in medical staffs with different educational background, occupation and working years was not statistically significant (P> 0.05). The concern rate on the neurogenic bladder of the medical staffs with different professional titles have differences (P<0.05).With the higher titles, ocusing rate on the neurogenic bladde is also higher.Significantly differences were found in focusing rate on the neurogenic bladder in different departments (p<0.0001). Staffs in the departments of rehabilitation payed more attention to the neurogenic bladder compared to the other departments, as high as 93.62%, which showed statistically significance (p<0.001). Besides, staffs in the departments of urology as well as endocrinology have more attention than staffs in geriatrics (P< 0.05). While the focusing rate between the other departments had no significant difference.3. The implementation rate of intermittent catheterization in the nurses with different degree, professional titles and working years does not exceed 50%, the difference was not statistically significant (P> 0.05).Nurses in different departments showed significant differences in implementation of intermittent urethral catheterization (P< 0.0001), nurses in the departments of rehabilitation embraced the most high rate(92.59%) in implementation of intermittent catheterization, while the rate in the other departments was less than 50%. 4. Medical staffs got low knowledge scores in dealing with neurogenic bladder using intermittent catheterization, which revealed cognitive deficiencies. Physicians scored a little more than the nurses do (9.35±2.93 vs 8.78±2.83), but both of them scored lower than 60% of the total. Gender and age showed no difference in knowledge scores (p>0.05). However, bachelor degree or above level staffs got more scores than those below level staffs(p<0.05). Staffs with 6-10 years’standing scored significantly lower than the others (p<0.05). Staffs in the department of rehabilitation scored significantly higher than staffs in the other 6 departments (p<0.05). 5. Very low correction rate was achieved, In 16 questions, only 3 questions received accuracy higher than 80%. More than a third of the questions with accuracy lower than 50% were focused on the cause, the treatment goals and drug therapy of neurogenic bladder, as well as the premise of intermittent catheterization, the requirements of drinking quantity and the contraindications.5. Luckily, staffs showed positive attitude in demand for training, more than 90% staffs expressed the interest in the knowledge training about neurogenic bladder and intermittent urethral catheterization.Conclusion:In clinical work, medical staffs concern neurogenic bladder insufficiently, cognize deficiency for intermittent catheterization in the application of neurogenic bladder, and execute intermittent catheterization with very low rate. Thus, several methods should be taken to improve the attention and management to the neurogenic bladder. By improving the medical staffs’ cognition of intermittent catheterization in undertaking neurogenic bladder, increase the function state of patients with neurogenic bladder, reduce the complications and improve patients’ quality of life. Furthermore, promote nurses to master the intermittent catheterization techniques, and let this technology widely used in clinical.