Práticas de saúde direcionadas ao enfrentamento de complicações relacionadas ao autocateterismo vesical por pessoas com incontinência urinária

Abstract

Urinary incontinence and its varied types have affected the population at large scale and with bringing a cascade of problems with physical, psychological, social and cultural repercussions. This study aims to identify practices for performing bladder catheterization for people with urinary incontinence with less adverse effects. It is not simply focused on the technical practices of the procedure, but the manner of approach. Utilizing the integrative Review (RI), in which, if based on the analysis searches for the synthesis of knowledge in the area, consisting of scientific publications found through computer search in scientific databases. Currently, improved technological means, resources, actions and health promotion have enabled nurses to offer quality care in relation to urinary elimination, developing educational projects, promoting the water balance and prevent urinary tract infections (UTI). The self-catheterization can result in complications, which could be avoided or minimized if there was further information regarding the catheterization approach and device statement. To check the available evidence if there is doubt in the realization and guidance of this procedure, which is considered the problem of this research, we analyzed two articles that made up the results of this study. It was noted the need for capacity building and training of professionals, since some did not perform the technique according to the protocol in some of the stages of bladder catheterization, in which the main preventive measure of UTI in the handling of catheters: hand hygiene. It is essential that more professionals are trained in the evaluation and diagnosis of difficulties for continence. The subsequent use of individualized management strategies is the best practice for patient outcomes, which are favored care proposals aimed at improving the quality of life, including with regard to economic aspects of this issue.