Aims: Female patients experience difficulty to handle a catheter during clean intermittent self-catheterization （CISC）. The purpose of the present study was to evaluate the effectiveness of a hydrophilic-coated compact catheter （HC） in preventing symptomatic urinary tract infections （UTIs） and improving Quality of Life （QOL） related with CISC, comparing with an uncoated regular catheter （UC） in females on CISC. Methods: A prospective multicenter randomized parallel comparative trial of HC versus UC included 36 female patients over 6 months. Primary outcomes were the incidence of antibiotic-treated symptomatic UTIs and definite symptomatic UTIs defined as the antibiotic-treated symptomatic UTIs plus bacteriuria > 102 CFU/mL. Secondary outcomes were QOL evaluated by the Intermitted Self-catheterization Questionnaire （ISC-Q） and Qualiveen®, and overall comments for CISC. Results: Of the 36 participants enrolled, 29 completed the study. The incidence of antibiotic-treated symptomatic UTIs （2/16, 12.5%） in the HC group is lower than those （5/13, 38.5%） in the UC group, but the statistical difference was not significant. No one developed the definite symptomatic UTI in either group. The scores of the three subscales of the ISC-Q, including “ease of use”, “convenience” and “well-being”, and all four subscales of Qualiveen® were significantly better in the HC group, compared to the UC group in terms of statistical analysis. Patient’s impressions on the safety of catheterization and satisfaction for the catheter used were statistically better in the HC group. Conclusions: Although effectiveness in reducing the risk of symptomatic UTIs was not proven, a hydrophiliccoated compact catheter can improve QOL related with CISC in females on CISC.
We developed an e-learning program to improve the interprofessional collaborative and stress management skills of WOCNs in pressure ulcer（PU）management and evaluated the process and outcomes of the program. This study included 80 WOCNs managing PUs at their respective hospital. Assessment was performed via webbased questionnaire at admission and at a 3-month follow-up. Of the 80 participants, 36 completed the program, the majority of whom were full-time WOCNs tasked with managing PUs. The total score for collaboration with the hospital director, a subscale of the interprofessional collaborative skills and the SOC-13, was higher in these participants than in those who dropped out. Analysis of the feedback identified 35 categories indicating the need for improvement in the program. “Positive feedback” was indicated by the response, “I was able to clear my thoughts.” “Negative feedback” was indicated by the response, “I felt a gap between the ideal situation and reality.” “Future requests” were indicated by the response, “I hope that the program will be implemented.” No significant change was observed in the interprofessional collaborative skills and psychological well-being scores before and after the program, suggesting that the program had not met all the particpants’ needs and that the survey period was too short to evaluate behavioral changes. A program better suited to the requirements of WOCNs and paced for optimal learning needs to be developed. Such a program will be a valuable resource for WOCNs who have difficulty interacting with the hospital director or are unable to respond effectively to stress.