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Efficacy of the Roy Adaptation Model with smartphone training in reducing urinary tract infection in pediatric clean
Canan Sari1, Mukaddes Kalyoncu2
1Department of Health Care Services, Elderly Care, Tonya Vocational School, Trabzon University, Tonya, Trabzon, Turkey. canan.sari@trabzon.edu.tr.
Insights
Caregiver training using the Roy Adaptation Model with an android phone application (RAMACIC) significantly reduced urinary tract infection (UTI) incidence and antibiotic resistance in children undergoing clean intermittent catheterization (CIC). This approach offers a long-term solution for managing CIC complications.
Area of Science:
- Pediatric Nursing
- Infectious Disease Management
- Health Informatics
Background:
- Urinary tract infections (UTIs) and antibiotic resistance are significant complications in children requiring clean intermittent catheterization (CIC).
- Effective caregiver training is crucial for managing CIC and preventing associated infections.
- Existing training methods may not fully address long-term patient needs and caregiver support.
Purpose of the Study:
- To compare the incidence of UTIs, bacterial types, and antibiotic resistance in children whose caregivers used the Roy Adaptation Model with an android phone application for CIC (RAMACIC) versus those receiving routine hospital training.
- To evaluate the long-term effectiveness of the RAMACIC intervention over a two-year period.
Main Methods:
- A descriptive, prospective study involving 40 patients and caregivers, building upon a prior randomized controlled trial.
- Data collection via "Participant Form" and "Urine Test Form" from October 2021 to 2023.
- Statistical analysis using SPSS 22, including Chi-square test for UTI frequency and Cramer's V for effect size.
Main Results:
- RAMACIC-trained caregivers demonstrated a significant reduction in UTI incidence across all measured 6-month periods compared to routine training (p < 0.05).
- E. coli was the predominant bacteria in both groups, with higher prevalence in the routine training group.
- Elevated antibiotic resistance rates were observed in the routine training group compared to the RAMACIC group.
Conclusions:
- The RAMACIC intervention effectively reduces the long-term risk of UTI development in pediatric CIC patients.
- RAMACIC also proves effective in mitigating the development of antibiotic resistance associated with CIC.
- This model offers a valuable, technology-assisted approach to improve patient outcomes and reduce healthcare-associated infections.
Purpose:
Study aimed to compare incidence of urinary tract infection (UTI), type of bacteria grown, development of antibiotic resistance over 2 years in children whose caregivers underwent training based on the Roy Adaptation Model with an android phone application for patients clean intermittent catheterization (RAMACIC) versus those whose caregivers received routine training in hospital.
Method:
This study was conducted as a descriptive, prospective study with 40 patients and caregivers between October 2021 and 2023 as a continuation of a previously conducted randomized controlled experimental study by the researchers. Data were collected the "Participant Form," and "Urine Test Form" analyzed with the SPSS 22 package. Descriptive data were determined by number (n), percentage (%), mean, and standard deviation. The frequency of UTI between the two groups was determined by the Chi-square test, and the effect size of the data was determined by Cramer's V value of the Chi-square test.
Results:
A significant reduction in UTI incidence among children of RAMACIC-trained caregivers during the first, second, third, and fourth 6-month periods compared with those under routine CIC training was observed (p < 0.05). It was determined that E. coli was the most frequently grown bacteria in both groups, with a higher rate in the group receiving routine training in the hospital, and antibiotic resistance was higher in the group receiving routine training in the hospital compared with RAMACIC.
Conclusion:
RAMACIC, when administered to caregivers, effectively lowers the long-term risk of UTI development in patients undergoing CIC, also effective in reducing the antibiotic resistance that developed in patients.
