Proposed Topic (Most preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
LI, O. T. (1), CHOW, H. Y. (1), LI, M. L. (1), ARANAS, M. L., (1), CHAN, K. K., (2), LAU, S. H. V., (2), NG, S. M., (2), IP, K. W., (1), LAU, K. P., (1) & YEUNG, S. Y. (1)
Affiliation :
(1) Department of Surgery, Tuen Mun Hospital (2) Department of Ambulatory Centre & Mixed Specialty Wards, Pok Oi Hospital
Introduction :
Multi-visual aids surely facilitate healthcare professionals in delivering health information and self-care skills to patients. Currently, in the New Territories West Cluster (NTWC), nurses provide patients with indwelling urinary catheter (IUC) care education only utilizing a picturized pamphlet with a verbal description. Nevertheless, written information requires basic literacy skills and motivation to read. In this study, a new indwelling catheter care animated education video was composed to facilitate a more effective mode of education delivery on IUC care to enhance patient outcomes.
Objectives :
To enhance the patient’s knowledge of IUC including indications, maintenance care, accessories, and complications.
Methodology :
A 15-minute animated video was produced to introduce the anatomy of the urinary system and information on IUC including indications, maintenance care, accessories, and complications of indwelling catheter. The contents of the video were designed in reference to the EAUN guideline (2012) and the Chinese version of the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ- LTQoL). They were validated by the Nurse Consultant (Urology). Participants were allowed to rate their perception of the contents on a 4-point numerical scale from “completely clueless”, “has partial understanding”, “has a basic understanding, wish to have further information” to “has complete understanding”. A pre-test and post-test questionnaires were done before and after video play to evaluate the effectiveness of the video. In addition, a five-item satisfaction survey was also done to evaluate the effectiveness and impression of the video. Patients with IUC were recruited in surgical wards and urology clinics in TMH from early Oct 2021 till the end of Dec 2021.
Result & Outcome :
35 questionnaires were collected. Incomplete questionnaires were discarded in this study. 31 questionnaires were valid for analysis. The effectiveness of the implementation was analysed using chi-square test. The results were described as follows. After the video education, participants perceived themselves as having a better knowledge of the IUC insertion procedure (p<0.001), the position of IUC (p<0.0008), accessories (p<0.00005) and the complications of the IUC (p<0.0008). There were no significant differences in improving understanding regarding maintenance care (p<0.03).
Regarding participants’ satisfaction with the video, over 80% of the participants agreed that the information provided from this video enhanced their knowledge, confidence, and decision-making in catheter care.
