Rethinking Urinary Catheterization in Surgery Care: Practice Patterns and Challenges of Intraoperative Catheter-free Management in Chinese Hospitals.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Rethinking Urinary Catheterization in Surgery Care: Practice Patterns and Challenges of Intraoperative Catheter-free Management in Chinese Hospitals.
Συγγραφείς: Guo Y; Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China; School of Nursing, Southern Medical University, Guangzhou, Guangdong, China., Cai W; Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China; School of Nursing, Southern Medical University, Guangzhou, Guangdong, China., Chen L; Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China; School of Nursing, Southern Medical University, Guangzhou, Guangdong, China. Electronic address: dangdang601@smu.edu.cn.
Πηγή: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2026 Oct; Vol. 41 (5), pp. 1182-1189.e3. Date of Electronic Publication: 2026 Apr 24.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: W.B. Saunders Company Country of Publication: United States NLM ID: 9610507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8473 (Electronic) Linking ISSN: 10899472 NLM ISO Abbreviation: J Perianesth Nurs Subsets: MEDLINE
Imprint Name(s): Publication: Philadelphia Pa : W.B. Saunders Company
Original Publication: Philadelphia : Saunders, c1996-
Ιατρικοί όροι (MeSH): Urinary Catheterization*/methods , Intraoperative Care*/methods , Practice Patterns, Nurses'*, Humans ; China ; Cross-Sectional Studies ; Female
Περίληψη: Purpose: To investigate the current status, practice patterns, and barriers of intraoperative catheter-free management (ICFM) among operating room nurses in China, within the framework of Enhanced Recovery After Surgery.
Design: A nationwide cross-sectional survey using stratified cluster random sampling.
Methods: Data were analyzed using descriptive statistics, χ2 tests, logistic regression, and Pearson correlation.
Findings: A total of 212 valid responses were collected from operating room nurses across 120 hospitals. Among the respondents, 83.5% expressed willingness to implement ICFM under appropriate conditions, and 46.7% reported being familiar with the concept. ICFM was most commonly applied in surgeries under local infiltration (89.6%) or nerve block anesthesia (70.3%), and with durations less than 2 hours (65.1%). Adoption rates were highest in ophthalmology (79.7%) and otolaryngology (80.7%), but lowest in gynecology (13.2%) and urology (14.6%). Major barriers included lack of institutional protocols (59.4%), limited staff acceptance (61.3%), and technical challenges (47.6%). Logistic regression found no significant demographic predictors of ICFM support.
Conclusions: ICFM is supported by a majority of nurses but remains selectively applied in low-risk procedures. Broader implementation requires standardized guidelines, improved staff training, and technological support for non-invasive bladder monitoring.
(Copyright © 2026 The American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of Competing Interest None to report.
Contributed Indexing: Keywords: cross-sectional survey; enhanced recovery after surgery; intraoperative catheter-free management; perioperative nursing
Entry Date(s): Date Created: 20260424 Date Completed: 20260930 Latest Revision: 20260930
Update Code: 20261001
DOI: 10.1016/j.jopan.2026.03.013
PMID: 42029383
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1532-8473
DOI:10.1016/j.jopan.2026.03.013