Summary of the best evidence for the management of indwelling catheter removal in patients with neurogenic bladder
ZHANG Hua
LIU Juan
XU Yonglan
ZHANG Xiaohong
LIU Hongqin
Abstract：Objective To evaluate and summarize the best evidence for the management of indwelling catheter removal in patients with neurogenic bladder,so as to provide evidence-based references for clinical practice.Methods Studies on the management of indwelling catheter removal in patients with neurogenic bladder were searched in databases including BMJ,UpToDate,Cochrane Library,JBI,PubMed,Embase,the international association of urinary control site,the European association of urology,China national knowledge infrastructure and Wanfang,with search time set from the establishment of databases till March 1st,2024.Then,literature evaluation and evidence extraction were conducted by two researchers.Results A total of 11 articles were screened out,including 6 clinical guidelines,1 expert consensus,3 systematic reviews,1 evidence summary.Finally,21 pieces of best evidence were extracted from 4 aspects,including pre-extubation assessment,intra-extubation treatment,post-extubation management,health education and follow-up.Conclusion This study summarizes the best evidence for urethral management in patients with neurogenic bladder,and provides a basis for reducing the incidence of urinary tract infections and promoting the recovery of bladder function in patients.
Keywords：Neurogenic bladderIndwellcing catheterRemoval managementEvidence-based nursingEvidence sum-mary
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 772-777 )