Radical Surgery Essay
Catheterization options following radical surgery for cervical cancer.
Naik (2006)
Karen Roberts, Raj
Background
• The purpose of the study was to investigate the options for women who were diagnosed with early signs of cervical cancer following a radical hysterectomy. • Options included using a intermittent self catheter (ISC) and a suprapubic catheter (SPC)
About the researchers
Both authors are from Gateshead Health NHS Trust
• Karen Roberts: Nurse Consultant
The main focus of Karen’s research has been in the areas of cancer survivorship, examining the effect of cancer treatment on sexual functioning.
(http://www.northumbria.ac.uk/sd/academic/sches/research/ches/disability_LTC/staffprofiles/karen_roberts/)
• Raj Naik: …show more content…
http://www.excellence-in-oncology.org/node/534
Literature review
• • • • Madersbacher and Weissteiner 1977 McConville 2002 Edwards et al 2004 Pilloni et al 2005
Study Aim
To explore whether the proven benefits of ISC in non cancer can be confirmed in the postoperative bladder care of women with a mid line laparotomy wound following a radical hysterectomy.
Study design
Quantitative: ‘Quantitative research is a broad, umbrella term for research that uses methods that collect evidence that can be transformed into numerical data and are based on a positivist position.’ (Procter et al 2010)
Experimental design
http://www.nationaltechcenter.org/index.php/products/at-researchmatters/experimental-study-design/
Study sample
The study population is made up of • 40 women (median age of 45) • All had the same operation radical hysterectomy following early signs of cervical …show more content…
(http://itl.nist.gov/div898/handbook/eda/section3/eda358.htm)
• Fishers exact test • P value
Study Results
• 19 women out of 40 stated their preference before the operation. There was statistical difference P=0.267 • The first 5 days showed more women in the ISC group developed infections than the SPC group. P=0.004 • By day 21: 8 of the 17 women reported having problems with their SPC site of which 4 had positive wound swabs
Discussion
• The aim of the research was answered • Limitations to the study were acknowledged (poor response rate of the questionnaire by week 12) • The clinical implications discussed
Conclusion and recommendations
• Strict adherence to protocol (questionnaires) • The results of this study supports previous studies (although the study doesn’t compare the finding of using the ISC from previous studies) • Reliability ?
My recommendations
• How reliable was the study? • The sample size?
Naik (2006)
Karen Roberts, Raj
Background
• The purpose of the study was to investigate the options for women who were diagnosed with early signs of cervical cancer following a radical hysterectomy. • Options included using a intermittent self catheter (ISC) and a suprapubic catheter (SPC)
About the researchers
Both authors are from Gateshead Health NHS Trust
• Karen Roberts: Nurse Consultant
The main focus of Karen’s research has been in the areas of cancer survivorship, examining the effect of cancer treatment on sexual functioning.
(http://www.northumbria.ac.uk/sd/academic/sches/research/ches/disability_LTC/staffprofiles/karen_roberts/)
• Raj Naik: …show more content…
http://www.excellence-in-oncology.org/node/534
Literature review
• • • • Madersbacher and Weissteiner 1977 McConville 2002 Edwards et al 2004 Pilloni et al 2005
Study Aim
To explore whether the proven benefits of ISC in non cancer can be confirmed in the postoperative bladder care of women with a mid line laparotomy wound following a radical hysterectomy.
Study design
Quantitative: ‘Quantitative research is a broad, umbrella term for research that uses methods that collect evidence that can be transformed into numerical data and are based on a positivist position.’ (Procter et al 2010)
Experimental design
http://www.nationaltechcenter.org/index.php/products/at-researchmatters/experimental-study-design/
Study sample
The study population is made up of • 40 women (median age of 45) • All had the same operation radical hysterectomy following early signs of cervical …show more content…
(http://itl.nist.gov/div898/handbook/eda/section3/eda358.htm)
• Fishers exact test • P value
Study Results
• 19 women out of 40 stated their preference before the operation. There was statistical difference P=0.267 • The first 5 days showed more women in the ISC group developed infections than the SPC group. P=0.004 • By day 21: 8 of the 17 women reported having problems with their SPC site of which 4 had positive wound swabs
Discussion
• The aim of the research was answered • Limitations to the study were acknowledged (poor response rate of the questionnaire by week 12) • The clinical implications discussed
Conclusion and recommendations
• Strict adherence to protocol (questionnaires) • The results of this study supports previous studies (although the study doesn’t compare the finding of using the ISC from previous studies) • Reliability ?
My recommendations
• How reliable was the study? • The sample size?