The Effectiveness of Crede's Method on Urine Retention Among Post-Hemorroidectomy Recipients

Lin, Yu-Hua

Wednesday, July 13, 2011: 9:10 AM

Yu-Hua Lin, PhD, RN¹
Shu-Ching Chi, RN, MSN²
Kuang-Wen Liu, BSc³
Hsin-Pao Chen, BS³
(1)Nursing Department, I-Shou University, Kaohsiung County, Taiwan
(2)Nursing department, E-DA Hospital, Kaohsiung, Taiwan
(3)Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to understand the prevalence of urine retention within eight hours after Hemorrhoidectomy.

Learning Objective 2: The learner will be able to know the effectiveness of Crede’s method on urine retention among post Hemorrhoidectomy recipients.

Purpose: The purpose of this study was to explore the prevalence of urine retention within eight hours after surgical procedure, and to examine the effectiveness of Crede’s method on urine retention among post Haemorrhoidectomy recipients.

Methods: This was an experimental, randomized study design. All participants were over 20 years of age and had undergone a haemorrhoidectomy. Outcome measurements included patients reported urine voiding status, personal demographics, and disease related data. Before surgical procedure, participants were distributed into either a crede’s group (n=23) or a non-crede’s group (n=23). Patients in the crede’s group were taught the method of crede’s when their urine can not void within eight hours after haemorrhoidectomy. The non-crede’s group patients were taught the traditional methods but crede’s. We examined urine retention rate at eight hours after haemorrhoidectomy.

Results: The urine retention rate was 8.7% (2/23) in crede’s group and 69.6% (16/23) in non-crede’s group. After controlled two groups personal characteristics and disease related variables, the Chi-square test showed that patients in the crede’s group were had a lower urine retention rate when compared with non-crede’s group, and revealed significant differences(χ² = 17.89, p < .001).

Conclusion: This study demonstrated that crede’s method is an effectiveness strategy on urine retention among patients after haemorrhoidectomy. Clear and concise information related the urinary retention and related strategy should addresses to patients before procedure.

See more of: Complementary Health Practices for Chronic Illnesses
See more of: Research Sessions: Oral Paper & Posters