การพัฒนาสื่อวีดิทัศน์สำหรับผู้ดูแลในการป้องกันการติดเชื้อระบบทางเดินปัสสาวะจากการสวนปัสสาวะเป็นเวลาแบบสะอาด

Abstract

Urinary tract infection (UTI) in patients with spinal cord injuries is a frequent condition, due to disorder of the urinary excretory system. The patient must receive clean intermittent catheterization by a caregiver. This developmental research aimed to develop video media for caregivers on preventing UTI from clean intermittent catheterization. The sample consisted of 42 caregivers who provided care for the patients undergoing treatment at a regional hospital and required clean urinary catheterization at home. This study was performed from November 2020 to June 2021. Research instruments included a development and design plan for the video media, a video media user opinion questionnaire, a demographic data questionnaire, a knowledge test on preventing UTI from clean intermittent catheterization, and a video media satisfaction questionnaire. All of these instruments were validated by six content experts and three media experts. The content validity index of the knowledge test and the video media satisfaction questionnaire were .95 and 1.00 respectively, and the reliability were .85 and .82 respectively. The efficiency of the video media was tested using one-to- one test, small group, and field test. Data were analyzed using descriptive statistics. The research findings revealed that the video media for this study consisted of two sections. The topic of section one was UTI in patients receiving clean intermittent catheterization which was comprised of the content regarding the definition of clean intermittent catheterization, indication of catheterization, factors related to UTI, the impact of UTI, and mode of transmissions of UTI. The topic of section two was practices for caregivers in preventing UTI from clean intermittent catheterization. The efficiency of the video media was 1.47, achieving Meguigans's standard criteria of 1.00. User satisfaction of the video media was highest for content (4.53-5.00), design and presentation (4.86-5.00), and usability (5.00). The results of the study showed that the video media increased caregivers' knowledge on preventing UTI from clean intermittent catheterization, and it should be disseminated to caregivers to increase knowledge, thus improving practices in preventing UTI from clean intermittent catheterization.