CONDUCTS THAT MAY INTERFERE IN THE PRE-ANALYTICAL PHASE OF THE URINE SUMMARY TEST

Pedrosa, Suzana Carvalho de Sousa; Ferreira, Milenna Azevedo Minhaqui; Guimarães, Keyth Sulamitta Lima; Guimarães, Wilma Ferreira Guedes; Barbosa, Keylla Talitha Fernandes

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ORIGINAL ARTICLE • Cogitare Enferm. 26 • 2021 • https://doi.org/10.5380/ce.v26i0.74085 copy

CONDUCTS THAT MAY INTERFERE IN THE PRE-ANALYTICAL PHASE OF THE URINE SUMMARY TEST

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to identify the pre-analytical conducts that can influence the results of the urine summary test.

Method:

this is an exploratory, descriptive, cross-sectional study, of quantitative nature, conducted with 246 patients from a public reference laboratory in the municipality of João Pessoa, Paraíba, during the months of June and July 2019. Data analysis was performed by descriptive and inferential statistics, with Chi-square Test and Spearman Correlation, cast after Kolmogorov-Smirnov test.

Results:

regarding knowledge about the exam, 138 (56.1%) of the participants said they had it, but 174 (70.7%) reported not having been instructed before the exam. The correlation showed that the greater the knowledge, the more appropriate were the pre-analytical procedures.

Conclusion:

a low level of knowledge about the procedure was observed, contributing to inadequate pre-analytical conducts. The importance of offering the client guidance on the collection of the exam is highlighted.

DESCRITORES
Nursing; Clinical Laboratory Techniques; Urine Specimen Collection; Knowledge; Diagnostic Tests, Routine

Variable	Categories	n	%
Gender	Female	202	82,1
Gender	Male	44	17,9
Marital status	Married	137	55,7
	Single	67	27,2
	Divorced	17	6,9
	Widow	24	9,8
	Did not answer	1	0,4
Race/Color	Brown	130	52,8
	White	98	39,8
	Black	17	6,9
	Indigenous	1	0,4
Schooling	Illiterate	24	9,8
	Elementary School	108	43,9
	High School	105	42,7
	Higher Education	9	3,7
Religion	Catholic	140	56,9
	Evangelical	83	33,7
	Spiritualist	3	1,2
	Others	5	2
	Ignored	15	6,1
Municipality of residence	João Pessoa	243	98,8
Municipality of residence	Countryside	3	1,2

Variable	Categories	n	%
Request Location	Basic Attention	180	73,2
	Clinic	38	15,4
	Hospital	28	11,4
Requesting professional	Physician	183	74,4
Requesting professional	Nurse	63	25,6
Sample Type	Random Sample	0	0,4
	First Sample	235	95,5
	Second Sample	10	4,1
Collected location	Residence	232	94,3
Collected location	Laboratory	14	5,7
Time of collection	Up to 2h	76	30,9
	2h-3h	155	63
	3h-4h	15	6,1
Used Collector	Sterile	243	98,8
Used Collector	Non-sterile	3	1,2
Intimate hygiene	Yes	152	61,8
Intimate hygiene	No	94	38,2

Variable	Categories	n	%
Urine Jet Collected	First stream	117	47,6
Urine Jet Collected	Second stream	129	52,4
Has knowledge about urine collection	Yes	138	56,1
Has knowledge about urine collection	No	108	43,9
Previous Orientations	No	174	70,7
Previous Orientations	Yes	72	29,3
Professional who provided orientation	Physician	33	45,8
Professional who provided orientation	Nurse	28	38,9
	Friends and family	9	12,5
	Others	2	2,8

Variable		Has knowledge about urine collection				P
		Yes		No
		n	%	n	%
Gender						p<0,001 ^* * Chi-square
	Female	125	61,9	77	38,1
	Male	13	29,5	31	70,5
	Total	138	56,1	108	43,9
Schooling						p<0,001 ^* * Chi-square
	Illiterate	11	45,8	13	54,2
	Elementary School	48	44,4	60	55,6
	High School	74	70,5	31	29,5
	Higher Education	5	55,6	4	44,4
	Total	138	56,1	108	43,9
Time of collection						p=0,002 ^* * Chi-square
	Up to 2 hours	49	64,5	27	35,5
	2h - 3 h	85	54,8	70	45,2
	3h - 4h	4	26,7	11	73,3
	Total	138	56,1	108	43,9
Intimate hygiene						p<0,001 ^* * Chi-square
	Yes	116	76,3	36	23,7
	No	22	23,4	72	76,6
	Total	138	56,1	108	43,9
Urine Jet Collected						p<0,001 ^* * Chi-square
	First	32	27,4	85	72,6	p<0,001 ^* * Chi-square
	Second	106	82,2	23	17,8
	Total	138	56,1	108	43,9

Correlation	Correct conduct
Correlation	r	p ^* * Spearman’s Correlation Coefficient
Knowledge	0,546	p<0,001
Guidelines	0,384	p<0,001

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author:
Keylla Talitha Fernandes Barbosa Centro Universitário de João Pessoa – João Pessoa, PB, Brasil E-mail: keyllafernandes@gmail.com