{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T04:54:52Z","timestamp":1786510492001,"version":"build-2736575974"},"reference-count":13,"publisher":"Yeungnam University College of Medicine","funder":[{"name":"Leejung Trading Co., Ltd"}],"content-domain":{"domain":["e-jyms.org"],"crossmark-restriction":true},"short-container-title":["J Yeungnam Med Sci"],"abstract":"<jats:p>Background: This study aimed to evaluate the efficacy and convenience of a chlorhexidine-coated hydrophilic urethral catheter compared with a conventional silicone Foley catheter, focusing on patient discomfort, procedural time, and clinician satisfaction.Methods: This prospective randomized controlled study enrolled patients who required short-term urethral catheterization at two hospitals. The patients were randomly assigned to receive either a conventional urethral catheter (control group, n=64) or a chlorhexidine-coated hydrophilic urethral catheter (intervention group, n=67). The primary endpoints were patient-reported pain scores during catheter insertion and removal (pain scale, 0\u201310), procedural time (seconds), and clinician-reported satisfaction (0\u201310).Results: Patients in the intervention group reported significantly less pain during catheter insertion (mean score, 4.2 vs. 6.6; p&lt;0.01) and removal (mean score, 2.8 vs. 4.5; p&lt;0.01). The mean procedural time was shorter in the intervention group (215 seconds vs. 386 seconds; p&lt;0.01), and clinician satisfaction was higher (mean score, 8.2 vs. 3.6; p&lt;0.01). Patients in the intervention group were more likely to experience mild pain during catheter insertion (score, 0\u20133; 26.9% vs. 12.7%; odds ratio [OR], 2.53) and removal (score, 0\u20133; 83.6% vs. 42.9%; OR, 6.79). A greater proportion of procedures was completed within 150 seconds (59.7% vs. 44.4%; OR, 1.85), and clinicians reported higher satisfaction with the procedure (score, 8\u201310; 73.1% vs. 23.4%; OR, 8.71).Conclusion: Chlorhexidine-coated hydrophilic urethral catheters significantly reduced pain, shortened the procedural time, and improved clinician satisfaction. These findings suggest potential clinical benefits for both patients and clinicians.<\/jats:p>","DOI":"10.12701\/jyms.2025.42.68","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T10:01:11Z","timestamp":1761818471000},"page":"68","update-policy":"https:\/\/doi.org\/10.12701\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial"],"prefix":"10.12701","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5854-8675","authenticated-orcid":true,"given":"Seung-Kwon","family":"Choi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-7569","authenticated-orcid":true,"given":"Jeonghyouk","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7369-9252","authenticated-orcid":true,"given":"Dong-Gi","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4953","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00012"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12220"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2003.08.005"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(12)61380-4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000051160.72187.e9"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-022-03172-x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0924-8579(97)00015-0"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/s1473-3099(18)30736-9"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2003.12.007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1086\/675718"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233215"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.5.4.495"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd004013.pub4"}],"container-title":["Journal of Yeungnam Medical Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.e-jyms.org\/upload\/pdf\/jyms-2025-42-68.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-jyms.org\/DOIx.php?id=10.12701\/jyms.2025.42.68","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-jyms.org\/upload\/pdf\/jyms-2025-42-68.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T01:55:14Z","timestamp":1766109314000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.e-jyms.org\/DOIx.php?id=10.12701\/jyms.2025.42.68"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":13,"URL":"https:\/\/doi.org\/10.12701\/jyms.2025.42.68","relation":{},"ISSN":["2799-8010"],"issn-type":[{"value":"2799-8010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"assertion":[{"value":"2025-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}