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http://dx.doi.org/10.12799/jkachn.2018.29.4.467

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure  

Lee, Sang Rim (Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital)
Lee, In Sook (College of Nursing, Seoul National University)
Oh, Seung-June (Department of Urology, Seoul National University Hospital)
Kim, Sung Hwa (Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital)
Chin, Young Ran (Department of Nursing, Chungwoon University)
Publication Information
Research in Community and Public Health Nursing / v.29, no.4, 2018 , pp. 467-475 More about this Journal
Abstract
Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.
Keywords
Intermittent urethral catheterization; Education; Patient compliance;
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1 Harris CJ, Lemack GE. Neurourologic dysfunction: Evaluation, surveillance and therapy. Current Opinion in Urology. 2016;26(4):290-294. https://doi.org/10.1097/MOU.0000000000000290   DOI
2 Yoshimura N, Chancellor MB. Differential diagnosis and treatment of impaired bladder emptying. Reviews in urology. 2004;6 Suppl 1:S24-S31.
3 Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Neurourology and Urodynamics. 2002;21(1):167-178. https://doi.org/10.1002/nau.10052   DOI
4 Lapides J, Diokno AC, Silber SJ, Lowe BS. Clean, intermittent self-catheterization in the treatment of urinary tract disease. The Journal of Urology. 1972;107(3):458-461. https://doi.org/10.1016/S0022-5347(17)61055-3   DOI
5 Shen L, Zheng X, Zhang C, Zeng B, Hou C. Influence of different urination methods on the urinary systems of patients with spinal cord injury. Journal of International Medical Research. 2012;40(5):1949-1957. https://doi.org/10.1177/030006051204000536   DOI
6 Kessler TM, Ryu G, Burkhard FC. Clean intermittent self-catheterization: A burden for the patient? Neurourology and Urodynamics. 2009;28(1):18-21. https://doi.org/10.1002/nau.20610   DOI
7 Wyndaele JJ, Maes D. Clean intermittent self-catheterization: A 12-year followup. The Journal of Urology. 1990;143(5):906-908. https://doi.org/10.1016/S0022-5347(17)40132-7   DOI
8 Bahnson E, Mahdy A. Clean intermittent catheterization in the elderly. Current Bladder Dysfunction Reports. 2015;10(4):376-380. https://doi.org/10.1007/s11884-015-0340-5   DOI
9 Girotti ME, MacCornick S, Perisse H, Batezini NS, Almeida FG. Determining the variables associated to clean intermittent selfcatheterization adherence rate: One-year follow-up study. International Brazilian Journal of Urology. 2011;37(6):766-772. https://doi.org/10.1590/S1677-55382011000600013   DOI
10 Motavasseli D, Chesnel C, Charlanes A, Menoux D, Charoenwong F, Le Breton F, et al. Adherence to anticholinergic therapy and clean intermittent self-catheterization in patients with multiple sclerosis. International Neurourology Journal. 2018;22(2):133-141. https://doi.org/10.5213/inj.1836054.027   DOI
11 Katz D, Tengekyon AJ, Kahan NR, Calderon-Margalit R. Patient and physician characteristics affect adherence to screening mammography: A population-based cohort study. PloS one. 2018;13(3):e0194409. https://doi.org/10.1371/journal.pone.0194409   DOI
12 Cameron AP, Wallner LP, Tate DG, Sarma AV, Rodriguez GM, Clemens JQ. Bladder management after spinal cord injury in the United States 1972 to 2005. The Journal of Urology. 2010;184(1):213-217. https://doi.org/10.1016/j.juro.2010.03.008   DOI
13 Afsar SI, Yemisci OU, Cosar SN, Cetin N. Compliance with CIC in spinal cord injury patients: A long-term follow-up study. Spinal Cord. 2013;51(8):645-649. https://doi.org/10.1038/sc.2013.46   DOI
14 Kurtzke JF. Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology. 1983;33(11):1444-1452.   DOI
15 Shaw C, Logan K, Webber I, Broome L, Samuel S. Effect of clean intermittent self-catheterization on quality of life: A qualitative study. Journal of Advanced Nursing. 2008;61(6):641-650. https://doi.org/10.1111/j.1365-2648.2007.04556.x   DOI
16 Wilde MH, Brasch J, Zhang Y. A qualitative descriptive study of self-management issues in people with long-term intermittent urinary catheters. Journal of Advanced Nursing. 2011;67(6):1254-1263. https://doi.org/10.1111/j.1365-2648.2010.05583.x   DOI
17 Oh SJ, Ku JH, Lim SH, Jeon HG, Son H. Effect of a 'centralized intensive education system' for clean intermittent self-catheterization in patients with voiding dysfunction who start catheterization for the first time. International Journal of Urology. 2006;13(7):905-909. https://doi.org/10.1111/j.1442-2042.2006.01438.x   DOI
18 Perkash I, Giroux J. Clean intermittent catheterization in spinal cord injury patients: A follow up study. The Journal of Urology. 1993;149(5):1068-1071. https://doi.org/10.1016/S0022-5347(17)36298-5   DOI
19 Chartier-Kastler E, Amarenco G, Lindbo L, Soljanik I, Andersen HL, Bagi P, et al. A prospective, randomized, crossover, multicenter study comparing quality of life using compact versus standard catheters for intermittent self-catheterization. The Journal of Urology. 2013;190(3):942-947. https://doi.org/10.1016/j.juro.2013.04.026   DOI
20 Bermingham SL, Hodgkinson S, Wright S, Hayter E, Spinks J, Pellowe C. Intermittent self catheterisation with hydrophilic, gel reservoir, and non-coated catheters: A systematic review and cost effectiveness analysis. British Medical Journal. 2013;346:e8639. https://doi.org/10.1136/bmj.e8639   DOI
21 Cobussen-Boekhorst HJ, Kuppenveld Van JH, Verheij PP, Jong De LL, Gier De RR, Kortmann BB, et al. Teaching children clean intermittent self-catheterization (CISC) in a group setting. Journal of Pediatric Urology. 2010;6(3):288-293. https://doi.org/10.1016/j.jpurol.2009.09.002   DOI
22 Bolinger R, Engberg S. Barriers, complications, adherence, and self-reported quality of life for people using clean intermittent catheterization. Journal of Wound, Ostomy and Continence Nursing. 2013;40(1):83-89. https://doi.org/10.1097/WON.0b013e3182750117.   DOI
23 Morrison J, Birder L, Craggs M, Groat WD, Downie J, Drake M, et al. Neural control. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. Paris: Health Publications Ltd; 2005. p. 363-422.
24 Newman DK, Willson MM. Review of intermittent catheterization and current best practices. Urologic Nursing. 2011;31(1):12-28. https://doi.org/10.7257/1053-816X.2012.31.1.12   DOI
25 Logan K, Shaw C, Webber I, Samuel S, Broome L. Patients' experiences of learning clean intermittent self-catheterization: A qualitative study. Journal of Advanced Nursing. 2008;62(1):32-40. https://doi.org/10.1111/j.1365-2648.2007.04536.x   DOI
26 Van Achterberg T, Holleman G, Cobussen-Boekhorst H, Arts R, Heesakkers J. Adherence to clean intermittent self-catheterization procedures: Determinants explored. Journal of Clinical Nursing. 2008;17(3):394-402. https://doi.org/10.1111/j.1365-2702.2006.01893.x   DOI
27 Le Breton F, Guinet A, Verollet D, Jousse M, Amarenco G. Therapeutic education and intermittent self-catheterization: Recommendations for an educational program and a literature review. Annals of Physical and Rehabilitation Medicine. 2012;55(3):201-212. https://doi.org/10.1016/j.rehab.2012.01.006   DOI
28 Neel KF, Salem MA, Soliman SM, Al-Hazmi H, Gomha AB, Khatab AA. Acceptance and compliance of clean intermittent catheterization among Saudi patients. Saudi Medical Journal. 2008; 29(7):1014-1017.
29 Parsons BA, Narshi A, Drake MJ. Success rates for learning intermittent self-catheterisation according to age and gender. International Urology and Nephrology. 2012;44(4):1127-1131. https://doi.org/10.1007/s11255-012-0136-x   DOI
30 Faure A, Peycelon M, Lallemant P, Audry G, Forin V. Pro and cons of transurethral self-catheterization in boys: A long-term teaching experience in a pediatric rehabilitation centre. Urology Journal. 2016;13(2):2622-2628.