Ensuring patient adherence to clean intermittent self-catheterization

Seth, Jai; Haslam, Collette; Panicker, Jalesh N.

doi:10.2147/ppa.s49060

Cited by 39 publications

(39 citation statements)

References 34 publications

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“…Good motor and sensory functions are key skills for performing CISC. However, patients also need organizational skills (e.g., preparation of materials) [ 1 ]. This survey shows that, in order of importance, hand function, presence or absence of tremor, and vision acuity were major factors influencing the decision to propose CISC.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with such disorders present with incomplete bladder emptying. Not only does incomplete bladder emptying worsen storage symptoms such as frequency, nocturia, urgency, and incontinence, but it may also predispose patients to a wide range of complications, including recurrent urinary tract infections, bladder stones, upper urinary tract changes, and even renal impairment [ 1 ]. Pharmacological and/or surgical treatment of voiding dysfunction often does not achieve sufficient bladder emptying.…”

Section: Introductionmentioning

confidence: 99%

“…Currently, the gold standard for the management of urinary retention is clean intermittent self-catheterization (CISC). CISC is defined as the repetitive temporary placement of a catheter to empty the bladder [ 1 ]. Traditionally, indwelling transurethral and suprapubic catheters have been used, but CISC has revolutionized the management of voiding dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Clean Intermittent Self-Catheterization as a Treatment Modality for Urinary Retention: Perceptions of Urologists

Weynants

Hervé²,

Decalf

et al. 2017

Int Neurourol J

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Mobile WebpISSN 2093-4777 eISSN 2093-6931 INTERNATIONAL NEUROUROLOGY JOURNALPurpose: Clean intermittent self-catheterization (CISC) is now considered the gold standard for the management of urinary retention. In the literature, several articles on patients' perspectives on CISC and adherence to this technique have been published. No studies have yet explored the points of view of professional caregivers, such as nurses and doctors. The aim of this study was to explore the opinions of urologists about CISC and to evaluate the need for dedicated nurses specialized in CISC through a self-administered questionnaire. Methods: A questionnaire was developed to explore the opinions of professional caregivers about self-catheterization and to evaluate the need to provide nurses with specialized education in CISC. Questionnaires were sent to 244 urologists through email. We received 101 completed questionnaires. The response rate was 41.4%. Results: Hand function, the presence or absence of tremor, and visual acuity were rated as the most important determinants for proposing CISC to a patient. Twenty-five percent of the urologists reported that financial remuneration would give them a greater incentive to propose CISC. The lack of dedicated nurses was reported by half of the urologists as a factor preventing them from proposing CISC. A meaningful number of urologists thought that patients perceive CISC as invasive and unpleasant. Although most urologists would choose CISC as a treatment option for themselves, almost 1 urologist out of 5 would prefer a permanent catheter. Conclusions: This questionnaire gave valuable insights into urologists' perceptions of CISC, and could serve as the basis for a subsequent broader international study. Further research should also focus on the opinions of nurses and other caregivers involved in incontinence management. Apart from financial remuneration, it is also clear that ensuring sufficient expertise and time for high-quality CISC care is important. This could be a potential role for dedicated nurses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clean Intermittent Self-Catheterization as a Treatment Modality for Urinary Retention: Perceptions of Urologists

Weynants

Hervé²,

Decalf

et al. 2017

Int Neurourol J

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“…Experienced health-care professionals, such as a continence adviser, should be involved in teaching the technique and exploring possible barriers to successful catheterization. Complications include UTI and trauma [ 26 ••, 52 •].…”

Section: Assistive Proceduresmentioning

confidence: 99%

Treatment Options for Urogenital Dysfunction in Parkinson’s Disease

Batla

Tayim

Pakzad

et al. 2016

Curr Treat Options Neurol

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Opinion statementUrogenital dysfunction is commonly reported in Parkinson’s disease (PD), and history taking and a bladder diary form the cornerstone of evaluation. The assessment of lower urinary tract (LUT) symptoms include urinalysis, ultrasonography, and urodynamic studies and help to evaluate concomitant urological pathologies such as benign prostate enlargement. Antimuscarinic medications are the first line treatment for overactive bladder (OAB) symptoms and solifenacin has been specifically studied in PD. Antimuscarininc drugs may exacerbate PD-related constipation and xerostomia, and caution is advised when using these medications in individuals where cognitive impairment is suspected. Desmopressin is effective for the management of nocturnal polyuria which has been reported to be common in PD. Intradetrusor injections of botulinum toxin have been shown to be effective for detrusor overactivity, however, are associated with the risk of urinary retention. Neuromodulation is a promising, minimally invasive treatment for PD-related OAB symptoms. Erectile dysfunction is commonly reported and first line treatments include phosphodiesterase-5 inhibitors. A patient-tailored approach is required for the optimal management of urogenital dysfunction in PD.

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“…However, only from 1972 on, the technique was widely accepted, using clean and no sterile technique, without prejudice to patients (4). …”

Section: Introductionmentioning

confidence: 99%

Validation of self - confidence scale for clean urinary intermittent self - catheterization for patients and health - caregivers

et al. 2017

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Objective To validate a measurement instrument for clean intermittent self-catheterization for patients and health-caregivers.Material and Methods Methodological study of instrument validation performed at a Rehabilitation Center in a University hospital for patients submitted to clean intermittent self-catheterization and their health-caregivers. Following ethical criteria, data were collected during interview with nurse staff using a Likert question form containing 16 items with 5 points each: “no confidence”=1, “little confidence”=2, “confident”=3, “very confident”=4 and “completely confident”=5. Questionnaire called “Self-Confident Scale for Clean Intermittent Self-catheterization” (SCSCISC) was constructed based on literature and previously validated (appearance and content).Results The instrument was validated by 122 patients and 119 health-caregivers, in a proportion of 15:1. It was observed a good linear association and sample adequacy KMO 0.931 and X2=2881.63, p<0.001. Anti-image matrix showed high values at diagonal suggesting inclusion of all factors. Screen plot analysis showed a suggestion of items maintenance in a single set. It was observed high correlation of all items with the total, alpha-Cronbach 0.944. The same results were obtained in subsamples of patients and health-caregivers.Conclusion The instrument showed good psychometric adequacy corroborating its use for evaluation of self-confidence during clean intermittent self-catheterization.

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Ensuring patient adherence to clean intermittent self-catheterization

Cited by 39 publications

References 34 publications

Clean Intermittent Self-Catheterization as a Treatment Modality for Urinary Retention: Perceptions of Urologists

Clean Intermittent Self-Catheterization as a Treatment Modality for Urinary Retention: Perceptions of Urologists

Treatment Options for Urogenital Dysfunction in Parkinson’s Disease

Validation of self - confidence scale for clean urinary intermittent self - catheterization for patients and health - caregivers

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