Standardized intermittent catheterisation education improves catheterisation compliance in individuals with spinal cord injury

Abstract

Intermittent catheterisation (IC) is considered the gold standard for bladder dysfunction‐related voiding problems following spinal cord injury (SCI). Despite this, up to 50% of individuals were no longer using IC 5 years after discharge from the rehabilitation centre. Hence, we initiated the IC Education Programme to offer standardized IC training and improve adherence. The programme was a European initiative undertaken by eight rehabilitation centres in Norway, France and Italy. The aim of this study is to evaluate the effectiveness of the IC Education Programme. The control group comprised individuals with SCI discharged from one of the participating rehabilitation centres using IC up to 1 year before the Education Programme was initiated. A questionnaire was sent by post to this group before the IC Education Programme started. The second group comprised individuals who had participated in and been discharged using the IC Education Programme; they received the questionnaire up to 1 year after programme initiation. Anonymous responses from the two groups were compared to assess outcomes such as ongoing use of IC, satisfaction with training and attitude towards bladder issues. Three hundred sixteen responses (from 500 questionnaires sent) were received from the control group (63%) and 84 (of 142) from the IC Education Programme group (59%). The IC Education Programme significantly increased the percentage of individuals still using IC during the first year at home (99 vs. 83% for the Education Programme and control groups, respectively; p < 0·05) and improved satisfaction with training in IC. Individuals who had participated in the IC Education Programme were also significantly less bothered by bladder issues than the control group (overall SF‐Qualiveen index 1·58 vs. 1·76, respectively; p = 0·032). The IC Education Programme improved the standard of care following SCI as it enabled more individuals to continue with IC up to 1 year after discharge, and improved training satisfaction.

Adult Neurogenic Lower Urinary Tract Dysfunction and Intermittent Catheterisation in a Community Setting: Risk Factors Model for Urinary Tract Infections

“…A short-come of the previous studies did not assess quality of educational initiatives, as no objective feedback was obtained from the patients. In a European initiative undertaken by eight rehabilitation centres in Norway, France, and Italy, it was shown that a good education programme can improve adherence to IC during the first year at home (99 vs. 83% for the Education Programme and control groups, respectively; p < 0.05) [98]. From a clinical point of view, comprehensive training on IC technique should be provided to neurourological patients.…”

Perceived usefulness of the nurse–patient therapeutic relationship in the rehabilitation journey of people with urinary incontinence: A mixed‐method study

“…Since this was a retrospective study on data collected routinely according to the evidence-based documentation of the continence clinic, no ethical approval was required, similar to other nursing studies published in the international urological literature. 26…”

“…All patients provided informed consent to being interviewed and completing the questionnaire and were informed of the possibility of anonymous data publication. Since this was a retrospective study on data collected routinely according to the evidence‐based documentation of the continence clinic, no ethical approval was required, similar to other nursing studies published in the international urological literature 26 …”