Teaching children clean intermittent self-catheterization (CISC) in a group setting

Canning, Douglas A.

doi:10.1016/j.jpurol.2009.09.002

Cited by 14 publications

(12 citation statements)

References 17 publications

(17 reference statements)

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“…Although methods of teaching ISC have been described [8,13,20,21], no large studies have examined the appropriate age of commencing such education. Campbell et al reported that 45 Canadian children learned to perform ISC at a mean age of 8 years (range 4.7-15.3 years) [22].…”

Section: Discussionmentioning

confidence: 99%

“…Along with improving health-related quality of life, it reduces the frequency of urinary tract infections and preserves renal function [6,7]. Thus, there has been growing interest in promoting timely intermittent self-catheterization (ISC) among patients with neurogenic bladder and on methods to predict patients' ability to practice and master required skills [8,9]. From improving self-care and independence to subsequent intimacy, this interest in ISC is not unwarranted, as there is a growing body of evidence that ISC has the potential to promote a healthy sense of autonomy and wellbeing [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Castillo

Ostermaier

Fremion

et al. 2017

PRM

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Abstract. PURPOSE:To describe the age of independence in intermittent self-catheterization (ISC) in a diverse patient population and identify factors associated with ISC in individuals with spina bifida. METHODS: Two hundred patients with myelomeningocele or lipomyelomeningocele, who were 3 years of age and utilized catheterization for bladder management were included. Data regarding diagnosis, functional level of lesion, race, ethnicity, presence of shunt, method of catheterization, self-management skills, fine motor skills, and cognitive abilities were collected. RESULTS: Fifty-five percent of individuals were able to perform ISC with a mean age of 9.45 years (SD = 2.97) and 22.7% used a surgically created channel. Higher level of lesion and female gender were associated with a lower rate of ISC. Intellectual disability was present in 15% of the individuals able to perform ISC and in 40% of those not able to perform ISC (p = 0.0005). Existent self-efficacy regarding activities of daily living (i.e. dressing, bathing, skin care) were associated with ISC (p < 0.0001). CONCLUSIONS: The average age of ISC emerged as a target for culturally-appropriate educational interventions to stimulate greater early independence. Future research on factors that may foster an 'independent spirit' early in childhood leading to self-management are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Castillo

Ostermaier

Fremion

et al. 2017

PRM

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“…However, more related, well-designed, prospective studies are strongly recommended. Furthermore, because sexual health is a vital component of quality of life and overall health in oncology patients, 13 more related trials are also recommended.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, these benefits appear to be useful in children, adolescents, older people, and the neurologically impaired. [12][13][14] In this study, we investigated whether the proven benefits of CISC in early bladder care of women following RH are appropriate in late postoperative bladder dysfunction care in Chinese women. [15][16][17]…”

Section: Introductionmentioning

confidence: 99%

Effects of clean intermittent self-catheterization on late bladder dysfunction after radical hysterectomy in cervical cancer

Shen

Wang

et al. 2019

J Int Med Res

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Objective To identify the benefits of clean intermittent self-catheterization in women who have late bladder dysfunction caused by radical hysterectomy in cervical cancer. Methods Thirty women who underwent radical hysterectomy with late bladder dysfunction were recruited. A nursing intervention program focusing on clean intermittent self-catheterization and a drinking plan was implemented. We recorded urinary times during the day and night, post-voiding residual urine volume, positive catheter specimen of urine rate, and quality of life instruments for patients with cervical cancer . Results All patients were able to satisfactorily manage clean intermittent self-catheterization following video-based operational training. Bladder function was significantly increased after 3-month intervention compared with before the intervention. Urinary times during the day and night, and post-voiding residual urine volume were greatly decreased post-intervention compared with pre-intervention. The rate of a positive catheter specimen of urine test significantly decreased over time. There was significant improvement in quality of life in five dimensions between weeks 1 and 12 following the intervention. Conclusions Patients are able to learn the technique of clean intermittent self-catheterization without any difficulty. This technique is effective together with a drinking plan to decrease late bladder dysfunction caused by radical hysterectomy in cervical cancer.

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“…16 External forces can influence how CIC is accepted, such as, public bathroom access, quality of teaching, experience of nurse specialists and follow-up after initial teaching. 14,16,17 However, there are no studies extant that reveal what caregivers and patients react to how CIC was introduced to them at the start. Common initial reactions that parents express when told of its need often act as obstacles to its acceptance (personal observations of several authors -SBB, KC, LCH).…”

Section: Introductionmentioning

confidence: 99%

The art of introducing clean intermittent catheterization: How families respond and adapt: A qualitative study

Bauer

Saunders

Masoom

et al. 2022

Neurourology and Urodynamics

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Introduction Since its inception >50 years ago, clean intermittent catheterization (CIC) has become ubiquitous in managing lower urinary tract dysfunction in children. Emphasis has been on its impact on daily life, but little on its implementation and adjustment in families. The aim of the current study was to discover how families learned to implement and manage their child's CIC needs by interviewing caregivers, adolescents, and young adults about their experiences. Interviews were designed to uncover facilitators and barriers to beginning CIC to initiate potential improvements in a multidisciplinary approach. Methods A semi‐structured interview guide was developed and piloted initially to 12 families for validation. Between August 2018 and October 2019, 40 families (52 interviews of caregivers and patients >12 years) were then interviewed with open‐ended questions interspersed with more specific ones to generate discussion. Transcripts were coded using Dedoose software to create a base list with emergent codes. Inductive and deductive methods were employed to generate themes. Consensus was reached during successive team meetings. Results Five major and several subthemes emerged regarding implementation of CIC by caregivers and patients learning CIC for the first time. Theme 1 Parental reaction to CIC: Caregivers described benefits of an adjustment period on learning their child's need for CIC. Prenatal information to caregivers of spina bifida children gave them time to mentally process the need for CIC. Theme 2 Ease of learning CIC: impact of age and gender: caregivers identified advantages of initiating CIC in infancy. Caregivers speculated CIC was physically easier in boys than girls due to meatus location. Developmentally ready children expressed a desire for independence and privacy as they learned to initiate CIC. Theme 3 The impact of additional caregiver support in learning and performing CIC: presence of multiple caregivers optimized learning and implementation of CIC. Having secondary caregivers available provided peace of mind and more flexibility in maintaining reliable CIC care. Patients learning CIC found it helpful to have a parent present at the teaching session. Occasionally, female caregivers reported feelings of anger and frustration when male caregivers were reluctant to be involved in catheterization, irrespective of their child's gender. Theme 4 Satisfaction with healthcare team's approach: The healthcare team's responsiveness to their learning needs affected how they mastered CIC. The healthcare team's teaching and reassurance helped build caregiver confidence. Developmentally appropriate children were able to learn self‐catheterization when supported by the healthcare team. Patients learning self‐CIC articulated having a supportive healthcare team was helpful with implementation. Theme 5 Effect of CIC on employment status relative to job changes, insurance, and daycare: implementing and performing CIC presented a spectrum of issues related to employment. Educating employers reg...

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Teaching children clean intermittent self-catheterization (CISC) in a group setting

Cited by 14 publications

References 17 publications

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Effects of clean intermittent self-catheterization on late bladder dysfunction after radical hysterectomy in cervical cancer

The art of introducing clean intermittent catheterization: How families respond and adapt: A qualitative study

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