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Teaching children clean intermittent self-catheterization (CISC) in a group setting
Hanny J G L Cobussen-Boekhorst1, Jet H P A Kuppenveld Van, Perijn P J P W Verheij
1Radboud University Nijmegen Medical Centre, Pediatric Urology Centre, Dept. of Urology, P.O. Box 9100 6500 HB Nijmegen, Netherlands. j.cobusssen-boekhorst@uro.umcn.nl
Journal of Pediatric Urology
|October 24, 2009
Summary
A multidisciplinary, group-wise training program effectively teaches children clean intermittent self-catheterization (CISC). This approach reduces anxiety and improves cooperation in pediatric patients learning CISC.
Area of Science:
- Pediatric Urology
- Behavioral Therapy
- Patient Education
Background:
- Clean intermittent self-catheterization (CISC) is crucial for managing certain pediatric conditions.
- Traditional outpatient instruction can be challenging for some children.
- A need exists for innovative approaches to improve CISC learning in pediatric populations.
Purpose of the Study:
- To develop and evaluate a multidisciplinary, group-wise training program for children struggling with CISC.
- To enhance the learning process and outcomes for pediatric patients undergoing CISC.
Main Methods:
- A six-meeting program involving children aged 7-12 and their parents.
- Training delivered by a pediatric urology nurse practitioner, physiotherapist, and behavioral practitioner.
- Utilized a tell/show/do method, cognitive restructuring, relaxation techniques, and parental support.
Main Results:
- Preliminary success observed in seven children following the group intervention.
- Children exhibited reduced anxiety and increased cooperation.
- Parents reported benefits in managing CISC at home and received supportive strategies.
Conclusions:
- Group interactions and a multidisciplinary team approach are beneficial for teaching CISC to select children.
- This program offers a supportive environment for mastering CISC.
- The findings suggest a promising model for pediatric urology patient education.
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