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Continuous use of intermittent bladder catheterization--can social support contribute?
Marjoyre Anne Lindozo Lopes1, Elenice Dias Ribeiro de Paula Lima2
1Rede Sarah de Hospitais de Reabilitação, Belo Horizonte, MG, Brazil.
Revista Latino-Americana De Enfermagem
|July 17, 2014
Summary
Most patients with spinal cord injury continue intermittent catheterization, but technique changes due to lack of equipment and infrastructure increase urologic complications. Family support is high, but societal support is lacking.
Area of Science:
- Urology
- Rehabilitation Medicine
- Public Health
Background:
- Neuropathic bladder is a common complication of spinal cord injury (SCI).
- Intermittent catheterization (IC) is a cornerstone management strategy for neuropathic bladder.
- Adherence to IC is crucial for preventing urologic complications and maintaining quality of life.
Purpose of the Study:
- To identify factors influencing the continuous and adequate use of intermittent catheterization in SCI patients.
- To explore the relationship between social support and adherence to intermittent catheterization.
Main Methods:
- A cross-sectional, descriptive, and correlational study was conducted.
- The study included 49 patients diagnosed with neuropathic bladder secondary to spinal cord injury.
- Data on IC practices, complications, and social support were collected and analyzed.
Main Results:
- A high rate of continuous intermittent catheterization use (92%) was observed.
- However, 46.9% of participants modified their IC technique.
- The primary complications were infection (28.6%) and vesicolithiasis, often linked to technique modifications.
- Patients reported high levels of social support from family members.
Conclusions:
- While family support is strong, societal support for intermittent catheterization users is insufficient.
- Challenges such as lack of essential equipment and inadequate healthcare infrastructure significantly impact IC adherence.
- These difficulties necessitate technique alterations, thereby increasing the risk of urologic complications.
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