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Which factors make clean intermittent (self) catheterisation successful?
Hanny Cobussen-Boekhorst1, Joke Beekman2, Edith van Wijlick3
1Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of Clinical Nursing
|March 23, 2016
Summary
Successful intermittent catheterisation adherence is not significantly impacted by age, though older patients may benefit. Many patients can discontinue catheterisation due to recovered bladder function.
Area of Science:
- Urology
- Nephrology
- Rehabilitation Medicine
Background:
- Intermittent catheterisation (IC) is a safe and effective treatment for bladder dysfunction, improving quality of life.
- Despite benefits, adherence factors remain largely unknown, necessitating further investigation into patient experiences.
Purpose of the Study:
- To identify factors influencing successful intermittent catheterisation adherence.
- To gain insight into patients' daily experiences with intermittent catheterisation.
Main Methods:
- A prospective, multicentre study followed 129 patients for one year.
- Data collected via validated questionnaires on quality of life, daily practice, and patient-reported outcomes.
- Included patients aged ≥18 years performing IC at least once daily for ≥3 months.
Main Results:
- Fifty-nine percent of patients continued IC after one year; 50% of those who stopped did so due to recovered bladder function.
- 86% reported IC positively impacted their lives or became routine.
- A weak correlation existed between increasing age and cessation; quality of life scores improved.
Conclusions:
- While increasing age showed a weak negative correlation with adherence, older patients can benefit from IC.
- No specific factors mandated additional interventions post-guideline implementation.
- Further large-scale prospective studies are needed to fully understand IC adherence.
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