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A patient-centered self-management support program for clean intermittent catheterization (CIC) significantly reduced emergency department visits and hospitalizations in the first 30 days. The program also improved adherence to prescribed CIC usage, highlighting its value in chronic care.

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Area of Science:

  • Urology
  • Chronic Care Management
  • Patient Self-Management

Background:

  • Clean intermittent catheterization (CIC) is essential for managing various urological conditions.
  • Initiating CIC can lead to significant complications, including emergency department (ED) visits and hospitalizations.
  • Effective patient support is crucial for successful CIC self-management and reducing adverse events.

Purpose of the Study:

  • To evaluate the impact of a patient-centered chronic care self-management support program for CIC on ED visits and hospitalizations within 30 days of initiation.
  • To compare catheter reuse, adherence to prescribed CIC frequency, and reasons for nonadherence between supported and unsupported patients.

Main Methods:

  • A correlational survey design was employed with 445 eligible respondents.
  • Respondents were divided into two groups: 321 in a CIC support program and 124 in a comparison group.
  • Data were collected via a 37-item online questionnaire, with chi-square and regression analyses used for comparisons.

Main Results:

  • Patients in the CIC support program experienced a 47% reduction in ED visits and a 77% decrease in hospital overnight stays within the first month.
  • Adherence to the healthcare provider-instructed frequency of CIC use was higher in the support program group (88% vs. 80%).
  • These benefits were observed while controlling for various demographic and clinical factors.

Conclusions:

  • The initial month of clean intermittent catheterization (CIC) presents a significant burden of potential complications.
  • A patient-centered chronic care self-management program for CIC is associated with reduced ED visits and hospitalizations.
  • Such programs demonstrably improve adherence to prescribed CIC frequency, enhancing patient outcomes.