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Understanding the challenges faced by men learning to live with clean intermittent self-catheterisation
1Nurse Consultant, Aneurin Bevan University Health Board, The Grange University Hospital, Cwmbran, at the time of writing and is now an Independent Nurse Consultant.
British Journal of Nursing (Mark Allen Publishing)
|May 9, 2024
Summary
Clean intermittent self-catheterisation (CISC) is preferred for bladder emptying due to fewer complications. This review highlights men's quality-of-life impacts and challenges with CISC, informing nursing practice.
Area of Science:
- Urology
- Nursing
- Qualitative Research
Background:
- Clean intermittent self-catheterisation (CISC) is a common method for bladder management in patients with voiding dysfunction.
- CISC is associated with a lower risk of complications and urinary tract infections compared to indwelling catheters.
- Understanding the patient experience is crucial for effective management and adherence.
Purpose of the Study:
- To explore the quality-of-life impacts of CISC in men.
- To identify challenges faced by men undergoing CISC.
- To provide insights for nurses teaching CISC to improve concordance and adherence.
Main Methods:
- This study conducted a narrative review of existing qualitative research.
- The review focused on studies examining the male experience with CISC.
- Analysis synthesized findings related to quality of life and adherence challenges.
Main Results:
- Men experience unique challenges with CISC affecting their quality of life.
- Factors influencing concordance and adherence in men were identified.
- Qualitative data revealed specific psychosocial impacts of CISC on men.
Conclusions:
- Nurses require specific insights into the male experience to optimize CISC teaching.
- Addressing identified challenges can improve patient concordance and adherence to CISC.
- Informed clinical practice can enhance the quality of life for men using CISC.
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