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Possible Barriers for Patients and Professionals That Prevent the Use of Clean Intermittent Catheterization: A
Daniele Bianchi1, Eleonora Rosato1, Stefano Terzoni2
1Faculty of Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
Clean intermittent catheterization (CIC) faces adoption challenges due to functional, practical, and psychological barriers. Addressing these through improved patient and professional education is key for successful long-term use.
Area of Science:
- Urology
- Rehabilitation Medicine
- Patient Education
Background:
- Clean intermittent catheterization (CIC) is standard for chronic urine retention in conditions like spinal cord injury and multiple sclerosis.
- Barriers to CIC adoption and continuation impact patient adherence and quality of life.
Purpose of the Study:
- To analyze functional, practical, and psychological barriers to clean intermittent catheterization (CIC) adoption.
- To review principles of CIC education for patients and healthcare professionals.
- To assess the value of specific educational interventions for CIC.
Main Methods:
- A literature scoping review was conducted using PubMed and Embase databases.
- Findings were categorized into functional ability, practical/psychological barriers, education principles, and intervention value.
Main Results:
- Functional ability significantly impacts CIC success.
- Key barriers include inadequate education, product access, UTIs, scheduling, and emotional adjustment.
- Evidence-based, structured education with trained staff is crucial; specific interventions like web support show limited investigation.
Conclusions:
- Despite CIC's acceptance, long-term integration is challenging due to identified barriers.
- Further research is needed to deepen understanding of these barriers and improve patient adherence.
- Optimizing patient and professional education is vital for successful CIC implementation.
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