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The Effects of Clean Intermittent Catheterization Training With a Mobile Application on Quality of Life and
Nilgun Aras1, Nurcan Çalışkan2, Bilge Yılmaz1
1Spinal Cord Injury Unit, SBÜ Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Türkiye.
Objective:
To examine the effects of Clean Intermittent Catheterization (CIC) training provided via a mobile application on the quality of life and compliance with catheterization in individuals living with spinal cord injury.
Design:
Single-blinded parallel-group, randomized, controlled trial.
Setting:
A rehabilitation hospital located in a metropolitan area.
Participants:
The study included patients aged 18-65 years, who were receiving CIC training for the first time during inpatient rehabilitation after spinal cord injury, and who could then perform CIC on their own. A total of 42 participants (N=42) were randomly assigned to control (n=21) and intervention (n=21) groups.
Interventions:
The control group received routine CIC training from the hospital, and patients in the intervention group received CIC training via a mobile application after discharge in addition to routine training. The mobile application included 10 training videos, a CIC alarm module, a urine volume recording section, and an "ask the expert" section.
Main Outcome Measures:
Data were collected using the World Health Organization Quality of Life Scale, Intermittent Self Catheterization Questionnaire, Intermittent Catheterization Adherence Scale, Mobile Application Usability Scale and Mobile Application Satisfaction Scale before the intervention and at 12 weeks after discharge.
Results:
At 12 weeks after discharge, data were collected from 19 (90.4%) patients in the intervention group and 20 (95.2%) in the control group. The CIC training provided via the mobile application was determined to have increased catheter-related quality of life and compliance. No significant difference was found between the groups in terms of health-related quality of life.
Conclusions:
Using the mobile application after CIC training will increase individuals' compliance and catheter-related quality of life.
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