Experiences of people with multiple sclerosis using clean ıntermittent catheterization: a qualitative study

Area of Science:

• Rehabilitation science
• Nursing research
• Qualitative health research

Background:

• Multiple sclerosis (MS) significantly impacts daily living, necessitating effective bladder management strategies.
• Clean intermittent catheterization (CIC) is a common intervention for bladder dysfunction in MS.
• Understanding patient experiences with CIC is vital for optimizing care.

Purpose of the Study:

• To explore the subjective experiences of individuals with MS using CIC.
• To examine the relationship between disability, rehabilitation, and bladder management in MS patients.
• To apply the Neuman Systems Model to understand CIC use in MS.

Main Methods:

• Hermeneutic phenomenological approach.
• Semi-structured interviews with 15 MS patients using CIC.
• Data analysis using phenomenological hermeneutical methods, guided by the Neuman Systems Model and COREQ guidelines.

Main Results:

• Identified three themes: transitioning to CIC, personal perspectives, and adaptation challenges.
• Discovered physical, psychological, and economic factors influencing CIC adherence.
• Found that these factors impact functional independence in MS patients.

Conclusions:

• This is the first qualitative study on CIC use in MS from a rehabilitation perspective.
• Individualized, structured support and regular follow-up enhance self-care, autonomy, and adherence.
• The Neuman Systems Model offers a framework for patient-centered rehabilitation in MS care.