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Clean intermittent catheterisation-performing abilities, aversive experiences and distress
A Bakke1, L M Irgens, U F Malt
1Department of Surgery, Haukeland Hospital, Bergen, Norway.
Insights
Most patients successfully perform clean intermittent catheterisation (CIC), but one third find it aversive, experiencing significant distress. Younger females and those with non-neuropathic bladders reported more aversion, highlighting psychological needs for better quality of life.
Area of Science:
- Urology
- Patient Experience
- Psychological Health
Background:
- Clean intermittent catheterisation (CIC) is a common procedure for bladder management.
- Understanding patient experiences and attitudes is crucial for optimizing care.
- Previous studies have focused on technical aspects, with less emphasis on psychological impact.
Purpose of the Study:
- To investigate patient experiences and attitudes towards clean intermittent catheterisation (CIC) over one year.
- To identify factors associated with aversion and distress during CIC.
- To inform strategies for improving patient compliance and quality of life.
Main Methods:
- A one-year follow-up study involving 407 patients undergoing CIC.
- Data collection included patient self-reporting on CIC performance and experiences.
- Psychological distress was assessed using the General Health Questionnaire (GHQ-28).
Main Results:
- 90% of patients could perform CIC independently, with 70% reporting no issues.
- One-third of patients experienced CIC as aversive, showing higher GHQ-28 distress scores.
- Aversion was more prevalent in younger patients, females, and those with non-neuropathic bladders.
Conclusions:
- Patient aversion and distress are significant concerns in CIC, impacting quality of life.
- Psychological factors, particularly in specific demographics, play a key role in CIC acceptance.
- Addressing the emotional needs of CIC patients is vital for enhancing compliance and well-being.
Abstract:
A total of 407 patients participated in a one year follow up study concerning their personal experiences and attitudes towards clean intermittent catheterisation (CIC). Most patients (90%) were able to perform CIC themselves, approximately 70% having no problems with the procedure. However, one third of the patients experienced CIC as aversive with significantly higher distress scores on the general health questionnaire (GHQ-28). Aversion and distress were more often reported by younger patients and females, and by patients with non neuropathic bladders. The patients' physical disabilities and their length of previous CIC experiences did not seem to influence the feelings of aversion. These findings demonstrate the importance of considering the psychological implications of CIC, and the emotional needs of these patients in order to improve compliance and quality of life.