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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.
Paraplegia
|May 1, 1993
Summary
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.