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Teaching the procedure of clean intermittent catheterisation
S Parmar1, S Baltej, S Vaidyanathan
1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Paraplegia
|May 1, 1993
Summary
Individualized teaching significantly improves clean intermittent catheterisation (CIC) skills for spinal cord injury patients. Even illiterate caregivers can achieve satisfactory performance with tailored instruction and positive feedback.
Area of Science:
- Rehabilitation Medicine
- Nursing Care
- Urology
Background:
- Clean intermittent catheterisation (CIC) is crucial for managing spinal cord injury (SCI) patients.
- Caregiver proficiency is essential for effective CIC, yet training methods require optimization.
Purpose of the Study:
- To evaluate the effectiveness of individualized teaching sessions and positive feedback in improving caregiver performance of CIC for SCI patients.
- To assess factors influencing caregiver performance, including literacy, demographics, and socioeconomic status.
Main Methods:
- Forty caregivers of SCI patients were assessed on their CIC procedure performance.
- Individualized teaching sessions with positive feedback were provided.
- Performance was evaluated across three assessments.
Main Results:
- Mean scores significantly improved from 2 (Assessment 1) to 25 (Assessment 2) and 32 (Assessment 3) after teaching sessions (p < 0.01).
- Caregiver literacy status significantly impacted performance; graduates/postgraduates scored higher than illiterate caregivers.
- Demographics like age, sex, and relationship to patient did not influence performance.
Conclusions:
- Individualized teaching and positive feedback are effective in training caregivers for CIC, even those with limited literacy.
- This approach is particularly relevant for developing nations where low literacy rates are common.
- Optimized caregiver training can enhance patient outcomes in SCI management.