Adherence to clean intermittent self‐catheterization procedures: determinants explored

Achterberg, Theo van; Holleman, Gerda; Cobussen-Boekhorst, Hanny; Arts, Rita; Heesakkers, John

doi:10.1111/j.1365-2702.2006.01893.x

Cited by 65 publications

(75 citation statements)

References 18 publications

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“…There are few studies aiming to determine the CISC adherence rate and the variables related to it. Van Achterberg et al (10) performed a study with 20 patients to determine the important factors in patient's long-term adherence. They were not able to find a significant variable to correlate with patient's adherence and concluded that it would be important to perform a more specific study to evaluate the adherence rate to CISC.…”

Section: Discussionmentioning

confidence: 99%

“…The bladder diary was also used to evaluate adherence to procedure. Patients were considered adherent to the program if they were performing at least 80% of the initial recommendation (10,12,13). The adherence rate was evaluated by patient´s report in the 3 days bladder dairy.…”

Section: Methodsmentioning

confidence: 99%

“…Age, gender, urethral sensitivity, pain, general health status, mobility and specialized training have been suggested to be predictive of patient's adherence (9). However, there is a lack of studies that clearly demonstrate which of those variables play a role on patient's adherence (10). In the present study, we sought to determine which variables are involved in the patient's acceptance and adherence to a CISC program.…”

Section: Introductionmentioning

confidence: 99%

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Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study

et al. 2011

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Purpose: To determine adherence rate and variables associate with patients' adherence to Clean Intermittent Self Catheterization (CISC). Materials and Methods: Patients refereed to CISC training program between July 2006 and May 2008, were prospectively evaluated with urodynamic, 3 days bladder diary (BD) and WHOQoL-bref questionnaire. After training to perform CISC, patients were evaluated at 2 weeks, monthly for 6 months and at 12 months with clinical visits and BD. Patients were considered adherent if they were performing at least 80% of the initial recommendation. Results: Sixty patients (50.4 ± 19.9 years old) were trained to perform CISC (21 female and 39 male). Out of them, 30 (50%) had neurogenic and 30 (50%) had a non-neurogenic voiding dysfunction. The adherence rate at 6 and 12 months was 61.7%, 58%, respectively. Patients < 40 years old had adherence rate of 86%. Women and neurogenic patients had higher adherence rate than their counterparts (p = 0.024 and p = 0.016, respectively). In the WHOQoL-bref, patients that adhere to the program had a significant higher score on psychological and social relationships domains. There was not difference in pre and post training WHOQoL-bref scores. Educational background, marriage status, detrusor leak point pressure, Bladder Capacity, number of leakage episodes did not play a role on the adherence rate. Conclusion: Patients in CISC program present a reasonable adherence after one year. Women, neurogenic voiding dysfunction and patients under 40 years old were significantly more adherents. The psychological and social relationship status seems to positively interfere on adherence. CISC did not affect patient's QoL evaluated by WHOQoL-bref.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study

et al. 2011

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“…In older patients, physical and mental impairments can preclude the use of CIC, leaving suprapubic catheterization as the only treatment option. 7 Latissimus dorsi detrusor myoplasty was intended for a distinct group of patients suffering from an acontractile bladder and treatment-related adverse effects. 8 Certainly, any surgical procedure restoring lower urinary tract function must prove its uro dynamic safety over the long term.…”

Section: Georgios Gakis Milomir Ninkovic and Arnulf Stenzlmentioning

confidence: 99%

Bladder hypocontractility—extending the indication for LDDM

Gakis¹,

Ninković

Stenzl³

2012

Nat Rev Urol

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“…Good adherence to intermittent catheterization is important to realize the benefits. A nontraumatizing catheterization technique with adequate frequency and complete emptying should be strictly adhered to in order to reduce the likelihood of complications [1,2] .Studies have shown that initial adherence to catheterization can be influenced by factors including the perception of increased sickness on starting catheterization whereas long-term adherence can be influenced by factors such as the time needed to perform catheterization, fear of damaging the urinary tract, and the patient's image of self and self-efficacy [3,4] . The user's need for privacy and discretion to avoid embarrassment [4,5] can be supported by catheterization equipment that is less visu-…”

mentioning

confidence: 99%

Safety of a New Compact Male Intermittent Catheter: Randomized, Cross-Over, Single-Blind Study in Healthy Male Volunteers

Bagi

Hannibalsen²,

Permild³

et al. 2011

Urol Int

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Introduction: A new compact male intermittent catheter was compared with a regular intermittent male catheter in terms of safety and acceptability. Methods: In this randomized, single-blind, cross-over study, healthy male volunteers were catheterized twice with a compact catheter and twice with a regular catheter. Results: 28 participants were enrolled. Mean ± SD discomfort (visual analogue scale; primary objective) was 2.25 ± 1.5 and 2.52 ± 1.8 for the compact and regular catheters, respectively (difference –0.27; 95% confidence interval –0.73 to 0.19); there was no significant difference in hematuria (p = 0.54) or discomfort/stinging/pain at first micturition (p = 0.56). During insertion, handling was easier (p = 0.0001) and touching the coating was necessary less often (2.2 vs. 81.3% of catheterizations; p < 0.0001) with the compact catheter; it was preferred by nurses for 20 of 23 participants. No adverse events were reported. Conclusions: Short-term safety of the new compact catheter was at least as good as that of the regular male intermittent catheter and handling was improved.

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Adherence to clean intermittent self‐catheterization procedures: determinants explored

Cited by 65 publications

References 18 publications

Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study

Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study

Bladder hypocontractility—extending the indication for LDDM

Safety of a New Compact Male Intermittent Catheter: Randomized, Cross-Over, Single-Blind Study in Healthy Male Volunteers

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