Difficulties of patients and caregivers in performing clean intermittent catheterization: scoping review

Orlandin, Leonardo; Nardi, Aguinaldo Cesar; Costa, Raphael Raniere de Oliveira; Mazzo, Alessandra

doi:10.30886/estima.v18.907_in

Cited by 8 publications

(8 citation statements)

References 68 publications

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“…According to the literature, urethral trauma, pain, hematuria and urethral stricture are closely related to each other, and urethral trauma can damage the mucosa and cause hematuria, pain, urinary tract infections, and narrowing in the urethral stricture in the long term [ 1 , 6 , 30 , 31 ]. The use of a hydrophilic catheter and lubricating gel is effective in preventing and reducing these complications, as well as performing CIC correctly and safely [ 1 , 32 ]. Failure to perform catheterization in accordance with the principles of asepsis results in excessive fluid intake, insufficient catheterization, or an inability to completely empty the urine from the bladder, and the increase in the residual urine volume in the bladder increases the risk of urinary tract infections [ 2 , 6 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Video-Assisted Clean Intermittent Catheterization Training on Patients’ Practical Skills and Self-Confidence

Çulha

Acaroğlu

2022

Int Neurourol J

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Purpose: This research was carried out in order to examine the effect of clean intermittent catheterization (CIC) training with a video developed by the researchers on patients’ ability to practice CIC and self-confidence.Methods: The population of the study consisted of patients who had just started performing CIC in the urology polyclinic of a city hospital in Istanbul. The sample consisted of a total of 80 patients, 40 of whom were in the experimental group and 40 in the control group. The experimental group patients were given CIC training with a training video that was downloaded to the mobile phone of the patient, a family member, or caregiver. The patients’ practice skills were evaluated by 2 independent observers. The DISCERN Inquiry Form and the Global Quality Score, the Patient Information Form, the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were used to collect data.Results: In the experimental group, consisting of patients who received video-assisted training, the mean scores for the CIC Skill Checklist and the Self-Confidence Scale in Clean Intermittent Self-Catheterization were statistically significantly higher than in the control group (P<0.001), the experience of feeling pain during catheterization was less than in the control group, and the patients in the experimental group experienced statistically significantly fewer complications such as urinary tract infections, urgency, urinary incontinence, hematuria and urethral stricture (P<0.05).Conclusions: Video-assisted CIC training had a positive effect on patients’ practical skills and self-confidence.

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Section: Discussionmentioning

confidence: 99%

The Effect of Video-Assisted Clean Intermittent Catheterization Training on Patients’ Practical Skills and Self-Confidence

Çulha

Acaroğlu

2022

Int Neurourol J

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“…It is usually related to urethra trauma and bleeding, also known as complications. 26 These difficulties in the process cause distress and negatively impact the quality of a patient’s life. Pain is a sensory and unpleasant emotional experience and, generally, is a limiting factor of activities, whatever their type.…”

Section: Discussionmentioning

confidence: 99%

Translation and Validation of the Intermittent Catheterization Difficulty Questionnaire (ICDQ) into Greek

Zachariou¹,

Zachariou²,

Kaltsas³

et al. 2022

JMDH

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Clean intermittent self-catheterization (CISC) is a safe and effective alternative to managing incomplete bladder emptying in patients afflicted with neurogenic bladder conditions. The Intermittent Catheterisation Difficulty Questionnaire (ICDQ) is a validated questionnaire concerning the assessment of catheter use and patient difficulties during CISC. The present study aimed to translate and validate the ICDQ into the Greek language. A subsequent outcome was to substantiate the requirement of both urologist consultation with patients undergoing CISC and the detailed evaluation of various therapeutic options with the consultation of other specialist physicians. Material and Methods:The study was undertaken between March 2022 and July 2022 and involved patients in an outpatient department of a Rehabilitation Centre. Sixty-two neurologic patients suffering from spinal cord injury (SCI), multiple sclerosis (MS), cauda equina (CE), and myelitis represented a convenience sample. To calculate test-retest reliability, patients filled out two consecutive questionnaires; an initial one and a second after one week. The socio and demographic circumstances of all participants were evaluated. Results: The mean ICDQ total score at the test and retest was 5.96±1.28 (mean total score ± standard deviation) and 5.91±1.29, respectively. Evaluation of the data concerning alterations between men and women did not reveal statistically significant differences. Cronbach's alpha coefficient was 0.94, which proves the inter-correlation between the different topics. An ICC of 0.97 indicated very high intra-rater reliability. Conclusion: ICDQ, a valid and reliable self-administered screening tool for CISC difficulties faced by patients using this procedure regularly, was successfully translated and validated into Greek. A more detailed evaluation and understanding of these difficulties would enhance the quality of CISC and allow for more suitable treatment and the selection of catheter types used. These improved treatment strategies are possible as repeated use and constant comparison of ICDQ scores determine treatment impact, facilitating treatment regimen modification, should it be required.

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“…Characterized by pain and bleeding, urethral trauma occurs due to the friction of a poorly lubricated catheter to the urethral mucosa. Additionally, it may result in the infection with bacteria responsible for the development of UTI (Orlandin et al, 2020). If the patients develop symptoms of systemic infection accompanied by dysuria or hematuria, a urine sample is required for culture and sensitivity, then the appropriate antibiotics are provided (Woodward et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Self-confidence Levels of Individuals performing Clean Intermittent Catheterization and the Affecting Factors

Ateş¹,

Cura²,

Aras³

2022

nhs

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This study aimed to determine the self-confidence levels of individuals with spinal cord injury, who performed clean intermittent catheterization (CIC), and the factors affecting their self-confidence. Descriptive cross-sectional study. The study was conducted on 107 individuals with spinal cord injury. The mean age was 39.26±13.46 years. Data were collected via Google Survey between March and September 2021. The mean Self-confidence Scale for Clean Intermittent Self-Catheterization (SCSCISC) score was 4.14±0.81, indicating relatively high levels of self-confidence. However, the participants obtained moderate scores from the items “what to do when there is blood in the urine” and “what to do when there is no urine”, which were 3.02±1.5 and 3.01±1.5, respectively. The SCSCISC scores were significantly higher for the participants, who were male, had a job, did not use medication for bladder problems and were functionally semi-independent or independent. General level of self-confidence was high but the participants did not know what to do when there was blood in the urine or when there was no urine. Self-confidence levels were influenced by age, gender, working status, functional independence and medication use for bladder problems.

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Difficulties of patients and caregivers in performing clean intermittent catheterization: scoping review

Cited by 8 publications

References 68 publications

The Effect of Video-Assisted Clean Intermittent Catheterization Training on Patients’ Practical Skills and Self-Confidence

The Effect of Video-Assisted Clean Intermittent Catheterization Training on Patients’ Practical Skills and Self-Confidence

Translation and Validation of the Intermittent Catheterization Difficulty Questionnaire (ICDQ) into Greek

Self-confidence Levels of Individuals performing Clean Intermittent Catheterization and the Affecting Factors

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