Intermittent Self-catheterization in Older Adults: Predictors of Success for Technique Learning

Hentzen, Claire; Haddad, Rebecca; Ismaël, Samer Sheikh; Peyronnet, B.; Gamé, X.; Denys, Pierre; Robain, G.; Amarenco, G.

doi:10.5213/inj.1835008.504

Cited by 20 publications

(30 citation statements)

References 29 publications

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“…Obesity probably increases difficulties in positioning and access to the urinary meatus. This setting had already been found as a factor of failure in learning CISC on the preliminary study of the same cohort of aged patients, due to difficulties with abdominal apron to position correctly the catheter in female patients or secondary to buried penis in male patients.…”

Section: Discussionmentioning

confidence: 92%

“…Patients who acquired CISC at the end of the therapeutic education session were included in the study for adherence follow‐up. Modalities of CISC therapeutic education was previously described …”

Section: Methodsmentioning

confidence: 99%

“…A preliminary study in the Neuro‐urology department of a University Hospital has demonstrated that age as not a predicting factor of failure in learning self‐catheterization, despite widespread preconceived ideas to the contrary. Adherence to CISC in older adults is another challenge important to evaluate.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors of adherence to urinary self‐catheterization in older adults

Hentzen

Haddad

Ismaël

et al. 2019

Neurourology and Urodynamics

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Aims The primary aim is to explore the adherence predicting factors in clean intermittent self‐catheterization (CISC) in patients aged over 65 years. The secondary aim is to assess whether in this population, the non‐adherence risk is greater, compared with patients under 65. Methods All patients older than 65 that successfully learned CISC between January 2011 and January 2016 were included. A control population younger than 65 matched with sex, body mass index, and pathology was selected. Results One hundered and thirteen (66.9%) out of the 169 patients older than 65 included were adherent at 1 month, and 80 (47.3%) at 6‐12 months. Obesity (P = 0.027), a low PP test (Pencil and Paper test) score (P = 0.037), significant urinary stress incontinence (SUI) (P = 0.048), and prescription of CISC less than three per day (P = 0.03) were the risk factors predicting stopping CISC at 1 month, but none was associated with non‐adherence at 6‐12 months. Compared with the younger group, age was a risk factor for poor adherence at 1 month. Conclusion Obesity, low PP test score, and important SUI are factors of poor adherence to CISC at 1 month in older adults. Necessity of more than three CISC per day is in favor of treatment continuation, possibly due to absence of spontaneous voiding in these patients. Long‐term adherence to CISC in older adults in this study remains close to adherence to other treatments prescribed in urinary disorders, and thus shows that CISC could be an easily purposed therapeutic option in this population, either on a long‐term or transitory basis.

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Predictive factors of adherence to urinary self‐catheterization in older adults

Hentzen

Haddad

Ismaël

et al. 2019

Neurourology and Urodynamics

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“…Some studies have been conducted to explore factors limiting CISC, whether difficulties in learning or in continued use. These studies found that obesity, being female, or having a motor or cognitive disorders have a negative impact on the ability to learn CISC, and older age, important stress urinary incontinence, and dependency for CISC installation were predictive for a poorer adherence to the method …”

Section: Introductionmentioning

confidence: 99%

What criteria affect a patient's choice of catheter for self‐catheterization?

Hentzen

Turmel

Chesnel

et al. 2019

Neurourology and Urodynamics

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Aim:The aim was to determine which criteria are most influential in guiding the patient's choice of catheter during clean intermittent self-catheterization (CISC) education.Methods: A questionnaire exploring five traits (catheter design, catheter length, the comfort of use, nurse's explanations, and how easy it was to carry and dispose of the catheter) was administered to all patients who succeeded in performing CISC. The patients had to report the criterion that most influenced their choice, and rate the importance of each criterion from 1 to 4 on a Likert scale (strongly disagree, somewhat disagree, somewhat agree, strongly agree). The study assessed the impact that age, sex, etiology, dependency, motor or sensory upper limb deficiency, and position required to perform CISC may have had on the importance of the different criteria. Results: Seventy-three patients were included (mean age, 50.9 ± 14.3 years).The most important criterion was the nurse's explanations (44%), followed by comfort of handling (32%), the discreet aspect of carrying the catheter (15%), and catheter length (7%). The esthetic aspect was not important for 34% of patients, whereas all the other criteria were important for at least 82% of patients. The comfort of handling was more often a priority for those with motor or sensory upper limb disorders (P < .01). The other characteristics of the patients did not impact the way they prioritized the criteria. Conclusion: These results highlight the importance of extensive training for nurses involved in CISC education, as their explanations have the greatest impact on the patient's choice of the catheter. K E Y W O R D S intermittent urethral catheterization, patient education as topic, patient preference, neurogenic, nurses, teaching, urinary bladder, urinary retention

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“…We found 23 articles, of which 10 had data extracted [93][94][95][96][97][98][99][100][101][102]. Thirteen additional articles provided information pertinent to management of voiding dysfunction during this pandemic [103][104][105][106][107][108][109][110][111][112][113][114][115]. Based on review of the literature (23 articles) and expert consensus:…”

Section: Voiding Dysfunction and Retentionmentioning

confidence: 99%

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

et al. 2020

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Introduction and hypothesis The COVID-19 pandemic and the desire to "flatten the curve" of transmission have significantly affected the way providers care for patients. Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) must provide high quality of care through remote access such as telemedicine. No clear guidelines exist on the use of telemedicine in FPMRS. Using expedited literature review methodology, we provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic. Methods We grouped FPMRS conditions into those in which virtual management differs from direct in-person visits and conditions in which treatment would emphasize behavioral and conservative counseling but not deviate from current management paradigms. We conducted expedited literature review on four topics (telemedicine in FPMRS, pessary management, urinary tract infections, urinary retention) and addressed four other topics (urinary incontinence, prolapse, fecal incontinence, defecatory dysfunction) based on existing systematic reviews and guidelines. We further compiled expert consensus regarding management of FPMRS patients in the virtual setting, scenarios when in-person visits are necessary, symptoms that should alert providers, and specific considerations for FPMRS patients with suspected or confirmed COVID-19. Results Behavioral, medical, and conservative management will be valuable as first-line virtual treatments. Certain situations will require different treatments in the virtual setting while others will require an in-person visit despite the risks of COVID-19 transmission.Conclusions We have presented guidance for treating FPMRS conditions via telemedicine based on rapid literature review and expert consensus and presented it in a format that can be actively referenced.

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Intermittent Self-catheterization in Older Adults: Predictors of Success for Technique Learning

Cited by 20 publications

References 29 publications

Predictive factors of adherence to urinary self‐catheterization in older adults

Predictive factors of adherence to urinary self‐catheterization in older adults

What criteria affect a patient's choice of catheter for self‐catheterization?

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

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