Perceived barriers and difficulties of intermittent catheterization: In Korean patients with spinal dysraphism and their parents

Lim, Seoung-Wha; Lee, Hahn-Ey; Davis, Monica M.; Park, Kwanjin

doi:10.1002/nau.22716

Cited by 18 publications

(13 citation statements)

References 13 publications

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“…Frequentemente, os pacientes encontram instalações inadequadas em banheiros públicos, desde estrutura física insipiente, até falta de higiene, falta de prateleiras para o preparo do material e pouca iluminação 3,23,33,34,38,39,42,43,50 .…”

Section: Descriptoresunclassified

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Dificuldades de pacientes e cuidadores na realização do cateterismo intermitente limpo: revisão de escopo

Orlandin

Nardi

Costa

et al. 2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo: Identificar as principais dificuldades relatadas pelos pacientes e cuidadores no uso do cateterismo intermitente limpo descritas na literatura científica. Métodos: Revisão de escopo com estudos publicados em português, inglês ou espanhol, sem limite de data, em base de dados eletrônicas e bibliotecas digitais, utilizando descritores e palavras-chave. Resultados: Foram identificados 790 estudos, sendo incluídos 34 estudos publicados entre 1984 e 2019. As principais dificuldades relatadas na realização do cateterismo intermitente limpo foram referentes a inserção do cateter, dor, desconforto, trauma uretral, banheiros públicos com instalações inadequadas, dificuldades físicas e falta de acesso aos insumos necessários. Conclusão: Os estudos analisados evidenciam as dificuldades que os pacientes usuários do cateterismo intermitente limpo e seus cuidadores enfrentam no dia a dia, que estão relacionadas à fatores intrínsecos e extrínsecos, institucionais e governamentais e podem diminuir a satisfação e a aderência aos programas de reabilitação vesical, com impacto na qualidade de vida dos pacientes e seus cuidadores. Portanto destaca-se a necessidade de educação em saúde para o adequado ensino da realização do cateterismo intermitente limpo, enfatizando a importância do papel do enfermeiro nesse processo.

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Section: Descriptoresunclassified

“…A ausência do cuidador foi citada como uma dificuldade para realização do CIL em alguns estudos desta busca, principalmente quando estão em ambientes fora de casa, como na escola ou no trabalho 34,43 .…”

Section: Descriptoresunclassified

Dificuldades de pacientes e cuidadores na realização do cateterismo intermitente limpo: revisão de escopo

Orlandin

Nardi

Costa

et al. 2020

ESTIMA, Braz. J. Enterostomal Ther.

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“…Studies have shown that it may have a negative impact on children's quality of life, raising some social and emotional issues in the children and their caregivers. 6,7 Sensate individuals might feel discomfort during catheterization, which may prevent adherence to the treatment. 8 Also, complications and adverse events are not rare.…”

Section: Introductionmentioning

confidence: 99%

“…Although CIC is considered technically easy and safe, there may be significant reluctance to initiate this procedure in the pediatric population. Studies have shown that it may have a negative impact on children's quality of life, raising some social and emotional issues in the children and their caregivers . Sensate individuals might feel discomfort during catheterization, which may prevent adherence to the treatment .…”

Section: Introductionmentioning

confidence: 99%

Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction

Alencar

Gomes

Miranda

et al. 2018

Neurourology and Urodynamics

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“…30 In addition to posing an obstacle to maintaining efficient work hours 31 , the temporal burden may even exacerbate difficulties with adherence to IC as previously reported in the SCI population. 32 Therefore, speed and efficiency of catheterization remains a high priority for individuals with SCI.…”

Section: Discussionmentioning

confidence: 99%

Time needed to perform intermittent catheterization in adults with spinal cord injury: A pilot randomized controlled cross-over study

Gopalakrishnan

Nielsen

Ramirez

et al. 2021

Preprint

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Background: Intermittent catheterization (IC), considered the gold standard for bladder management for individuals with spinal cord injury (SCI) with sufficient dexterity, is usually performed using hydrophilic (HPC) or non-hydrophilic (non-HPC) catheters. Currently, there is no evidence on the temporal burden associated with IC with either catheter. Objective: To compare both catheters regarding their time requirement for IC and participant satisfaction. Design, setting and participants: Twenty individuals with chronic (>1-year) SCI at any spinal segment were randomized to undergo two cross-over assessments within 10 days (i.e., either starting with HPC or non-HPC). We measured time taken to perform IC using a 13 step pre-determined IC protocol (e.g., enter bathroom, wash hands, transfer to toilet, etc.). Furthermore, we assessed user satisfaction of both catheters using a Likert scale (i.e., strongly agree=5, strongly disagree=1). Outcome measures and statistical analysis: Time (i.e., for each step and in total) to perform IC and participant satisfaction were compared between catheters using non-parametric statistics, i.e., Wilcoxon rank sign tests. Results are presented as median with interquartile range. Results and limitations: Participants using HPCs spent less time to prepare a catheter [15 s (10-20) vs. 41 (20-69), p=0.002] and overall to perform IC [283 s (242-352) vs. 373 (249-441), p=0.01] compared to non-HPCs. Moreover, participants rated the preparation of HPCs to be easier [5 (4-5) vs. 4 (2-4), p=0.047] compared to non-HPCs. The key limitation of this pilot study was the sample size. Conclusions: Preparation and usage of HPCs for IC is easier and faster compared to non-HPCs. IC can be a significant temporal burden for SCI individuals. Patient summary: We compared coated and uncoated catheters on time needed for intermittent catheterization and user satisfaction in individuals with spinal cord injury. Participants can manually empty their bladder quicker and easier with coated compared to uncoated catheters.

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Perceived barriers and difficulties of intermittent catheterization: In Korean patients with spinal dysraphism and their parents

Cited by 18 publications

References 13 publications

Dificuldades de pacientes e cuidadores na realização do cateterismo intermitente limpo: revisão de escopo

Dificuldades de pacientes e cuidadores na realização do cateterismo intermitente limpo: revisão de escopo

Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction

Time needed to perform intermittent catheterization in adults with spinal cord injury: A pilot randomized controlled cross-over study

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