Supporting better adherence among patients engaged in intermittent self-catherisation

Abstract

Coloplast has conducted a qualitative study among health professionals working in the field of continence care. Interviews with health professionals working in urology and rehabilitation provided insights into the barriers to, and supporters of, adherent behaviour—suggesting ways in which health professionals can work with patients performing intermittent self-catheterisation (ISC) to support better adherence. This includes individualised training that addresses individual fears, ensures correct understanding of the body and the treatment, and eliminates misconceptions. They can also help patients set realistic ambitions, and give them practical advice that will help them adapt ISC to their daily life. Patients need to know how to handle urinary tract infections, how to cope with contradictory instructions from other sources, and how to identify support resources and accurate information. Specific challenges relating to support for urology patients and rehabilitation patients were also highlighted.

Prospective multicentre observational study assessing the tolerance and perception of patients using the Liquick Base catheter with an Ergothan tip

“…Adherence depends on many factors, in particular, sex, age, whether urinary incontinence is associated or not, learning methods, whether a neurogenic pathology or handicap exists or not, etc. and it depends on the ease of use of the catheter [23]. The excellent level of adherence in this study therefore confirms patient perception regarding the use of this equipment.…”

Patient Support Program and Healthcare Resource Utilization in Patients Using Clean Intermittent Catheterization for Bladder Management

“… 6 – 8 A qualitative study that conducted interviews with healthcare professionals in the continence care field identified the means of supporting patients with adherence to a CIC regimen. 9 Recommended approaches to improving CIC adherence included education that directly addresses individual anxieties, ensures correct understanding of the body and effect of regular CIC, and eliminates misconceptions about CIC. 9 Effective education and training related to CIC is important as the complex medical conditions (such as SCI, multiple sclerosis, or spina bifida), leading to neurogenic lower urinary tract dysfunction and CIC prescription, create challenges as patients attempt to adhere to the CIC-related management recommendations by their healthcare providers.…”

Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

“…There was also a loss of 20 subjects as a result of the COVID-19 pandemic. However, despite these limitations, our study recruited more subjects than most published papers, the majority of which are qualitative in nature [12][13][14][15][16]. Another limitation observed is that the net effect of training on adherence cannot be determined, because although the training is based on protocols, it is individualized and adapted to the situation of each patient.…”

“…On the other hand, the relationship between IBC and improved quality of life, as well as its emotional impact, has been little studied [11,12], as most studies are qualitative in nature [12][13][14][15][16] and have small sample sizes.…”