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Quallich S, Lajiness M, Engberg S, Gray M. A Scoping Literature Review on Patient Education in Intermittent Catheterization. J Wound Ostomy Continence Nurs 2023; 50:497-503. [PMID: 37966079 DOI: 10.1097/won.0000000000001026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
PURPOSE To summarize evidence related to (1) research studies examining patient/caregiver educational interventions related to intermittent self/caregiver catheterization (ISC), (2) studies examining issues related to teaching ISC, and (3) evidence-based clinical practice guidelines addressing ISC. PROBLEM Avoiding lower urinary tract trauma during catheter insertion, adequate frequency of catheterization, and complete emptying of the bladder are essential to prevent and reduce complications associated with ISC. Consequently, proper patient/caregiver education is essential to achieving good outcomes. METHODS Scoping review of literature. SEARCH STRATEGY We searched PubMed, EMBASE, and CINAHL databases, and the reference lists of background and included studies for quantitative and qualitative research studies and professional and healthcare organization-generated evidence-based clinical practice guidelines published between 2005 and September 2021. Eleven studies and 2 clinical practice guidelines met our eligibility criteria and are included in the review. FINDINGS Research conducted in the United States examining the effectiveness of educational interventions for patients needing ongoing ISC is extremely limited. The single study identified was a small pilot feasibility study. Eight studies examining issues potentially related to patient/caregiver ISC education were identified, suggesting that catheter characteristics, patient barriers, and complications, particularly urinary tract infections, adherence, and upper extremity function, are important considerations when developing education interventions. The small number of studies and limitations in the methodologies limit the current evidence base to support patient/caregiver education about ISC. We also identified 2 evidence-based guidelines generated by European professional organizations that included recommendations related to ISC education. CONCLUSIONS Additional research is needed to support the development of patient/caregiver educational interventions and to examine their effectiveness.
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Affiliation(s)
- Susanne Quallich
- Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAUNA, FAANP, Division of Andrology, General and Community Health, Department of Urology, Michigan Medicine, University of Michigan Health, Ann Arbor, Michigan
- Michelle Lajiness, DNP, FNP-BC, FAUNA, Division of Nursing, Mercy College of Ohio, Toledo, Ohio
- Sandra Engberg, PhD, RN, CRNP, FAAN, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Mikel Gray, PhD, FNP, PNP, CUNP, CCCN-AP, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville, Virginia
| | - Michelle Lajiness
- Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAUNA, FAANP, Division of Andrology, General and Community Health, Department of Urology, Michigan Medicine, University of Michigan Health, Ann Arbor, Michigan
- Michelle Lajiness, DNP, FNP-BC, FAUNA, Division of Nursing, Mercy College of Ohio, Toledo, Ohio
- Sandra Engberg, PhD, RN, CRNP, FAAN, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Mikel Gray, PhD, FNP, PNP, CUNP, CCCN-AP, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville, Virginia
| | - Sandra Engberg
- Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAUNA, FAANP, Division of Andrology, General and Community Health, Department of Urology, Michigan Medicine, University of Michigan Health, Ann Arbor, Michigan
- Michelle Lajiness, DNP, FNP-BC, FAUNA, Division of Nursing, Mercy College of Ohio, Toledo, Ohio
- Sandra Engberg, PhD, RN, CRNP, FAAN, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Mikel Gray, PhD, FNP, PNP, CUNP, CCCN-AP, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville, Virginia
| | - Mikel Gray
- Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAUNA, FAANP, Division of Andrology, General and Community Health, Department of Urology, Michigan Medicine, University of Michigan Health, Ann Arbor, Michigan
- Michelle Lajiness, DNP, FNP-BC, FAUNA, Division of Nursing, Mercy College of Ohio, Toledo, Ohio
- Sandra Engberg, PhD, RN, CRNP, FAAN, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Mikel Gray, PhD, FNP, PNP, CUNP, CCCN-AP, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville, Virginia
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Dawson AE, Ray Bignall ON, Spencer JD, McLeod DJ. A Call to Comprehensively Understand Our Patients to Provide Equitable Pediatric Urological Care. Urology 2023; 179:126-135. [PMID: 37393019 DOI: 10.1016/j.urology.2023.05.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 05/02/2023] [Accepted: 05/16/2023] [Indexed: 07/03/2023]
Affiliation(s)
- Anne E Dawson
- Division of Psychology and Neuropsychology, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio; The Kidney and Urinary Tract Center, Nationwide Children's Hospital, Columbus, Ohio
| | - O N Ray Bignall
- The Kidney and Urinary Tract Center, Nationwide Children's Hospital, Columbus, Ohio; Division of Nephrology and Hypertension, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio
| | - John David Spencer
- The Kidney and Urinary Tract Center, Nationwide Children's Hospital, Columbus, Ohio; Division of Nephrology and Hypertension, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio
| | - Daryl J McLeod
- The Kidney and Urinary Tract Center, Nationwide Children's Hospital, Columbus, Ohio; Department of Urology, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio.
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Bauer SB, Saunders RA, Masoom SN, Choung K, Hayes LC, Price DE, Keays M, Sable PE, Shimmel A. The art of introducing clean intermittent catheterization: How families respond and adapt: A qualitative study. Neurourol Urodyn 2023; 42:309-321. [PMID: 36352775 DOI: 10.1002/nau.25085] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 09/12/2022] [Accepted: 09/22/2022] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Since its inception >50 years ago, clean intermittent catheterization (CIC) has become ubiquitous in managing lower urinary tract dysfunction in children. Emphasis has been on its impact on daily life, but little on its implementation and adjustment in families. The aim of the current study was to discover how families learned to implement and manage their child's CIC needs by interviewing caregivers, adolescents, and young adults about their experiences. Interviews were designed to uncover facilitators and barriers to beginning CIC to initiate potential improvements in a multidisciplinary approach. METHODS A semi-structured interview guide was developed and piloted initially to 12 families for validation. Between August 2018 and October 2019, 40 families (52 interviews of caregivers and patients >12 years) were then interviewed with open-ended questions interspersed with more specific ones to generate discussion. Transcripts were coded using Dedoose software to create a base list with emergent codes. Inductive and deductive methods were employed to generate themes. Consensus was reached during successive team meetings. RESULTS Five major and several subthemes emerged regarding implementation of CIC by caregivers and patients learning CIC for the first time. THEME 1: Parental reaction to CIC: Caregivers described benefits of an adjustment period on learning their child's need for CIC. Prenatal information to caregivers of spina bifida children gave them time to mentally process the need for CIC. THEME 2: Ease of learning CIC: impact of age and gender: caregivers identified advantages of initiating CIC in infancy. Caregivers speculated CIC was physically easier in boys than girls due to meatus location. Developmentally ready children expressed a desire for independence and privacy as they learned to initiate CIC. THEME 3: The impact of additional caregiver support in learning and performing CIC: presence of multiple caregivers optimized learning and implementation of CIC. Having secondary caregivers available provided peace of mind and more flexibility in maintaining reliable CIC care. Patients learning CIC found it helpful to have a parent present at the teaching session. Occasionally, female caregivers reported feelings of anger and frustration when male caregivers were reluctant to be involved in catheterization, irrespective of their child's gender. THEME 4: Satisfaction with healthcare team's approach: The healthcare team's responsiveness to their learning needs affected how they mastered CIC. The healthcare team's teaching and reassurance helped build caregiver confidence. Developmentally appropriate children were able to learn self-catheterization when supported by the healthcare team. Patients learning self-CIC articulated having a supportive healthcare team was helpful with implementation. THEME 5: Effect of CIC on employment status relative to job changes, insurance, and daycare: implementing and performing CIC presented a spectrum of issues related to employment. Educating employers regarding CIC facilitated a caregiver's ability to both remain at work and administer to their child. Caregivers underscored the importance of adequate insurance when considering employment choices. Concerns about daycare availability affected caregivers' work schedules. CONCLUSIONS It is anticipated this information will aid healthcare personnel to more effectively teach and initiate CIC in families, and in individuals learning for the first time. The findings should serve as the basis for conducting future patient satisfaction studies, which would determine the effectiveness and reproducibility of these approaches.
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Affiliation(s)
- Stuart B Bauer
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Rachel A Saunders
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Saafia N Masoom
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Kennary Choung
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Lillian C Hayes
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Diane E Price
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Mélise Keays
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Paige E Sable
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Ashley Shimmel
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, USA
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El-Sayed AAM, Ibrahim MIA, Shabaka S, Ghobashy MM, Shreadah MA, Abdel Ghani SA. Microplastics contamination in commercial fish from Alexandria City, the Mediterranean Coast of Egypt. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2022; 313:120044. [PMID: 36064058 DOI: 10.1016/j.envpol.2022.120044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 08/21/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
Plastic waste is a major threat to various marine ecosystems. Due to being semi-enclosed basin with dense population, the Mediterranean Sea has been considered as a hot spot for plastic pollution. Alexandria was listed as one of the major cities contributing to plastic waste in the eastern Mediterranean basin. Accordingly, microplastics (MPs) abundance and composition were investigated in the digestive tracts of commercial fish species from two major fishing areas in Alexandria; Abu-Qir Bay and Eastern Harbor, which are affected by plastic pollution. The incidence and average densities of MPs were 91.8 ± 8.4% and 11.7 ± 9.5 items fish-1, similar to highly polluted regions in the southeastern Mediterranean Sea. The average MPs concentration was significantly higher in Sparus aurata (38.3 ± 28.4 items fish-1) than all species, except for Siganus rivulatus and Boops boops. Polyethylene and poly ethylene-vinyl acetate were the dominant polymers in the fish digestive tracts. Four types of plastic polymers were recorded in Siganus rivulatus and five in Parupeneus macronemus. The dominance of glossy fragments (sizes <500 μm) in Abu-Qir Bay indicated land-based source of pollution from domestic, agricultural, and industrial wastes. The dominance of larger plastic filaments and colored fragments in the Eastern Harbor suggested secondary MPs, originating from the fragmentation of larger plastic items of sea-based sources, such as fishing and recreational activities.
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Affiliation(s)
| | - Mohamed I A Ibrahim
- National Institute of Oceanography and Fisheries, NIOF, Egypt; Hiroshima Synchrotron Radiation Center, HiSOR, Hiroshima University, 2-313 Kagamiyama, Higashi-Hiroshima 739-0046, Japan.
| | - Soha Shabaka
- National Institute of Oceanography and Fisheries, NIOF, Egypt.
| | - Mohamed M Ghobashy
- Radiation Research of Polymer Department, National Center for Radiation Research and Technology (NCRRT), Egyptian Atomic Energy Authority, P.O. Box. 8029, Egypt.
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Greghi EDFM, Azevedo GR, Rodrigues CIS. ANÁLISE DA SATISFAÇÃO DO PACIENTE COM O CATETERISMO VESICAL INTERMITENTE LIMPO. ESTIMA 2022. [DOI: 10.30886/estima.v20.1220_pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objetivos:Comparar e avaliar os atributos de dois cateteres vesicais para pessoa em tratamento com resíduo pós-miccional, no cateterismo intermitente limpo (CIL). Método: Estudo quantitativo, observacional e descritivo desenvolvido em ambulatório de referência para 48 municípios, entre setembro e novembro de 2020. Participaram 50 pacientes com resíduo pós-miccional que realizam CIL, com 44,8 anos de idade média, sendo 72% homens. Foram comparados dois cateteres lubrificados, de diferentes tecnologias, ambos com bolsa acoplada, por sete dias, na frequência de seis cateterismos diários, utilizando instrumento validado de percepção da satisfação do cliente. Os dados foram analisados por meio do software Statistical Package for the Social Sciences (SPSS) Statistics 23.0, e para comparação dos cateteres foi usado o teste não paramétrico de Wilcoxon. Resultados: O cateter de policloreto de vinila (PVC) pré-lubrificado com glicerol alcançou maior satisfação entre os participantes nos atributos avaliados (90% versus 86%) em relação ao cateter hidrofílico de poliuretano (PVP) pré-lubrificado, embora sem significância estatística nos escores parciais e totais do instrumento utilizado. Conclusão: O estudo possibilitou comparar os dois cateteres, e a avaliação do escore geral para ambos foi positiva. Algumas avaliações negativas para determinados atributos são passíveis de melhorias, além de ser esse modelo de estudo capaz de discriminar os cateteres, podendo ser reproduzido.
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[An initial lack of knowledge of the perineal anatomy does not influence the learning of intermittent self-catheterization in women]. Prog Urol 2022; 32:744-750. [PMID: 35715253 DOI: 10.1016/j.purol.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/16/2022] [Accepted: 04/07/2022] [Indexed: 11/21/2022]
Abstract
AIM To evaluate the impact of female perineal anatomy knowledge on the success of a first learning of intermittent self-catheterization (ISC). METHODS Thirty subjects benefited from educational diagnosis, training and follow-up during 2 visits in a neuro-urology department. Three knowledge anatomical tests were carried out: a freehand drawing, then a diagram to be annotated and a self-location of the following 6 structures (labia majora, labia minora, clitoris, urethral meatus, vaginal orifice, anus) as well as a physiological knowledge test. A correction was made after annotating the diagram to perfect the learning process before performing the procedure. RESULTS Of the women studied, 83.3% had a neurological pathology and 77.7% had a gyneco-obstetrical history. Half of them had undergone perineal rehabilitation. Our study shows a lack of knowledge of the perineum prior to learning self-catheterization: 43.3% thought they knew it partially and 46.7% reported that they did not know it. Fifty-three percent of the subjects did not indicate the urethral meatus and 43.3% did not annotate the vaginal orifice on the diagram. Difficulties in anatomical transposition were observed: the urethral meatus was self-located in only 43.3% of subjects and 30% did not locate the vaginal orifice. Previous perineal rehabilitation was not benefical in the self-recognition of anatomical structures. However, all the patients, including those who did not initially locate the urethral meatus, acquired the technique of ISC. CONCLUSION Intial perineal anatomy ignorance in women was frequent but was not an obstacle to learning ISC. LEVEL OF PROOF 4.
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Preoperative occupational therapy in children with neurogenic bladder: improving independence with bladder management and self-catheterization. CURRENT BLADDER DYSFUNCTION REPORTS 2022. [DOI: 10.1007/s11884-021-00643-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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8
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Sayed AEDH, Hamed M, Badrey AEA, Ismail RF, Osman YAA, Osman AGM, Soliman HAM. Microplastic distribution, abundance, and composition in the sediments, water, and fishes of the Red and Mediterranean seas, Egypt. MARINE POLLUTION BULLETIN 2021; 173:112966. [PMID: 34563956 DOI: 10.1016/j.marpolbul.2021.112966] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 09/08/2021] [Accepted: 09/13/2021] [Indexed: 02/07/2023]
Abstract
This study records the extent of microplastics (MPs) in the surface water, sediments, and fishes of the Mediterranean and Red seas in Egypt. In sediment and water samples, the Ras Gharib station in the Red sea and Damietta and Port Said stations in the Mediterranean sea exhibited the highest microplastic abundance, while the lowest concentration was found in the Ain Sukhna station in the Red Sea and Marsa Matruh station in the Mediterranean sea. Rayon and polyethylene terephthalate were the most frequently found polymers in fishes. The results highlighted the abundant existence of microplastics in sediments, water, and fishes of the Mediterranean and Red seas, thereby improving our understanding of the environmental risks posed by microplastics to fisheries and marine ecosystems and the need for measures to diminish the flux of plastics to the marine settings.
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Affiliation(s)
- Alaa El-Din H Sayed
- Zoology Department, Faculty of Science, Assiut University, 71516 Assiut, Egypt.
| | - Mohamed Hamed
- Department of Zoology, Faculty of Science, Al Azhar University (Assiut Branch), 71524 Assiut, Egypt
| | - Ahmed E A Badrey
- Department of Zoology, Faculty of Science, Al Azhar University (Assiut Branch), 71524 Assiut, Egypt
| | | | | | - Alaa G M Osman
- Department of Zoology, Faculty of Science, Al Azhar University (Assiut Branch), 71524 Assiut, Egypt
| | - Hamdy A M Soliman
- Department of Zoology, Faculty of Science, Sohag University, 8562 Sohag, Egypt
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Leroux C, Turmel N, Chesnel C, Grasland M, Le Breton F, Amarenco G, Hentzen C. Determinants and impact of the time to perform clean intermittent self-catheterization on patient adherence and quality of life: A prospective observational study. Neurourol Urodyn 2021; 40:1027-1034. [PMID: 33769589 DOI: 10.1002/nau.24662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 02/24/2021] [Accepted: 03/10/2021] [Indexed: 11/08/2022]
Abstract
AIMS To measure the time required to perform clean intermittent self-catheterization (CISC) in daily life and to assess its impact on adherence and quality of life. METHODS Patients performing CISC for more than 1 month were invited to participate. At home, patients were asked to complete a 1-day diary to assess the specific duration of the CISC (time from when the equipment and environment are brought together to perform CISC) and the next day to complete a second diary for the total duration of the CISC (starting when the patient intent to self-catheterize to the return to the initial activity, including the displacement, and gathering the required device). Adherence, difficulties with CISC, and quality of life were measured with validated questionnaires: Intermittent Catheterization Satisfaction Questionnaire, Intermittent Catheterization Difficulty Questionnaire, Intermittent Catheterization Adherence Scale, and SF Qualiveen Questionnaire. RESULTS Thirty-six patients agreed to participate but only 25 patients completed the entire protocol. The participants performed CISC for an average of 7 years. The median specific duration of CISC was 2 min and 23 s (ranging from 47'' to 11'50''). The median total duration of CISC was 3 min and 40 s (1'35''; 18'47''). No significant correlation was found between the duration of CISC and patient characteristics, adherence, difficulty to self-catheterize, or quality of life. CONCLUSION The time to perform CISC was brief, and less than 2-3 min on average. The impact on adherence and quality of life should be assessed in a larger cohort.
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Affiliation(s)
- Camille Leroux
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Nicolas Turmel
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Camille Chesnel
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Matthieu Grasland
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Frédérique Le Breton
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Gérard Amarenco
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
| | - Claire Hentzen
- Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Paris, France
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Balhi S, Mrabet MK. Teaching patients clean intermittent self-catheterisation: key points. Br J Community Nurs 2020; 25:586-593. [PMID: 33275512 DOI: 10.12968/bjcn.2020.25.12.586] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Intermittent self-catheterisation (ISC) is recognised as the gold standard for the treatment of neurological bladders. ISC involves the introduction of a catheter by the patient into the bladder and its immediate removal when drainage stops. This process needs to be repeated four to six times a day. Therapeutic patient education (TPE) is commonly used nowadays to treat and care for patients with chronic disease. Community nurses can play an active role in introducing ISC to patients and teaching them to perform it. This review emphasises the important points to consider when teaching patients ISC.
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Affiliation(s)
- Salma Balhi
- Both at the Department of Epidemiology and Public Health, Faculty of Medicine of Tunis, Tunisia
| | - Mohamed Khalil Mrabet
- Both at the Department of Epidemiology and Public Health, Faculty of Medicine of Tunis, Tunisia
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Evaluation of YouTube Videos Regarding Clean Intermittent Catheterization Application. Int Neurourol J 2020; 24:286-292. [PMID: 33017899 PMCID: PMC7538289 DOI: 10.5213/inj.2040098.049] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 05/04/2020] [Indexed: 11/08/2022] Open
Abstract
Purpose The aim of this study was to assess the clean intermittent catheterization (CIC) training and education videos on YouTube. Methods This study was conducted in English language in descriptive type to evaluate the content, reliability, and quality of Internet videos related to CIC training. The search was performed by using term “clean intermittent catheterization” and “intermittent self catheterization” on YouTube in August 2019. The content of the selected videos was analyzed by 2 independent experts in the field. The DISCERN questionnaire was used to analyze the reliability of the video and the global quality score (GQS) was used for the quality of the video. Results When the contents of the 64 videos included in the study were examined, it was found that 41 of them contained useful information and 23 of them contained misleading information. DISCERN scores, video coverage scores, and GQS of videos with useful information were found to be statistically higher than those with misleading information (P<0.001). When the sources of the videos were examined, it was seen that 78.05% of the videos containing useful information were published by medical advertisement/for-profit companies (P<0.001). The reliability scores, coverage scores, and GQS of the videos from medical advertisement/for-profit companies were significantly higher than the other sources (P<0.001). Conclusions In this study, it was seen that the majority of YouTube CIC training videos examined within the scope of the research were published by medical advertisement/for-profit companies and most of these videos contain useful information.
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Hentzen C, Turmel N, Chesnel C, Miget G, Le Breton F, Charlanes A, Tan E, Amarenco G. What criteria affect a patient's choice of catheter for self‐catheterization? Neurourol Urodyn 2019; 39:412-419. [DOI: 10.1002/nau.24223] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 10/28/2019] [Indexed: 01/27/2023]
Affiliation(s)
- Claire Hentzen
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Nicolas Turmel
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Camille Chesnel
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Gabriel Miget
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Frederique Le Breton
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Audrey Charlanes
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Eliane Tan
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
| | - Gérard Amarenco
- GREEN GRC 001, Groupe de Recherche Clinique en Neuro‐Urologie, Hôpital Tenon Ap‐Hp Sorbonne Université Paris France
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Mengi A, Erhan B, Kara B, Yalcinkaya EY. Unexpected foreign body in the bladder of a spinal cord injured patient: A case report. J Spinal Cord Med 2019; 42:813-815. [PMID: 30557084 PMCID: PMC6830226 DOI: 10.1080/10790268.2018.1557862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Context: Bladder dysfunction is common in patients with spinal cord injuries. Clean intermittent catheterization is a preferred method of neurogenic bladder management among spinal cord injured patients. Some complications may occur due to the use of clean intermittent catheterization.Findings: In this report, we presented a case with an unexpected foreign body detected in the bladder of a patient who used to perform clean intermittent catheterization for her neurogenic bladder management, to our knowledge, which has not been reported in the literature so far.Conclusion/Clinical Relevance: In this case report, we want to emphasis the importance of different kind of foreign bodies remaining in the bladder during clean intermittent catheterization.
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Affiliation(s)
- Alper Mengi
- Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey,Correspondence to: Alper Mengi, Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Taksim Training and Research Hospital, Gaziosmanpasa, Istanbul, Turkey; Ph: +90 212 945 30 00; +90 212 945 31 78.
| | - Belgin Erhan
- Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey
| | - Belgin Kara
- Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey
| | - Ebru Yilmaz Yalcinkaya
- Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey
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Collins L. Intermittent self-catheterisation: good patient education and support are key. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2019; 28:964-966. [PMID: 31393766 DOI: 10.12968/bjon.2019.28.15.964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Linda Collins
- Associate Professor in Adult Nursing, Kingston University and St George's University of London
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15
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Crescenze IM, Myers JB, Lenherr SM, Elliott SP, Welk B, MPH DO, Qin Y, Presson AP, Stoffel JT. Predictors of low urinary quality of life in spinal cord injury patients on clean intermittent catheterization. Neurourol Urodyn 2019; 38:1332-1338. [DOI: 10.1002/nau.23983] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 10/21/2018] [Accepted: 11/16/2018] [Indexed: 11/05/2022]
Affiliation(s)
| | | | | | - Sean P. Elliott
- Department of UrologyUniversity of MinnesotaMinneapolis Michigan
| | - Blayne Welk
- Division of UrologyWestern UniversityLondon Ontario Toronto Canada
| | | | - Yongmei Qin
- Department of UrologyUniversity of MichiganAnn Arbor Michigan
| | | | - John T. Stoffel
- Department of UrologyUniversity of MichiganAnn Arbor Michigan
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16
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Beauchemin L, Newman DK, Le Danseur M, Jackson A, Ritmiller M. Best practices for clean intermittent catheterization. Nursing 2018; 48:49-54. [PMID: 30134322 DOI: 10.1097/01.nurse.0000544216.23783.bc] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Lisa Beauchemin
- Lisa Beauchemin is a clinical nurse manager at Wellspect Healthcare in Waltham, N.H. Diane K. Newman is an adjunct professor of urology in surgery at the Perelman School of Medicine, University of Pennsylvania in Philadelphia, Pa. Maureen Le Danseur is a clinical nurse specialist at Sharp Memorial Hospital in San Diego, Calif. Angela Jackson is a nurse manager at the University of South Florida Department of Urology in Tampa, Fla. Michael Ritmiller is a neuro-urology physician assistant at Chesapeake Urology Associates, University of Maryland Rehabilitation and Orthopaedic Institute in Baltimore, Md
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17
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Honore T, Le Breton F, Turmel N, Bignani B, Chesnel C, Charlanes A, Amarenco G. [Efficacy of botulinum toxin A injections in the urethral sphincter in patients with difficulties to perform self-intermittent catherization]. Prog Urol 2018; 28:370-376. [PMID: 29776876 DOI: 10.1016/j.purol.2018.04.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 03/23/2018] [Accepted: 04/04/2018] [Indexed: 11/20/2022]
Abstract
PURPOSE To evaluate safety and efficacy of botulinum toxin A injections in the urethral striated sphincter in patients with difficulties to perform self-intermittent catherization. METHODS In this prospective study, 12 patients suffering from upper motor neuron diseases (8 multiple sclerosis, 2 myelitis, 1 brain injury, 1 multi system atrophy) and with difficulties to perform self-intermittent catherization, defined by a ICDQ score>1 (Intermittent Catheterization Difficulty Questionnaire) have had injections of 100U BOTOX® under EMG guidance in the urethral striated sphincter, for a total of 15 injections. Evaluations consisted of two questionnaires (ICDQ and PGI-A, Patient Global Improvement) 30 days after the injection. RESULTS 30 days after the injection, ICDQ was improved with a mean decrease of the total score of 7.8 (SD=5.9, P<0,001). In the same manner, all the patients were improved with a mean PGI-A score of 2.3. In 73.3 % of cases, the PGI-A score was equal to 2 (improvement=much better), and in 20 % it was equal to 3 (improvement=a little better). CONCLUSIONS Botulinum toxin A injections in the urethral striated sphincter in patients with difficulties to perform self-intermittent catherization seem to safe and effective. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- T Honore
- Service MPR, hôpital Pontchaillou, 2, rue Henri-le-Guilloux, 35000 Rennes, France.
| | - F Le Breton
- GRC 01, Groupe de recherche clinique en neuro-urologie (GREEN), service de neuro-urologie, hôpital Tenon, Sorbonne universités, UPMC Université-Paris-06, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - N Turmel
- GRC 01, Groupe de recherche clinique en neuro-urologie (GREEN), service de neuro-urologie, hôpital Tenon, Sorbonne universités, UPMC Université-Paris-06, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - B Bignani
- Service de MPR, hôpital Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France
| | - C Chesnel
- GRC 01, Groupe de recherche clinique en neuro-urologie (GREEN), service de neuro-urologie, hôpital Tenon, Sorbonne universités, UPMC Université-Paris-06, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - A Charlanes
- GRC 01, Groupe de recherche clinique en neuro-urologie (GREEN), service de neuro-urologie, hôpital Tenon, Sorbonne universités, UPMC Université-Paris-06, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - G Amarenco
- GRC 01, Groupe de recherche clinique en neuro-urologie (GREEN), service de neuro-urologie, hôpital Tenon, Sorbonne universités, UPMC Université-Paris-06, AP-HP, 4, rue de la Chine, 75020 Paris, France.
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18
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Orlandin L, Mazzo A, Meska MHG, Jorge BM, Cotta Filho CK, Fumincelli L. Low-fidelity simulation for patients and caregivers in the use of lubricants in clean intermittent catheterization. INTERNATIONAL JOURNAL OF UROLOGICAL NURSING 2017. [DOI: 10.1111/ijun.12155] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Leonardo Orlandin
- Teaching Diploma student, University of São Paulo at Ribeirão Preto College of Nursing; São Paulo Brazil
| | - Alessandra Mazzo
- Associate Professor, General and Specialized Nursing Department, University of São Paulo at Ribeirão Preto College of Nursing; São Paulo Brazil
| | | | - Beatriz Maria Jorge
- PhD Student, Graduate Program in Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing; São Paulo Brazil
| | | | - Laís Fumincelli
- PhD Student, Graduate Program in Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing; São Paulo Brazil
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19
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Peršolja M. Varna tehnika dolgotrajne intermitentne samokatetrizacije. OBZORNIK ZDRAVSTVENE NEGE 2016. [DOI: 10.14528/snr.2016.50.2.91] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Uvod: Intermitentna samokatetrizacija je prednostna metoda praznjenja sečnega mehurja pri pacientih z zastojem urina. Medicinska sestra običajno pacienta nauči čiste ali aseptične tehnike samokatetrizacije. Namen prispevka je s pregledom literature ugotoviti, ali obstaja optimalna tehnika intermitentne samokatetrizacije, ki bi jo medicinske sestre priporočale pacientom.
Metode: Uporabljen je bil sistematični pregled literature v bazah podatkov: CINAHL, Medline, ProQuest, COBIB.SI in Cochrane Library. Vključena je bila literatura od prve omembe samokatetrizacije leta 1972 do leta 2016. S selekcijo prvotnih 350 virov smo glede na njihovo skladnost z namenom raziskave izbrali 67 enot literature.
Rezultati: Osemnajst referenc, izbranih z orodjem CASP, je bilo objavljenih med letoma 1992 in 2015: šest randomiziranih kliničnih in pet kohortnih raziskav ter šest sistematičnih pregledov literature in ena kritika. Ključne spremenljivke analize zbranih podatkov so bile sterilnost katetra, vrsta vlažilnega gela in higiena periuretralnega področja.
Diskusija in zaključek: Nobena tehnika intermitentne samokatetrizacije se ne izkaže kot optimalna. Ob upoštevanju značilnosti in sposobnosti pacienta je za slovenske razmere najboljša uporaba sterilnega materiala za enkratno uporabo (katetra in vlažilnega gela), higiena periuretralnega področja s sterilno solucijo in tamponi ter tehnika nedotikanja.
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20
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Zanollo LG, Stensrød GC, Kerdraon J, Lund KG, Halvorsen A, Losavio E, Als KS, Soler JM. Standardized intermittent catheterisation education improves catheterisation compliance in individuals with spinal cord injury. INTERNATIONAL JOURNAL OF UROLOGICAL NURSING 2015. [DOI: 10.1111/ijun.12084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Lucia Giovanna Zanollo
- Unità Spinale Unipolare Centro Alberto Zanollo; Ospedale Niguarda Ca'Granda; Milano Italy
| | | | - Jacques Kerdraon
- Centre Mutualiste de Rééducation et de Rédadaptation Fonctionelles de Kerpape; Ploemeur cedex France
| | | | - Annette Halvorsen
- SCI Unit, Department of Physical Medicine and Rehabilitation; St Olavs Hospital, Trondheim University Hospital; Trondheim Norway
| | - Ernesto Losavio
- Fondazione Salvatore Maugeri Clinica del Lavoro e della Riabilitazione; I.R.C.C.S, Instituto di Ricovero e Cura a Carattere Scientifico; Cassano delle Murge Italy
| | | | - Jean Marc Soler
- Centre Rééducation Fonctionnelle Cap Peyrefite; Route de Banyuls Cerbere France
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21
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Holland JE, DeMaso DR, Rosoklija I, Johnson KL, Manning D, Bellows AL, Bauer SB. Self-cathing experience journal: Enhancing the patient and family experience in clean intermittent catheterization. J Pediatr Urol 2015; 11:187.e1-6. [PMID: 26028181 DOI: 10.1016/j.jpurol.2015.03.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Accepted: 03/17/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE This pilot study evaluated the safety, feasibility, and usefulness of the Self-Cathing Experience Journal (SC-EJ), an online resource for patients and families to address issues and stigma surrounding clean intermittent catheterization (CIC). Modeled after previous assessments of the Cardiac and Depression Experience Journals (EJs), this project uniquely included patients and caregivers. We explored whether patients and caregivers would find the SC-EJ helpful in increasing their understanding of CIC, accepting the medical benefits of self-catheterization, improving hopefulness, and diminishing social isolation. METHODS Patients seen in a tertiary urology clinic were asked to view the SC-EJ for 30 min and rate its safety and efficacy. The cross-sectional sample included 25 families: 17 surveys were completed by the patient and their caregiver, five by the patient only, and three by the caregiver only. Mean patient age was 15.7 ± 5.8 years (range 7-29 years). The patients were 64% female, and 72% used CIC due to neurological diagnoses. RESULTS Mean overall patient satisfaction with the SC-EJ was moderately high (mean = 5, out of a 7-point Likert scale from 1 = not at all to 7 = extremely). Mean overall caregiver satisfaction was high (mean = 5.55) and was similar to caregiver satisfaction scores recorded in caregivers with children with congenital heart disease and depression (mean = 5.7 and mean = 5.75, respectively). No significant differences were noted in satisfaction between CIC patients and CIC caregivers or among caregivers of the three populations surveyed (CIC, Cardiac, and Depression). CIC patients and caregivers reported that SC-EJ viewing gave them a strong sense that others are facing similar issues (patient mean = 6.15, caregiver mean = 6.21) and that it was helpful to read about other families' CIC experiences (patient mean = 6, caregiver mean = 5.89). DISCUSSION The SC-EJ appears to be safe, feasible, and useful to patients and families using CIC. Ratings from caregivers of CIC patients were similar to other cohorts of caregivers facing chronic childhood conditions. Despite beliefs that the EJ format best targets adults, high satisfaction ratings among patients suggest that the SC-EJ is acceptable and beneficial to children and adolescents. This web-based intervention can be a helpful clinical supplement in promoting healthy coping skills and a decreased sense of isolation among patients and families facing CIC. The unique integration of real patient and family experiences with accurate and vetted medical knowledge has the potential to enhance resiliency among viewers who use CIC.
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Affiliation(s)
| | - David R DeMaso
- Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA.
| | - Ilina Rosoklija
- Department of Urology, Boston Children's Hospital, Boston, MA, USA
| | | | - Diane Manning
- Department of Urology, Boston Children's Hospital, Boston, MA, USA
| | | | - Stuart B Bauer
- Department of Urology, Boston Children's Hospital, Boston, MA, USA
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22
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Abstract
Patient performance of clean intermittent self-catheterization is a crucial component of the management of incomplete bladder emptying, which can arise from a variety of conditions. This allows patients to have more control over their bladder emptying, and avoids the inconveniences that come with an indwelling urethral catheter. There are, however, barriers that patients face when performing this task which may ultimately limit adherence. In this article, these barriers are discussed in more detail with potential solutions to counter them.
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Affiliation(s)
- Jai H Seth
- Department of Uro-Neurology, University College London Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK
- Correspondence: Jai H Seth, Department of Uro-Neurology, University College of London, Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London WC1N 3BG, UK, Email
| | - Collette Haslam
- Department of Uro-Neurology, University College London Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK
| | - Jalesh N Panicker
- Department of Uro-Neurology, University College London Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK
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23
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Nnabugwu II, Udeh EI, Enivwenae OA, Ugwumba FO, Ozoemena OF. Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization. Patient Prefer Adherence 2014; 8:1179-83. [PMID: 25214771 PMCID: PMC4159498 DOI: 10.2147/ppa.s66520] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Clean intermittent self-catheterization is accepted worldwide as a standard of care for patients with long-standing need for urinary bladder decompression. Evidence of its routine practice in our low-resource setting is lacking, leading to increasing number of patients with a long-standing indwelling urinary catheter. OBJECTIVE To seek the opinion of patients already using indwelling catheters regarding the practice of self-catheterization. PATIENTS AND METHODS Over a 4-month period, the opinion of every patient and patient's relative that attended the regular urinary catheter clinic was sought using an intern-administered questionnaire. The data was analyzed using SPSS version 20. RESULTS A total of 108 patients completed the questionnaire. Age range was 16-100 years with a mean of 62.2±15.5 years. Only 30.5% of the patients had formal education beyond the primary level. The median cost for change of the indwelling catheter was 1,325 naira ($8.28 US) with a range of 500-4,000 naira ($3.13-$25 USD). Analysis showed that: 70.8% of patients aged under 60 years/60.6% of those with formal education beyond primary level/61.9% of those wearing catheters for <3 months would give consent for training in self-catheterization. Higher cost of catheter change did not influence the decision to consider self-catheterization. Of the 59 patient relatives who completed the questionnaire, 63% of those younger than 50 years old and 69.2% of those with tertiary education would be willing to undertake training to administer self-catheterization. CONCLUSION A select group of patients and accompanying relatives in our low-resource setting are willing to learn and practice self-catheterization.
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Affiliation(s)
- Ikenna I Nnabugwu
- Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
- Correspondence: Ikenna I Nnabugwu, Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, PMB 00129, 400001 Enugu State, Nigeria, Email
| | - Emeka I Udeh
- Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
| | - Oghenekaro A Enivwenae
- Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
| | - Fred O Ugwumba
- Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
| | - Oyiogu F Ozoemena
- Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
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24
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Quilliot D, Zallot C, Malgras A, Germain A, Bresler L, Ayav A, Bigard MA, Peyrin-Biroulet L, Ziegler O. Self-insertion of a nasogastric tube for home enteral nutrition: a pilot study. JPEN J Parenter Enteral Nutr 2013; 38:895-900. [PMID: 24142673 DOI: 10.1177/0148607113502544] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Enteral tube feeding can be a source of discomfort and reluctance from patients. We evaluated for the first time the tolerability of self-insertion of a nasogastric (NG) tube for home enteral nutrition (EN). MATERIALS AND METHODS All patients requiring enteral tube feeding for chronic diseases were enrolled in a therapeutic patient education (TPE) program at Nancy University Hospital. RESULTS In our department, between November 2008 and August 2012, 66 patients received EN with an NG tube. Twenty-nine of 66 had self-insertion of the NG tube (median age, 44 years), 17 had an anatomical contraindication, and 20 were excluded because of cognitive disability or language barrier or refusal. Twenty-eight of 29 patients completed the TPE program. One patient died of pancreatic cancer in palliative care during the study. Median follow-up was 20 months (interquartile range [IQR], 4-31). Median gain weight was 3.1 kg (IQR, 1.8-6.0) (P = .0002). Median duration of self-insertion of the NG tube was 3 months (IQR, 2-5), and it was well tolerated by all 29 patients. Two patients described minor adverse events: abdominal pain and nausea for 1 patient and epistaxis leading to temporary discontinuation of EN for another patient. A group of 10 consecutive patients previously had a long-term NG tube for EN. If they had the choice between a self-inserted NG tube and a long-term NG tube, all 10 patients reported they would prefer to start again with the self-inserted NG tube. CONCLUSION This pilot study suggests that self-insertion of an NG tube may be efficacious and well tolerated in patients receiving EN for chronic conditions.
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Affiliation(s)
- Didier Quilliot
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France
| | - Camille Zallot
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Aurélie Malgras
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Adeline Germain
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Laurent Bresler
- Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Ahmet Ayav
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Marc-André Bigard
- Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Laurent Peyrin-Biroulet
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Olivier Ziegler
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France
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