J Korean Acad Community Health Nurs.  2018 Dec;29(4):467-475. 10.12799/jkachn.2018.29.4.467.

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure

Affiliations
  • 1Registered Nurse, Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital, Seoul Doctoral Student, Community Health Nursing & Nursing Care Systems, Graduate School, College of Nursing, Seoul National University, Seoul, Korea.
  • 2Professor, College of Nursing, Seoul National University, Seoul, Korea. lisook@snu.ac.kr
  • 3Professor, Department of Urology, Seoul National University Hospital, Seoul, Korea.
  • 4Registered Nurse, Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital, Seoul, Korea.
  • 5Professor, Department of Nursing, Chungwoon University, Hongseong, Korea.

Abstract

PURPOSE
The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP).
METHODS
This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed.
RESULTS
The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence.
CONCLUSION
Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.

Keyword

Intermittent urethral catheterization; Education; Patient compliance
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