Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure
10.12799/jkachn.2018.29.4.467
- Author:
Sang Rim LEE
1
;
In Sook LEE
;
Seung June OH
;
Sung Hwa KIM
;
Young Ran CHIN
Author Information
1. Registered 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.
- Publication Type:Original Article
- Keywords:
Intermittent urethral catheterization;
Education;
Patient compliance
- MeSH:
Catheterization;
Catheters;
Education;
Follow-Up Studies;
Humans;
Intermittent Urethral Catheterization;
Medical Records;
Patient Compliance;
Retrospective Studies;
Time Management
- From:Journal of Korean Academy of Community Health Nursing
2018;29(4):467-475
- CountryRepublic of Korea
- Language:English
-
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.
