Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
Blanc, Blanca Fernandez-Lasquetty (Enferconsultty (Madrid))
Rodríguez-Almagro, Julián (Universidad de Castilla-La Mancha)
Lorenzo-García, Carlos (Hospital Universitario Clínico San Carlos (Madrid))
Alcaraz-Zomeño, Elena (Hospital Universitario Ramón y Cajal (Madrid))
Fernandez-Llorente, Guadalupe (Hospital Universitario Infanta Sofía (San Sebastián de los Reyes))
Baixauli-Puig, Montserrat (Hospital Clínic i Provincial de Barcelona)
Martín-Bermejo, María Victoria (Hospital Nacional de Parapléjicos (Toledo))
Estudillo-González, Francisco (Hospital Universitario Puerto Real (Cadis))
Ortega-Checa, Maria Angustias (Hospital Universitari i Politècnic La Fe (València))
Lluesma-Martinez, Vicenta (Hospital Universitari i Politècnic La Fe (València))
Ferrández-Franco, Guillermina (Hospital General Universitario de Alicante (Alacant, País Valencià))
Benito-Santos, Begoña (Hospital General Universitario de Alicante (Alacant, País Valencià))
Rodríguez-Díaz, Mónica (Hospital Universitario Virgen de las Nieves (Granada))
Torres-Bacete, Arancha (Hospital Universitario Infanta Leonor)
Guerrero-Andrades, María Carmen (Department of Nursing, Hospital Universitario Puerta del Mar, 11009 Cadiz, Spain)
Louis-Lauture, Mario Pierre (Hospital Universitario Virgen Macarena (Sevilla, Andalusia))
Jiménez-Mayorga, Isabel (Hospital Universitario Regional de Málaga (Andalusia))
Serrano-Abielar, Rosario (Hospital Universitario Puerta de Hierro Majadahonda (Madrid))
Garrido-Mora, María Asunción (Hospital General Universitario de Elche)
Barcia-Barrera, Francisco (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Asensio-Malo, Gemma (Hospital Universitari de Bellvitge)
Morcillo-Marín, Montserrat (Institut Germans Trias i Pujol. Institut Guttmann)
Tendero-Ruiz, Silvia (Hospital Universitario de Fuenlabrada ( Madrid))
Hernández-Martínez, Antonio (Universidad de Castilla-La Mancha)
Universitat Autònoma de Barcelona

Data:	2021
Resum:	Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient's urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the prescribed number of daily catheterizations, which must be conducted by the patient, and infection prevention measures are crucial. To identify the patients requiring IBC, and to determine their adherence (whether they followed the prescribed guidelines and their difficulty in carrying out the procedure, as well as to assess how the IBC influences their quality of life and state of mind after receiving self-care training from a specialized nurse), we carried out a prospective, multicenter observational study in 24 Spanish hospitals with one month of monitoring and a sample of 99 patients. The sources of information were the patients' clinical records, the King's Health Questionnaire, the Mini-Mental State Examination (MMSE), and the hospital anxiety and depression scale (HADS). Descriptive and bivariate statistics were used to analyses the paired data. After recruitment (n = 99), 79 patients completed the questionnaire at a mean age of 35. 2 years (SD = 20. 5 years). In total, 53. 5% (53) of the sample consisted of men and 32. 3% (32) had neurological damage as the reason for prescription; 67% (67. 7) performed self-catheterization and 86. 7% adhered to the IBC. After one month of monitoring, a statistically significant improvement in quality of life was observed in all criteria, with the exception of personal relationships (p < 0. 005), as well as an improvement in anxiety and depression levels (p < 0. 001). Patients who require IBC show good adherence to the IBC with a significant percentage of self-catheterization. After one month of IBC, a significant improvement in the patients' quality of life and mood was observed. These results could be attributed to adequate patient training and adequate personalization of the IBC materials by the specialized nurses.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Intermittent bladder catheterization ; Adherence ; Self-care ; Risk factors
Publicat a:	Journal of clinical medicine, Vol. 10 (august 2021) , ISSN 2077-0383

DOI: 10.3390/jcm10173909
PMID: 34501357

13 p, 282.4 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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