References

Amarenco G, Guinet A, Jousse M, Verollet D, Ismael SS. Pencil and paper test: a new tool to predict the ability of neurological patients to practice clean intermittent self-catheterization. J Urol.. 2011; 185:(2)578-582 https://doi.org/10.1016/j.juro.2010.09.106

Balhi S, Mrabet MK. Teaching patients clean intermittent self-catheterisation: key points. Br J Community Nurs.. 2020; 25:(12)586-593 https://doi.org/10.12968/bjcn.2020.25.12.586

Balhi S, Arfaouni RB, Mrabet A. Intermittent catheterisation: the common complications. Br J Community Nurs.. 2021; 26:(6)272-277 https://doi.org/10.12968/bjcn.2021.26.6.272

Barbosa CD, Balp MM, Kulich K, Germain N, Rofail D. A literature review to explore the link between treatment satisfaction and adherence, compliance, and persistence. Patient Prefer Adherence.. 2012; 6:39-48 https://doi.org/10.2147/PPA.S24752

Beauchemin L, Newman DK, Le Danseur M, Jackson A, Ritmiller M. Best practices for clean intermittent catheterization. Nursing.. 2018; 48:(9)49-54 https://doi.org/10.1097/01.NURSE.0000544216.23783.bc

Blumenthal D. Part 1: Quality of care—what is it?. N Engl J Med.. 1996; 335:(12)891-894 https://doi.org/10.1056/nejm199609193351213

Bolinger R, Engberg S. Barriers, complications, adherence, and self-reported quality of life for people using clean intermittent catheterization. J Wound Ostomy Continence Nurs.. 2013; 40:(1)83-89 https://doi.org/10.1097/WON.0b013e3182750117

Chai T, Chung AK, Belville WD, Faerber GJ. Compliance and complications of clean intermittent catheterization in the spinal cord injured patient. Paraplegia.. 1995; 33:(3)161-163 https://doi.org/10.1038/sc.1995.35

Cobussen-Boekhorst H, Beekman J, van Wijlick E, Schaafstra J, van Kuppevelt D, Heesakkers J. Which factors make clean intermittent (self) catheterisation successful?. J Clin Nurs.. 2016; 25:(9-10)1308-1318 https://doi.org/10.1111/jocn.13187

Faleiros F, Cordeiro A, Favoretto N, Käppler C, Murray C, Tate D. Patients with spina bifida and their caregivers' feelings about intermittent bladder catheterization in Brazil and Germany: a correlational study. Rehabil Nurs.. 2017; 42:(4)175-179 https://doi.org/10.1002/rnj.223

Gamé X, Phé V, Castel-Lacanal E Intermittent catheterization: clinical practice guidelines from Association Française d'Urologie (AFU), Groupe de Neuro-urologie de Langue Française (GENULF), Société Française de Médecine Physique et de Réadaptation (SOFMER) and Société Interdisciplinaire Francophone d'UroDynamique et de Pelvi-Périnéologie (SIFUD-PP). Prog Urol.. 2020; 30:(5)232-251 https://doi.org/10.1016/j.purol.2020

Girotti ME, MacCornick S, Perissé H, Batezini NS, Almeida FG. Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study. Int Braz J Urol.. 2011; 37:(6)766-772 https://doi.org/10.1590/s1677-55382011000600013

Guinet-Lacoste A, Jousse M, Verollet D Validation of the InCaSaQ, a new tool for the evaluation of patient satisfaction with clean intermittent self-catheterization. Ann Phys Rehabil Med.. 2014; 57:(3)159-168 https://doi.org/10.1016/j.rehab.2014.02.007

Groen J, Pannek J, Castro Diaz D Summary of European Association of Urology (EAU) guidelines on neuro-urology. Eur Urol.. 2016; 69:(2)324-333 https://doi.org/10.1016/j.eururo.2015.07.071

Kessler TM, Ryu G, Burkhard FC. Clean intermittent self-catheterization: a burden for the patient?. Neurourol Urodyn.. 2009; 28:18-21 https://doi.org/10.1002/nau.20610

National Institute for Health and Care Excellence. Healthcare-associated infections: prevention and control in primary and community care. 2012a. https://www.nice.org.uk/guidance/cg139 (accessed 23 August 2021)

National Institute for Health and Care Excellence. Urinary incontinence in neurological disease: assessment and management. 2012b. https://www.nice.org.uk/guidance/cg148 (accessed 23 August 2021)

National Institute for Health and Clinical Excellence. Urinary incontinence in women: management. 2015. https://www.nice.org.uk/guidance/cg171 (accessed 23 August 2021)

Neel KF, Salem MA, Soliman SM, Al-Hazmi H, Gomha AB, Khatab AA. Acceptance and compliance of clean intermittent catheterization among Saudi patients. Saudi Med J.. 2008; 29:(7)1014-1017

Nørager R, Bøgebjerg C, Plate I, Lemaitre S. Supporting better adherence among patients engaged in intermittent self-catherisation. Br J Nurs.. 2019; 28:(2)90-95 https://doi.org/10.12968/bjon.2019.28.2.90

Oh SJ, Ku JH, Lim SH, Jeon HG, Son H. Effect of a ‘centralized intensive education system’ for clean intermittent self-catheterization in patients with voiding dysfunction who start catheterization for the first time. Int J Urol.. 2006; 13:(7)905-909 https://doi.org/10.1111/j.1442-2042.2006.01438.x

Ramm D, Kane R. A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self-catheterisation. J Clin Nurs.. 2011; 20:(21-22)3152-3162 https://doi.org/10.1111/j.1365-2702.2011.03779.x

Royal College of Nursing. Catheter care: RCN guidance for health care professionals. 2019. https://tinyurl.com/me6ah2j8 (accessed 23 August 2021)

Shaw C, Logan K. Psychological coping with intermittent self-catheterisation (ISC) in people with spinal injury: a qualitative study. Int J Nurs Stud.. 2013; 50:(10)1341-1350 https://doi.org/10.1016/j.ijnurstu.2013.01.009

Tornic J, Sartori AM, Gajewski JB Catheterization for treating neurogenic lower urinary tract dysfunction in patients with multiple sclerosis: a systematic review. A report from the Neuro-Urology Promotion Committee of the International Continence Society (ICS). Neurourol Urodyn.. 2018; 37:(8)2315-2322 https://doi.org/10.1002/nau.23733

Turmel N, Hentzen C, Miget G Urethral pain during clean intermittent self catheterization: retrospective analysis of 77 patients [in French]. Prog Urol.. 2019; 29:(7)360-365 https://doi.org/10.1016/j.purol.2019.04.005

Catheterisation: urethral intermittent in adults. Dilatation, urethral intermittent in adults. 2013. https://tinyurl.com/5ct4j8hf (accessed 23 August 2021)

Vahter L, Zopp I, Kreegipuu M, Kool P, Talvik T, Gross-Paju K. Clean intermittent self-catheterization in persons with multiple sclerosis: the influence of cognitive dysfunction. Mult Scler.. 2009; 15:(3)379-384 https://doi.org/10.1177/1352458508098599

Van Achterberg T, Holleman G, Cobussen-Boekhorst H, Arts R, Heesakkers J. Adherence to clean intermittent self-catheterization procedures: determinants explored. J Clin Nurs.. 2008; 17:(3)394-402 https://doi.org/10.1111/j.1365-2702.2006.01893.x

Weynants L, Hervé F, Decalf V Clean intermittent self-catheterization as a treatment modality for urinary retention: perceptions of urologists. Int Neurourol J.. 2017; 21:(3)189-196 https://doi.org/10.5213/inj.1734824.412

Wilde MH, Brasch J, Zhang Y. A qualitative descriptive study of self-management issues in people with long-term intermittent urinary catheters. J Adv Nurs.. 2011; 67:(6)1254-1263 https://doi.org/10.1111/j.1365-2648.2010.05583.x

World Health Organization. Adherence to long-term therapies: evidence for action. 2003a. https://tinyurl.com/kkudt34u (accessed 23 August 2021)

World Health Organization. Defining adherence. 2003b. https://tinyurl.com/2wvz77wv (accessed 23 August 2021)

Yavuzer G, Gok H, Tuncer S, Soygur T, Arikan N, Arasil T. Compliance with bladder management in spinal cord injury patients. Spinal Cord.. 2000; 38:(12)762-765 https://doi.org/10.1038/sj.sc.3101059

Incontinence
Long-term conditions

Barriers affecting patient adherence to intermittent self-catheterisation

02 September 2021
Professional
02 September 2021
Volume 26 · Issue 9
Intermittent self-cathterisation is commonly accepted by several international societies for maining urinary continence in those with neurological conditions and the associated urinary symptoms
Intermittent self-cathterisation is commonly accepted by several international societies for maining urinary continence in those with neurological conditions and the associated urinary symptoms

Abstract

Intermittent self-catheterisation (ISC) is now considered the standard of care for most patients with neurological conditions and associated lower urinary tract disorders. Numerous societies, led by the International Continence Society, are in agreement on the effectiveness of ISC. Use of intermittent catheters is reported to reduce the risk of catheter-associated urinary tract infection compared with indwelling urinary catheters while improving patient comfort and quality of life. However, previous studies have shown that, despite the benefits of ISC, it will not guarantee behavior change and the integration of this procedure into the daily life of patients. Patients may encounter internal (related to the patient themselves) and external (related to their environment) difficulties. Identifying these obstacles early will help promoting ISC success. This review aims to identify internal and external barriers related to ISC and to propose adequate solutions to avoid them.

Intermittent self-catheterisation (ISC) is now considered the standard of care for most neurologic patients with lower urinary tract disorders (Groen et al, 2016). Self-catheterisation is usually a simple procedure. It involves the introduction of a catheter through the urethra to the bladder by the patient in order to ensure the complete evacuation of urine. Numerous societies, headed by the International Continence Society, are in agreement on the effectiveness of ISC (Tornic et al, 2018).

Guidance from the National Institute for Health and Care Excellence (NICE) 2012a; 2012b) recommends that, whenever possible, ISC should be considered for its benefits. Use of intermittent catheters is reported to reduce the risk of catheter-associated urinary tract infection (CAUTI) compared with indwelling urinary catheters while improving patient comfort and quality of life (Beauchemin et al, 2018). ISC is considered the first step towards independence, normalisation, control, dignity and self-esteem in relation to bladder management (Shaw and Logan, 2013).

Register now to continue reading

Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month

Register
Or continue by

Signing in with your registered email address

Intermittent self-catheterisation
Treatment adherence
Patient education
Urinary incontinence
Long-term conditions