The Feasibility of Clean Intermittent Self-Catheterization Teaching in an Outpatient Setting.
Female Pelvic Med Reconstr Surg
; 21(4): 220-4, 2015.
Article
in En
| MEDLINE
| ID: mdl-25679356
ABSTRACT
OBJECTIVES:
The aim of this study was to evaluate the feasibility of teaching clean intermittent self-catheterization (CISC) in an outpatient setting to women planning surgery for pelvic organ prolapse (POP) and/or urinary incontinence (UI).METHODS:
This was a prospective observational study of 55 women who planned surgical correction of POP and/or UI. All women were taught CISC as part of their preoperative education. The ability to learn CISC and the amount of time needed to teach CISC were recorded. Multivariate modeling, χ2 test, Fisher exact test, and Kruskal-Wallis analysis of variance were used for statistical analysis.RESULTS:
Of the 55 subjects consecutively enrolled, 51 subjects (93%) were able to learn CISC and demonstrate competency (P < 0.00001). Four subjects (7%) were unable to learn CISC. The median time to teach CISC with demonstrated proficiency was 3.7 minutes (range, 1.8-7.4 minutes). Of the subjects who learned CISC and had surgery, the mean (SD) time in days from preoperative teaching to the postoperative voiding trial was 16 (11) days (range, 2-39 days). Of the 41 subjects who completed the postoperative voiding trial and had data recorded, 33 (80%) were able to self-catheterize without nurse assistance or with minimal verbal coaching, whereas 8 (20%) subjects required hands-on nursing assistance or were unable to perform CISC (P < 0.001).CONCLUSIONS:
Clean intermittent self-catheterization can be taught to most patients undergoing POP/UI surgery in a short time (median, 3.7 minutes). The overwhelming majority of patients are able to retain the CISC skill weeks after being taught in the clinic.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Outpatients
/
Self Care
/
Teaching
/
Urination Disorders
/
Urinary Catheterization
/
Patient Education as Topic
Type of study:
Observational_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Female Pelvic Med Reconstr Surg
Year:
2015
Document type:
Article
Affiliation country:
Mongolia