CLEAN INTERMITTENT CATHETERIZATION - PERFORMING ABILITIES, AVERSIVE EXPERIENCES AND DISTRESS

被引:34
作者
BAKKE, A
IRGENS, LM
MALT, UF
HOISAETER, PA
机构
[1] Section of Urology, Department of Surgery, Haukeland Hospital, Bergen
[2] Department of Hygiene and Social Medicine, University of Bergen, Bergen
[3] Department of Psychosomatics and Behavioural Medicine, University of Oslo, The National Hospital, Oslo
[4] Section of Urology, Department of Surgery, Haukeland Hospital University of Bergen
来源
PARAPLEGIA | 1993年 / 31卷 / 05期
关键词
CLEAN INTERMITTENT CATHETERIZATION (CIC); DISABILITY; DISCOMFORT; DISTRESS; EXPERIENCE;
D O I
10.1038/sc.1993.52
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A total of 407 patients participated in a one year follow up study concerning their personal experiences and attitudes towards clean intermittent catheterisation (CIC). Most patients (90%) were able to perform CIC themselves, approximately 70% having no problems with the procedure. However, one third of the patients experienced CIC as aversive with significantly higher distress scores on the general health questionnaire (GHQ-28). Aversion and distress were more often reported by younger patients and females, and by patients with non neuropathic bladders. The patients' physical disabilities and their length of previous CIC experiences did not seem to influence the feelings of aversion. These findings demonstrate the importance of considering the psychological implications of CIC, and the emotional needs of these patients in order to improve compliance and quality of life.
引用
收藏
页码:288 / 297
页数:10
相关论文
共 25 条
[1]  
Lapides J., Diokno A.C., Silber S.J., Lowe B.S., Clean intermittent self-catheterization in the treatment of urinary tract disease, J Urol, 107, pp. 458-461, (1972)
[2]  
Lapides J., Diokno A.C., Gould F.R., Lowe B.S., Further observations on self-catheterization, Trans am Assoc Genitourin Surg, 67, pp. 15-17, (1975)
[3]  
Diokno A.C., Sonda P.L., Hollander J.B., Lapides J., Fate of patients started on clean intermittent self-catheterization 10 years ago, J Ural, 129, pp. 1120-1122, (1983)
[4]  
McGuire E.J., Savastano J.A., Long-term followup of spinal cord injury patients managed by intermittent catheterization, J Urol, 129, pp. 775-776, (1983)
[5]  
Maynard F.M., Glass J., Management of the neuropathic bladder by clean intermittent catheterisation: 5 year outcomes, Paraplegia, 25, pp. 106-110, (1987)
[6]  
Madersbacher H., Weissteiner G., Intermittent self-catheterization, an alternative in the treatment of neurogenic urinary incontinence in women, Eur Urol, 3, pp. 82-84, (1977)
[7]  
Perkash I., Intermittent catheterization and bladder rehabilitation in spinal cord injury patients, J Urol, 114, pp. 230-233, (1975)
[8]  
Bakke A., Brun O., Hlilisster P.A., Clinical background of patients treated with clean intermittent catheterization in Norway, Scand J Urol Nephrol, 26, pp. 211-217, (1992)
[9]  
Stewart A.L., Ware J.E., Brook R.H., Advances in the measurement of functional status: Construction of aggregate indexes, Med Care, 19, pp. 473-488, (1981)
[10]  
Bakke A., Vollset S.E., Hlilisster P.A., Irgens L.M., Physical complications in patients treated with clean intermittent catheterization, Scand J Urol Nephr