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J Adv Nurs. 2008 Apr;62(1):32-40. doi: 10.1111/j.1365-2648.2007.04536.x.

Patients' experiences of learning clean intermittent self-catheterization: a qualitative study.

Author information

  • 1Continence Services, Gwent Healthcare NHS Trust, Cwmbran, Wales, UK. karen.logan@gwent.wales.nhs.uk

Abstract

AIM:

This paper is a report of a study to explore the experiences of learning to carry out clean intermittent self-catheterization and user views of service provision.

BACKGROUND:

This treatment imposes a variety of challenges to users, both physical and emotional. Safety, infection rates and complications have been investigated, but the practicalities of learning and performing self-catheterization have not been addressed. What is currently known about the topic from a user perspective is based on audit, small projects or anecdotal reports provided by continence advisers.

METHOD:

In-depth interviews were carried out in 2006 with eight men and seven women, aged 33-81 years (median 65), and carrying out self-catheterization for a variety of reasons. A grounded theory framework was used.

FINDINGS:

Themes identified were psychological issues, physical problems and service interaction. The communication skills of nurses helped facilitate the learning experience. In conjunction with nurses' skills, a friendly relaxed approach alleviated embarrassment and anxiety, thus facilitating information exchange and retention of information.

CONCLUSION:

Adequate information and thorough instruction by healthcare professionals helps empower people to take control and master the treatment, with potential contribution to ongoing compliance and long-term urinary tract health. Development of a policy supporting evidence-based care and a consistent teaching programme is highly recommended for use where this treatment is regularly employed.

[PubMed - indexed for MEDLINE]
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