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- Title
Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure.
- Authors
Sang Rim Lee; In Sook Lee; Seung-June Oh; Sung Hwa Kim; Young Ran Chin
- Abstract
Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.
- Subjects
URINATION disorders; CONFIDENCE intervals; FISHER exact test; RESEARCH methodology; PATIENT compliance; PATIENT education; QUESTIONNAIRES; STATISTICS; T-test (Statistics); TIME management; URINARY organ disease diagnosis; VIDEO recording; LOGISTIC regression analysis; RETROSPECTIVE studies; INTERMITTENT urinary catheterization; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics; THERAPEUTICS
- Publication
Journal of Korean Academy of Community Health Nursing / Jiyeog Sahoe Ganho Hakoeji, 2018, Vol 29, Issue 4, p467
- ISSN
1225-9594
- Publication type
Article
- DOI
10.12799/jkachn.2018.29.4.467