Changes in patient perception of CIC in patients undergoing clean intermittent catheterization due to neurogenic bladder dysfunction

Bae S1, Kim J2, Moon H3, Chun S4, Lee S5, Kang S6, Chung H7

Research Type

Clinical

Abstract Category

Continence Care Products / Devices / Technologies

Abstract 131
Open Discussion ePosters
Scientific Open Discussion Session 7
Thursday 8th September 2022
13:15 - 13:20 (ePoster Station 6)
Exhibition Hall
Conservative Treatment Quality of Life (QoL) Questionnaire
1. Department of urology, Uijeongbu St.Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, 2. Department of Urology, Kwangju Christian Hospital, 3. Department of nursing, Uijeongbu St.Mary's Hospital, 4. Department of Nursing, SMG-SNU Boramae Medical Center, 5. Department of Nursing, Seoul National University Bundang Hospital, 6. Department of Nursing, Gacheon University Gil Medical Center, 7. Department of Urology, Konkuk University School of Medicine, Chungju
Online
Presenter
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Abstract

Hypothesis / aims of study
Compared to other urination methods, CIC has a lower risk of infection and has many other advantages. There may be negative perceptions about the procedure because it has to be performed by the patient himself or by a third party. The purpose of this study is to investigate the change in the perception of CIC from the perspective of the patient rather than the physician, which is highly recommended as a standard treatment for bladder emptying in neurogenic bladder.
Study design, materials and methods
For patients who underwent CIC from January 2021 to February 2022 with neurogenic bladder, the characteristics of CIC treatment, satisfaction with it, and basic characteristics of patients were collected through a questionnaire. Changes in perception of treatment before and after treatment were checked with a 5-scale questionnaire, and changes in perception of treatment were investigated through the same question after implementation. In addition, the pathway leading to CIC selection was identified and other general patient characteristics were compared.
Results
A total of 307 patients who agreed to participate were surveyed. There were 173 male patients and 134 female patients. By age, 32 people in their teens, 37 in their 20s, 48 in their 30s, 54 in their 40s, 58 in their 50s, 44 in their 60s, and 34 in their 70s or older. The most common route for choosing CIC was through a doctor (74%), followed by a nurse or other medical personnel (11%), second. Before treatment, the perception of treatment was very negative 24, negative 49, moderate 64, positive 69, very positive 85, other 16 cases. After treatment, 47% of all patients had improved treatment awareness compared to before treatment, and 9.4% of them had worse treatment awareness. Compared to men, women showed higher satisfaction with treatment, but on the contrary, the rate of negative acceptance was also higher than that of men.
Interpretation of results
In many patients, CIC showed high treatment satisfaction and improved perception after implementation compared to before implementation. However, the level of dissatisfaction was higher for women than for men. Since there are very few parts of dissatisfaction or worry about before and after CIC in the patient, the patient himself feels an improvement in the quality of life in addition to the medical judgment, and it can be said that the continuity of treatment is secured.
Concluding message
CIC is a satisfactory treatment method for bladder emptying in both men and women, and it was confirmed that the treatment satisfaction was excellent from the patient's point of view. CIC is most commonly recommended by doctors, and compared to men, women were more satisfied with the treatment but also had higher dissatisfaction.
Disclosures
Funding None Clinical Trial No Subjects Human Ethics not Req'd This is a study exempt from deliberation as it is a survey based on a questionnaire that does not contain any personal information except for the patient's age. Helsinki Yes Informed Consent No
06/05/2025 08:56:56