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What criteria affect a patient's choice of catheter for self‐catheterization?
Author(s) -
Hentzen Claire,
Turmel Nicolas,
Chesnel Camille,
Miget Gabriel,
Le Breton Frederique,
Charlanes Audrey,
Tan Eliane,
Amarenco Gérard
Publication year - 2020
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24223
Subject(s) - medicine , catheter , affect (linguistics) , physical therapy , likert scale , physical medicine and rehabilitation , surgery , psychology , developmental psychology , communication
Aim The aim was to determine which criteria are most influential in guiding the patient's choice of catheter during clean intermittent self‐catheterization (CISC) education. Methods A questionnaire exploring five traits (catheter design, catheter length, the comfort of use, nurse's explanations, and how easy it was to carry and dispose of the catheter) was administered to all patients who succeeded in performing CISC. The patients had to report the criterion that most influenced their choice, and rate the importance of each criterion from 1 to 4 on a Likert scale (strongly disagree, somewhat disagree, somewhat agree, strongly agree). The study assessed the impact that age, sex, etiology, dependency, motor or sensory upper limb deficiency, and position required to perform CISC may have had on the importance of the different criteria. Results Seventy‐three patients were included (mean age, 50.9 ± 14.3 years). The most important criterion was the nurse's explanations (44%), followed by comfort of handling (32%), the discreet aspect of carrying the catheter (15%), and catheter length (7%). The esthetic aspect was not important for 34% of patients, whereas all the other criteria were important for at least 82% of patients. The comfort of handling was more often a priority for those with motor or sensory upper limb disorders ( P < .01). The other characteristics of the patients did not impact the way they prioritized the criteria. Conclusion These results highlight the importance of extensive training for nurses involved in CISC education, as their explanations have the greatest impact on the patient's choice of the catheter.