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Determinants and impact of the time to perform clean intermittent self‐catheterization on patient adherence and quality of life: A prospective observational study
Author(s) -
Leroux Camille,
Turmel Nicolas,
Chesnel Camille,
Grasland Matthieu,
Le Breton Frédérique,
Amarenco Gérard,
Hentzen Claire
Publication year - 2021
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.24662
Subject(s) - medicine , quality of life (healthcare) , observational study , physical therapy , duration (music) , prospective cohort study , nursing , art , literature
Aims To measure the time required to perform clean intermittent self‐catheterization (CISC) in daily life and to assess its impact on adherence and quality of life. Methods Patients performing CISC for more than 1 month were invited to participate. At home, patients were asked to complete a 1‐day diary to assess the specific duration of the CISC (time from when the equipment and environment are brought together to perform CISC ) and the next day to complete a second diary for the total duration of the CISC (starting when the patient intent to self‐catheterize to the return to the initial activity, including the displacement, and gathering the required device ) . Adherence, difficulties with CISC, and quality of life were measured with validated questionnaires: Intermittent Catheterization Satisfaction Questionnaire, Intermittent Catheterization Difficulty Questionnaire, Intermittent Catheterization Adherence Scale, and SF Qualiveen Questionnaire. Results Thirty‐six patients agreed to participate but only 25 patients completed the entire protocol. The participants performed CISC for an average of 7 years. The median specific duration of CISC was 2 min and 23 s (ranging from 47'' to 11'50''). The median total duration of CISC was 3 min and 40 s (1'35''; 18'47''). No significant correlation was found between the duration of CISC and patient characteristics, adherence, difficulty to self‐catheterize, or quality of life. Conclusion The time to perform CISC was brief, and less than 2–3 min on average. The impact on adherence and quality of life should be assessed in a larger cohort.