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Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient’s urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the pre...

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Autores principales: Blanc, Blanca Fernandez-Lasquetty, Rodríguez-Almagro, Julián, Lorenzo-García, Carlos, Alcaraz-Zomeño, Elena, Fernandez-Llorente, Guadalupe, Baixauli-Puig, Montserrat, Martín-Bermejo, María Victoria, Estudillo-González, Francisco, Ortega-Checa, Maria Angustias, Lluesma-Martinez, Vicenta, Ferrández-Franco, Guillermina, Benito-Santos, Begoña, Rodríguez-Díaz, Mónica, Torres-Bacete, Arancha, Guerrero-Andrades, María Carmen, Louis-Lauture, Mario Pierre, Jiménez-Mayorga, Isabel, Serrano-Abielar, Rosario, Garrido-Mora, María Asunción, Barcia-Barrera, Francisco, Asensio-Malo, Gemma, Morcillo-Marín, Montserrat, Tendero-Ruiz, Silvia, Hernández-Martínez, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432259/
https://www.ncbi.nlm.nih.gov/pubmed/34501357
http://dx.doi.org/10.3390/jcm10173909
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author Blanc, Blanca Fernandez-Lasquetty
Rodríguez-Almagro, Julián
Lorenzo-García, Carlos
Alcaraz-Zomeño, Elena
Fernandez-Llorente, Guadalupe
Baixauli-Puig, Montserrat
Martín-Bermejo, María Victoria
Estudillo-González, Francisco
Ortega-Checa, Maria Angustias
Lluesma-Martinez, Vicenta
Ferrández-Franco, Guillermina
Benito-Santos, Begoña
Rodríguez-Díaz, Mónica
Torres-Bacete, Arancha
Guerrero-Andrades, María Carmen
Louis-Lauture, Mario Pierre
Jiménez-Mayorga, Isabel
Serrano-Abielar, Rosario
Garrido-Mora, María Asunción
Barcia-Barrera, Francisco
Asensio-Malo, Gemma
Morcillo-Marín, Montserrat
Tendero-Ruiz, Silvia
Hernández-Martínez, Antonio
author_facet Blanc, Blanca Fernandez-Lasquetty
Rodríguez-Almagro, Julián
Lorenzo-García, Carlos
Alcaraz-Zomeño, Elena
Fernandez-Llorente, Guadalupe
Baixauli-Puig, Montserrat
Martín-Bermejo, María Victoria
Estudillo-González, Francisco
Ortega-Checa, Maria Angustias
Lluesma-Martinez, Vicenta
Ferrández-Franco, Guillermina
Benito-Santos, Begoña
Rodríguez-Díaz, Mónica
Torres-Bacete, Arancha
Guerrero-Andrades, María Carmen
Louis-Lauture, Mario Pierre
Jiménez-Mayorga, Isabel
Serrano-Abielar, Rosario
Garrido-Mora, María Asunción
Barcia-Barrera, Francisco
Asensio-Malo, Gemma
Morcillo-Marín, Montserrat
Tendero-Ruiz, Silvia
Hernández-Martínez, Antonio
author_sort Blanc, Blanca Fernandez-Lasquetty
collection PubMed
description Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient’s urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the prescribed number of daily catheterizations, which must be conducted by the patient, and infection prevention measures are crucial. To identify the patients requiring IBC, and to determine their adherence (whether they followed the prescribed guidelines and their difficulty in carrying out the procedure, as well as to assess how the IBC influences their quality of life and state of mind after receiving self-care training from a specialized nurse), we carried out a prospective, multicenter observational study in 24 Spanish hospitals with one month of monitoring and a sample of 99 patients. The sources of information were the patients’ clinical records, the King’s Health Questionnaire, the Mini-Mental State Examination (MMSE), and the hospital anxiety and depression scale (HADS). Descriptive and bivariate statistics were used to analyses the paired data. After recruitment (n = 99), 79 patients completed the questionnaire at a mean age of 35.2 years (SD = 20.5 years). In total, 53.5% (53) of the sample consisted of men and 32.3% (32) had neurological damage as the reason for prescription; 67% (67.7) performed self-catheterization and 86.7% adhered to the IBC. After one month of monitoring, a statistically significant improvement in quality of life was observed in all criteria, with the exception of personal relationships (p < 0.005), as well as an improvement in anxiety and depression levels (p < 0.001). Patients who require IBC show good adherence to the IBC with a significant percentage of self-catheterization. After one month of IBC, a significant improvement in the patients’ quality of life and mood was observed. These results could be attributed to adequate patient training and adequate personalization of the IBC materials by the specialized nurses.
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spelling pubmed-84322592021-09-11 Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses Blanc, Blanca Fernandez-Lasquetty Rodríguez-Almagro, Julián Lorenzo-García, Carlos Alcaraz-Zomeño, Elena Fernandez-Llorente, Guadalupe Baixauli-Puig, Montserrat Martín-Bermejo, María Victoria Estudillo-González, Francisco Ortega-Checa, Maria Angustias Lluesma-Martinez, Vicenta Ferrández-Franco, Guillermina Benito-Santos, Begoña Rodríguez-Díaz, Mónica Torres-Bacete, Arancha Guerrero-Andrades, María Carmen Louis-Lauture, Mario Pierre Jiménez-Mayorga, Isabel Serrano-Abielar, Rosario Garrido-Mora, María Asunción Barcia-Barrera, Francisco Asensio-Malo, Gemma Morcillo-Marín, Montserrat Tendero-Ruiz, Silvia Hernández-Martínez, Antonio J Clin Med Article Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient’s urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the prescribed number of daily catheterizations, which must be conducted by the patient, and infection prevention measures are crucial. To identify the patients requiring IBC, and to determine their adherence (whether they followed the prescribed guidelines and their difficulty in carrying out the procedure, as well as to assess how the IBC influences their quality of life and state of mind after receiving self-care training from a specialized nurse), we carried out a prospective, multicenter observational study in 24 Spanish hospitals with one month of monitoring and a sample of 99 patients. The sources of information were the patients’ clinical records, the King’s Health Questionnaire, the Mini-Mental State Examination (MMSE), and the hospital anxiety and depression scale (HADS). Descriptive and bivariate statistics were used to analyses the paired data. After recruitment (n = 99), 79 patients completed the questionnaire at a mean age of 35.2 years (SD = 20.5 years). In total, 53.5% (53) of the sample consisted of men and 32.3% (32) had neurological damage as the reason for prescription; 67% (67.7) performed self-catheterization and 86.7% adhered to the IBC. After one month of monitoring, a statistically significant improvement in quality of life was observed in all criteria, with the exception of personal relationships (p < 0.005), as well as an improvement in anxiety and depression levels (p < 0.001). Patients who require IBC show good adherence to the IBC with a significant percentage of self-catheterization. After one month of IBC, a significant improvement in the patients’ quality of life and mood was observed. These results could be attributed to adequate patient training and adequate personalization of the IBC materials by the specialized nurses. MDPI 2021-08-30 /pmc/articles/PMC8432259/ /pubmed/34501357 http://dx.doi.org/10.3390/jcm10173909 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Blanc, Blanca Fernandez-Lasquetty
Rodríguez-Almagro, Julián
Lorenzo-García, Carlos
Alcaraz-Zomeño, Elena
Fernandez-Llorente, Guadalupe
Baixauli-Puig, Montserrat
Martín-Bermejo, María Victoria
Estudillo-González, Francisco
Ortega-Checa, Maria Angustias
Lluesma-Martinez, Vicenta
Ferrández-Franco, Guillermina
Benito-Santos, Begoña
Rodríguez-Díaz, Mónica
Torres-Bacete, Arancha
Guerrero-Andrades, María Carmen
Louis-Lauture, Mario Pierre
Jiménez-Mayorga, Isabel
Serrano-Abielar, Rosario
Garrido-Mora, María Asunción
Barcia-Barrera, Francisco
Asensio-Malo, Gemma
Morcillo-Marín, Montserrat
Tendero-Ruiz, Silvia
Hernández-Martínez, Antonio
Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title_full Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title_fullStr Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title_full_unstemmed Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title_short Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses
title_sort quality of life and autonomy in patients with intermittent bladder catheterization trained by specialized nurses
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432259/
https://www.ncbi.nlm.nih.gov/pubmed/34501357
http://dx.doi.org/10.3390/jcm10173909
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