Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure

  • Lee, Sang Rim (Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital) ;
  • Lee, In Sook (College of Nursing, Seoul National University) ;
  • Oh, Seung-June (Department of Urology, Seoul National University Hospital) ;
  • Kim, Sung Hwa (Clean Intermittent Catheterization Center of Department of Urology, Seoul National University Hospital) ;
  • Chin, Young Ran (Department of Nursing, Chungwoon University)
  • Received : 2018.04.06
  • Accepted : 2018.10.07
  • Published : 2018.12.31
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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.

Keywords

References

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