2.50
Hdl Handle:
http://hdl.handle.net/10755/155302
Type:
Presentation
Title:
Patient Adherence to Clean Intermittent Self-Catheterization Procedures
Abstract:
Patient Adherence to Clean Intermittent Self-Catheterization Procedures
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Van Achterberg, Theo, PhD, RN
P.I. Institution Name:Radboud University Nijmegen Medical Center
Title:Professor, Dr.
Co-Authors:Gerda Holleman, MSc, RN; Hanny Cobussen-Boekhorst, MA; Rita Arts, BA and John Heesakkers, PhD, MD
[Research Presentation] Background - Clean intermittent self-catheterization is associated with favorable patient outcomes, but adherence to the procedure is not addressed in the international literature.á Aims & objectives - The aim of the current study was to explore factors that hinder or promote adherence to Clean Intermittent Self-Catheterization (CISC) procedures in adults. Methods - Relevant factors were explored in two studies. A first study (n=10) addressed mastery and short term adherence, whereas a second study (n=20) addressed long term adherence in these patients. Determinants of patient adherence were derived from pre-structured interviews with patients, using a content-analysis procedure. Results - A list of sixteen determinants of mastery and short-term adherence and a list of twelve determinants of long-term adherence was found. Most of these determinants were found in both older (65 years of age) and younger patients. However, five determinants of mastery and short term adherence and six determinants of long-term adherence were specific to patients under the age of 65. Conclusion - Our findings give a first insight into CISC adherence. General determinants of adherence relate to knowledge, complexity of the procedure, misconceptions, fears, shame, motivation and quality and continuity of professional care. Furthermore integrating CISC in everyday life can be difficult. In younger patients, availability of materials, physical impairments and resistance to a sickness role can further compromise adherence. Relevance to clinical practice - Issues of knowledge, fears, motivation and potential psychological impact of performing CISC should be addressed prior to deciding on CISC and instructing patients. Follow-up care should be improved to include re-evaluations of skills, discussing adherence, integrating CISC in daily activities and general coping issues.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatient Adherence to Clean Intermittent Self-Catheterization Proceduresen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155302-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Adherence to Clean Intermittent Self-Catheterization Procedures</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Van Achterberg, Theo, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Radboud University Nijmegen Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor, Dr.</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">t.vanachterberg@kwazo.umcn.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Gerda Holleman, MSc, RN; Hanny Cobussen-Boekhorst, MA; Rita Arts, BA and John Heesakkers, PhD, MD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background - Clean intermittent self-catheterization is associated with favorable patient outcomes, but adherence to the procedure is not addressed in the international literature.&aacute; Aims &amp; objectives - The aim of the current study was to explore factors that hinder or promote adherence to Clean Intermittent Self-Catheterization (CISC) procedures in adults. Methods - Relevant factors were explored in two studies. A first study (n=10) addressed mastery and short term adherence, whereas a second study (n=20) addressed long term adherence in these patients. Determinants of patient adherence were derived from pre-structured interviews with patients, using a content-analysis procedure. Results - A list of sixteen determinants of mastery and short-term adherence and a list of twelve determinants of long-term adherence was found. Most of these determinants were found in both older (65 years of age) and younger patients. However, five determinants of mastery and short term adherence and six determinants of long-term adherence were specific to patients under the age of 65. Conclusion - Our findings give a first insight into CISC adherence. General determinants of adherence relate to knowledge, complexity of the procedure, misconceptions, fears, shame, motivation and quality and continuity of professional care. Furthermore integrating CISC in everyday life can be difficult. In younger patients, availability of materials, physical impairments and resistance to a sickness role can further compromise adherence. Relevance to clinical practice - Issues of knowledge, fears, motivation and potential psychological impact of performing CISC should be addressed prior to deciding on CISC and instructing patients. Follow-up care should be improved to include re-evaluations of skills, discussing adherence, integrating CISC in daily activities and general coping issues.</td></tr></table>en_GB
dc.date.available2011-10-26T13:43:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:43:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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