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대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제21권 제3호
발행연도
2017.1
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189 - 196 (8page)

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Purpose: Clean intermittent self-catheterization (CISC) is now considered the gold standard for the management of urinary retention. In the literature, several articles on patients’ perspectives on CISC and adherence to this technique have been published. No studies have yet explored the points of view of professional caregivers, such as nurses and doctors. The aim of this study was to explore the opinions of urologists about CISC and to evaluate the need for dedicated nurses specialized in CISC through a self-administered questionnaire. Methods: A questionnaire was developed to explore the opinions of professional caregivers about self-catheterization and to evaluate the need to provide nurses with specialized education in CISC. Questionnaires were sent to 244 urologists through email. We received 101 completed questionnaires. The response rate was 41.4%. Results: Hand function, the presence or absence of tremor, and visual acuity were rated as the most important determinants for proposing CISC to a patient. Twenty-five percent of the urologists reported that financial remuneration would give them a greater incentive to propose CISC. The lack of dedicated nurses was reported by half of the urologists as a factor preventing them from proposing CISC. A meaningful number of urologists thought that patients perceive CISC as invasive and unpleasant. Although most urologists would choose CISC as a treatment option for themselves, almost 1 urologist out of 5 would prefer a permanent catheter. Conclusions: This questionnaire gave valuable insights into urologists’ perceptions of CISC, and could serve as the basis for a subsequent broader international study. Further research should also focus on the opinions of nurses and other caregivers involved in incontinence management. Apart from financial remuneration, it is also clear that ensuring sufficient expertise and time for high-quality CISC care is important. This could be a potential role for dedicated nurses.
#Intermittent Urethral Catheterization #Perception #Urologists #Caregivers #Urinary Catheterization

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참고문헌 (15)

참고문헌 신청
Amarenco G / 2011 / Pencil and paper test : a new tool to predict the ability of neurological patients to practice clean intermittent self-catheterization / J Urol 185 : 578 google schola Johnson TM / 2001 / Urinary incontinence treatment preferences in long-term care / J Am Geriatr Soc 49 : 710 ~ 718 google schola Kessler TM / 2009 / Clean intermittent self-catheterization:a burden for the patient? / Neurourol Urodyn 28 : 18 ~ 21 google schola McMurdo ME / 1992 / A cost-effectiveness study of the management of intractable urinary incontinence by urinary catheterisation or incontinence pads / J Epidemiol Community google schola Patel MI / 2001 / The optimal form of urinary drainage after acute retention of urine / BJU Int 88 : 26 ~ 29 google schola

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