Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization
Authors Nnabugwu I, Udeh EI, Enivwenae O, Ugwumba F, Ozoemena OF
Received 19 April 2014
Accepted for publication 4 June 2014
Published 2 September 2014 Volume 2014:8 Pages 1179—1183
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Ikenna I Nnabugwu, Emeka I Udeh, Oghenekaro A Enivwenae, Fred O Ugwumba, Oyiogu F Ozoemena
Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
Background: Clean intermittent self-catheterization is accepted worldwide as a standard of care for patients with long-standing need for urinary bladder decompression. Evidence of its routine practice in our low-resource setting is lacking, leading to increasing number of patients with a long-standing indwelling urinary catheter.
Objective: To seek the opinion of patients already using indwelling catheters regarding the practice of self-catheterization.
Patients and methods: Over a 4-month period, the opinion of every patient and patient’s relative that attended the regular urinary catheter clinic was sought using an intern-administered questionnaire. The data was analyzed using SPSS version 20.
Results: A total of 108 patients completed the questionnaire. Age range was 16–100 years with a mean of 62.2±15.5 years. Only 30.5% of the patients had formal education beyond the primary level. The median cost for change of the indwelling catheter was 1,325 naira ($8.28 US) with a range of 500–4,000 naira ($3.13–$25 USD). Analysis showed that: 70.8% of patients aged under 60 years/60.6% of those with formal education beyond primary level/61.9% of those wearing catheters for <3 months would give consent for training in self-catheterization. Higher cost of catheter change did not influence the decision to consider self-catheterization. Of the 59 patient relatives who completed the questionnaire, 63% of those younger than 50 years old and 69.2% of those with tertiary education would be willing to undertake training to administer self-catheterization.
Conclusion: A select group of patients and accompanying relatives in our low-resource setting are willing to learn and practice self-catheterization.
Keywords: self-catheterization, patients’ opinion, indwelling catheter
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]