Document Detail


Long-term urinary catheter users self-care practices and problems.
MedLine Citation:
PMID:  23301577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS AND OBJECTIVES: To characterise a sample of 202 adult community-living long-term indwelling urinary catheter users, to describe self-care practices and catheter problems, and to explore relationships among demographics, catheter practices and problems.
BACKGROUND: Long-term urinary catheter users have not been well studied, and persons using the device indefinitely for persistent urinary retention are likely to have different patterns of catheter practices and problems.
DESIGN: The study was a cross-sectional descriptive and exploratory analysis.
METHODS: Home interviews were conducted with catheter users who provided information by self-reported recall over the previous two months. Data were analysed by descriptive statistics and tests of association between demographics, catheter practices and catheter problems.
RESULTS: The sample was widely diverse in age (19-96 years), race and medical diagnosis. Urethral catheters were used slightly more often (56%) than suprapubic (44%), for a mean of six years (SD 7 years). Many persons were highly disabled, with 60% having difficulty in bathing, dressing, toileting and getting out of the bed; 19% also required assistance in eating. A high percentage of catheter problems were reported with: 43% experiencing leakage (bypassing of urine), 31% having had a urinary tract infection, 24% blockage of the catheter, 23% catheter-associated pain and 12% accidental dislodgment of the catheter. Treatments of catheter-related problems contributed to additional health care utilisation, including extra nurse or clinic visits, trips to the emergency department or hospitalisation. Symptoms of catheter-associated urinary tract infections were most often related to changes in the colour or character of urine or generalised symptoms.
CONCLUSIONS: Catheter-related problems contribute to excess morbidity and health care utilisation and costs.
RELEVANCE TO CLINICAL PRACTICE: More research is needed in how to minimise catheter-associated problems in long-term catheter users. Information from this study could help inform the development of interventions in this population.
Authors:
Mary H Wilde; Margaret V McDonald; Judith Brasch; James M McMahon; Eileen Fairbanks; Shivani Shah; Wan Tang; Eileen Scheid
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of clinical nursing     Volume:  22     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-10     Completed Date:  2013-11-22     Revised Date:  2014-02-13    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  356-67     Citation Subset:  N    
Copyright Information:
© 2013 Blackwell Publishing Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Self Care*
Urinary Catheterization / utilization*
Young Adult
Grant Support
ID/Acronym/Agency:
R01 NR010553/NR/NINR NIH HHS; R01 NR01553/NR/NINR NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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