目的:本研究旨在确定与健康相关的生活质量和自我报告的与清洁间歇性导管插入术(CIC)相关的并发症。
方法:观察性,横断面研究。
方法:目标人群是马德里10月12号医院泌尿科护理的患者,西班牙,接受CIC治疗任何病因的慢性尿潴留(神经源性膀胱功能障碍,新膀胱,和其他)。样本包括50名平均年龄为49岁的受访者;大多数(66%,n=33)是女性。参与者平均表现为4CICs。
方法:所有参与者完成了ISC-Q(间歇性自导尿问卷)和关于CIC相关并发症的问卷。数据收集于2019年2月。
结果:绝大多数受访者(98%,n=49)表明导管插入术的准备很简单,76%(n=38)表示导管易于插入。五分之一(20%,n=10)认为携带导管和用品不方便,尽管58%(n=29)表示易于在家庭外处置导管。大多数受访者(98%,n=49)表明他们对自己需要进行自我插管感到自我意识,16%(n=8)的人认为CIC在拜访朋友和家人时造成了限制。最常见的并发症是有症状的尿路感染(UTI);参与者去年平均报告了1.7UTI。额外的并发症,比如附睾-睾丸炎,尿道狭窄,尿道出血,不到5%(n=2)的参与者报告。
结论:通过CIC治疗任何原因的慢性尿潴留的参与者报告对手术的满意度可接受。报告的并发症发生率很低,除了UTI。
OBJECTIVE: This
study sought to determine health-related quality of life and self-reported complications associated with clean intermittent catheterization (CIC).
METHODS: Observational, cross-sectional
study.
METHODS: The target population was patients cared for by the urology department at Hospital 12 de Octubre in Madrid, Spain, undergoing CIC for chronic urinary retention of any etiology (neurogenic bladder dysfunction, neobladder, and other). The sample comprised 50 respondents with a mean age of 49 years; a majority (66%, n = 33) were female. Participants performed an average of 4 CICs.
METHODS: All participants completed the ISC-Q (Intermittent Self-Catheterization Questionnaire) and a questionnaire about CIC-associated complications. Data were collected in February 2019.
RESULTS: A vast majority of respondents (98%, n = 49) indicated preparation for catheterization was simple, and 76% (n = 38) indicated the catheter was easy to insert. One in 5 (20%, n = 10) considered carrying catheters and supplies inconvenient, though 58% (n = 29) indicated it was easy to dispose of the catheters outside the home. Most respondents (98%, n = 49) indicated they felt self-conscious about their need to self-catheterize, and 16% (n = 8) felt that CIC created limitations when visiting friends and family. The most frequent complication was symptomatic urinary tract infections (UTIs); participants reported an average of 1.7 UTIs in the last year. Additional complications, such as epididymo-orchitis, urethral stenosis, and urethral bleeding, were reported by less than 5% (n = 2) of participants.
CONCLUSIONS: Participants managed by CIC for chronic urinary retention of any cause reported acceptable levels of satisfaction with the procedure. The reported incidence of complications was low, except for UTIs.