A qualitative descriptive study of self-management issues in people with long-term intermittent urinary catheters

wilde m.h., brasch j. & zhang y. (2011) A qualitative descriptive study of self‐management issues in people with long‐term intermittent urinary catheters. Journal of Advanced Nursing67(6), 1254–1263. Aim.  The study was to identify and describe issues of intermittent urinary catheter users for f...

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Veröffentlicht in:Journal of advanced nursing Jg. 67; H. 6; S. 1254 - 1263
Hauptverfasser: Wilde, Mary H., Brasch, Judith, Zhang, Yi
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Oxford, UK Blackwell Publishing Ltd 01.06.2011
Wiley Subscription Services, Inc
Schlagworte:
Adaptation, Psychological
Adult
advocacy
Aged
Catheter-Related Infections - epidemiology
Catheter-Related Infections - prevention & control
Catheterization
Catheters
Catheters - adverse effects
Catheters - economics
clean intermittent catheterization
Content analysis
disability
Female
Fluid intake
Grammatical aspect
Humans
Insurance Coverage
Intermittent
Intermittent Urethral Catheterization - adverse effects
Intermittent Urethral Catheterization - methods
Intermittent Urethral Catheterization - psychology
Internet
Intubation
Knowledge
Male
Management
Methodological problems
Middle Aged
Multiple sclerosis
Neurological disorders
nursing
Patient Compliance
Patient Education as Topic
Qualitative Research
qualitative study
Quality of Life
Recruitment
Self Care - methods
Self Care - psychology
self-management
Selfmanagement
Social Stigma
Spinal cord
Spinal cord injuries
Spinal Cord Injuries - nursing
Studies
Time Factors
Toilet Facilities - standards
Training
urinary catheter
Urinary Retention - therapy
Young Adult
United States > US
ISSN:0309-2402, 1365-2648, 1365-2648
Online-Zugang:Volltext
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Zusammenfassung:wilde m.h., brasch j. & zhang y. (2011) A qualitative descriptive study of self‐management issues in people with long‐term intermittent urinary catheters. Journal of Advanced Nursing67(6), 1254–1263. Aim.  The study was to identify and describe issues of intermittent urinary catheter users for future self‐management research and/or training programmes. Background.  Limited studies were found of how people using clean intermittent catheterization manage their daily routines or troubleshoot problems. Self‐management research related to intermittent catheterization could lead to improved compliance with the method and better quality of life. Method.  This qualitative descriptive study involved in‐depth tape‐recorded telephone interviews in 2008–2009 with 34 people in the United States of America using permanent intermittent catheterization, mostly individuals with spinal cord injury or multiple sclerosis. Recruitment was through Internet sites where individuals could link to the study website and then contact the researchers. The sample included 13 men and 21 women aged 21–72 years (mean 42 years). Content analysis for qualitative data involved iterative comparisons of transcripts, summaries and memos. Coding, key quotes and tables were developed to determine themes. Findings.  Six major themes were identified: Knowing the Body, Practising Intermittent Catheterization, Limited Options in Catheters and Equipment, Inaccessible Bathrooms, Hassles, and Adjustment in Making Intermittent Catheterization a Part of Life. While some persons had choices in catheters, many did not because of insurance constraints. Some individuals developed knowledge of how to balance the procedure with fluid intake and activities. Conclusion.  The lack of acceptable bathrooms can interfere with being able to go to work, travel or be with friends and family. All using intermittent catheterization should have adequate insurance coverage when this is needed. Research into training programmes could incorporate knowledge of experienced users.
Bibliographie:ArticleID:JAN5583
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istex:6AF2080F3A19AC1041457EFECD403FDC347800BA
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ObjectType-Feature-1
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ISSN:0309-2402
1365-2648
1365-2648
DOI:10.1111/j.1365-2648.2010.05583.x