Research Article
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Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization

Year 2025, Volume: 9 Issue: 2, 404 - 412, 31.05.2025
https://doi.org/10.30621/jbachs.1675312

Abstract

Purpose: The aim of this study is to determine the practices of patients with paraplegia for Clean Intermittent Catheterization (CIC).
Material and Methods: This descriptive study was conducted on 145 patients with paraplegia who were hospitalized in a physical therapy and rehabilitation hospital, who applied CIC, who were 18 years of age and older, who could use their upper extremities, who were at least literate, and who agreed to participate in the study. In the research, a questionnaire consisting of 39 questions prepared by the researchers in line with the literature was used as a data collection tool. Institutional permission, ethics committee approval and patient consent were obtained before data collection. The data were evaluated by performing count, percentage, mean and standard deviation analyzes.
Results: The mean age of the patients was 36.43±13.29 years. CIC application periods are between 3 months and 20 years, and the number of CIC applications in a day is between 1-8. The applications for the pre-procedure, during and post-procedure steps of the patients who applied CIC with paraplegia were determined, and it was concluded that they did not have sufficient knowledge
Conclusion: It can be recommended to plan trainings on the steps of the procedure during the hospitalization period for patients who apply CIC with paraplegia.

Ethical Statement

The study protocol was approved by the Clinical Research Ethics Committee (Date: 05.10.2021, No: 2021-16/171) and the Provincial Health Directorate Scientific Study Commission (Date: 23/11/2021 Number of paperwork No. E-26171210-929). The study was conducted in accordance with the principles of the Declaration of Helsinki.

References

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  • Nugent P, Vitale B. Fundamentals of Nursing Content Review Plus Practice Questions. Philadelphia: Davis Company; 2014.
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  • Berman A, Snyder S, Frandsen G. Kozier E. Fundamentals of Canadian Nursing; Concepts, Process, and Practice. 11th edition. New Jersey: Pearsons Education Inc.; 2021.
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  • Hirnle C, Craven R, Henshaw C. Urinary Elimination. Fundamentals of Nursing: Human Health and Fuction. 8th edition. Philadelphia: Wolters Klower; 2017.
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  • European Centre for Disease Prevention and Control An agency of the European Union-CDC, Catheter-Associated Urinary Tract Infections (CAUTI). Available from: https://www.cdc.gov/hai/ca_uti/uti.html.
  • T.C. Sağlık Bakanlığı, Hemşirelik yönetmeliğinde değişiklik yapılmasına dair yönetmelik. Available from: https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeli-ginde-degisiklik-yapilmasina-dair-yonetmelik.html.
  • Ay F. Sağlık Uygulamalarında Temel Kavramlar ve Beceriler. 3rd edition. İstanbul: Nobel Tıp Kitabevleri; 2011.
  • Sabuncu N. Hemşirelik Bakımında İlke ve Uygulamalar. 4th edition. Ankara: Alter Yayıncılık Ltd. Şti.; 2014.
  • Perry AG, Potter PA, Elkin MK. Nursing Interventions and Clinical Skills. 2nd edition. St. Louis: Mosby; 2000.
  • Öz G, Yılmaz S, Ordu Y, Arslanlı S. Hemşirelikte Uygulama Becerileri. 2nd edition. Ankara: Vize Yayıncılık; 2021.
  • Karacan I, Koyuncu H, Pekel O, Sümbüloğu G, Kırnap M, Dursun Hİ, et al. Traumatic spinal cord injury in Turkey: A nation-wide epidemiological study. Spinal Cord 2000;38:697-701.
  • Yıldız N, Çatalbaş N, Alkan H, Akkaya N, Ardıç F. Omurilik yaralanmalı hastalarda temiz aralıklı kateterizasyona uyum ile ilişkili faktörler. Pamukkale Tıp Dergisi 2010;3:115-23.
  • Akkoç Y, Atamaz F, Özdedeli S, Kirazlı Y, Hepgüler S, Durmaz B. Omurilik yaralanmalı hastaların temiz aralıklı kateterizasyona uzun dönemde gösterdikleri uyum. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2004;50:13-6.
  • Woodward S. Dos and don'ts of intermittent self-catheterisation. British Journal of Nursing 2013;22:10-8.
  • Bardsley A. Assessing and teaching female intermittent self-catheterization. British Journal of Community Nursing 2015;20: 344-6.
  • Bolinger R, Engberg S. Barriers, complications, adherence, and self-reported quality of life for people using clean intermittent catheterization. Journal of Wound, Ostomy and Continence Nursing 2013;40:83-9.
  • Beji NK. Kadın Sağlığı ve Hastalıkları. 2nd edition. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti.; 2017.
  • Nazarko L. Intermittent self-catheterisation: managing bladder dysfunction. British Journal of Nursing 2013;22:20-2.
  • Palmer SJ. Psychological factors and intermittent self-catheterisation. British Journal of Community Nursing 2021;26:180-3.
  • Cardenas DD, Moore KN, Dannels-McClure A, Scelza WM, Graves DE, Brooks M, et al. Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract ınfections in acute spinal cord ınjury: a prospective, randomized, multicenter trial. American Academy of Physical Medicine and Rehabilitation 2011;3:408-17.
  • Rognoni C, Tarricone R. Intermittent catheterisation with hydrophilic and non-hydrophilic urinary catheters: systematic literature review and meta-analyses. BMC Urology 2017;17:4-13.
  • Liao X, Liu Y, Liang S, Li K. Effects of hydrophilic coated catheters on urethral trauma, microtrauma and adverse events with intermittent catheterization in patients with bladder dysfunction: a systematic review and meta-analysis. International Urology and Nephrology 2022;54:1461-70.
  • Balhi S, Arfaouni RB, Mrabet A. Intermittent catheterisation: the common complications. British Journal of Community Nursing 2021;26:272-7.
  • Soyupek S, Armagan A, Perk H, Kosar A, Serel TA, Özorak A. Temiz aralıklı kateterizasyonun alışılmadık bır komplikasyonu; üretral, glandüler, kavernozal doku kaybı. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi 2006;7:47-8.
  • Özbilen MH, Ergani B, Çetin T, Yalçın MY, İlbey YÖ. Temiz aralıklı katetere bağlı nadir bir komplikasyon: unutulmuş 'no touch' materyalleri. Aegean Journal of Medical Science 2020;3:77-9.
  • Wilson M. Clean intermittent self-catheterisation: working with patients. British Journal of Nursing 2015;24:76-80.
  • Saadat SH, Shepherd S, Asseldonk BV, Elterman DS. Clean intermittent catheterization: Single use vs. reuse. Canadian Urological Association Journal 2019;13:64-9.
  • Vainrib M, Stav K, Gruenwald I, Gilon G, Aharony S, Gross M, et al. Position statement for intermittent catheterization of urinary bladder. Harefuah 2018;157:257-61.
  • National Institute for Health and Clinical Excellence (NICE). Erişim Adresi: https://www.nice.org.uk/guidance/cg139.
  • Hakansson MA. Reuse versus single-use catheters for intermittent catheterization: what is safe and preferred? Review of current status. Spinal Cord 2014;52:511-6.
  • Tüfek İ. Spinal kord yaralanmalı hastalarda ürolojik durum (tez). İstanbul Üniv. Cerrahpaşa Tıp Fakültesi; 1998.
  • Leach D. Teaching patients a clean intermittent self-catheterisation technique. British Journal of Nursing 2018;27:296-8.

Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization

Year 2025, Volume: 9 Issue: 2, 404 - 412, 31.05.2025
https://doi.org/10.30621/jbachs.1675312

Abstract

References

  • Zileli M, Özer AF. Omurilik ve Omurga Cerrahisi. İzmir: İntertıp Yayınevi; 2014.
  • Cifu D. Braddom’s Physical Medicine And Rehabilitation. 6th edition. Philadelphia: Elsevier Inc; 2020.
  • Nugent P, Vitale B. Fundamentals of Nursing Content Review Plus Practice Questions. Philadelphia: Davis Company; 2014.
  • Perry AG, Potter PA, Stockert PA, Hall AM. Fundamentals of Nursing. 10th edition. North York: Elsevier Canada; 2022.
  • Wilmshurst L. Somatic Symptom and Related Disorders: In Essentials of Child and Adolescent Psychopathology. 2nd edition. New Jersey: John Wiley and Sons; 2015.
  • Lynn P, (Çevirmen, Bektaş H.). Taylor’s Clinical Nursing Skills: A Nursing Process Appoach. 3rd edition. Ankara: Nobel Akademik Yayıncılık Eğitim Danışmanlık Tic. Ltd. Şti.; 2015.
  • Berman A, Snyder S, Frandsen G. Kozier E. Fundamentals of Canadian Nursing; Concepts, Process, and Practice. 11th edition. New Jersey: Pearsons Education Inc.; 2021.
  • Aşti T, Karadağ A. Hemşirelik Esasları. 2nd edition. İstanbul: Akademi Basın ve Yayıncılık; 2019.
  • Hirnle C, Craven R, Henshaw C. Urinary Elimination. Fundamentals of Nursing: Human Health and Fuction. 8th edition. Philadelphia: Wolters Klower; 2017.
  • Yağmuroğlu M, Ünsal A. Son 10 yılda fizik tedavi servisinde yatmış paraplejili Hastaların temiz aralıklı kateter uygulama prevelansı. Kazankaya A, Ateş M, İpekdal K, editors. Ahi Evran International Conference on Scientific Research Bildirileri; 2021 1-2 Aralık; Liberty Publications, p. 886-91.
  • European Centre for Disease Prevention and Control An agency of the European Union-CDC, Catheter-Associated Urinary Tract Infections (CAUTI). Available from: https://www.cdc.gov/hai/ca_uti/uti.html.
  • T.C. Sağlık Bakanlığı, Hemşirelik yönetmeliğinde değişiklik yapılmasına dair yönetmelik. Available from: https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeli-ginde-degisiklik-yapilmasina-dair-yonetmelik.html.
  • Ay F. Sağlık Uygulamalarında Temel Kavramlar ve Beceriler. 3rd edition. İstanbul: Nobel Tıp Kitabevleri; 2011.
  • Sabuncu N. Hemşirelik Bakımında İlke ve Uygulamalar. 4th edition. Ankara: Alter Yayıncılık Ltd. Şti.; 2014.
  • Perry AG, Potter PA, Elkin MK. Nursing Interventions and Clinical Skills. 2nd edition. St. Louis: Mosby; 2000.
  • Öz G, Yılmaz S, Ordu Y, Arslanlı S. Hemşirelikte Uygulama Becerileri. 2nd edition. Ankara: Vize Yayıncılık; 2021.
  • Karacan I, Koyuncu H, Pekel O, Sümbüloğu G, Kırnap M, Dursun Hİ, et al. Traumatic spinal cord injury in Turkey: A nation-wide epidemiological study. Spinal Cord 2000;38:697-701.
  • Yıldız N, Çatalbaş N, Alkan H, Akkaya N, Ardıç F. Omurilik yaralanmalı hastalarda temiz aralıklı kateterizasyona uyum ile ilişkili faktörler. Pamukkale Tıp Dergisi 2010;3:115-23.
  • Akkoç Y, Atamaz F, Özdedeli S, Kirazlı Y, Hepgüler S, Durmaz B. Omurilik yaralanmalı hastaların temiz aralıklı kateterizasyona uzun dönemde gösterdikleri uyum. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2004;50:13-6.
  • Woodward S. Dos and don'ts of intermittent self-catheterisation. British Journal of Nursing 2013;22:10-8.
  • Bardsley A. Assessing and teaching female intermittent self-catheterization. British Journal of Community Nursing 2015;20: 344-6.
  • Bolinger R, Engberg S. Barriers, complications, adherence, and self-reported quality of life for people using clean intermittent catheterization. Journal of Wound, Ostomy and Continence Nursing 2013;40:83-9.
  • Beji NK. Kadın Sağlığı ve Hastalıkları. 2nd edition. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti.; 2017.
  • Nazarko L. Intermittent self-catheterisation: managing bladder dysfunction. British Journal of Nursing 2013;22:20-2.
  • Palmer SJ. Psychological factors and intermittent self-catheterisation. British Journal of Community Nursing 2021;26:180-3.
  • Cardenas DD, Moore KN, Dannels-McClure A, Scelza WM, Graves DE, Brooks M, et al. Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract ınfections in acute spinal cord ınjury: a prospective, randomized, multicenter trial. American Academy of Physical Medicine and Rehabilitation 2011;3:408-17.
  • Rognoni C, Tarricone R. Intermittent catheterisation with hydrophilic and non-hydrophilic urinary catheters: systematic literature review and meta-analyses. BMC Urology 2017;17:4-13.
  • Liao X, Liu Y, Liang S, Li K. Effects of hydrophilic coated catheters on urethral trauma, microtrauma and adverse events with intermittent catheterization in patients with bladder dysfunction: a systematic review and meta-analysis. International Urology and Nephrology 2022;54:1461-70.
  • Balhi S, Arfaouni RB, Mrabet A. Intermittent catheterisation: the common complications. British Journal of Community Nursing 2021;26:272-7.
  • Soyupek S, Armagan A, Perk H, Kosar A, Serel TA, Özorak A. Temiz aralıklı kateterizasyonun alışılmadık bır komplikasyonu; üretral, glandüler, kavernozal doku kaybı. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi 2006;7:47-8.
  • Özbilen MH, Ergani B, Çetin T, Yalçın MY, İlbey YÖ. Temiz aralıklı katetere bağlı nadir bir komplikasyon: unutulmuş 'no touch' materyalleri. Aegean Journal of Medical Science 2020;3:77-9.
  • Wilson M. Clean intermittent self-catheterisation: working with patients. British Journal of Nursing 2015;24:76-80.
  • Saadat SH, Shepherd S, Asseldonk BV, Elterman DS. Clean intermittent catheterization: Single use vs. reuse. Canadian Urological Association Journal 2019;13:64-9.
  • Vainrib M, Stav K, Gruenwald I, Gilon G, Aharony S, Gross M, et al. Position statement for intermittent catheterization of urinary bladder. Harefuah 2018;157:257-61.
  • National Institute for Health and Clinical Excellence (NICE). Erişim Adresi: https://www.nice.org.uk/guidance/cg139.
  • Hakansson MA. Reuse versus single-use catheters for intermittent catheterization: what is safe and preferred? Review of current status. Spinal Cord 2014;52:511-6.
  • Tüfek İ. Spinal kord yaralanmalı hastalarda ürolojik durum (tez). İstanbul Üniv. Cerrahpaşa Tıp Fakültesi; 1998.
  • Leach D. Teaching patients a clean intermittent self-catheterisation technique. British Journal of Nursing 2018;27:296-8.
There are 38 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Muteber Yağmuroğlu 0000-0001-6950-5814

Ayla Ünsal 0000-0003-3319-1600

Publication Date May 31, 2025
Submission Date April 13, 2025
Acceptance Date May 21, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

APA Yağmuroğlu, M., & Ünsal, A. (2025). Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization. Journal of Basic and Clinical Health Sciences, 9(2), 404-412. https://doi.org/10.30621/jbachs.1675312
AMA Yağmuroğlu M, Ünsal A. Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization. JBACHS. May 2025;9(2):404-412. doi:10.30621/jbachs.1675312
Chicago Yağmuroğlu, Muteber, and Ayla Ünsal. “Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization”. Journal of Basic and Clinical Health Sciences 9, no. 2 (May 2025): 404-12. https://doi.org/10.30621/jbachs.1675312.
EndNote Yağmuroğlu M, Ünsal A (May 1, 2025) Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization. Journal of Basic and Clinical Health Sciences 9 2 404–412.
IEEE M. Yağmuroğlu and A. Ünsal, “Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization”, JBACHS, vol. 9, no. 2, pp. 404–412, 2025, doi: 10.30621/jbachs.1675312.
ISNAD Yağmuroğlu, Muteber - Ünsal, Ayla. “Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization”. Journal of Basic and Clinical Health Sciences 9/2 (May 2025), 404-412. https://doi.org/10.30621/jbachs.1675312.
JAMA Yağmuroğlu M, Ünsal A. Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization. JBACHS. 2025;9:404–412.
MLA Yağmuroğlu, Muteber and Ayla Ünsal. “Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 2, 2025, pp. 404-12, doi:10.30621/jbachs.1675312.
Vancouver Yağmuroğlu M, Ünsal A. Determining The Practices of Paraplegia Patients Concerning The Self Applied Clean Intermittent Catheterization. JBACHS. 2025;9(2):404-12.