Abstract
To identify the factors associated with the knowledge of patients and caregivers about Clean Intermittent Urethral Catheterization in the literature which hinder or facilitate the procedure. An integrative review of the literature conducted in the MEDLINE/PubMed, CINAHL, Cochrane, Web of Science, SCOPUS and LILACS databases. 13 primary studies were included in the sample after the peer review. A synthesis of knowledge was performed in two categories: Factors associated with the knowledge of patients and caregivers which hinder the procedure and Factors associated with the knowledge of patients and caregivers which facilitate the procedure. Factors that hinder and facilitate the procedure respectively related to the need of information and negative feelings, use of easy-to-understand language, and application of information leaflets, among others. There is a shortage of published articles on the subject, and those which were identified had a low level of evidence, therefore requiring greater commitment and effort on the part of health professionals and researchers to use more robust designs.
Highlights
Intermittent Urethral Catheterization (IUC) is an effective and safe technique that promotes bladder emptying, and it is considered the treatment of choice for patients with neurological or idiopathic lower urinary tract dysfunction resulting from incomplete emptying of the bladder
Primary source studies published in English, Portuguese or Spanish until December 2016 which addressed Clean Intermittent Urethral Catheterization were included in the review
It was observed that the factors associated with patients’ and caregivers’ knowledge about Clean Intermittent Urethral Catheterization (CIUC) which hinder the procedure are quite diversified, and can be grouped into: – factors related to aspects inherent to the need for information(16-17,24); and – factors that involve negative feelings(16-17,19,21,24-25)
Summary
Intermittent Urethral Catheterization (IUC) is an effective and safe technique that promotes bladder emptying, and it is considered the treatment of choice for patients with neurological or idiopathic lower urinary tract dysfunction resulting from incomplete emptying of the bladder. An IUC seeks to preserve the upper urinary tract, prevent and control urinary tract infections, and improve quality of life, in addition to favoring the regression or stabilization of present lesions and important anatomical alterations such as vesicoureteral reflux(1-3). This procedure was described by Lapides in 1972 and has been standardized since World War II, it still raises resistance and doubt both from health professionals and users, because this care strategy requires introducing a catheter into the bladder through the urethra or continent stoma (surgically made when there is urethral involvement) at pre-established periods of the day, and with its removal after urinary drainage(4). This study will adopt the terminology Intermittent Urethral Catheterization (IUC)
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