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  4. Intermittent catheterisation for individuals with disability related to spinal cord injury in Tanzania

Intermittent catheterisation for individuals with disability related to spinal cord injury in Tanzania

Spinal Cord Series and Cases, 2020 · DOI: https://doi.org/10.1038/s41394-020-0316-3 · Published: July 13, 2020

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

This study investigates the use of clean intermittent catheterisation (CIC) among individuals with spinal cord injury (SCI) in Tanzania. It looks at the challenges they face, such as the availability of equipment and complications. The study found that while many individuals start CIC in the hospital, a significant number discontinue it after discharge, mainly due to lack of access to the necessary supplies. Despite initial concerns, most individuals reported satisfaction with their bladder management, highlighting the importance of counselling and follow-up care.

Study Duration
January to April 2018
Participants
48 individuals with SCI (28 outpatients, 20 inpatients)
Evidence Level
Cross-sectional pilot study

Key Findings

  • 1
    A major obstacle for the implementation and continuation of CIC in individuals with SCI in Northern Tanzania is the availability of CIC equipment for home-usage.
  • 2
    The most frequent complications of CIC were urinary tract infections (20.8%) and mild bleeding (14.6%).
  • 3
    The majority of individuals (79.2%) reported satisfaction with their situation, regardless of the severity.

Research Summary

This cross-sectional pilot study evaluated the challenges faced by individuals with SCI in Tanzania during Clean Intermittent Catheterisation (CIC). The study found that while some individuals performed CIC upon discharge, the majority discontinued use, with unavailability of CIC-equipment being a major determinant. The study suggests that targeted counselling and enhanced regular follow-up could improve compliance with CIC.

Practical Implications

Improve Equipment Access

Address the unavailability of CIC equipment in local villages to improve adherence to CIC.

Enhance Counselling

Provide targeted counselling to address concerns and anxieties related to CIC.

Regular Follow-up

Implement enhanced regular follow-up to monitor and support individuals using CIC.

Study Limitations

  • 1
    Small sample size
  • 2
    Relatively short period of follow-up (up to three years)
  • 3
    Relatively low response rate on the submitted questionnaires (72.7%)

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