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  4. Quality of life of patients using intermittent urinary catheterization

Quality of life of patients using intermittent urinary catheterization

Rev. Latino-Am. Enfermagem, 2017 · DOI: 10.1590/1518-8345.1816.2906 · Published: January 1, 2017

UrologyParticipationNursing

Simple Explanation

This study examines the quality of life (QoL) of patients with neurogenic bladder who use intermittent urinary catheterization in Brazil and Portugal. It looks at how factors like independence, social relationships, and access to work impact their overall well-being. The study found that in both countries, improvements in urinary symptoms, independence, self-confidence, and social relationships can positively influence the QoL of these patients. Access to work activities also plays a significant role. The research highlights the importance of healthcare professionals, especially nurses, in supporting these patients. By helping them gain independence and manage their condition effectively, nurses can contribute to a better QoL.

Study Duration
Not specified
Participants
170 Brazilian and 52 Portuguese patients
Evidence Level
Cross-sectional, observational-analytic and correlational study

Key Findings

  • 1
    Brazilian patients showed higher QoL scores in the psychological domain, while Portuguese patients scored lower in the environmental domain.
  • 2
    In Brazil, a significant relationship was found between marital status and the physical and psychological domains, with single patients or those living with a fixed partner reporting better QoL.
  • 3
    Portuguese patients who practiced intermittent urinary self-catheterization had higher QoL scores in the physical domain and in the general QoL question.

Research Summary

This multicenter study compared the QoL of neurogenic bladder patients using intermittent urinary catheterization in Brazil and Portugal. Data were collected using questionnaires to assess sociodemographic, clinical data, and QoL. The results showed that spinal cord injury was the main cause of urinary catheter use in both countries. Brazilian patients had higher QoL scores in the psychological domain, while Portuguese patients had lower scores in the environmental domain. The study concludes that improvements in urinary symptoms, independence, self-confidence, social relationships, and access to work activities can determine the QoL of these patients. The role of healthcare professionals, particularly nurses, is crucial in supporting patients toward better self-care and QoL.

Practical Implications

Improved Patient Care

Healthcare professionals should focus on addressing the multidimensional aspects of life for patients using intermittent catheterization, including psychological, social, and environmental factors.

Policy Development

The findings highlight the need for specific policies and resources to support neurogenic bladder patients using intermittent urinary catheterization, ensuring access to high-quality care and materials.

Enhanced Nursing Support

Nurses play a critical role in educating, managing, and supporting patients in their self-care, helping them gain independence and improve their overall quality of life.

Study Limitations

  • 1
    The study is limited to regional populations.
  • 2
    The use of the WHOQOL-bref as the primary measurement tool may not capture specific nuances related to intermittent catheterization.
  • 3
    The study design is cross-sectional, limiting the ability to establish causal relationships between variables and QoL.

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