Department of Epidemiology and Public Health, Faculty of Medicine of Tunis, Tunis, Tuinisia.
Urodynamics and Functional Exploration Unit, Charles Nicolle Hospital, Tunis, Tunisia.
Br J Community Nurs. 2021 Sep 2;26(9):444-451. doi: 10.12968/bjcn.2021.26.9.444.
Intermittent self-catheterisation (ISC) is now considered the standard of care for most patients with neurological conditions and associated lower urinary tract disorders. Numerous societies, led by the International Continence Society, are in agreement on the effectiveness of ISC. Use of intermittent catheters is reported to reduce the risk of catheter-associated urinary tract infection compared with indwelling urinary catheters while improving patient comfort and quality of life. However, previous studies have shown that, despite the benefits of ISC, it will not guarantee behavior change and the integration of this procedure into the daily life of patients. Patients may encounter internal (related to the patient themselves) and external (related to their environment) difficulties. Identifying these obstacles early will help promoting ISC success. This review aims to identify internal and external barriers related to ISC and to propose adequate solutions to avoid them.
间歇性自我导尿（ISC）现在被认为是大多数患有神经疾病和相关下尿路疾病患者的标准护理方法。在国际尿控协会的领导下，许多协会都认同 ISC 的有效性。与留置导尿管相比，间歇性导尿管的使用据报道可降低导管相关性尿路感染的风险，同时提高患者的舒适度和生活质量。然而，先前的研究表明，尽管 ISC 有诸多益处，但它并不能保证行为的改变，也不能保证将这一程序融入患者的日常生活。患者可能会遇到内部（与患者自身相关）和外部（与环境相关）的困难。及早发现这些障碍将有助于促进 ISC 的成功。本综述旨在确定与 ISC 相关的内部和外部障碍，并提出适当的解决方案以避免这些障碍。
