Fernandez-Lasquetty Blanc Blanca, Hernández Martínez Antonio, Lorenzo García Carlos, Baixauli Puig Montserrat, Estudillo González Francisco, Martin Bermejo Maria Victoria, Ortega Checa Maria Angustias, Alcaraz Zomeño Elena, Torres Bacete Arancha, Ferrández Franco Guillermina, Benito Santos Begoña, Fernández Llorente Guadalupe, Guerrero Andrádes Maria Carmen, Rodríguez Diaz Monica, Louis Lauture Mario Pierre, Jiménez Mayorga Isabel, Serrano-Abiétar Rosario, Garrido Mora Maria Asunción, Barcia Barrera Francisco, Asensio Malo Gemma, Morcillo Marín Montserrat, Lluesma Martinez Vicenta, Valero Escribá Maria Luisa, Tendero Ruiz Silvia, Romay Cea Rosa Ana, Marín Valero Mercedes, Rodríguez-Almagro Julián
Nursing and Nutrition Department, Universidad Europea de Madrid, 28670 Madrid, Spain.
Department of Nursing, Physiotherapy and Occupational Therapy, Ciudad Real Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, Spain.
J Clin Med. 2023 Apr 18;12(8):2928. doi: 10.3390/jcm12082928.
To determine patient difficulties and concerns when performing IBC (Intermittent Bladder Catheterisation), as well as the evolution of adherence, quality of life, and emotional state of patients one year after starting IBC.
A prospective, observational, multicentre study conducted in 20 Spanish hospitals with a one-year follow-up. Data sources were patient records and the King's Health Questionnaire on quality of life, the Mini-Mental State Examination (MMSE), and the Hospital Anxiety and Depression Scale (HADS). Perceived adherence was measured using the ICAS (Intermittent Catheterization Adherence Scale) and perceived difficulties with IBC were assessed using the ICDQ (Intermittent Catheterization Difficulty Questionnaire). For data analysis, descriptive and bivariate statistics were performed for paired data at three points in time (T1: one month, T2: three months, T3: one year).
A total of 134 subjects initially participated in the study (T0), becoming 104 subjects at T1, 91 at T2, and 88 at T3, with a mean age of 39 years (standard deviation = 22.16 years). Actual IBC adherence ranged from 84.8% at T1 to 84.1% at T3. After one year of follow-up, a statistically significant improvement in quality of life ( ≤ 0.05) was observed in all dimensions with the exception of personal relationships. However, there were no changes in the levels of anxiety ( = 0.190) or depression ( = 0.682) at T3 compared to T0.
Patients requiring IBC exhibit good treatment adherence, with a significant proportion of them performing self-catheterisation. After one year of IBC, a significant improvement in quality of life was noted, albeit with a significant impact on their daily lives and their personal and social relationships. Patient support programmes could be implemented to improve their ability to cope with difficulties and thus enhance both their quality of life and the maintenance of their adherence.
确定患者在进行间歇性膀胱导尿（IBC）时遇到的困难和担忧，以及开始IBC一年后患者的依从性、生活质量和情绪状态的变化情况。
在20家西班牙医院进行的一项前瞻性、观察性、多中心研究，随访一年。数据来源为患者记录以及关于生活质量的国王健康问卷、简易精神状态检查表（MMSE）和医院焦虑抑郁量表（HADS）。使用间歇性导尿依从性量表（ICAS）测量感知到的依从性，使用间歇性导尿困难问卷（ICDQ）评估IBC的感知困难。数据分析时，对三个时间点（T1：一个月、T2：三个月、T3：一年）的配对数据进行描述性和双变量统计。
共有134名受试者最初参与研究（T0），T1时变为104名，T2时为91名，T3时为88名，平均年龄39岁（标准差 = 22.16岁）。实际IBC依从性从T1时的84.8%到T3时的84.1%。随访一年后，除人际关系外，所有维度的生活质量均有统计学显著改善（≤ 0.05）。然而，与T0相比，T3时焦虑水平（ = 0.190）或抑郁水平（ = 0.682）无变化。
需要IBC的患者表现出良好的治疗依从性，其中很大一部分患者进行自我导尿。IBC一年后，生活质量有显著改善，尽管对他们的日常生活以及个人和社会关系有重大影响。可实施患者支持计划以提高他们应对困难的能力，从而提高生活质量并维持依从性。
