Spearman Alison
Community Matron, Bladder & Bowel UK, Service Team Lead, Queen's Nurse, Hampshire and Isle of Wight Healthcare NHS Foundation Trust, UK.
Br J Community Nurs. 2025 Apr 1;30(Sup4a):S20-S25. doi: 10.12968/bjcn.2025.0014.
Clean intermittent self-catheterisation (CISC) or intermittent self-catheterisation (ISC) can be used as treatment for bladder and bowl problems. These problems may be caused by disorders or injuries to the nervous system, non-neurogenic bladder dysfunction, or intravesical obstruction leading to incomplete bladder emptying. Patients need to be comfortable and relaxed to understand why and how to use CISC or ISC. To ensure compliance and competency with CISC, the patient should be given choice when selecting the intermittent catheter for use. It is important to assess the patient holistically and offer them a range of catheters to try and select the one that is most appropriate for their needs. Taking the patient's environment, dexterity and physical ability into account when selecting catheters is equally significant. In 2024, the Isle of Wight Bladder & Bowel service collated qualitative data from patients and professionals that showed excellent outcomes for patients and received positive commentary from the consultant urologist at the local NHS trust. This article emphasises and demonstrates how the Isle of Wight Bladder & Bowel service pathway helped to teach CISC at home. The pathway offers a wide range of catheters, is patient focused, and is both clinically and cost effective.
清洁间歇性自我导尿（CISC）或间歇性自我导尿（ISC）可用于治疗膀胱和肠道问题。这些问题可能由神经系统疾病或损伤、非神经源性膀胱功能障碍或导致膀胱排空不完全的膀胱内梗阻引起。患者需要感到舒适和放松，以便理解为何以及如何使用CISC或ISC。为确保患者对CISC的依从性和操作能力，在选择间歇性导尿管时应给予患者选择权。全面评估患者并为其提供一系列导尿管以供尝试，从而选择最适合其需求的导尿管非常重要。选择导尿管时考虑患者的环境、灵活性和身体能力同样重要。2024年，怀特岛膀胱与肠道服务中心收集了患者和专业人员的定性数据，这些数据显示患者取得了良好的治疗效果，并得到了当地国民保健服务信托基金的泌尿科顾问的积极评价。本文强调并展示了怀特岛膀胱与肠道服务路径如何帮助在家中教授CISC。该路径提供了多种导尿管，以患者为中心，在临床和成本效益方面都具有优势。
