Neurogenic Bladder, Urinary Retention
Conditions
Keywords
self management, chronic condition, urinary catheter
Brief summary
Learning to self-manage urine flow may help people prevent or minimize persistent complications from long-term indwelling urethral or suprapubic catheters.
Detailed description
Urinary catheter users commonly experience adverse health effects, such as urinary tract infection (UTI), blockage, dislodgement, and leakage, leading to poor quality of life indicators. Catheter-related problems often require health care utilization resulting in increased health care costs. Self-management of urine flow is an essential part of self-care for people with long-term urinary catheters and may lead to prevention or reduction of catheter-related problems and improved quality of life.This study tests the effectiveness of a urinary catheter self-management intervention in a randomized trial of 220 patients, with 12 months of follow-up. The experimental intervention is designed to enhance self-management of urine flow in individuals with long-term urinary catheters, with the goal of decreasing catheter related complications and enhancing quality of life.
Interventions
BEHAVIORALSelf-management of urinary catheter
Awareness, self-monitoring, and self-management of urine flow are taught. Focus is on attaining adequate and consistent levels of fluid intake and preventing catheter dislodgement.
Sponsors
Visiting Nurse Service of New York
University of Rochester
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Have an indwelling urethral or suprapubic catheter and expect to use it for at least one year. * Live in Central or Western New York State (Utica to Buffalo regions approximately)OR are cared for by the Visiting Nurse Service of New York City. * Able to complete study measurements alone or with the help of a family member or caregiver. * Able to communicate with the study personnel in English. * Have access to a telephone for data collection.
Exclusion criteria
* Terminally ill * Cognitively impaired * No catheter associated UTI within the previous 12 months NOR blockage NOR dislodgement in the previous 6 months(only in people who have had the catheter for 12 months or more)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptomatic urinary tract infection | every two months for 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Urinary catheter quality of life | 6 months and 12 months |
Countries
United States
Outcome results
None listed