Intermittent Self Catheterization
Conditions
Keywords
Clean Intermittent Self Catheterization, acceptance, test
Brief summary
The aim of the study is to create and validate a specific test named Intermittent Catheterization Acceptance Test (I-CAT), assessing the acceptance of clean intermittent self catheterization (CISC) in a neurological and no neurological population with indication to self catheterization. CISC avoids urological complications in bladder with chronic and improves quality of life. Despite theses challenges, the learning of CISC can face some physical, cognitive and psychological difficulties. Recently, we have validate a new test for predicting the physical and cognitive abilities to practice CISC named PP-Test. Meanwhile, psychological factors are not explored in this test. To our knowledge, no study has been conducted in order to demonstrate in a prospective trial, which kind of psychological barriers can exist. Likewise it would be interesting to create a new test assessing the psychological acceptance of the patients to CISC before learning (I-CAT). Based on the results of this self-assessment test, the specific nurse could then change her speech by playing down the importance of some fear and anxiety described by the patients. The learning of CISC would be facilitated.
Detailed description
The first version of the questionnaire (I-CAT) has already been elaborated from some neuro-urology experts and patients's comments. The final version will be validated after a feasibility study. The psychometric criteria will be validated.
Interventions
I-CAT will be a self assessment questionnaire and a simple, comprehensive and quickly passed questionnaire.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient diagnosed with neurological disease (brain, trauma and no trauma spinal injury, cauda equine syndrome) or non neurological disease * Patients seen in consultation or in traditional hospital * Indication for the realization of self-catheterization Intermittent must be asked because of a bladder-type retentionist or overactive bladder with an indication of medical (anticholinergics or botulinum toxin intra-detrusor injection) or surgical (kind of expansion enterocystoplasty) treatment to prevent bladder emptying without urinary catheterization * PP-Test score ≥10/15 * Age \> 18 years * Patient with social security
Exclusion criteria
* Urethral injury preventing the practice of self-catheterization * Indication to installing a suprapubic catheter or probe * Patients able to answer to questionnaire and communicate in French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intermittent catheterization acceptance test (I-CAT) | 2 years | In order to validate the questionnaire, the patients will have to respond to I-CAT at 3 times: * the day the CISC's indication is decided * at the learning'CISC consultation about 8 days later * during the verification's CISC consultation about 15 days later |
Countries
France