A Multicenter, Open-Label, Observational Study Evaluating the Quality of Life After Using a Hydrophilic-Coated Catheter (SpeediCath) With Self-Intermittent Catheterization
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: We evaluated the change in patient quality of life after the use of a hydrophilic-coated catheter (SpeediCath) in adults requiring intermittent catheterization (IC). Methods: This was a multicenter, open-label, observational study using the Patient Perception of Intermittent Catheterization (PPIC) questionnaire and the Intermittent Self-Catheterization questionnaire (ISC-Q) and safety at 12 and 24 weeks in adult patients who had already used other type of catheters prior to switching to SpeediCath or in patients undergoing self-IC for the first time for any reason. Results: Among a total of 360 subjects, 215 (59.7%) were women, and the mean age was 62.0±13.2 years. At 24 weeks, the satisfaction rate after using SpeediCath was 84.1%, and 80% of patients responded that they could easily perform IC. In total, 81.6% of patients were willing to continue using SpeediCath. The mean ISC-Q score was 54.90±18.65 at 24 weeks. Men found less interference in their daily life by performing IC than women and found it easier to handle the catheter before it was inserted into the urethra. At week 12, the mean change in ISC-Q was significantly greater in patients <65 years (20.24±23.55) than in those ≥65 years (7.57±27.70, P=0.049), but there was no difference at 24 weeks. The most common adverse events were urinary tract infection in 9.72%, gross hematuria in 2.78%, and urethral pain in 1.39%. Conclusions: The use of a SpeediCath provided good quality of life for patients who needed self-IC regardless of age or sex.
Abstract
Purpose: We evaluated the change in patient quality of life after the use of a hydrophilic-coated catheter (SpeediCath) in adults requiring intermittent catheterization (IC). Methods: This was a multicenter, open-label, observational study using the Patient Perception of Intermittent Catheterization (PPIC) questionnaire and the Intermittent Self-Catheterization questionnaire (ISC-Q) and safety at 12 and 24 weeks in adult patients who had already used other type of catheters prior to switching to SpeediCath or in patients undergoing self-IC for the first time for any reason. Results: Among a total of 360 subjects, 215 (59.7%) were women, and the mean age was 62.0±13.2 years. At 24 weeks, the satisfaction rate after using SpeediCath was 84.1%, and 80% of patients responded that they could easily perform IC. In total, 81.6% of patients were willing to continue using SpeediCath. The mean ISC-Q score was 54.90±18.65 at 24 weeks. Men found less interference in their daily life by performing IC than women and found it easier to handle the catheter before it was inserted into the urethra. At week 12, the mean change in ISC-Q was significantly greater in patients <65 years (20.24±23.55) than in those ≥65 years (7.57±27.70, P=0.049), but there was no difference at 24 weeks. The most common adverse events were urinary tract infection in 9.72%, gross hematuria in 2.78%, and urethral pain in 1.39%. Conclusions: The use of a SpeediCath provided good quality of life for patients who needed self-IC regardless of age or sex.
참고문헌 (15)
- Ginsberg DA, "The AUA", SUFU guideline on adult neurogenic lower urinary tract dysfunction : treatment and follow-up, 2021, pp.206, 1106~1113
- Kessler TM, "Clean intermittent self-catheterization : a burden for the patient", Neurourol Urodyn, 28, pp.18~21 (2009)
- Panicker JN, "Rehabilitation in practice : neurogenic lower urinary tract dysfunction and its management", Clin Rehabil, 24, pp.579~589 (2010)
- Wyndaele JJ, "Intermittent catheterization : which is the optimal technique", Spinal Cord, 40, pp.432~437 (2002)
- Woodward S, "Patients’ quality of life and clean intermittent self-catheterization", Br J Nurs, 12, pp.1066~1074 (2003)
- Turi MH, "Proportion of complications in patients practicing clean intermittent self-catheterization(CISC)vs indwelling catheter", J Pak Med Assoc, 56, pp.401~404 (2006)
- Seth JH, "Ensuring patient adherence to clean intermittent self-catheterization", Patient Prefer Adherence, 8, pp.191~198 (2014)
- Cardenas DD, "Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract infections in acute spinal cord injury: a prospective, randomized, multicenter trial", PM R, 3, pp.408~417 (2011)
- De Ridder DJ, "Intermittent catheterisation with hydrophiliccoated catheters(SpeediCath)reduces the risk of clinical urinary tract infection in spinal cord injured patients : a prospective randomised parallel comparative trial", Eur Urol, 48, pp.991~995 (2005)
- Cardenas DD, "Hydrophilic catheters versus noncoated catheters for reducing the incidence of urinary tract infections : a randomized controlled trial", Arch Phys Med Rehabil, 90, pp.1668~1671 (2009)
- 강순호, "Linguistic Validation of the Intermittent Self-catheterization Questionnaire for Patients With Neurogenic Bladder Who Perform Intermittent Catheterization for Voiding Dysfunction", International Neurourology Journal, 23(1), pp.75~85 (2019), 대한배뇨장애요실금학회[DOI]
- Borg C, "Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects", J Clin Nurs, 15, pp.607~618 (2006)
- Claire Hentzen, "Intermittent Self-catheterization in Older Adults: Predictors of Success for Technique Learning", International Neurourology Journal, 22(1), pp.65~71 (2018), 대한배뇨장애요실금학회
- Pilloni S, "Intermittent catheterisation in older people : a valuable alternative to an indwelling catheter", Age Ageing, 34, pp.57~60 (2005)
- Parsons BA, "Success rates for learning intermittent self-catheterisation according to age and gender", Int Urol Nephrol, 44, pp.1127~1131 (2012)
