Clean intermittent self-catheterisation for quadriplegic patients--a five year follow-up.
We present the findings of clean intermittent self-catheterisation (CISC) as a long term method of bladder management for 36 quadriplegic spinal cord injured patients, primarily at C6/C7 level, who were taught CISC between 1983 and 1987. Success in CISC was assessed by a mail survey, a telephone interview, and current sterile urine status. Twenty nine (81%) of 36 patients continued to use CISC after a mean discharge period of 2.9 years (p less than 0.001) with high levels of acceptance. Rao's V discriminant analysis showed success in CISC was affected by the interval between injury and initial self-catheterisation (Canonical Correlation Co-efficient = 1.34). Results of urinalysis for patients continuing CISC were obtained for 18 (62%) patients, 16 (88%) of whom had sterile urine. Implications of these and other findings along with reasons for cessation of CISC are discussed.
Sutton
G
G
Royal Brisbane Hospital, Australia.
Shah
S
S
Hill
V
V
D000203:Activities of Daily Living; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care; D011782:Quadriplegia / Q000534:rehabilitation*; D012648:Self Care; D013119:Spinal Cord Injuries / Q000534:rehabilitation; D014546:Urinary Catheterization