title: Effect of a 'centralized intensive education system' for clean intermittent self-catheterization in patients with voiding dysfunction who start catheterization for the first time.
abstract: BACKGROUND
  This study evaluated the effects of a 'centralized intensive education system' (CIES) in terms of acquiring a proper clean intermittent self-catheterization (CISC) technique by patients with voiding dysfunction.
  
  
  METHODS
  Between March 2002 and March 2003, we prospectively and consecutively enrolled 132 hospitalized patients who learnt and started CISC for the first time due to voiding dysfunction. Patients were enrolled either of two groups (the CIES group vs the 'individualized ward education system'[IWES] group) at the time of the urologic consultation for voiding dysfunction. Out of 132 patients who enrolled in the study, 112 (45 males and 67 females, mean age 57.3 with a range of 18-81) were included in the primary analyses. The questionnaire was applied immediately before discharge.
  
  
  RESULTS
  There were similar patient demographics and clinical parameters for the CIES (n = 62) and the IWES groups (n = 50). Of 10 items including the methodology of CISC, six items discriminated significantly in favor of the CIES (P < 0.05). The patient satisfaction with CISC education was significantly different for the two groups in terms of response to the questionnaire. The CIES group was found to be more satisfied with the education received than the IWES group (P < 0.05). Moreover, the number of trials to gain confidence to perform CISC in CIES group was significantly fewer than that of IWES group (P < 0.001).
  
  
  CONCLUSIONS
  Our results demonstrate that CIES might be a superior training program for the patients with voiding dysfunction to acquire a proper CISC technique to the conventional IWES.
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Korea.
authors.forename: Seung-June
authors.initials: SJ
authors.lastname: Oh
authors.forename: Ja Hyeon
authors.initials: JH
authors.lastname: Ku
authors.forename: Seung Hwa
authors.initials: SH
authors.lastname: Lim
authors.forename: Hwang Gyun
authors.initials: HG
authors.lastname: Jeon
authors.forename: Hwancheol
authors.initials: H
authors.lastname: Son
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D014546:Urinary Catheterization; D014555:Urination Disorders / Q000628:therapy*