Feeling good in daily life: from the point of view of boys with posterior urethral valves.
OBJECTIVE
We determined what is important to feel good in daily life when living with a long-term illness that requires daily treatment routines.


METHODS
Seven boys between 6 and 16 years old who were born with posterior urethral valves narrated their experiences with daily life. They were on clean intermittent catheterization, had impaired renal function and 2 had undergone transplantation.


RESULTS
Being involved in decisions about themselves was important, as was having their own doctor and nurse. Friends were important. Clean intermittent catheterization was something that worried them in relation to friends and made them feel uncertain about how they would react to it. The boys accepted the catheterization procedure as something that had to be done but they needed strategies to be able to comply. A single event, such as no available toilet, was enough to interrupt treatment.


CONCLUSIONS
In these boys prescribed treatment was a surprisingly small part of their lives. The clean intermittent catheterization routine was sometimes experienced as an obstacle in company with friends. The new challenge might be to achieve compliance with the treatment routine in daily life in a long-term perspective.
Hellström
Anna-Lena
AL
Pediatric Urology Section, Queen Silvia Children's Hospital and Department of Nursing, Sahlgrenska Academy at Göteborg University, SE-416 80 Göteborg, Sweden. annalena.hellstrom@fhs.gu.se
Berg
Marie
M
Sölsnes
Ewa
E
Holmdahl
Gundela
G
Sillén
Ulla
U
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D011788:Quality of Life; D014521:Urethra / Q000002:abnormalities*; D014546:Urinary Catheterization / Q000523:psychology*