title: Factors Influencing the Use of Intermittent Bladder Catheterization by Individuals With Spina Bifida in Brazil and Germany.
abstract: OBJECTIVE
  Intermittent catheterization (IC) often is essential for individuals with spina bifida/myelomeningocele (SBM) and neurogenic bladder. This study aimed to identify and analyze the factors that influence the use of IC.
  
  
  METHODS
  Descriptive study with convenience sampling. Data were collected using printed (Brazil) and online (Germany) questionnaires, and analyzed using multivariate logistical regression and analysis of variance. The study included 100 Brazilian and 100 German patients, aged 0-55 years, with SBM who utilized IC.
  
  
  RESULTS
  Intermittent catheterization was used by 188 of the 200 patients. Three variables were important for predicting who did or did not use IC: no discontinuation of IC, absence of technical difficulty, and daily frequency of IC.
  
  
  CONCLUSIONS
  Findings suggest that difficulties with IC use experienced by spina bifida patients and their family members that predicted full discontinuation tended to be personal variables, rather than demographic or medical characteristics.
authors: Fabiana
authors: F
authors: Faleiros
authors: Giovana
authors: G
authors: Pelosi
authors: Seth
authors: S
authors: Warschausky
authors: Denise
authors: D
authors: Tate
authors: Christoph
authors: C
authors: Käppler
authors: Elisabeth
authors: E
authors: Thomas
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D005260:Female; D005858:Germany; D006801:Humans; D007223:Infant; D057928:Intermittent Urethral Catheterization / Q000523:psychology / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019145:Rehabilitation Nursing / Q000379:methods; D016135:Spinal Dysraphism / Q000451:nursing / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D001750:Urinary Bladder, Neurogenic / Q000451:nursing / Q000628:therapy