Factors Influencing the Use of Intermittent Bladder Catheterization by Individuals with Spina Bifida in Brazil and Germany

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.

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.

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.

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.

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. 2016 Oct 24 [Epub ahead of print]

Fabiana Faleiros, Giovana Pelosi, Seth Warschausky, Denise Tate, Christoph Käppler, Elisabeth Thomas

Nursing School of Ribeirão Preto, University of São Paulo, Ribeirão Preto (SP), Brazil. ., Nursing School of Ribeirão Preto, University of São Paulo, Ribeirão Preto (SP), Brazil., Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA., Physical Medicine and Rehabilitation, Spinal Cord Injury Model System, University of Michigan, Ann Arbor, MI, USA., Faculty of Rehabilitation Sciences, University of Dortmund, Dortmund, Germany., Mercy Hospital for Women, Melbourne, Vic., Australia.

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