Article
Details
Citation
McClurg D, Bugge C, Elders A, Irshad T, Hagen S, Moore K, Buckley B & Fader M (2019) Factors affecting continuation of clean intermittent catheterisation in people with multiple sclerosis: Results of the COSMOS mixed-methods study. Multiple Sclerosis Journal, 25 (5), pp. 727-739. https://doi.org/10.1177/1352458518768722
Abstract
Background:?
Clean intermittent catheterisation (CIC) is often recommended for people with multiple sclerosis (MS).?
Objective:?
To determine the variables that affect continuation or discontinuation of the use of CIC.?
Methods:?
A three-part mixed-method study (prospective longitudinal cohort (n = 56), longitudinal qualitative interviews (n = 20) and retrospective survey (n = 456)) was undertaken, which identified the variables that influenced CIC continuation/discontinuation. The potential explanatory variables investigated in each study were the individual’s age, gender, social circumstances, number of urinary tract infections, bladder symptoms, presence of co-morbidity, stage of multiple sclerosis and years since diagnosis, as well as CIC teaching method and intensity.?
Results:?
For some people with MS the prospect of undertaking CIC is difficult and may take a period of time to accept before beginning the process of using CIC. Ongoing support from clinicians, support at home and a perceived improvement in symptoms such as nocturia were positive predictors of continuation. In many cases, the development of a urinary tract infection during the early stages of CIC use had a significant detrimental impact on continuation.?
Conclusion:?
Procedures for reducing the incidence of urinary tract infection during the learning period (i.e. when being taught and becoming competent) should be considered, as well as the development of a tool to aid identification of a person’s readiness to try CIC.
Keywords
Quality of life; rehabilitation; symptomatic treatment; CIC
Journal
Multiple Sclerosis Journal: Volume 25, Issue 5
Status | Published |
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Publication date | 01/04/2019 |
Publication date online | 23/04/2018 |
Date accepted by journal | 12/03/2018 |
URL | |
Publisher | SAGE |
ISSN | 1352-4585 |
eISSN | 1477-0970 |