亲水涂层导尿管对清洁间歇性导尿患者依从性和接受度的影响

Effect of hydrophilic coated catheters on compliance and acceptability in patients with clean intermittent catheterization

目的 探究亲水涂层导尿管对清洁间歇性导尿患者导尿依从性和接受度的影响。方法 抽取2020年3月至11月在四川大学华西医院就诊的神经源性患者232例作为研究对象,采用随机数字表法分为观察组(使用亲水涂层导尿管,116例)和对照组(使用普通导尿管,116例)。根据神经源性膀胱症状评分表(BNSS)、自我间歇性导尿困难调查问卷(ICDQ)、间歇性导尿依从性评估量表(ICAS)和间歇性导尿接受度测试量表(I-CAT)评分结果,观察比较两组神经源性膀胱症状、间歇性导尿依从性、接受度及执行困难度的差异。结果 两组尿失禁、储尿和排尿、结局维度评分及总评分比较,差异无统计学意义(P>0.05)。两组CIC依从性评分比较,差异无统计学意义(P>0.05)。观察组多重担忧、自尊维度评分及总评分低于对照组,差异有统计学意义(P<0.05)。两组频次、程度维度评分及总评分比较,差异无统计学意义(P>0.05)。结论 与普通导尿管比较,使用亲水涂层导尿管能提高患者清洁间歇性导尿的接受程度,且不影响患者的依从性。

Objective To explore the influence of hydrophilic coated catheter on catheterization compliance and acceptance in patients with clean intermittent catheterization.Methods A total of 232 neurogenic patients admitted to West China Hospital of Sichuan University from March to November 2020 were selected as research objects,and randomly divided into the observation group(with hydrophilic coating catheter,116 cases) and the control group(with ordinary catheter,116cases).According to the score results of neurogenic bladder symptom scale(BNSS),intermittent catheterization difficulty questionnaire(ICDQ),intermittent catheterization adherence scale(ICAS) and intermittent catheterization acceptance test(I-CAT),the differences of neurogenic bladder symptoms,intermittent urinary catheterization compliance,acceptance and execution difficulty were observed and compared between the two groups.Results There were no significant differences in urinary incontinence,urinary storage and voiding,outcome score.and total score between the two groups(P>0.05).There was no significant difference in CIC compliance score between the two groups(P>0.05).The scores of multiple worries,self-esteem,and total scores of the observation group were lower than those of the control group,and the differences were statistically significant(P0.05).Conclusion Compared with conventional catheters,the use of hydrophilic coated catheters can improve patients’ acceptance of clean intermittent catheterization,and does not affect patients’ compliance.