Long-term Clean Intermittent Catheterization Users’ Experience and Practical Barriers: A Qualitative Systematic Review and Meta-synthesis

Journal of Medical Research Pub Date : 2023-09-30 DOI:10.6913/mrhk.050301

Mengfen ZHAO, Beitao GONG, Yuanyuan JIN, Ruo WANG, Xiaofei TIAN

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Abstract

Background: Clean Intermittent Catheterization (CIC) is the preferred bladder management modality among individuals afflicted with neurogenic bladder and has been deemed a safe and effective treatment. Nevertheless, extensive research reveals that adherence to CIC procedures over a prolonged period of time is less than ideal. Aims: This systematic review aims to collect qualitative information from CIC users to comprehend their actual experiences, assess the impact of CIC on their everyday life, and explore practical barriers to CIC use. Methods: Systematic searches were conducted across four databases, CINAHL, PsycINFO, PubMed, and Scopus. The author team evaluated the included articles using the Critical Appraisal Skills Programme checklist for qualitative studies. A meta-synthesis approach was employed in the analysis of the data. Findings: Eleven studies published in English met the inclusion criteria. The meta-synthesis findings based on third-order analysis confirmed twelve sub-themes that integrate into three higher-order themes, ‘psychological experience’, ‘impact on daily life’, and ‘practical barriers’.

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长期清洁间歇导尿使用者的经验与实践障碍:定性系统回顾与综合

背景:清洁间歇导尿(CIC)是神经源性膀胱患者首选的膀胱管理方式，被认为是一种安全有效的治疗方法。然而，广泛的研究表明，长期坚持CIC程序是不理想的。目的:本系统综述旨在收集CIC使用者的定性信息，以了解他们的实际体验，评估CIC对他们日常生活的影响，并探索CIC使用的实际障碍。方法:在CINAHL、PsycINFO、PubMed和Scopus四个数据库中进行系统检索。作者团队使用定性研究的关键评估技能计划清单评估纳入的文章。数据分析采用了综合分析方法。结果:11篇以英文发表的研究符合纳入标准。基于三阶分析的综合研究结果确认了12个子主题，这些子主题整合到三个高阶主题中，即“心理体验”、“对日常生活的影响”和“实际障碍”。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Medical Research

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