Nurse-Led Clean Intermittent Self-Catheterization Training On Confidence And Practical Skills Of Patients With Neurogenic Bladder Dysfunction

Abstract

Neurogenic bladder dysfunction, which arises from spinal cord injuries or neurological disorders, frequently requires clean intermittent self-catheterization (CISC) for effective bladder management. This research analyzed the effects of nurse-led CISC training on patient confidence and practical skills. A quasi-experimental design employing a single-group pre-post framework was utilized to assess the effectiveness of CISC instruction on 95 patients at Jinnah Hospital in Lahore. Participants were evaluated prior to the intervention, immediately following the intervention, and during a follow-up, utilizing the Clean Intermittent Catheterization Skills Assessment Checklist and the Self-Confidence Scale. The intervention comprised six sessions: three focused on education and three on demonstration, incorporating video-enhanced instruction and practical application. Results demonstrated significant enhancements in self-confidence and practical abilities. The mean self-confidence score increased from 15.73 pre-education to 40.58 at follow-up (p < 0.001), and practical skills improved from 5.97 to 14.30 (p < 0.001). The follow-up phase indicated that a significant majority of participants (72.6%) reported confidence in their capacity to perform CISC autonomously. Moreover, employment status and educational attainment did not significantly affect outcomes, with illiterates demonstrating the most substantial improvement. This study underscores the significance of nurse-led CISC education in enhancing physical health and self-esteem, highlighting the need for standardized training protocols to improve patient outcomes in neurogenic bladder management.