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Title: Evolution of Quality of Life and Treatment Adherence after One Year of Intermittent Bladder Catheterisation in Functional Urology Unit Patients
Author: Fernandez-Lasquetty Blanc, Blanca
Hernández Martínez, Antonio
Lorenzo García, Carlos
Baixauli Puig, Montserrat
Estudillo González, Francisco
Martin Bermejo, Maria Victoria
Ortega Checa, Maria Angustias
Alcaraz Zomeño, Elena
Torres Bacete, Arancha
Ferrández Franco, Guillermina
Benito Santos, Begoña
Fernández Llorente, Guadalupe
Guerrero Andrádes, Maria Carmen
Rodríguez Diaz, Monica
Louis Lauture, Mario Pierre
Jiménez Mayorga, Isabel
Serrano-abiétar, Rosario
Garrido Mora, Maria Asunción
Barcia Barrera, Francisco
Asensio Malo, Gemma
Morcillo Marín, Montserrat
Lluesma Martinez, Vicenta
Valero Escribá, Maria Luisa
Tendero Ruiz, Silvia
Romay Cea, Rosa Ana
Marín Valero, Mercedes
Rodríguez-almagro, Julián
Keywords: Qualitat de vida
Quality of life
Issue Date: 18-Apr-2023
Publisher: MDPI AG
Abstract: Objective: To determine patient difficulties and concerns when performing IBC (Intermittent Bladder Catheterisation), as well as the evolution of adherence, quality of life, and emotional state of patients one year after starting IBC. Method: A prospective, observational, multicentre study conducted in 20 Spanish hospitals with a one-year follow-up. Data sources were patient records and the King's Health Questionnaire on quality of life, the Mini-Mental State Examination (MMSE), and the Hospital Anxiety and Depression Scale (HADS). Perceived adherence was measured using the ICAS (Intermittent Catheterization Adherence Scale) and perceived difficulties with IBC were assessed using the ICDQ (Intermittent Catheterization Difficulty Questionnaire). For data analysis, descriptive and bivariate statistics were performed for paired data at three points in time (T1: one month, T2: three months, T3: one year). Results: A total of 134 subjects initially participated in the study (T0), becoming 104 subjects at T1, 91 at T2, and 88 at T3, with a mean age of 39 years (standard deviation = 22.16 years). Actual IBC adherence ranged from 84.8% at T1 to 84.1% at T3. After one year of follow-up, a statistically significant improvement in quality of life (p <= 0.05) was observed in all dimensions with the exception of personal relationships. However, there were no changes in the levels of anxiety (p = 0.190) or depression (p = 0.682) at T3 compared to T0. Conclusions: Patients requiring IBC exhibit good treatment adherence, with a significant proportion of them performing self-catheterisation. After one year of IBC, a significant improvement in quality of life was noted, albeit with a significant impact on their daily lives and their personal and social relationships. Patient support programmes could be implemented to improve their ability to cope with difficulties and thus enhance both their quality of life and the maintenance of their adherence.
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It is part of: Journal of Clinical Medicine, 2023, vol. 12, num. 8
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ISSN: 2077-0383
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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