{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:23:47Z","timestamp":1789050227073,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T00:00:00Z","timestamp":1357776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>To characterise a sample of 202 adult community\u2010living long\u2010term indwelling urinary catheter users, to describe self\u2010care practices and catheter problems, and to explore relationships among demographics, catheter practices and problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long\u2010term urinary catheter users have not been well studied, and persons using the device indefinitely for persistent urinary retention are likely to have different patterns of catheter practices and problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study was a cross\u2010sectional descriptive and exploratory analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Home interviews were conducted with catheter users who provided information by self\u2010reported recall over the previous two months. Data were analysed by descriptive statistics and tests of association between demographics, catheter practices and catheter problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample was widely diverse in age (19\u201396\u00a0years), race and medical diagnosis. Urethral catheters were used slightly more often (56%) than suprapubic (44%), for a mean of six years (\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      7\u00a0years). Many persons were highly disabled, with 60% having difficulty in bathing, dressing, toileting and getting out of the bed; 19% also required assistance in eating. A high percentage of catheter problems were reported with: 43% experiencing leakage (bypassing of urine), 31% having had a urinary tract infection, 24% blockage of the catheter, 23% catheter\u2010associated pain and 12% accidental dislodgment of the catheter. Treatments of catheter\u2010related problems contributed to additional health care utilisation, including extra nurse or clinic visits, trips to the emergency department or hospitalisation. Symptoms of catheter\u2010associated urinary tract infections were most often related to changes in the colour or character of urine or generalised symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Catheter\u2010related problems contribute to excess morbidity and health care utilisation and costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>More research is needed in how to minimise catheter\u2010associated problems in long\u2010term catheter users. Information from this study could help inform the development of interventions in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.12042","type":"journal-article","created":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T06:43:51Z","timestamp":1357800231000},"page":"356-367","source":"Crossref","is-referenced-by-count":63,"title":["Long\u2010term urinary catheter users self\u2010care practices and problems"],"prefix":"10.1111","volume":"22","author":[{"given":"Mary H","family":"Wilde","sequence":"first","affiliation":[{"name":"School of Nursing &amp; Center for Community Health University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret V","family":"McDonald","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy and Research Visiting Nurse Service of New York New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Brasch","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Center for Community Health University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M","family":"McMahon","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Center for Community Health University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Fairbanks","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Center for Community Health University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivani","family":"Shah","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy and Research Visiting Nurse Service of New York New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics &amp; Computational Biology and Co\u2010Director, Division of Psychiatric Statistics University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Scheid","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Center for Community Health University of Rochester Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.03.008"},{"key":"e_1_2_10_3_1","volume-title":"Management Using Continence Products. 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