{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T19:42:04Z","timestamp":1791056524035,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T00:00:00Z","timestamp":1458604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"\u2018Best Nursing Research Project\u2019 of the European Association Urology Nurses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore which factors determine successful intermittent catheterisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Intermittent catheterisation is a safe, effective treatment and is associated with improved quality of life, although negative issues are reported. Factors which determine adherence are largely unknown. An additional qualitative study was conducted to gain insight into patient's experience with intermittent catheterisation in everyday life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective multicentre study was conducted between March 2012\u2013March 2013 with one year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with a variety of diagnoses referred to the outpatient clinic, \u226518\u00a0years, performed catheterisation at least once a day for \u22653 months were included. Data were obtained by patients\u2019 specific questionnaire Visual Analog Scale of quality of life regarding voiding problems, a questionnaire about catheterisation in daily practice, King's Health questionnaire, and a short questionnaire after one year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 129 (72 male) patients, mean age 62 (22\u201386) years, seven died and 63 stopped, 32\/63 (50%) due to recovered bladder function. Fifty\u2010nine (47%) continued to perform catheterisation after one year. Forty\u2010seven (86%) patients reported catheterisation had become part of their life or had a positive effect on their life. A weak correlation was found between increasing age and cessation of catheterisation. Visual Analogue Scale \u2013 score on quality of life improved for the total group. The King's Health questionnaire identified in the total group that the impact of the bladder problem in daily life, limitations in daily activities and negative emotions decreased over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adherence of successful intermittent catheterisation can be influenced negatively by increasing age. However, we think catheterisation should be considered as an option for older patients. We could not conform that if intermittent catheterisation was beneficial for the patient, it would positively influence adherence. Further prospective studies on adherence of intermittent catheterisation in larger groups need to be undertaken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>After implementation of the national guideline in 2008, we were able to perform a multicentre study. This prospective study gives insight into patients who were undertaking intermittent catheterisation and which factors determine successful intermittent catheterisation adherence. After following the national guideline, we found no factors for additional interventions in assessment or coaching intermittent catheterisation. Post void residual volume turned out to be not a predictor for the necessity of intermittent catheterisation. A large group of patients could discontinue intermittent catheterisation during follow\u2010up due to bladder function recovery. Although a weak correlation was found between increasing age and ceasing of catheterisation, we think the older can benefit from intermittent catheterisation. In the first period, additional support, for example given by a district nurse, may be necessary for this group to achieve better outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13187","type":"journal-article","created":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T12:14:35Z","timestamp":1458648875000},"page":"1308-1318","source":"Crossref","is-referenced-by-count":26,"title":["Which factors make clean intermittent (self) catheterisation successful?"],"prefix":"10.1111","volume":"25","author":[{"given":"Hanny","family":"Cobussen\u2010Boekhorst","sequence":"first","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joke","family":"Beekman","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sint Maartenskliniek Ubbergen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith","family":"van Wijlick","sequence":"additional","affiliation":[{"name":"Department of Urology Canisius Wilhelmina Hospital Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Schaafstra","sequence":"additional","affiliation":[{"name":"Department of Urology Canisius Wilhelmina Hospital Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"van Kuppevelt","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sint Maartenskliniek Ubbergen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Heesakkers","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1111\/j.1365-2702.2006.01893.x","article-title":"Adherence to clean intermittent self\u2010catheterization procedures: determinants explored","volume":"17","author":"Achterberg T","year":"2008","journal-title":"Journal of Clinical Nursing"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1997.30018.x"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(84)90386-8"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00467.x"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-012-1017-8"},{"key":"e_1_2_14_8_1","first-page":"369","article-title":"Urinary catheter management","volume":"61","author":"Cravens DD","year":"2000","journal-title":"American Family Physician"},{"key":"e_1_2_14_9_1","unstructured":"CV&V Continentie Verpleegkundigen & Verzorgenden(2008)Richtlijn Zelfkatheterisatie\/Guideline Selfcatheterisation. 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