The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt

Background: In Arabic countries, no research has focused on the experience of patients with indwelling urinary catheters. This cross-sectional study is the first to evaluate the catheter-specific quality of life (QoL) of patients living with a urinary catheter in Egypt. Methods: This study was condu...

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Main Authors: Naglaa Youssef, Ashley Shepherd, Catherine Best, Suzanne Hagen, William Mackay, Debbie Waddell, Hanan El Sebaee
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/16/2266
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author Naglaa Youssef
Ashley Shepherd
Catherine Best
Suzanne Hagen
William Mackay
Debbie Waddell
Hanan El Sebaee
author_facet Naglaa Youssef
Ashley Shepherd
Catherine Best
Suzanne Hagen
William Mackay
Debbie Waddell
Hanan El Sebaee
author_sort Naglaa Youssef
collection DOAJ
description Background: In Arabic countries, no research has focused on the experience of patients with indwelling urinary catheters. This cross-sectional study is the first to evaluate the catheter-specific quality of life (QoL) of patients living with a urinary catheter in Egypt. Methods: This study was conducted from April to September 2017, using a convenience sample of patients from a University Hospital. Data were collected using the International Consultation on Incontinence Questionnaire-Long-Term Catheter QoL (ICIQ-LTCQoL) instrument, along with a demographic datasheet. Results: 141 were enrolled, with 47.5% inpatients, 52.5% outpatients. A total of 70.9% reported problems with catheter function, and 92.2% reported that the catheter affected their daily lives. Place (inpatient or outpatient) was significantly associated with the total score of the ICIQ-LTCQoL (mean difference (MD) 6.34 (95% CI: 3.0 to 9.73)) and both subscales (catheter function subscale: MD = 4.92 (95% CI: 2.12 to 7.73) and lifestyle impact subscale: MD = 1.44 (95% CI: 0.3 to 2.63)), suggesting that outpatients have poorer QoL than inpatients. Moreover, catheter material was significantly related to the catheter function domain with Silicone Foley Catheter (100% Silicon) users experiencing poorer QoL related to catheter function than those with Latex Foley Catheter (Silicon-coated) (MD 4.43 (95% CI: 0.62 to 8.24). Workers/employees were found to have poorer QoL than those who were retired (MD = 4.94 (95% CI: 0.3 to 9.63)). Conclusion: The results highlight the necessity of assessing function and concern regarding urinary catheter use and its impact on QoL, as well as its determinants. Evidence-based educational programs should be designed to enhance patients’ self-care abilities to relieve their sense of distress and enhance their confidence in caring for their catheters.
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spelling doaj.art-cb51e0d88688407f8e1e2690d358eb992023-11-19T01:18:16ZengMDPI AGHealthcare2227-90322023-08-011116226610.3390/healthcare11162266The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in EgyptNaglaa Youssef0Ashley Shepherd1Catherine Best2Suzanne Hagen3William Mackay4Debbie Waddell5Hanan El Sebaee6Department of Medical-Surgical Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi ArabiaFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UKFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UKNursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow G4 0BA, UKSchool of Health and Life Sciences, University of the West of Scotland, Paisley PA1 2BE, UKFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UKMedical-Surgical Nursing Department, Faculty of Nursing, Cairo University, Cairo 11562, EgyptBackground: In Arabic countries, no research has focused on the experience of patients with indwelling urinary catheters. This cross-sectional study is the first to evaluate the catheter-specific quality of life (QoL) of patients living with a urinary catheter in Egypt. Methods: This study was conducted from April to September 2017, using a convenience sample of patients from a University Hospital. Data were collected using the International Consultation on Incontinence Questionnaire-Long-Term Catheter QoL (ICIQ-LTCQoL) instrument, along with a demographic datasheet. Results: 141 were enrolled, with 47.5% inpatients, 52.5% outpatients. A total of 70.9% reported problems with catheter function, and 92.2% reported that the catheter affected their daily lives. Place (inpatient or outpatient) was significantly associated with the total score of the ICIQ-LTCQoL (mean difference (MD) 6.34 (95% CI: 3.0 to 9.73)) and both subscales (catheter function subscale: MD = 4.92 (95% CI: 2.12 to 7.73) and lifestyle impact subscale: MD = 1.44 (95% CI: 0.3 to 2.63)), suggesting that outpatients have poorer QoL than inpatients. Moreover, catheter material was significantly related to the catheter function domain with Silicone Foley Catheter (100% Silicon) users experiencing poorer QoL related to catheter function than those with Latex Foley Catheter (Silicon-coated) (MD 4.43 (95% CI: 0.62 to 8.24). Workers/employees were found to have poorer QoL than those who were retired (MD = 4.94 (95% CI: 0.3 to 9.63)). Conclusion: The results highlight the necessity of assessing function and concern regarding urinary catheter use and its impact on QoL, as well as its determinants. Evidence-based educational programs should be designed to enhance patients’ self-care abilities to relieve their sense of distress and enhance their confidence in caring for their catheters.https://www.mdpi.com/2227-9032/11/16/2266ICIQ-LTCQoLincontinenceindwelling catheterquality of lifeurinary catheter
spellingShingle Naglaa Youssef
Ashley Shepherd
Catherine Best
Suzanne Hagen
William Mackay
Debbie Waddell
Hanan El Sebaee
The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
Healthcare
ICIQ-LTCQoL
incontinence
indwelling catheter
quality of life
urinary catheter
title The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
title_full The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
title_fullStr The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
title_full_unstemmed The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
title_short The Quality of Life of Patients Living with a Urinary Catheter and Its Associated Factors: A Cross-Sectional Study in Egypt
title_sort quality of life of patients living with a urinary catheter and its associated factors a cross sectional study in egypt
topic ICIQ-LTCQoL
incontinence
indwelling catheter
quality of life
urinary catheter
url https://www.mdpi.com/2227-9032/11/16/2266
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