CHANGING IN COMPLIANCE OF CLEAN INTERMITTEN CATHETERIZATION PROCESS IN TREATMENT OF NEUROGENIC BLADDER IN CHILDREN IN NATIONAL CHILDREN’S HOSPITAL AFTER TRAINING

Abstract

Objective: Describe of changes in compliance with clean intermittent catheterization (CIC) CIC in children with Neurogenic bladder during a routine checkup at the National Children’s Hospital in 2021.

Method: Interventional study with before-after comparison on 47 children with neurogenic bladder and 47 caretakers. Data collected during their routine checkup at National children’s hospital from May to July 2021.

Result: The group which CIC was performed 3-4 times/a day has the highest proportion of patients (51,1%), the next group which did CIC 5 or more times a day contributed to 38,3% of patients. The group that had CIC 1-2 times a day only made up 10,6% of the patients. Before CIC training, good CIC technique was observed in 32% of caretakers. The percentage of caretakers who performed good CIC immediately after training was 100%. 3 months after training, good CIC was observed in 83% of caretakers.

Conclusion: The level of compliance with CIC process for children after training has changed markedly, the rate of good compliance increased after training and practicing at home. Clinical signs and symptoms have resolved distinctively after CIC, and 3 symptoms which are constipation, cloudy urine, and positive bacteria in urinalysis and urine culture were statistically different with p<0.01 before and after training. Therefore, interventional methods to improve CIC compliance rate in children with neurogenic bladder needs to be suggested