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Anxiety Levels and Sexual Functions of Patients Performing Clean Intermittent Catheterization

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Abstract

Clean intermittent catheterization (CIC) is an effective and reliable catheterization method widely used to ensure bladder management. However, pain or discomfort that is commonly seen during catheterization in individuals performing CIC may lead to anxiety and changes in many activities of daily living, particularly in sexual function. The aim of this study was to determine the anxiety levels and sexual functions of patients performing CIC and the relationship between. This descriptive study included a total of 102 patients performing CIC who were followed at a urology outpatient clinic of a state hospital. Data were collected by using Structured Information Form, Visual Analog Scale (VAS), State-Trait Anxiety Inventory (STAI), Female Sexual Function Scale (FSFI) and International Erectile Function Index-5 (IIEF-5). Statistical analyses were performed using descriptive statistical methods, Pearson Product-Moment Correlation Coefficient and Regression Analysis. Mood scores (VAS) of the patients were 6.56 ± 1.52. The mean IIEF-5 score was 8.47 ± 4.59 in male patients and the mean FSFI score was 17.62 ± 6.2 in female patients. Erectile dysfunction was found in 73.47% of male patients and sexual dysfunction was present in 64.15% of female patients. The STAI-1 score was found to have a negative moderate correlation with IIEF-5 and FSFI scores (p ≤ 0.05). Furthermore, evaluation of the factors related to sexual dysfunction showed that smoking, female sex, anxiety level, duration of CIC, mood and wheelchair use increased the probability of developing sexual dysfunction. Determining the anxiety and sexual function levels of individuals performing CIC, prioritizing the factors that may affect sexual function, and using appropriate therapeutic approaches are thought to be able to increase the individual's adaptation and have a positive effect on their sexual lives.

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References

  1. Seth, J.H., Haslam, C., Panicker, J.N.: Ensuring patient adherence to clean intermittent self-catheterization. Patient Prefer. Adherence 8, 191–198 (2014)

    PubMed  PubMed Central  Google Scholar 

  2. Liu, C., Liu, J., Li, Y., Chen, W.: The application of evaluation sheet for patients needed clean intermittent catheterization. J. Fam. Med. Health Care 2(2), 10–12 (2016)

    Article  Google Scholar 

  3. Mc Conville, A.: Patients’ experiences of and clean intermittent catheterisation. Nurs. Times Plus 98(4), 55–56 (2002)

    Google Scholar 

  4. Logan, K., Shaw, C., Webber, C.I., Samuel, S., Broome, L.: Patients’ experiences of learning clean intermittent self-catheterization: a qualitative study. J. Adv. Nurs. 62(1), 32–40 (2008)

    Article  Google Scholar 

  5. Shaw, C., Logan, K., Webber, I., Broome, L., Samuel, S.: Effect of clean intermittent self-catheterization on quality of life: a qualitative study. J. Adv. Nurs. 61(6), 641–650 (2008)

    Article  Google Scholar 

  6. Oh, S.-J., Shin, H.-I., Paik, N.-J., Yoo, T., Ku, J.H.: Depressive symptoms of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Spinal Cord 44, 757–762 (2006)

    Article  Google Scholar 

  7. Özbaş, A., Küçük, L., Çavdar, İ, Fındık, Ü., Yıldız, S., Yıldız, J., Akyüz, N.: Determination of self-esteem and the levels of depression in patients practicing clean intermittent catheterization for neurogenic bladder after spinal cord injury. J. Neurol. Sci. 28(4), 520–528 (2011)

    Google Scholar 

  8. Kennedy, P., Rogers, B.A.: Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch. Phys. Med. Rehab. 81, 932–937 (2000)

    Article  Google Scholar 

  9. Tate, D.G., Forchheimer, M., Maynard, F., Dijkers, M.: Predicting depression and psychological distress in persons with spinal cord injury based on indicators handicap. Am. J. Phys. Med. Rehab. 73, 175–183 (1994)

    Article  Google Scholar 

  10. Pakpour, A.H., Rahnama, P., Saberi, H., Saffari, M., Rahimi-movaghar, V., Burri, A., Hajiaghababaei, M.: The relationship between anxiety, depression and religious coping strategies and erectile dysfunction in Iranian patients with spinal cord injury. Spinal Cord 54, 1053–1057 (2016)

    Article  Google Scholar 

  11. Game, X., Moscovici, J., Guillotreau, J., Roumiguie, M., Rischmann, P., Malavaud, B.: Sexual function of young women with myelomeningocele. J. Pediatr. Urol. 10, 418–423 (2014)

    Article  Google Scholar 

  12. Gatti, C., Del Rossi, C., Ferrari, A., Casolari, E., Casadio, G., Scire, G.: Predictors of successful sexual partnering of adults with spina bifida. J. Urol. 182, 1911–1916 (2009)

    Article  Google Scholar 

  13. Rajkumar, R.P., Kumaran, A.K.: Depression and anxiety in men with sexual diysfunction: a retrospective study. Compr. Psych. 60, 114–118 (2015)

    Article  Google Scholar 

  14. Cihan, A., Cihan, E.: Interrelation between appearance anxiety and sexual functions in women: the role of surgical scars, morphologic features, and accompanying depression. J. Sex. Med. 16(11), 1769–1778 (2019)

    Article  Google Scholar 

  15. Gomes, C.M., Miranda, E.P., de Bessa, J.J., Bellucci, C.H.S., Battistella, L.R., Abdo, C.H.N., Bruschini, H., Srougi, M., Mulhall, J.P.: Erectile function predicts sexual satisfaction in men with spinal cord injury. Sex. Med. 5(3), 148–155 (2017)

    Article  Google Scholar 

  16. Ku, J.H., Oh, S.J., Jeon, H.G., Shın, H.I., Paık, N.J., Yoo, T., Kim, S.W.: Sexual activity in Korean male patients on clean intermittent catheterization with neurogenic bladder due to spinal cord injury. Int. J. Urol. 13, 42–46 (2006)

    Article  Google Scholar 

  17. Karabulutlu, E.Y., Akpınar, R.B.: Clean intermittent catheterization. J. Anatolia Nurs. Health Sci. 10(4), 84–90 (2007)

    Google Scholar 

  18. Fumincelli, L., Mazzo, A., Martins, J.C.A., Henriques, F.M.D., Cardoso, D., Rodrigues, M.A.: Quality of life of intermittent urinary catheterization users and their care givers: a scoping review. World Views Evid. Based Nurs. 14(4), 324–333 (2017)

    Article  Google Scholar 

  19. Öner, N., Le Compte, A.: Durumluk Sürekli Kaygı Envanteri El Kitabı. Boğaziçi Üniversitesi Yayınları, İstanbul (1985)

    Google Scholar 

  20. Aygin, D., Aslan, F.E.: The Turkish Adaptation of The Female Sexual Function Index. Turk. Klin. J. Med. Sci. 25, 393–399 (2005)

    Google Scholar 

  21. Rose, R.C., Brown, C., Heiman, J.: The female sexual function index (FSFI): a multidimensional self report instrument for the assesment of female sexual function. J. Sex. Marital Ther. 26, 191–208 (2000)

    Article  Google Scholar 

  22. Wiegel, M., Meston, C., Rosen, R.: The female sexual function index (FSFI): cross-validation and development of clinical cut off scores. J. Sex Marital Ther. 31, 1–20 (2005)

    Article  Google Scholar 

  23. Rosen, R.C., Cappelleri, J.C., Smith, M.D., Lipsky, J., Pena, B.M.: Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int. J. Impot. Res. 11, 319–326 (1999)

    Article  Google Scholar 

  24. Turunç, T., Deveci, S., Güvel, S., Peşkircioğlu, L.: The Assessment of Turkish Validation with 5 Question Version of International Index of Erectile Function (IIEF-5). Turk. J. Urol. 33(1), 45–49 (2007)

    Google Scholar 

  25. Bakke, A., Malt, U.F.: Social functioning and general wellbeing in patients treated with clean intermittent catheterisation. J. Psychosom. Res. 37(4), 371–380 (1993)

    Article  Google Scholar 

  26. Manns, P.J., Chad, K.E.: Components of quality of life for persons with a quadriplegic and paraplegic spinal cord injury. Qual. Health Res. 11, 795–811 (2001)

    Article  Google Scholar 

  27. Yim, S.Y., Lee, I.Y., Yoon, S.H., Song, M.S., Rah, E.W., Moon, H.W.: Quality of marital life in Korean spinal cord injured patients. Spinal Cord. 36, 826–831 (1998)

    Article  Google Scholar 

  28. Choi, E.K., Kim, S.W., Ji, Y., Lim, S.W., Han, S.W.: Sexual function and qualify of life in women with spinabifida: are the women with spina bifida satisfied with their sexual activity? Neurourol. Urodyn. (2018). https://doi.org/10.1002/nau.23525

    Article  PubMed  Google Scholar 

  29. Vaidyananthan, S., Soni, B.M., Brown, E., Sett, P., Krishnan, K.R., Bingley, J., Markey, S.: Effect of intermittent urethral catheterization and oxybutyn in bladder instillation on urinary continence status and quality of life in a selected group of spinal cord injury patients with neuropathic bladder dysfunction. Spinal Cord 36, 409–414 (1998)

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Fundamentals of Nursing, Istanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing, Abide-i Hurriyet Cad, 34381, Şişli, Istanbul, Turkey

    Yeliz Culha, Funda Buyukyilmaz & Rengin Acaroglu

  2. Department of Urology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey

    Mehmet Gokhan Culha

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  1. Yeliz Culha
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  2. Funda Buyukyilmaz
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  4. Rengin Acaroglu
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Correspondence to Yeliz Culha.

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Culha, Y., Buyukyilmaz, F., Culha, M.G. et al. Anxiety Levels and Sexual Functions of Patients Performing Clean Intermittent Catheterization. Sex Disabil 39, 215–224 (2021). https://doi.org/10.1007/s11195-020-09671-y

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