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Clinical Nursing Research
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Incontinence and Clean Intermittent Catheterization Following Spinal Cord Injury

Mikel Gray

University of Virginia Bellarnine College

Richard Rayome

Suburban Medical Center

Carol Anson

Shepherd Spinal Center

Clean intermittent catheterization (CIC) is commonly used by individuals with neuropathic bladder dysfunction caused by spinal injury. Although the incidence of urologic complications such as infection, calculi and urethral erosion have been documented for patients managed by CIC, little is known about the incidence or characteristics of urinary incontinence among these patients. One hundred and fifty patients who had been discharged on CIC were investigated via a structured interview. Contrary to speculations in the literature, only 54% of those individuals who performed CIC experienced any continent episodes and 53% of those noted only episodic incontinence, with minimal or moderate volume leakage. A variety of strategies were used to attempt to prevent urinary leakage. Generally, patients demonstrated a lack of knowledge concerning nonpharmacological strategies to alleviate incontinence. This research provides a basis for nursing management strategies to reduce the incidence and severity or urinary leakage among spinal injured patients managed by intermittent catheterization.

Clinical Nursing Research, Vol. 4, No. 1, 6-18 (1995)
DOI: 10.1177/105477389500400102
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