The Process of Psychological Acceptance of Clean Intermittent Self-catheterization after Its Induction and the Factors Influence the Process Hiromi Kobayashi 1 , Ota Akihide 2 1The Japanese Red Cross Kyushu International College of Nursing 2Saga Medical University,School of Medicine Keyword: 自己導尿 , 心理的変化 , 受容 pp.53-64
Published Date 2003/2/1
DOI https://doi.org/10.11477/mf.1681100143
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 Objectives : To investigate transition process of psychological acceptance of clean intermittent catheterization(CIC)and also to explore the factors that influence the process.

 Methods : In the qualitative descriptive study,an information of the patient's feeling toward CIC procedure was collected retrospectively through semi-structured interview with 26 patients undergoing CIC. Each patient's feeling toward CIC and associated events during process after induction of CIC were analyzed and grouped into codes and further categorized.

 Results : The following 6 categories were identified : 1. feelings just before the induction of CIC ; 2. factors of feelings which positively influence psychological acceptance of CIC after induction ; 3. factors of feelings which negatively influence psychological acceptance of CIC ; 4. perceived feelings toward CIC at each time point ; 5. current feelings showing acceptable CIC ; 6. current feelings showings unacceptable CIC. In addition,each patient was classified into 4 patterns of different transition processes ; A. patients have accepted CIC from the beginning ; B. patient's feelings changed from resistance against CIC to its acceptance ; C. patients continued CIC with feelings of resignation ; D. patients have been reluctant to perform CIC ;

 Discussion : It was thought that to accept CIC psychologically was that patients become perceived their urination including their CIC procedure as positive image. The reasons for changing patients' feelings toward acceptance CIC were perceived improvement of urination and the improved technique of procedure.

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