Effect of Skill Demonstration On Clean Intermittent Self Catheterization Among Spinal Cord Injury Survivors

Authors

Dost Muhammad Khan Dost Muhammad Khan RNO- RHC Darmai Swat Author
Dr. Sardar Ali Dr. Sardar Ali Assistant Professor-Khyber Medical University Peshawar Author
Dr. Shah Hussain Dr. Shah Hussain, Assistant Professor -Zalan College of Nursing Swat Author
Amin Ullah Amin Ullah Medical Entomologist DHO office Peshawar Author
Nargis Nargis Head Nurse THQ hospital Kalam swat Author

Self-Catheterization, Spinal Cord Injury, Skill Demonstration, Self-Management

Background

CISC is a valuable procedure for survivors of Spinal Cord Injury to use in managing urinary incontinence,

which can cause complications like reinfection by Urinary Tract Infections and problems with the bladder.

Nevertheless, many patients with an SCI are still challenged to master CISC; hence, it is essential to

identify adequate training strategies.

Aim

The purpose of this research was to assess the effectiveness of using skill demonstration on the overall

effectiveness of CISC in increasing technical proficiency, assertiveness, and self-sufficiency among SCI

survivors.

Methods

Quasi-experimental research was used in this study, which was carried out at the Paraplegic Centre

Hayatabad Peshawar with a sample of 54 participants selected through a convenient sampling technique.

Information was obtained with a translated and cross-culturally adapted 12-item checklist of CISC

performance that evaluated the performance before and after an intervention with the teaching of hands

on skills. To compare the pre and post-experimental data, the results of the paired sample t-tests and the

Chi-square test were obtained to check the efficacy of the behavioral intervention.

Results

The results showed a positive shift in mean practice scores from pre-intervention (70.25%) to post

intervention (94.52%) in CISC skills, Wilcoxon test p < 0.0001. Concerning the intervention proposal,

there was a significant improvement in good practice, with the number rising from 18.5% pre-intervention

to 74.1% post-intervention. While receptiveness to change was influenced by education level and previous

training in CISC, age and marital status did not impact the results.

Conclusion

Implementation of skills has demonstrated a positive impact on improving the CISC among SCI survivors

and controlling complications. These results indicate the need to include practical cases in the training

methods used to teach SCIs to become more self-sufficient in their everyday lives