A qualitative approach on long-term indwelling catheter use in an outpatient setting

Author:

Silva Marcelle Miranda da1ORCID,Tsuboi Anne de Paula1ORCID,Barros Thayna Silva de Assis1ORCID,Telles Audrei Castro1ORCID,Bittencourt Nair Caroline Cavalcanti de Mendonça1ORCID,Silva Annela Isabell Santos da1ORCID,Baixinho Cristina Rosa Soares Lavareda2ORCID,Costa Andreia Cátia Jorge Silva da2ORCID

Affiliation:

1. Universidade Federal do Rio de Janeiro, Brasil

2. Escola Superior de Enfermagem de Lisboa, Portugal

Abstract

Abstract A long-term indwelling catheter may be indicated in clinical situations, such as chronic diseases of the genitourinary or neurological systems. In addition to the risks of infection, trauma, and bleeding, a catheter’s permanence can affect psycho-emotional and socioeconomic dimensions. We aimed to understand how the need to use a long-term indwelling catheter affects this patient’s self-perception, interrelationships, and self-care. We carried out a qualitative, descriptive study based on interviews with 17 patients, and applied thematic analysis and complex thinking. The different prognoses and expectations regarding the catheter influenced self-perception, adaptation, acceptance, or denial. The presence of a catheter, whether as a curative measure or for comfort, can affect self-image and sexuality, and generate insecurities and uncertainties, which require understanding the multidimensionality of situations that suffer interference from the personal, family, and social environment, as well as health systems’ capacity to deal with it. Despite the challenges, the majority of participants reported a favorable disposition towards self-care, whether to enable catheter removal or to prevent injuries in lifelong indications.

Publisher

FapUNIFESP (SciELO)

Reference23 articles.

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