Fulfillment Of Safety And Comfort Needs In Urinary Catheter Patients : Literature Review

Sirli Agustiani, Arlina Dewi


Background: Discomfort often occurs when catheter placement and also the removal of catheter. In health sector, nursing practice focus on patient quality and safety. Feeling safe is a form of feeling that if not controlled of anxiety. Using urinary catheter will affect to quality of life of patients such as physical, psychological, socio cultural, environmental and spiritual aspects.

Objective: The aims of this study to describe how the fulfillment of safety and comfort needs in urinary catheter patients.

Method: This study use literature review. The database were PubMed, Google Scholar and ProQuest. The search was restricted to English language articles and limited to last 5 years (2014-2019). Articles should be related to research. This study use main keywords experience AND “urinary catheter*”. Only fourteen journals met the eligbility criteria and were review by two researchers.

Result: The Results of article that urinary catheter impact on several aspect of patients such as social aspect patient have limited social interaction, and difficult to adaptation. In psychological aspect, patient feel embarrassed, dissatisfaction, frustation, anxiety, and low self esteem. In physical aspect, patient feel blocking their movement, increase the risk of infection, painful, discomfort, and iritation. In other aspect, the patient has economic problem.

Conclusion: The findings of articles show positive and negative impact for patient’s life when urinary catheter inserted. The review provides insight that can be useful for nurses in concerning patient’s need about safety and comfort especially patients with urinary catheters.


comfort; experience; safety; urinary catheter.

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Atakro, C. A., Boni, G. S., & Gross, J. (2017). Socio-economic impact of indwelling urethral Catheter: The experiences of patients discharged from the Volta Regional Hospital of Ghana. 1(2), 9.

Canterbury Continence Forum. (2013). CATHETER CARE GUIDELINES 2013.

Centers for Disease Control and Prevention [CDC]. (2015). Catheter-associated Urinary Tract Infections (CAUTI). U.S. Department of Health & Human Services.

Chapple, A., Prinjha, S., & Feneley, R. (2015). Comparing Transurethral and Suprapubic Catheterization for Long-term Bladder Drainage: A Qualitative Study of the Patientsʼ Perspective. Journal of Wound, Ostomy and Continence Nursing, 42(2), 170–175. https://doi.org/10.1097/WON.0000000000000096.

Chapple, A., Prinjha, S., & Salisbury, H. (2014). How users of indwelling urinary catheters talk about sex and sexuality: A qualitative study. British Journal of General Practice, 64(623), e364–e371. https://doi.org/10.3399/bjgp14X680149

Cobussen-Boekhorst, H., Hermeling, E., Heesakkers, J., & van Gaal, B. (2016). Patients’ experience with intermittent catheterisation in everyday life. Journal of Clinical Nursing, 25(9–10), 1253–1261. https://doi.org/10.1111/jocn.13146.

Darbyshire, D., Rowbotham, D., Grayson, S., Taylor, J., & Shackley, D. (2016). Surveying patients about their experience with a urinary catheter: Urinary catheter experience. International Journal of Urological Nursing, 10(1), 14–20. https://doi.org/10.1111/ijun.12085.

Fowler, S., Godfrey, H., Fader, M., Timoney, A. G., & Long, A. (2014). Living With a Long-term, Indwelling Urinary Catheter: Catheter Usersʼ Experience. Journal of Wound, Ostomy and Continence Nursing, 41(6), 597–603. https://doi.org/10.1097/WON.0000000000000069.

Fumincelli, L., Mazzo, A., Martins, J. C. A., Henriques, F. M. D., & Orlandin, L. (2017). Quality of life of patients using intermittent urinary catheterization. Revista Latino-Americana de Enfermagem, 25(0). https://doi.org/10.1590/1518-8345.1816.2906.

Gidaszewski, B., Khajehei, M., & McGee, T. (2018). Outpatient cervical ripening: Discomfort/pain during speculum and Foley catheter insertion. Midwifery, 67, 57–63. https://doi.org/10.1016/j.midw.2018.09.012.

Godfrey, H. (2008). Living with a long-term urinary catheter: Older people’s experiences. Journal of Advanced Nursing, 62(2), 180–190. https://doi.org/10.1111/j.1365-2648.2007.04584.x.

Goldstine, J., Leece, R., Samas, S., & Zonderland, R. (2019). In Their Own Words: Adultsʼ Lived Experiences With Intermittent Catheterization. Journal of Wound, Ostomy and Continence Nursing, 46(6), 513–518. https://doi.org/10.1097/WON.0000000000000591.

Hu, F.-W., Chang, C.-M., Su, P.-F., Chen, H.-Y., & Chen, C.-H. (2019). Gender differences in inappropriate use of urinary catheters among hospitalized older patients. Journal of Women & Aging, 31(2), 165–175. https://doi.org/10.1080/08952841.2018.1423918.

Jaquet, A., Eiskjaer, J., Steffensen, K., & Laursen, B. S. (2009). Coping with clean intermittent catherization - experiences from a patient perspective: Patients’ experiences with poor bladder emptying. Scandinavian Journal of Caring Sciences, 23(4), 660–666. https://doi.org/10.1111/j.1471-6712.2008.00657.x.

Kandadai, P., Duenas-Garcia, O. F., Pilzeck, A. L., Saini, J., Flynn, M. K., Leung, K., & Patterson, D. (2016). A Randomized Controlled Trial of Patient-Controlled Valve Catheter and Indwelling Foley Catheter for Short-term Bladder Drainage: Female Pelvic Medicine & Reconstructive Surgery, 22(2), 88–92. https://doi.org/10.1097/SPV.0000000000000249.

Kelly, L., Spencer, S., & Barrett, G. (2014). Using intermittent self-catheters: Experiences of people with neurological damage to their spinal cord. Disability and Rehabilitation, 36(3), 220–226. https://doi.org/10.3109/09638288.2013.785606.

Kemenkes RI. (2016). Kebutuhan Dasar Manusia I. Pusdik SDM Kesehatan.

Kralik, D., Seymour, L., Eastwood, S., & Koch, T. (2007). Managing the self: Living with an indwelling urinary catheter. Journal of Clinical Nursing, 16(7b), 177–185. https://doi.org/10.1111/j.1365-2702.2005.01440.x.

Laan, B. J., Nieuwkerk, P. T., & Geerlings, S. E. (2019). Patients knowledge and experience with urinary and peripheral intravenous catheters. World Journal of Urology. https://doi.org/10.1007/s00345-018-02623-4.

Logan, K. (2015). The male experience of ISC with a silicone catheter. British Journal of Nursing, 24(Sup9), S30–S34. https://doi.org/10.12968/bjon.2015.24.Sup9.S30

Logan, K. (2017). The female experience of ISC with a silicone catheter. British Journal of Nursing, 26(2), 82–88. https://doi.org/10.12968/bjon.2017.26.2.82

Logan, K., Shaw, C., Webber, I., Samuel, S., & Broome, L. (2008). Patients’ experiences of learning clean intermittent self-catheterization: A qualitative study. Journal of Advanced Nursing, 62(1), 32–40. https://doi.org/10.1111/j.1365-2648.2007.04536.x.

Nicolle, L. E. (2014). Catheter associated urinary tract infections. 8.

Nuari & Widayati. (2017). Gangguan pada sistem perkemihan & penatalaksanaan keperawatan. CV Budi Utama.

Nyman, M. H., Gustafsson, M., Langius-Eklöf, A., & Isaksson, A.-K. (2013). Patients’ experiences of bladder emptying in connection with hip surgery: An issue but of varying impact. Journal of Advanced Nursing, 69(12), 2686–2695. https://doi.org/10.1111/jan.12156.

Park, C. H., Jang, G., Seon, D. Y., Sun, I. Y., Ahn, C. H., Ryu, H., Lee, S. H., & Kim, K. M. (2017). Effects on Quality of Life in Patients with Neurogenic Bladder treated with Clean Intermittent Catheterization: Change from Multiple Use Catheter to Single Use Catheter. Childhood Kidney Diseases, 21(2), 142–146. https://doi.org/10.3339/jkspn.2017.21.2.142.

Prastia, R. D. (2015). Perbandingan Respon Nyeri Pada Prosedur Kateterisasi Urin Pria Dengan Teknik Pengolesan Jelly Pada Kateter Dan Penyemprotan Jelly Langsung Ke Dalam Urethra Di Instalasi Gawat Darurat RSUD Dr. Soedarso. 12.

Ramm, D., & Kane, R. (2011). A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self-catheterisation: CISC: the emotional response of female adults. Journal of Clinical Nursing, 20(21–22), 3152–3162. https://doi.org/10.1111/j.1365-2702.2011.03779.x.

Safdar, N., Codispoti, N., Purvis, S., & Knobloch, M. J. (2016). Patient perspectives on indwelling urinary catheter use in the hospital. American Journal of Infection Control, 44(3), e23–e24. https://doi.org/10.1016/j.ajic.2015.10.011.

Shaw, C., Logan, K., Webber, I., Broome, L., & Samuel, S. (2008a). Effect of clean intermittent self-catheterization on quality of life: A qualitative study. Journal of Advanced Nursing, 61(6), 641–650. https://doi.org/10.1111/j.1365-2648.2007.04556.x.

Shaw, C., Logan, K., Webber, I., Broome, L., & Samuel, S. (2008b). Effect of clean intermittent self-catheterization on quality of life: A qualitative study. Journal of Advanced Nursing, 61(6), 641–650. https://doi.org/10.1111/j.1365-2648.2007.04556.x.

Sunshine Coast Hospital and Health Service. (2017). Home management of your catheter. Queensland Government.

Trautner, B. W., Saint, S., Fowler, K. E., Van, J., Rosen, T., Colozzi, J., Chopra, V., Lescinskas, E., & Krein, S. L. (2019). What do patients say about their experience with urinary catheters and peripherally inserted central catheters? American Journal of Infection Control, 47(9), 1130–1134. https://doi.org/10.1016/j.ajic.2019.05.031

Wilde, M. H. (2002). Understanding Urinary Catheter Problems: From the Patient’s Point of View. Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 20(7), 449–455. https://doi.org/10.1097/00004045-200207000-00010.

DOI: https://doi.org/10.18196/ijnp.v4i2.10243

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