Factors that influencing the procedure of clean intermittent catheterization in children with myelomeningocele

Resumo

Objectives: to analyze the factors that interfere with the procedure of catheterization in children with neurogenic bladder, secondary to myelomeningocele. Methods: this is about a descriptive and exploratory study. 55 caregiver of infants with myelomeningocele linked to a children’s hospital in Fortaleza, Ceará, Brazil were participants in the research. They were chosen according to inclusion criteria: to be the caregiver of infants, preschool, school-age children; to be the caregiver who performs assisted catheterization more than 50% of the time during the day; to be a resident of the city of Fortaleza; and to have previously participated in a children’s rehabilitation program. The study was approved by the Committee of Ethics in Research of the Albert Sabin Hospital, under number 52/06. Results: certain factors positively affect the catheterization procedure: age of the child; caregiver with no occupation outside the home; receipt of the benefit of continued income; receipt of catheterization materials from the city or state government, among others. Conclusions: variables that positively affect the catheterization procedure outnumbered those that affect it negatively. The findings are of the utmost importance, given that they allow the inference that adhering to catheterization is facilitated by the presence of such factors. Descriptors: neurogenic urinary bladder; catheterization; caregivers; urinary incontinence; meningomyelocele.