Conclusions:

1. DETERMINATION OF SELF-ESTEEM AND THE LEVEL OF DEPRESSION OF THE PATIENTS WHO APPLY CLEAN INTERMITTENT CATHETERIZATION DUE TO THE NEUROGENIC BLADDER A. Ozbas 1, L. Küçük 2, I. Çavdar 1, U. Fındık 3, S. Yıldız 4, J. Yıldız 5, N. Akyüz 1 (1) Istanbul University Florence Nightingale School of Nursing, Dept. of Surgical Nursing, Istanbul, Turkey, (2) Istanbul University Florence Nightingale School of Nursing, Dept. of Psychiatry Nursing, Istanbul, Turkey, (3) Trakya University Faculty of Health Sciences, Department of Nursing, Dept. of Surgical Nursing, Edirne, Turkey, (4) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Istanbul, Turkey, (5) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Istanbul, Turkey Results Introduction & Objectives Patientswithneurogenicbladder (NB) are at risk formanycomplications, includingurinarytractinfection, urinaryincontinenceanddeterioration of theupper urinarytractswithpotentialloss of renalfunction. Beforethedevelopment of modern methods of bladdermanagement, renalfailuresecondaryto NB wasthemostcommoncause of death in thesepatients. Thus, management of thelowerurinarytract is cruciallyimportant in patientswith NB topreventdamagetotheuppertractand, thus, preserverenalfunction. Thegoal of management is toallowthebladdertostoreareasonablevolume of urine at lowpressureandempty it at appropriateintervals. Overthepast 30 years, cleanintermittentcatheterization (CIC) has beenusedforthemanagement of thesepatients. Theintroduction of CIC has reducedthemorbidityandmortality in thesepatients. Thisprocedure has otherbeneficialeffects, such as improved body imageand self-esteem, andguarantees a goodquality of life (QOL). Nevertheless, it is truethatpatientswithspinalcordinjury (SCI) experiencephysicalandemotionaldifficulties in theirdailylives, evenwhenemptyingproblemsareproperlymanaged (Oh, 2005) Management of NB requires a multidisciplinaryorinterdisciplinaryapproach. Patientswith NB oftensufferfrompsychologicalproblems. Perhapsthegreatestpotentialadverseemotionalconsequence of NB is depression. Kennedy andRogersexaminedtheprevalence of anxietyanddepressionlongitudinally in patientswithspinalcordinjury (SCI) (Oh, 2006, Kennedy, 2006) Thestudywasplannedtodeterminetherelationbetween self-respectanddepressionlevels of patientswhousecleanintermittentcatheterizationforneurogenicbladdercausedbyspinalcordinjury According to the results of the research; the average age of the patients is 34 and the majority of them are male 55.9%, jobless people 61.8% (n:21), traumatized due to accident 38.2% (n:13), the people who have the T7-T12 injury level 64.7% (n:22), the people who have taken CIC education from the nurse 67.6% (n:23), the people who continue the CIC application since at least six months 29.4% (n:10) and the people who say that CIC application influences their sexual lives 64.7% (n:22). Table 1 shows the average points of the patients who have participated in research according to The Beck Depression Scale. Table 1. The Average Points of Patients According to Beck Depression Scale and Self-Esteem Scale (n:34) As shown in Table 1; the average BDS point of patients who are taken into research is 13.85 ± 9.88 and average point of Self- Esteem Scale is 45.41± 12.41. Tablo 2. The Profiles of Patients According to Beck Depression Scale and Self- Esteem Scale (n:34) Material & Methods Type of Research: 34 patients who had spinal cord injury and carried out CIC, were included in the descriptive and cross-sectional type study. The Place and Time of the Study: Research data was collected with individual interview. Data Collection Tools: The questionnaire which was prepared by researchers, was used for the purpose of determining the demographic characteristics of patients. For the purpose of determining the level of depression of patients, the Beck Depression Scale (BDS); and for the purpose of evaluating self-esteem of patients, Coopersmith Self- Esteem Scale were used. The Beck Depression Scale which consists of 21 subjects, is used to determine the level of depression and evaluate the level and violence change of depressive symptoms. The Self-Esteem Scale which is developed by Coopersmith consists of 25 subjects and these subjects include the scale of self-esteem, self-contempt about self-esteem, lidership-popularity, parents-family and enterprise-anxiety. In this research, not the sub-factors measured by sacel but general self-esteem points are taken into account. Evaluation of Data: The data of research is evaluated with SPSS 12.0 Program. The obtained data is evaluated with %, x, and t tests. Acoording to evaluation of Beck Depression Scale of patients, we see that the majority of patients don’t show sign of depression 55.9 % (n:19); but according to Coopersmith Self-Esteem Scale; we see that the majority of patients show low degree of self-esteem. Tablo3: The Relationship of the Points of Beck Depression Scale with Some Variables (n:34) When we compare the Beck Depression Scale points of patients with some variables; we see that the people who are unemployed ( r:2.692, p:0.011) and have the age of ≤37 ( r:0.417, p:0.014), have high depression level and have no significant relationship with independent variables. Conclusions: According to research; we see that the majority of patients in sample group have low degree of self-esteem. Young patients who have spinal cord injury have downward tendency in social environment-job fit and the hopes for future. In these situations; patients have the risk of psychiatric disorders especially like depression, anxiety. To increase their adaptation to social life and regularize their treatment; their depression levels and the factors which influence self-esteem, should be known and therapeutic approaches should be used. Limitedness of Research:Limited number of samples and long research questions create limitations for research.