<![CDATA[Long-term indwelling urinary catheters are increasingly managed in home settings, yet most catheter-associated urinary tract infection prevention guidelines were developed for hospitals and long-term care facilities. This review aimed to synthesize evidence regarding family-centered education, caregiver education, and self-management strategies for preventing infection and reducing healthcare utilization among adults with long-term indwelling catheters at home. A structured narrative review was conducted through searches of PubMed, ScienceDirect, Google Scholar, and Garuda in September 2026. The reviewed literature covered publications from 2014 to 2026, and evidence was synthesized using thematic analysis based on evidence proximity. Twenty-three sources were included, consisting of clinical guidelines, regulations, intervention trials, observational studies, and literature reviews. The synthesis identified four main domains: patient and caregiver education, self-management and self-monitoring, multicomponent organizational interventions, and implementation challenges in community and resource-constrained settings. No clinical trials directly evaluated family caregiver education for home catheter care. The largest home-based self-management trial involved 202 participants and demonstrated reduced catheter blockage during the first six months, although no significant reduction in catheter-associated urinary tract infection was observed. Family-centered education is supported by guidelines; however, direct empirical evidence remains limited. Structured training using the teach-back method, discharge planning, and community nursing follow-up should be further evaluated in future research.]]>
