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Reasons for Altering Bladder Management and Satisfaction with Current Bladder Management in Chronic Spinal Cord Injury Patients

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  • Hui-Ling Yeh

    (Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan
    Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan)

  • Hann-Chorng Kuo

    (Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan
    Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan)

  • Chuan-Hsiu Tsai

    (Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan
    Department of Nursing, Tzu Chi University, Hualien 970374, Taiwan
    These authors contributed equally to this work.)

  • Ru-Ping Lee

    (Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan
    These authors contributed equally to this work.)

Abstract

Patients with spinal cord injury (SCI) often require bladder management. However, patients routinely change their bladder management for better satisfaction. The reasons for altering a bladder management method in SCI patients remain insufficiently understood. The purposes of this study are to assess current satisfaction with bladder management and the reasons for changing bladder management in SCI patients. A prospective cross-sectional survey with a convenience sampling method was used. The study was conducted from January 2018 to December 2019. The inclusion criteria included an age ≥18 years and a diagnosis of SCI more than one year previously. The questionnaires were self-administered and collected from eligible patients during a free clinic service. A total of 515 SCI participants were enrolled. Two hundred and eighty-three (55.0%) participants had experienced changing their bladder management. The most used method of current bladder management was self-voiding. About 84.7% of participants reported being satisfied with their current bladder management. Bladder management changes were most often made due to frequent urinary tract infections. Furthermore, the participants dissatisfied with their management had more urological complications. This study indicates that appropriate bladder management can improve the subjective satisfaction of patients. For long-term care, preventing urinary tract infections is a helpful strategy for patients’ satisfaction with bladder management.

Suggested Citation

  • Hui-Ling Yeh & Hann-Chorng Kuo & Chuan-Hsiu Tsai & Ru-Ping Lee, 2022. "Reasons for Altering Bladder Management and Satisfaction with Current Bladder Management in Chronic Spinal Cord Injury Patients," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:17032-:d:1007347
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    1. Chiara Pavese & Marc P Schneider & Martin Schubert & Armin Curt & Giorgio Scivoletto & Enrico Finazzi-Agrò & Ulrich Mehnert & Doris Maier & Rainer Abel & Frank Röhrich & Norbert Weidner & Rüdiger Rupp, 2016. "Prediction of Bladder Outcomes after Traumatic Spinal Cord Injury: A Longitudinal Cohort Study," PLOS Medicine, Public Library of Science, vol. 13(6), pages 1-16, June.
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