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  4. Analysis of Urinary Incontinence in the Neurogenic Bladder and Its Relationship with the Satisfaction and Lifestyle of People with SCI

Analysis of Urinary Incontinence in the Neurogenic Bladder and Its Relationship with the Satisfaction and Lifestyle of People with SCI

Healthcare, 2024 · DOI: 10.3390/healthcare12151501 · Published: July 29, 2024

Spinal Cord InjuryUrologyNursing

Simple Explanation

Urinary incontinence is a common issue after spinal cord injury, often linked to how the bladder is emptied and impacting a person's life quality. This study checks how often this happens and how it relates to bladder management, satisfaction, and lifestyle in adults with spinal cord injuries. The study involved telephone interviews with 290 adults with spinal cord injuries. The researchers looked at bladder-emptying methods like using catheters, normal urination, and reflex triggering to see how they relate to urinary incontinence, and how it affects satisfaction and lifestyle. The findings showed that many participants experienced urinary incontinence, which had a negative impact on their satisfaction with bladder management, quality of life, and social relationships. While catheterization helped reduce leakage, many still experienced it frequently.

Study Duration
9 Months
Participants
290 adults with spinal cord injury
Evidence Level
Cross-sectional quantitative study

Key Findings

  • 1
    Clean intermittent catheterization (CIC) was the most common method (74.1%), but over half the participants were still incontinent.
  • 2
    Normal urination was associated with continence, while bladder reflex triggering was associated with incontinence.
  • 3
    Urinary incontinence negatively impacted satisfaction, effectiveness of bladder management, quality of life, and social relationships.

Research Summary

This study analyzed urinary incontinence (UI) and its relationship with bladder-emptying methods, personal satisfaction, and lifestyle in people with spinal cord injury (SCI). CIC was the predominant bladder-emptying method. Despite reducing urine leakage, a considerable number of participants still had frequent leakage, thus preventing the complete acquisition of urinary continence. Satisfaction and lifestyle were strongly affected by UI due to the BN in the participants of this study. Moreover, UI negatively affected satisfaction with the bladder management routine, effectiveness of bladder management, QoL, and personal and social relationships.

Practical Implications

Tailored Bladder Management

Individualize bladder management plans based on patient expectations for continence and lifestyle.

Education for Professionals

Provide continuing education for rehabilitation professionals, especially nurses, to manage physiological and emotional consequences of bladder dysfunction.

Address Quality of Life

Adopt measures to minimize the effect of urinary incontinence on quality of life, focusing on social participation and overall well-being.

Study Limitations

  • 1
    Data collected was based on participants’ perception and recall, introducing potential memory bias.
  • 2
    The telephone interview format may have caused interpretation difficulties.
  • 3
    The cross-sectional design did not evaluate changes in urinary leakage after initiating CIC.

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