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  4. Effects of a self-efficacy-centered self-management program on neurogenic bladder after spinal cord injury: A randomized controlled trial

Effects of a self-efficacy-centered self-management program on neurogenic bladder after spinal cord injury: A randomized controlled trial

Japan Journal of Nursing Science, 2025 · DOI: 10.1111/jjns.12642 · Published: January 1, 2025

Spinal Cord InjuryUrologyMental Health

Simple Explanation

This study examined if a special self-care program could help people with bladder problems after spinal cord injury. The program focused on boosting their confidence in managing their own health. The study found that people who participated in the program showed improvements in their ability to manage their bladder, had fewer infections, and reported a better quality of life. This suggests that focusing on self-confidence and self-care can be a helpful approach for individuals dealing with neurogenic bladder after spinal cord injury.

Study Duration
12 weeks
Participants
79 individuals with NGB after spinal cord injury
Evidence Level
Level 1: Randomized controlled trial

Key Findings

  • 1
    The intervention group demonstrated significantly better outcomes than the control group at 12 weeks post-intervention in self-management ability.
  • 2
    Significant differences between the groups were observed in the incidence of UTI, residual urine volume and bladder safety capacity at the end of the intervention.
  • 3
    The intervention group also showed significantly better outcomes than the control group in VT and MH subscales.

Research Summary

This research aimed to investigate the effects of a self-efficacy-centered self-management program on persons with neurogenic bladder (NGB) after spinal cord injury (SCI). The self-efficacy-centered self-management program developed in this study can significantly increase participants' self-efficacy and bladder self-management ability, thereby improving their bladder functional status and quality of life. The study findings are satisfactory as the participants (intervention group) demonstrated significant positive improvements in self-efficacy, self-management ability, QoL (vitality and MH subscales), UTI incidence, residual urine volume, and bladder safety capacity when compared with the usual care group participant after a 12-week intervention period.

Practical Implications

Clinical Practice

Implementing self-efficacy-centered self-management programs in bladder rehabilitation for SCI patients.

Patient Education

Educating patients and caregivers on the importance of self-efficacy in managing neurogenic bladder.

Future Research

Further research to validate the preliminary results on the effect of challenging NGB for persons with SCI.

Study Limitations

  • 1
    The recruited participants were from only one large comprehensive hospital.
  • 2
    Insufficient sample size in this study may also affect the presentation of intervention results.
  • 3
    The intervention duration of this study was only 12 weeks, so the long-term effect of the intervention could not be observed.

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