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

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

Int. J. Environ. Res. Public Health, 2022 · DOI: 10.3390/ijerph192417032 · Published: December 18, 2022

Spinal Cord InjuryUrology

Simple Explanation

Spinal cord injury (SCI) patients often need help managing their bladder, and they frequently switch methods to improve their satisfaction. This study aims to understand why SCI patients change their bladder management and how satisfied they are with their current method. The study surveyed 515 SCI patients and found that over half had changed their bladder management method. The most common current method was self-voiding, and most patients were satisfied with their current management. Frequent urinary tract infections were a major reason for changes. The research suggests that proper bladder management can boost patient satisfaction and that preventing urinary tract infections is key for long-term care and satisfaction with bladder management.

Study Duration
January 2018 to December 2019
Participants
515 SCI participants
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    55% of participants had changed their bladder management method at least once after their injury.
  • 2
    The most commonly used current bladder management method was self-voiding (47.6%).
  • 3
    Frequent urinary tract infections (UTIs) were the primary reason for altering bladder management strategies.

Research Summary

This study investigated satisfaction with bladder management and reasons for altering bladder management in chronic SCI patients via a prospective cross-sectional survey. The study found that a majority of SCI patients were satisfied with their current bladder management, with self-voiding being the most common method. However, a significant portion had altered their bladder management, primarily due to frequent UTIs. The research concludes that appropriate bladder management improves patient satisfaction and preventing UTIs is crucial for long-term care in SCI patients.

Practical Implications

Personalized Bladder Management

Bladder management strategies for SCI patients should be individualized, considering patient preferences, caregiver support, and the risk of UTIs.

UTI Prevention

Healthcare providers should prioritize UTI prevention strategies to improve patient satisfaction and reduce the need for changes in bladder management.

Long-term Monitoring

Regular monitoring and adjustments to bladder management are necessary due to the chronic nature of SCI and the potential for changes in lower urinary tract function.

Study Limitations

  • 1
    Cross-sectional study design limits demonstration of dynamic changes in bladder management.
  • 2
    Survey conducted in free clinic settings limits generalizability to patients who cannot attend clinics.
  • 3
    Not specified

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