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  4. Rehabilitation care of patients with neurogenic bladder after spinal cord injury: A literature review

Rehabilitation care of patients with neurogenic bladder after spinal cord injury: A literature review

World Journal of Clinical Cases, 2023 · DOI: 10.12998/wjcc.v11.i1.57 · Published: January 6, 2023

UrologyNeurologyRehabilitation

Simple Explanation

Spinal cord injury can lead to bladder dysfunction, known as neurogenic bladder, which affects urine storage and emptying. This can lead to complications like urinary tract infections and kidney damage. Current treatments, including surgery and drugs, can negatively impact mental health. Intermittent catheterization is presented as a method to improve life quality, reduce psychological burden, and decrease negative emotions. Rehabilitation nursing is essential for restoring bladder function, reducing complications, and improving the quality of life for individuals with neurogenic bladder after spinal cord injury. Psychological support is also important.

Study Duration
July 2007 to July 2022
Participants
30 publications in patients with neurogenic bladder after spinal cord injury
Evidence Level
Literature Review

Key Findings

  • 1
    Existing treatments for neurogenic bladder, such as surgery and drugs, can negatively impact the patient's mental health to varying degrees.
  • 2
    Intermittent catheterization helps maintain bladder compliance, protects kidney function, speeds up recovery, and improves the patient's ability to live while reducing psychological burden and negative emotions.
  • 3
    Psychological counseling and compassionate care are essential for addressing the psychological issues of patients with neurogenic bladder, improving compliance with rehabilitation training, and fostering a collaborative relationship with family members.

Research Summary

This article reviews the research progress of rehabilitation treatment and nursing care of patients with neurogenic bladder after spinal cord injury, in order to provide reference for the rehabilitation treatment and nursing care of patients. We analyzed 30 recent of publications in patients with neurogenic bladder after spinal cord injury, in addition to reviewing and evaluating the commonly used rehabilitation nursing methods for neurogenic bladder. Psychological counseling is a vital aspect which cannot be neglected in the process of neurogenic bladder rehabilitation. Hitherto, the commonly used drug and surgical treatments may have negatively impacted the mental health of patients in varying degrees.

Practical Implications

Improved Rehabilitation Strategies

The review highlights the importance of incorporating intermittent catheterization and psychological support into rehabilitation programs to improve patient outcomes and quality of life.

Enhanced Patient Care

The findings suggest that healthcare providers should focus on holistic care, addressing both the physical and psychological needs of patients with neurogenic bladder after spinal cord injury.

Future Research Directions

The review identifies the need for further research to explore personalized nursing measures and optimize rehabilitation strategies for patients with neurogenic bladder.

Study Limitations

  • 1
    Retrospective nature of the studies reviewed
  • 2
    Inherent limitations related to observational studies
  • 3
    Search results may not be comprehensive enough

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