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  4. Self-Report of Behaviors to Manage Neurogenic Bowel and Bladder by Individuals with Chronic Spinal Cord Injury: Frequency and Associated Outcomes

Self-Report of Behaviors to Manage Neurogenic Bowel and Bladder by Individuals with Chronic Spinal Cord Injury: Frequency and Associated Outcomes

Top Spinal Cord Inj Rehabil, 2016 · DOI: 10.1310/sci2202-85 · Published: April 1, 2016

Spinal Cord InjuryUrologyGastroenterology

Simple Explanation

Individuals with spinal cord injury (SCI) often experience bladder and bowel dysfunction, impacting their quality of life. Managing these dysfunctions requires complex behaviors, but research supporting specific recommendations is limited. This study describes the behaviors used by individuals with chronic SCI to manage neurogenic bowel and bladder and explores the relationship between these behaviors and health outcomes, including quality of life. The research emphasizes the need for clinicians to regularly review management recommendations with their patients to ensure they are current and understood, as many individuals are unsure of the sources of their management activities.

Study Duration
2 Years and 3 Months
Participants
246 individuals with chronic SCI
Evidence Level
Not specified

Key Findings

  • 1
    Methods used to manage neurogenic bowel and bladder are multifaceted, with consistency in some areas but significant variations based on neurological status and quality of life.
  • 2
    Many people with SCI are unsure about the sources of recommendations for their bowel and bladder management activities.
  • 3
    Certain bowel and bladder management behaviors are associated with quality of life, bladder complications, and bowel complications.

Research Summary

This study investigated the behaviors used by individuals with chronic SCI to manage neurogenic bowel and bladder, exploring the relationship between these behaviors and outcomes related to health and quality of life. The results indicate that management methods are multifaceted with significant variations and associations with neurological status and quality of life. A significant number of participants were unsure of the sources of their management recommendations. The study highlights the need for clinicians to regularly review management recommendations with their patients, ensuring they are current and understood to improve health outcomes and quality of life for individuals with SCI.

Practical Implications

Clinical Practice

Clinicians should regularly review and clarify bowel and bladder management recommendations with SCI patients to ensure understanding and adherence.

Patient Education

Educate SCI patients on the importance of specific bowel and bladder management behaviors and their impact on health outcomes and quality of life.

Future Research

Further research is needed to explore the effectiveness of specific bowel and bladder management behaviors and to develop evidence-based guidelines.

Study Limitations

  • 1
    Socially desirable responses may have influenced participant answers.
  • 2
    The study's cross-sectional design prevents conclusions about causality.
  • 3
    Generalizability may be limited due to the sample being drawn from SCI Model System sites.

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