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  4. The association between bladder-emptying methods and health-related quality of life among Iranian individuals with spinal cord injury

The association between bladder-emptying methods and health-related quality of life among Iranian individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2016.1173320 · Published: September 1, 2017

Spinal Cord InjuryUrologyParticipation

Simple Explanation

This study looks at how different ways of emptying the bladder affect the quality of life for people in Iran who have spinal cord injuries. The researchers compared different methods like normal urination, using maneuvers to help, using catheters themselves, having a caregiver use catheters, and using permanent catheters. The study found that the method used to manage the bladder can significantly affect the quality of life for these individuals.

Study Duration
Between September 2012 and August 2014
Participants
171 patients with spinal cord injury (135 men and 31 women)
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Patients with injury at cervical sections had significantly lower scores in physical functioning.
  • 2
    Longer time since injury was associated with better scores of PCS, MCS and total score.
  • 3
    Patients with normal spontaneous micturition had the highest scores in SF-36 instrument and individuals with indwelling catheterization had the poorest HRQoL in all domains.

Research Summary

This study investigated the association between bladder management methods and health-related quality of life (HRQoL) in Iranian individuals with spinal cord injury (SCI). The results showed that the bladder-emptying method significantly affects HRQoL, with normal spontaneous micturition (NSM) associated with the highest scores and indwelling catheterization with the poorest HRQoL. The study concludes that intermittent catheterization is recommended over indwelling catheterization to improve HRQoL in patients with SCI.

Practical Implications

Clinical Practice

Healthcare providers should consider the impact of bladder management methods on HRQoL when developing care plans for patients with SCI, prioritizing intermittent catheterization over indwelling catheterization when appropriate.

Patient Education

Patients with SCI should be educated about the different bladder management options available and their potential impact on quality of life, empowering them to make informed decisions about their care.

Future Research

Further research is needed to validate the psychometric properties of the Persian version of the SF-36 questionnaire in Iranian people with SCI, and to explore the role of urodynamic data in the association between bladder management and HRQoL.

Study Limitations

  • 1
    Lack of evaluation of urodynamic data
  • 2
    The Persian version of SF-36 questionnaire has been validated to be used in general population of Iran
  • 3
    Further investigations [are recommended to] validate the psychometric properties of the Persian version of this instrument in Iranian people with SCI

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