Effects of different bladder management methods on the quality of life in patients with traumatic spinal cord injury
- 30 October 2012
- journal article
- research article
- Published by Springer Science and Business Media LLC in Spinal Cord
- Vol. 51 (3), 226-231
- https://doi.org/10.1038/sc.2012.131
Abstract
Study design: Multi-center, cross-sectional study. Objectives: To investigate the effects of different bladder management methods on the quality of life (QoL) in patients with spinal cord injury (SCI). Setting: Turkey. Methods: Consecutive SCI patients (n=195, 74.4% males), for whom at least 6 months had elapsed since the injury, were included and evaluated in five groups: normal spontaneous micturition (NSM), micturition with assisted maneuvers (MAM), aseptic intermittent catheterization by patient (IC-P), aseptic IC by an attendant/caregiver (IC-A) and indwelling catheterization. The King’s Health Questionnaire was used to evaluate the patients’ QoL. Results: The bladder management groups were similar regarding age, time elapsed since injury, education level, marital and occupational status. There was no difference among the groups in general health perception, personal relationships and sleep/energy domain scores. While the NSM group had generally the lowest scores, that is, better QoL, the IC-A group had the highest scores, that is, poorer QoL, in most of the domains. When the patients were grouped according to the frequency of urinary incontinence or American Spinal Injury Association Impairment Scale grades, no difference was found in the domain scores of the groups except the symptom severity domain scores. No significant difference was found between paraplegic and tetraplegic patients in the King’s Health Questionnaire domains. Conclusion: The QoL was notably affected in SCI patients in IC-A group and negative effects on emotional status, physical and social activity limitations were observed, as well.Keywords
This publication has 16 references indexed in Scilit:
- Epidemiology and healthcare utilization of neurogenic bladder patients in a us claims databaseNeurourology and Urodynamics, 2010
- Evaluación de la calidad de vida en pacientes con lesión medular comparando diferentes métodos de vaciado vesicalActas Urológicas Españolas (English Edition), 2010
- The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UKSpinal Cord, 2009
- Does Optimizing Bladder Management Equal Optimizing Quality of Life? Correlation Between Health-related Quality of Life and Urodynamic Parameters in Patients With Spinal Cord LesionsUrology, 2009
- Chronic suprapubic catheterization in the management of patients with spinal cord injuries: analysis of upper and lower urinary tract complicationsBJU International, 2008
- Urological Care of the Spinal Cord–Injured PatientJournal of Wound, Ostomy & Continence Nursing, 2008
- The management of neurogenic bladder and quality of life in spinal cord injuryBJU International, 2006
- Health-Related Quality of Life of Patients Using Clean Intermittent Catheterization for Neurogenic Bladder Secondary to Spinal Cord InjuryUrology, 2005
- Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injuryUrology, 2005
- A 7-year follow-up of sacral anterior root stimulation for bladder control in patients with a spinal cord injury: quality of life and users' experiencesSpinal Cord, 2003