Low Urinary Tract Probloms, Bladder Management Related Self-Efficacy and Quality of Life among Spinal Cord-Injured Patients-A Correlational Study

Autor: Yen-Jen Lee, 李彥錚
Rok vydání: 2016
Druh dokumentu: 學位論文 ; thesis
Popis: 104
Patients with spinal cord injury may suffer from a variety of lower urinary tract symptoms due to nerve damages. If the problems are not controlled properly, they will often lead to complications such as infection and impaired renal function. Movement difficulty caused by spinal cord injury will not only restrict patients’ mobility but also lead to incontinence, causing inconvenience and hampering life quality. This study aims to investigate lower urinary tract problems, self-efficacy of urination behaviour, and their quality of life among Taiwan’s patients with spinal cord injury. The participants in the study were spinal cord injuried patients refered from a medical center in the eastern Taiwan. Purposive sampling was used and structured questionnaires and retrospective tracking on past medical records were utilized to review the medical records. From May 2014 to September 2015, 116 cases were recruited and the average age is 43±13.73 years. Among the participants, 91 (78.44%) of them are male and mostly unmarried(60.34%). The injury parts are mostly cervical vertebra(48, 41.37%); most of them are confined to wheelchairs (89, 76.72%); more completely damaged patients (63, 54.31%); and only 42 (36.20%) participants are independent in most daily activities. Paticipants reported higher Urinary Catheter Self-efficacy(CSE) than Urinating Behaviour Self-efficacy(UBSE), scoring 5.33±3.28 and 2.94±2.85 respectively. As for the quality of life, the average score of UDI-6 is 11.6 ± 4.57, of IIQ-7, 15.9 ±7 .25 and of SF36, 61.2 ± 17.1, indicating that patients are slightly or moderately afflicted by urinal tract problems. The results of inferential statistics reported significant differences between different ages, careers and educational degrees in response to CSE and UBSE (p
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