Psychosocial and Behavioral Factors Associated with Bowel and Bladder Management after SCI
Abstract
Risk factors to bladder and bowel complications suggested associations between neurological status and hemorrhoids and urinary tract infections (UTIs). Chronic constipation was associated with using straining /bearing down as a bowel management method. Lower rates of hemorrhoids were observed among those who used laxatives and /or medications. Those who used intermittent catheterization done by others reported higher rates of UTIs. Frequent complications included UTIs, bladder and bowel incontinence. A trend was observed with those injured 25 years or more having a higher number of complications. There were no differences in bowel complications as a function of military experience. A trend was also observed between quality of life (QOL) and time since injury (TSI). Those with greater TSI reported higher QOL. Studying individuals lives in a narrative format highlighted a number of issues. Using a Response Shift model, patterns of behavioral adaptation reflecting responses to complications were identified. Compared to civilians, more veterans changed their methods of management to solve complications. These decisions were associated with increased satisfaction and fewer complications. Factors influencing positive changes included behavioral changes leading to health adaptations, access to resources such as caregiving, family support and needed supplies.
Document Details
- Document Type
- Technical Report
- Publication Date
- Feb 01, 2017
- Accession Number
- AD1032203
Entities
People
- Denise G Tate
- Edward J. Rohn
- Lisa Diponio
- Martin B. Forchheimer
Organizations
- University of Michigan