Neurogenic Bowel and Bladder Management After Spinal Cord Injury: Examining Factors Involved in Successful Decision-Making Processes

Abstract

Living with SCI requires the ability to make extensive and complex decisions to address the many associated health issues and complications. Persons with SCI make daily decisions about their care that directly and indirectly impact the management of their condition, especially in relation to neurogenic bladder and bowel (NBB) dysfunction. Very few studies discuss decision-making on NBB management among persons with SCI. Of those, none focus on patient decision making and enactment. This study aims to examine veterans and civilians NBB management decisions and resulting outcomes. The aims are: 1) to identify the factors influencing the decision-making process and potential changes across time considering age and time since injury; 2) to assess participants abilities and coping styles in carrying out NBB management decisions; and 3) to assess the outcomes of these decisions on their health and wellbeing, overall satisfaction, and quality of life (QoL) while comparing these decisions to clinical practice guidelines. To address these aims we interviewed 61 SCI participants. Data is being analyzed using content analysis to identify topics, themes and patterns.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2020
Accession Number
AD1115338

Entities

People

  • Denise G Tate

Organizations

  • Board of Regents of the University of Michigan

Tags

Communities of Interest

  • Biomedical
  • Engineered Resilient Systems

DTIC Thesaurus Topics

  • Abstracts
  • Biomedical Research
  • Cardiovascular Physiological Phenomena
  • Catheterization
  • Cognition
  • Colonic Diseases
  • Computer Programming
  • Covid-19
  • Data Analysis
  • Data Sets
  • Databases
  • Diseases And Disorders
  • Governments
  • Health
  • Health Care
  • Health Services
  • Infection
  • Intestinal Diseases
  • Medical Personnel
  • Pain
  • Physicians
  • Psychology
  • Quality Of Life
  • Spinal Cord
  • Spinal Injuries
  • Students
  • Therapy

Readers

  • Instructional Design and Training Evaluation.
  • Neurotrauma and Rehabilitation Medicine.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.