Abstract
Study design:
Cross-sectional study.
Objectives:
(1) To assess the relationship between bladder management methods and the health-related quality of life (HRQL) in patients with spinal cord injury (SCI). (2) To identify any correlation between the two questionnaires used to assess the quality of life (one validated for SCI and one validated for bladder symptoms).
Setting:
Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK.
Methods:
This study is based on two questionnaires with results collected from 142 people with SCI. The two questionnaires were based on information from the Short-Form 36-Item Health Survey (SF-36) and the King's Health Questionnaire and included demographic characteristics, bladder management methods and the frequency of incontinence.
Results:
There is a moderate correlation between the results of the SF-36 and the King's Health Questionnaire. Only 21% SCI patients report normal voiding without any other form of bladder management. The type of bladder management may influence the HRQL in patients with SCI. Clean intermittent catheterization by attendant, indwelling transurethral catheterization and indwelling suprapubic catheterization are the three groups with the worst mental status. In addition, the frequency of incontinence is a strong influence on HRQL.
Conclusions:
The results of this study may provide a general baseline HRQL for patients with SCI. Our findings show the relationships between bladder management methods and quality of life in patients with SCI. In addition, the impact of incontinence on quality of life was also confirmed.
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References
Gall A, Turner-Stokes L . Chronic spinal cord injury: management of patients in acute hospital settings. Clin Med 2008; 8: 70–74.
Putzke JD, Richards JS, Hicken BL, DeVivo MJ . Predictors of life satisfaction: a spinal cord injury cohort study. Arch Phys Med Rehabil 2002; 83: 555–561.
Kennedy P, Rogers B . Reported quality of life of people with spinal cord injuries: a longitudinal analysis of the first 6 months post-discharge. Spinal Cord 2000; 38: 498–503.
Post MW, De Witte LP, Van Asbeck FW, Van Dijk AJ, Schrijvers AJ . Predictors of health status and life satisfaction in spinal cord injury. Arch Phys Med Rehabil 1998; 78: 395–402.
Oh SJ, Shin HI, Paik NJ, Yoo T, Ku JH . Depressive symptoms of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Spinal Cord 2006; 44: 757–762.
Krause JS, Kjorsvig JM . Mortality after spinal cord injury: a four year prospective study. Arch Phys Med Rehabil 1992; 73: 558–563.
Westgren N, Levi R . Quality of life and traumatic spinal cord injury. Arch Phys Med Rehabil 1998; 79: 1433–1439.
Wyndaele JJ, Madersbacher H, Kovindha A . Conservative treatment of the neuropathic bladder in spinal cord injured patients. Spinal Cord 2001; 39: 294–300.
Dahlberg A, Perttila I, Wuokko E, Ala-Opas M . Bladder management in persons with spinal cord lesion. Spinal Cord 2004; 42: 694–698.
Weld KJ, Dmochowski RR . Effect of bladder management on urological complications in spinal cord injured patients. J Urol 2000; 163: 768–772.
Hicken BL, Putzke JD, Richards JS . Bladder management and quality of life after spinal cord injury. Am J Phys Med Rehabil 2001; 80: 916–922.
Kuo HC . Quality of life after active urological management of chronic spinal cord injury in eastern Taiwan. Eur Urol 1998; 34: 37–46.
Biering-Sorensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ . International lower urinary tract function basic spinal cord injury data set. Spinal Cord 2008; 46: 325–330.
Kelleher CJ, Cardozo LD, Khullar V, Salvatore S . A new questionnaire to assess the quality of life of urinary incontinent women. Br J of Obstet Gynaecol 1997; 104: 1374–1379.
Hallin P, Sullivan M, Kreuter M . Spinal cord injury and quality of life measures: a review of instrument psychometric quality. Spinal Cord 2000; 38: 509–523.
Ware JE, Sherbourne CD . The MOS 36-item short form health survey (SF-36): I. conceptual framework and item selection. Med Care 1992; 30: 473–483.
McHorney CA, Ware Jr JE, Lu JF, Sherbourne CD . The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 1994; 32: 40–66.
Benevento BT, Sipski ML . Neurogenic bladder, neurogenic bowel, and sexual dysfunction in people with spinal cord injury. Phys Ther 2002; 82: 601–612.
Oh SJ, Ku JH, Jeon HG, Shin HI, Paik NJ, Yoo T . Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Urology 2005; 65: 306–310.
Andresen EM, Fouts BS, Romeis JC, Brownson CA . Performance of health-related quality-of-life instruments in a spinal cord injured population. Arch Phys Med Rehabil 1999; 80: 877–884.
Acknowledgements
We thank Associate Professor Yi-Hsin Yang for her assistance with statistical analysis and Mrs Judith Grieve for her assistance with editing.
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Liu, CW., Attar, K., Gall, A. et al. The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK. Spinal Cord 48, 319–324 (2010). https://doi.org/10.1038/sc.2009.132
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DOI: https://doi.org/10.1038/sc.2009.132
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