ArticleWorld journal of urology2025
Analysis of the current status of self-management ability and related influencing factors in patients with neurogenic bladder due to traumatic spinal cord injury.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Self-management challenges and psychosocial support needs in clean intermittent catheterization: a qualitative study of individuals with neurogenic bladder and caregivers.Frontiers in rehabilitation sciences · 2026Article
- Nurse and Patient Perspectives on Self-Management and mHealth Service Requirements of Patients with Neurogenic Bladder Following Spinal Cord Injury: A Qualitative Study Based on the Integrated Theory of Health Behavior Change.Patient preference and adherence · 2026Article
- The Patient Persona of the Self-Management Experience of Home-Based Rehabilitation for Spinal Cord Injury Patients: A Qualitative Study.Patient preference and adherence · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveThis study aims to assess the current status of self-management ability in patients with neurogenic bladder resulting from traumatic spinal cord injury (TSCI) and to analyze the factors influencing this ability.
methodA cross-sectional study was conducted from November 2023 to July 2024, a total of 305 patients with neurogenic bladder due to TSCI were recruited from over 30 medical institutions, including rehabilitation centers within tertiary general hospitals, secondary rehabilitation hospitals, and private rehabilitation facilities across Shandong Province, China. Face-to-face interviews were conducted using a general information questionnaire, the patient positive measurement scale, the social support rating scale, and the self-management ability scale. Pearson correlation analysis and multiple linear regression were employed for statistical analysis.
resultsAmong 305 patients with neurogenic bladder caused by TSCI, the score of positivemeasurement scale was 40.95 ± 8.26, the score of the social support scale was 38.12 ± 8.35, and the score of self-management ability scale was 118.19 ± 37.16. In univariate analysis, social support (β = 0.364, P < 0.001), positive degree (β = 0.505, P < 0.001) and bladder training (β = -0.349, P < 0.001) positively predicted self-management ability. Age was a negative predictor of self-management ability (β = -0.204, P < 0.001). In multiple linear regression analysis, social support (β = 0.194, P < 0.001), bladder training (β = -0.262, P < 0.001) and positive degree (β = 0.376, P < 0.001) were still positively correlated with self-management ability.
conclusionSelf-management ability in patients with neurogenic bladder secondary to TSCI is moderate, and patient activation is low. The establishment of an effective social support system, the implementation of bladder training and the improvement of patients positive degree can be used as an entry point to improve their self-management behavior ability, so as to reduce the patients' dependence on others care and prepare for discharge and return to society. CLINICAL TRIAL NUMBER: Not applicable.
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