Annals of Rehabilitation Medicine

Postdischarge Change of Neurogenic Bladder Management Methods in Spinal Cord Injured Patients.: Lim, Jun Kyong , Choi, Young Sik , Park, Cheol Beom , Ryu, Sang Yeol , Yu, Hyun Joo , Cho, Kang Hee , Bang, Dug Young; J Korean Acad Rehabil Med 1998;22(5):1044-1048.

Abstract
PDF

Objective: To evaluate the changes of bladder management methods after the discharge from hospital, and to identify the problems associated with their method changes of bladder management after the discharge.

Method: The subjects of this study were 128 spinal cord injury patients with a neurogenic bladder dysfunction who were admitted to the hospital and received the neurogenic bladder management and training. We reviewed the medical records of these patients for the management methods of neurogenic bladder and interviewed the patients whether they are still using the same methods after the discharge.

Results: The number of patients who were doing the intermittent catheterization at the time of discharge from hospital was markedly reduced after the discharge and most of the patients in this group have switched to the external collecting device method, using Cred, Valsalva or tapping method. The reasons of this change were that the intermittent catheterization method was not only difficulty and complicated but also restricted their social activities.

Conclusion: We concluded that a long term close follow up and continuous encouragement are very important in the management of neurogenic bladder patients who are discharged with the intermittent catheterization method.

1,883 View
10 Download

Study on the Changes of Voiding Methods of Patients with SCI after Discharge: Focusing on the Patients Participating in the Regular Urinary Tract Surveillance Program.: Roh, Do Kyun , Lee, Bum Suk , Kim, Soo Kyung , Nam, Kee Young , Kim, Dong A , Kim, Byung Sik; J Korean Acad Rehabil Med 2007;31(1):92-96.

Abstract
PDF

Objective
To examine how consistently patients with spinal cord injured (SCI) after discharge use the clean intermittent catheterization (CIC). Method: The participants were 146 SCI patients hospitalized for regular urinary tract surveillance program, who resided in a community for over one year after discharge. The mean age was 40.3 years old and the mean time after injury was 6.2 years, consisted of 118 males and 28 females, and of 68 tetraplegics and 78 paraplegics. Results: At discharge, the CIC as a voiding methods was used by 97 patients, Valsalva or reflexic voiding by 43, indwelling catheterization by 3, and diaper voiding by 3. At follow-up, CIC was used by 96, Valsalva or reflexic voiding by 37, indwelling catheterization by 7, and diaper voiding by 6. Among 97 patients who used CIC at discharge, 83 consistently used the CIC (compliance=85.5%). The patients with tetraplegia showed 82.9% of compliance while the patients with paraplega showed 88.0% of compliance, but there was no statistical difference. Conclusion: The compliance with the CIC method was comparatively high (85.5%). The CIC method can be effectively applied to the management of neurogenic bladder for the SCI patients residing in a community after discharge. (J Korean Acad Rehab Med 2007; 31: 92-96)

1,887 View
27 Download

Spinal Cord Injury Rehabilitation (II): Management of Neurogenic Bladder.: Lee, Il Yung; J Korean Acad Rehabil Med 1999;23(5):887-892.

Abstract
PDF

Neurogenic bladder in patients with spinal cord injury can lead to a rapid deterioration of renal function by compromise of the upper urinary tracts. Algorithm of neurogenic bladder management in spinal cord injury has been discussed according to the types of neurogenic bladder and the hand function of patients. Although intermittent catheterization with a low intravesical pressure has been generally known as the best method of neurogenic bladder management in the patients with spinal cord injury, the most popular method of neurogenic bladder management for the patients with spinal cord injury in Korea has been reported as reflex voiding up to the present. It is necessary to identify the reasons for patients not to continue intermittent catheterization after discharge from inpatient rehabilitation care.