Factors influencing bladder management in male patients with spinal cord injury: a qualitative study
Study design: Qualitative study using individual in-depth interviews. Objectives: The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI). Setting: Public hospitals in Malaysia. Methods: Semistructured (one-o...
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| Veröffentlicht in: | Spinal cord 2014-02, Vol.52 (2), p.157-162 |
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| creator | Engkasan, J P Ng, C J Low, W Y |
| description | Study design:
Qualitative study using individual in-depth interviews.
Objectives:
The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI).
Setting:
Public hospitals in Malaysia.
Methods:
Semistructured (one-on-one) interviews of 17 patients with SCI; 7 were in-patients with a recent injury and 10 lived in the community. All had a neurogenic bladder and were on various methods of bladder drainage. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analyses.
Results:
The choice of bladder management was influenced by treatment attributes, patients’ physical and psychological attributes, health practitioners’ influences and social attributes. Participants were more likely to choose a treatment option that was perceived to be convenient to execute and helped maintain continence. The influence of potential treatment complications on decision making was more variable. Health professionals’ and peers’ opinions on treatment options had a significant influence on participants’ decision. In addition, patients’ choices depended on their physical ability to carry out the task, the level of family support received and the anticipated level of social activities. Psychological factors such as embarrassment with using urine bags, confidence in self-catheterization and satisfaction with the current method also influenced the choice of bladder management method.
Conclusion:
The choice of bladder management in people with SCI is influenced by a variety of factors and must be individualized. Health professionals should consider these factors when supporting patients in making decisions about their treatment options. |
| doi_str_mv | 10.1038/sc.2013.145 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1500783121</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1500783121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-4db7939e1caa5e950804c6ff51ba70b3386451b3b4e503e6998dbfaa3c128d053</originalsourceid><addsrcrecordid>eNqF0UtLAzEQAOAgiq3Vk3cJeBF0a567G29SrAoFL3pessls3bKPNtlV-u9NbRURwVNmmC-TxyB0SsmYEp5eezNmhPIxFXIPDalI4kjGTOyHmMcsElzxATryfkEIUVSlh2jABEtiQeMhslNtutZ5XDZF1UNjymaO80pbCw7XutFzqKHpQjlkFeCl7sqQe_xedq_YL8tGV9i0zgax6N36Bmu86nVVdgG-AfZdb9fH6KDQlYeT3TpCL9O758lDNHu6f5zcziIjmOgiYfNEcQXUaC1BSZISYeKikDTXCck5T2MRYp4LkIRDrFRq80JrbihLLZF8hC62fZeuXfXgu6wuvYGq0g20vc-oJCRJOWX0fyqUokyGfwr0_BddtL0L7_5UMlGKCBXU5VYZ13rvoMiWrqy1W2eUZJs5Zd5kmzmFTZubnu169nkN9tt-DSaAqy3wodTMwf049I9-H2Lvm8c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1495799049</pqid></control><display><type>article</type><title>Factors influencing bladder management in male patients with spinal cord injury: a qualitative study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Engkasan, J P ; Ng, C J ; Low, W Y</creator><creatorcontrib>Engkasan, J P ; Ng, C J ; Low, W Y</creatorcontrib><description>Study design:
Qualitative study using individual in-depth interviews.
Objectives:
The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI).
Setting:
Public hospitals in Malaysia.
Methods:
Semistructured (one-on-one) interviews of 17 patients with SCI; 7 were in-patients with a recent injury and 10 lived in the community. All had a neurogenic bladder and were on various methods of bladder drainage. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analyses.
Results:
The choice of bladder management was influenced by treatment attributes, patients’ physical and psychological attributes, health practitioners’ influences and social attributes. Participants were more likely to choose a treatment option that was perceived to be convenient to execute and helped maintain continence. The influence of potential treatment complications on decision making was more variable. Health professionals’ and peers’ opinions on treatment options had a significant influence on participants’ decision. In addition, patients’ choices depended on their physical ability to carry out the task, the level of family support received and the anticipated level of social activities. Psychological factors such as embarrassment with using urine bags, confidence in self-catheterization and satisfaction with the current method also influenced the choice of bladder management method.
Conclusion:
The choice of bladder management in people with SCI is influenced by a variety of factors and must be individualized. Health professionals should consider these factors when supporting patients in making decisions about their treatment options.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2013.145</identifier><identifier>PMID: 24276416</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/2768/1337 ; 692/699/375/1824 ; 692/700/565 ; Adult ; Anatomy ; Attitude of Health Personnel ; Biomedical and Life Sciences ; Biomedicine ; Decision Making ; Family ; Hospitals, Public ; Human Physiology ; Humans ; Inpatients - psychology ; Interviews as Topic ; Malaysia ; Male ; Middle Aged ; Neurochemistry ; Neuropsychology ; Neurosciences ; original-article ; Outpatients - psychology ; Patient Participation ; Patient Preference ; Peer Group ; Qualitative research ; Self Care ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - psychology ; Urinary Bladder ; Urinary Bladder, Neurogenic - etiology ; Urinary Bladder, Neurogenic - psychology ; Urinary Bladder, Neurogenic - therapy ; Urinary Catheterization ; Young Adult</subject><ispartof>Spinal cord, 2014-02, Vol.52 (2), p.157-162</ispartof><rights>International Spinal Cord Society 2014</rights><rights>Copyright Nature Publishing Group Feb 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-4db7939e1caa5e950804c6ff51ba70b3386451b3b4e503e6998dbfaa3c128d053</citedby><cites>FETCH-LOGICAL-c424t-4db7939e1caa5e950804c6ff51ba70b3386451b3b4e503e6998dbfaa3c128d053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24276416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Engkasan, J P</creatorcontrib><creatorcontrib>Ng, C J</creatorcontrib><creatorcontrib>Low, W Y</creatorcontrib><title>Factors influencing bladder management in male patients with spinal cord injury: a qualitative study</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Qualitative study using individual in-depth interviews.
Objectives:
The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI).
Setting:
Public hospitals in Malaysia.
Methods:
Semistructured (one-on-one) interviews of 17 patients with SCI; 7 were in-patients with a recent injury and 10 lived in the community. All had a neurogenic bladder and were on various methods of bladder drainage. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analyses.
Results:
The choice of bladder management was influenced by treatment attributes, patients’ physical and psychological attributes, health practitioners’ influences and social attributes. Participants were more likely to choose a treatment option that was perceived to be convenient to execute and helped maintain continence. The influence of potential treatment complications on decision making was more variable. Health professionals’ and peers’ opinions on treatment options had a significant influence on participants’ decision. In addition, patients’ choices depended on their physical ability to carry out the task, the level of family support received and the anticipated level of social activities. Psychological factors such as embarrassment with using urine bags, confidence in self-catheterization and satisfaction with the current method also influenced the choice of bladder management method.
Conclusion:
The choice of bladder management in people with SCI is influenced by a variety of factors and must be individualized. Health professionals should consider these factors when supporting patients in making decisions about their treatment options.</description><subject>692/699/2768/1337</subject><subject>692/699/375/1824</subject><subject>692/700/565</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Attitude of Health Personnel</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Decision Making</subject><subject>Family</subject><subject>Hospitals, Public</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Inpatients - psychology</subject><subject>Interviews as Topic</subject><subject>Malaysia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Outpatients - psychology</subject><subject>Patient Participation</subject><subject>Patient Preference</subject><subject>Peer Group</subject><subject>Qualitative research</subject><subject>Self Care</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - psychology</subject><subject>Urinary Bladder</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Bladder, Neurogenic - psychology</subject><subject>Urinary Bladder, Neurogenic - therapy</subject><subject>Urinary Catheterization</subject><subject>Young Adult</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0UtLAzEQAOAgiq3Vk3cJeBF0a567G29SrAoFL3pessls3bKPNtlV-u9NbRURwVNmmC-TxyB0SsmYEp5eezNmhPIxFXIPDalI4kjGTOyHmMcsElzxATryfkEIUVSlh2jABEtiQeMhslNtutZ5XDZF1UNjymaO80pbCw7XutFzqKHpQjlkFeCl7sqQe_xedq_YL8tGV9i0zgax6N36Bmu86nVVdgG-AfZdb9fH6KDQlYeT3TpCL9O758lDNHu6f5zcziIjmOgiYfNEcQXUaC1BSZISYeKikDTXCck5T2MRYp4LkIRDrFRq80JrbihLLZF8hC62fZeuXfXgu6wuvYGq0g20vc-oJCRJOWX0fyqUokyGfwr0_BddtL0L7_5UMlGKCBXU5VYZ13rvoMiWrqy1W2eUZJs5Zd5kmzmFTZubnu169nkN9tt-DSaAqy3wodTMwf049I9-H2Lvm8c</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Engkasan, J P</creator><creator>Ng, C J</creator><creator>Low, W Y</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Factors influencing bladder management in male patients with spinal cord injury: a qualitative study</title><author>Engkasan, J P ; Ng, C J ; Low, W Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-4db7939e1caa5e950804c6ff51ba70b3386451b3b4e503e6998dbfaa3c128d053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>692/699/2768/1337</topic><topic>692/699/375/1824</topic><topic>692/700/565</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Attitude of Health Personnel</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Decision Making</topic><topic>Family</topic><topic>Hospitals, Public</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Inpatients - psychology</topic><topic>Interviews as Topic</topic><topic>Malaysia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Outpatients - psychology</topic><topic>Patient Participation</topic><topic>Patient Preference</topic><topic>Peer Group</topic><topic>Qualitative research</topic><topic>Self Care</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - psychology</topic><topic>Urinary Bladder</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Bladder, Neurogenic - psychology</topic><topic>Urinary Bladder, Neurogenic - therapy</topic><topic>Urinary Catheterization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Engkasan, J P</creatorcontrib><creatorcontrib>Ng, C J</creatorcontrib><creatorcontrib>Low, W Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Engkasan, J P</au><au>Ng, C J</au><au>Low, W Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors influencing bladder management in male patients with spinal cord injury: a qualitative study</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>52</volume><issue>2</issue><spage>157</spage><epage>162</epage><pages>157-162</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Qualitative study using individual in-depth interviews.
Objectives:
The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI).
Setting:
Public hospitals in Malaysia.
Methods:
Semistructured (one-on-one) interviews of 17 patients with SCI; 7 were in-patients with a recent injury and 10 lived in the community. All had a neurogenic bladder and were on various methods of bladder drainage. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analyses.
Results:
The choice of bladder management was influenced by treatment attributes, patients’ physical and psychological attributes, health practitioners’ influences and social attributes. Participants were more likely to choose a treatment option that was perceived to be convenient to execute and helped maintain continence. The influence of potential treatment complications on decision making was more variable. Health professionals’ and peers’ opinions on treatment options had a significant influence on participants’ decision. In addition, patients’ choices depended on their physical ability to carry out the task, the level of family support received and the anticipated level of social activities. Psychological factors such as embarrassment with using urine bags, confidence in self-catheterization and satisfaction with the current method also influenced the choice of bladder management method.
Conclusion:
The choice of bladder management in people with SCI is influenced by a variety of factors and must be individualized. Health professionals should consider these factors when supporting patients in making decisions about their treatment options.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24276416</pmid><doi>10.1038/sc.2013.145</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Spinal cord, 2014-02, Vol.52 (2), p.157-162 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | 692/699/2768/1337 692/699/375/1824 692/700/565 Adult Anatomy Attitude of Health Personnel Biomedical and Life Sciences Biomedicine Decision Making Family Hospitals, Public Human Physiology Humans Inpatients - psychology Interviews as Topic Malaysia Male Middle Aged Neurochemistry Neuropsychology Neurosciences original-article Outpatients - psychology Patient Participation Patient Preference Peer Group Qualitative research Self Care Spinal Cord Injuries - complications Spinal Cord Injuries - psychology Urinary Bladder Urinary Bladder, Neurogenic - etiology Urinary Bladder, Neurogenic - psychology Urinary Bladder, Neurogenic - therapy Urinary Catheterization Young Adult |
| title | Factors influencing bladder management in male patients with spinal cord injury: a qualitative study |
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