Journal:Topics in Spinal Cord Injury Rehabilitation
Year, Volume, Issue, Page(s):16, 22, 2, 85-98
Study identified behaviors associated with the management of neurogenic bowel and bladder among individuals with chronic spinal cord injury (SCI) and explored whether relationships exist between the performance of those behaviors and outcomes related to health and quality of life (QOL). A survey developed to collect self-report information about the performance of specific behaviors associated with the management of neurogenic bowel was administered to 246 individuals with chronic SCI living in the community as part of a larger ongoing study. Results suggest that the methods that those with SCI use to manage neurogenic bowel and bladder are multifaceted. Many methods are performed consistently, but significant variations exist for some and are often associated with neurological status, methods of evacuation, and QOL. In general, there was little relationship between patterns of responses and either demographic or injury-related characteristics. Many people with SCI of long duration are not sure where they learned some of the management activities that they or their personal care assistants conduct. It is prudent for clinicians working with these people to review their recommendations periodically to ensure that they are current and understood.