Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake
This study’s aim is provide an overview of the patients who suffered spinal cord injury (SCI) after the magnitude 8.0 Wenchuan earthquake, including each patient’s demographic and epidemiological characteristics, bladder management status, and quality of life (QOL). We also assessed the relationship...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-11-01
|
| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X12001222 |
| _version_ | 1819151010746073088 |
|---|---|
| author | De-Yi Luo Ming-Fu Ding Cheng-Qi He Han-Chao Zhang Yi Dai Yang Yang Zeng-Chun Sun Shou-Juan Zhu Jin-Long Zhang Hao Song Hong Shen |
| author_facet | De-Yi Luo Ming-Fu Ding Cheng-Qi He Han-Chao Zhang Yi Dai Yang Yang Zeng-Chun Sun Shou-Juan Zhu Jin-Long Zhang Hao Song Hong Shen |
| author_sort | De-Yi Luo |
| collection | DOAJ |
| description | This study’s aim is provide an overview of the patients who suffered spinal cord injury (SCI) after the magnitude 8.0 Wenchuan earthquake, including each patient’s demographic and epidemiological characteristics, bladder management status, and quality of life (QOL). We also assessed the relationships between bladder management methods, symptomatic urinary tract infection (SUTI), and QOL. Two years after the 2008 Wenchuan earthquake, a cross-sectional face-to-face survey was conducted on 180 patients with SCI. A self-administered questionnaire and the WHOQOL-BREF assessment were used to assess injury-related information, bladder management methods, and SUTI. Statistical analysis was performed using the Chi-square test and analysis of variance. A p value <0.05 was considered statistically significant. This study found that a male-to-female ratio of approximately 1.2:1, including 98 (54.4%) male patients and 82 (45.6%) female patients. Thoracic-level injuries were seen in 82 patients (45.56%), 60 (33.33%) patients had lumbar-level injuries, 18 (8.33%) patients had thoracolumbar-level injuries, and a small number of patients had cervical- or sacral-level injuries. Sixty-two patients (34.44%) demonstrated normal voiding, 65 (36.11%) required manually assisted voiding, 29 (16.11%) required catheterization, and 24 (13.33%) used aurine-collecting apparatus. The prevalence of SUTI was 43.89%. Patients who emptied their bladder via manually assisted voiding, catheterization, or with the use of a urine-collecting apparatus demonstrated higher rates of SUTI compared with patients who voided normally (p < 0.05); the patients who required catheterization had higher rates of SUTI compared with patients who required manually assisted voiding (p < 0.05). When manually assisted voiding and catheterization were compared with the use a urine-collecting apparatus, no statistically significant differences were observed in terms of the risk of developing SUTI. The patients in this study demonstrated low scores on the WHOQOL-BREF physical domain (11.61 ± 3.80), psychological domain (10.11 ± 3.63), social domain (11.46 ± 2.84), and environmental domain (11.86 ± 2.51). The patients who reported normal voiding also demonstrated the best QOL in terms of physical, psychological, and social component scores (p < 0.05). In conclusion, the percentage of women in this study is higher than that reported in other studies on traumatic causes of SCI. Patients who suffered SCI following the Wenchuan earthquake demonstrate poor bladder management status and are unable to take advantage of urodynamic testing that is used to monitor the functional state of the bladder. This study’s findings indicate that bladder management methods influence the rate of SUTI and the QOL of patients with SCI. Caring for SCI patients following a disaster requires comprehensive long-term planning. Bladder management of patients with SCI is essential for improving the QOL of these patients. |
| first_indexed | 2024-12-22T14:26:36Z |
| format | Article |
| id | doaj.art-b75daee68b41406581f13d84bbba53cc |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-22T14:26:36Z |
| publishDate | 2012-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-b75daee68b41406581f13d84bbba53cc2022-12-21T18:22:52ZengWileyKaohsiung Journal of Medical Sciences1607-551X2012-11-01281161361810.1016/j.kjms.2012.04.028Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquakeDe-Yi Luo0Ming-Fu Ding1Cheng-Qi He2Han-Chao Zhang3Yi Dai4Yang Yang5Zeng-Chun Sun6Shou-Juan Zhu7Jin-Long Zhang8Hao Song9Hong Shen10Department of Urology, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Urology, West China Hospital, Sichuan University, ChinaDepartment of Urology, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Rehabilitation, West China Hospital, Sichuan University, ChinaDepartment of Urology, West China Hospital, Sichuan University, ChinaThis study’s aim is provide an overview of the patients who suffered spinal cord injury (SCI) after the magnitude 8.0 Wenchuan earthquake, including each patient’s demographic and epidemiological characteristics, bladder management status, and quality of life (QOL). We also assessed the relationships between bladder management methods, symptomatic urinary tract infection (SUTI), and QOL. Two years after the 2008 Wenchuan earthquake, a cross-sectional face-to-face survey was conducted on 180 patients with SCI. A self-administered questionnaire and the WHOQOL-BREF assessment were used to assess injury-related information, bladder management methods, and SUTI. Statistical analysis was performed using the Chi-square test and analysis of variance. A p value <0.05 was considered statistically significant. This study found that a male-to-female ratio of approximately 1.2:1, including 98 (54.4%) male patients and 82 (45.6%) female patients. Thoracic-level injuries were seen in 82 patients (45.56%), 60 (33.33%) patients had lumbar-level injuries, 18 (8.33%) patients had thoracolumbar-level injuries, and a small number of patients had cervical- or sacral-level injuries. Sixty-two patients (34.44%) demonstrated normal voiding, 65 (36.11%) required manually assisted voiding, 29 (16.11%) required catheterization, and 24 (13.33%) used aurine-collecting apparatus. The prevalence of SUTI was 43.89%. Patients who emptied their bladder via manually assisted voiding, catheterization, or with the use of a urine-collecting apparatus demonstrated higher rates of SUTI compared with patients who voided normally (p < 0.05); the patients who required catheterization had higher rates of SUTI compared with patients who required manually assisted voiding (p < 0.05). When manually assisted voiding and catheterization were compared with the use a urine-collecting apparatus, no statistically significant differences were observed in terms of the risk of developing SUTI. The patients in this study demonstrated low scores on the WHOQOL-BREF physical domain (11.61 ± 3.80), psychological domain (10.11 ± 3.63), social domain (11.46 ± 2.84), and environmental domain (11.86 ± 2.51). The patients who reported normal voiding also demonstrated the best QOL in terms of physical, psychological, and social component scores (p < 0.05). In conclusion, the percentage of women in this study is higher than that reported in other studies on traumatic causes of SCI. Patients who suffered SCI following the Wenchuan earthquake demonstrate poor bladder management status and are unable to take advantage of urodynamic testing that is used to monitor the functional state of the bladder. This study’s findings indicate that bladder management methods influence the rate of SUTI and the QOL of patients with SCI. Caring for SCI patients following a disaster requires comprehensive long-term planning. Bladder management of patients with SCI is essential for improving the QOL of these patients.http://www.sciencedirect.com/science/article/pii/S1607551X12001222Bladder managementEarthquakeQuality of lifeSpinal cord injuryUrinary tract infection |
| spellingShingle | De-Yi Luo Ming-Fu Ding Cheng-Qi He Han-Chao Zhang Yi Dai Yang Yang Zeng-Chun Sun Shou-Juan Zhu Jin-Long Zhang Hao Song Hong Shen Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake Kaohsiung Journal of Medical Sciences Bladder management Earthquake Quality of life Spinal cord injury Urinary tract infection |
| title | Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake |
| title_full | Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake |
| title_fullStr | Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake |
| title_full_unstemmed | Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake |
| title_short | Bladder management of patients with spinal cord injuries sustained in the 2008 Wenchuan earthquake |
| title_sort | bladder management of patients with spinal cord injuries sustained in the 2008 wenchuan earthquake |
| topic | Bladder management Earthquake Quality of life Spinal cord injury Urinary tract infection |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X12001222 |
| work_keys_str_mv | AT deyiluo bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT mingfuding bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT chengqihe bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT hanchaozhang bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT yidai bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT yangyang bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT zengchunsun bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT shoujuanzhu bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT jinlongzhang bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT haosong bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake AT hongshen bladdermanagementofpatientswithspinalcordinjuriessustainedinthe2008wenchuanearthquake |