Self-management status and related factors of patients with intermittent clean catheterization after spinal cord injury
10.3969/j.issn.1006-9771.2022.06.014
- VernacularTitle:脊髓损伤清洁间歇导尿患者自我管理现状及影响因素
- Author:
Miaoyuan ZHANG
1
;
Ying HE
1
;
Xiaoxia LI
1
;
Min PENG
1
;
Lei ZHANG
1
;
Shuying LIU
1
;
Ying KONG
1
Author Information
1. Rehabilitation Department, the Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China
- Publication Type:Journal Article
- Keywords:
spinal cord injury;
clean intermittent catheterization;
self-management
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(6):716-724
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the status of self-management in patients with spinal cord injury and the related factors. MethodsFrom May, 2020 to February, 2021, 255 patients from a spinal cord injury club were enrolled, and investigated with the general information questionnaire, self-management ability scale, Chronic Disease Self-efficacy Scale through internet. Multiple linear stepwise regression was used to explore the related factors. ResultsThe scores of disease symptom management, daily life management, intermittent catheterization behavior management, emotional management and social return were (40.458±9.122), (33.945±6.800), (36.709±8.736) and (25.011±4.932), respectively. The average score for the single question of daily life management was the highest (3.772±0.755), while emotional management and social return was the lowest (3.573±0.705). Duration of intermittent catheterization, family members' attitude, self-efficacy and occupation were the related factors of symptom management (R2 = 0.135, F = 7.744, P < 0.001). Self-efficacy, duration of intermittent catheterization, use of hydrophilic coated catheters and complications were the related factors of daily life management (R2 = 0.173, F = 13.042, P < 0.001). Self-efficacy, duration of intermittent catheterization, use of hydrophilic coated catheters and medical insurance were the related factors of intermittent catheterization behavior management (R2 = 0.141, F = 10.259, P < 0.001). Self-efficacy, duration of intermittent catheterization, complications and frequency of intermittent catheter in the last week were the related factors of emotional management and social regression dimensions (R2 = 0.282, F = 19.590, P < 0.001). ConclusionThe self-management of patients with spinal cord injury by clean intermittent catheterization is at medium level. Moreover, it may be affected by many factors. Some of them can be targets of intervention.
