{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T07:23:13Z","timestamp":1782544993985,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100012226","name":"Fundamental Research Funds for the Central Universities","doi-asserted-by":"publisher","award":["20ykpy88"],"award-info":[{"award-number":["20ykpy88"]}],"id":[{"id":"10.13039\/501100012226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To determine the aspects of excretory dysfunction most influential in determining the quality of life of survivors of spinal cord injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Excretory dysfunction is one of the most common and troublesome sequelae of spinal cord injury. Previous studies have shown that it can restrict social participation restriction, cause readmission and generally influence quality of life substantially.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional survey of hospital inpatients following STOBE guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 101 patients with traumatic or non\u2010traumatic spinal cord injury were asked about their experiences of excretory dysfunction, and management and their self\u2010perceived quality of life. Univariate analysis and multiple linear regression were performed to isolate the most important relationships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only 2 of the 101 subjects professed to be unaffected by excretion dysfunction. Bladder\u2010related dysfunction was the most frequently mentioned type of problem. Quality of life impairment was found to be most often associated with bladder accidents, bowel accidents and having more than one bladder complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Excretory dysfunction substantially impacts quality of life after a spinal cord injury. Bladder accidents, bowel accidents and more than one bladder complication are factors independently influencing the quality of life of spinal cord injury survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>To improve excretion\u2010related QOL, patients\u2019 bladder and bowel self\u2010management training should be strengthened seeking to prevent complications and reduce the risk of bladder and bowel accidents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15689","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T15:13:44Z","timestamp":1612538024000},"page":"1394-1402","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Excretory dysfunction and quality of life after a spinal cord injury: A cross\u2010sectional study"],"prefix":"10.1111","volume":"30","author":[{"given":"De","family":"Gong","sequence":"first","affiliation":[{"name":"School of Nursing Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingmin","family":"Wang","sequence":"additional","affiliation":[{"name":"Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lirong","family":"Zhong","sequence":"additional","affiliation":[{"name":"Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmeng","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Nursing Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0092-7178","authenticated-orcid":false,"given":"Kun","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2166"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/09593985.2015.1116648"},{"key":"e_1_2_11_4_1","unstructured":"Anonymous. 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