{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:31:46Z","timestamp":1762079506508,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T00:00:00Z","timestamp":1671321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Patients with spinal cord injury (SCI) often require bladder management. However, patients routinely change their bladder management for better satisfaction. The reasons for altering a bladder management method in SCI patients remain insufficiently understood. The purposes of this study are to assess current satisfaction with bladder management and the reasons for changing bladder management in SCI patients. A prospective cross-sectional survey with a convenience sampling method was used. The study was conducted from January 2018 to December 2019. The inclusion criteria included an age \u226518 years and a diagnosis of SCI more than one year previously. The questionnaires were self-administered and collected from eligible patients during a free clinic service. A total of 515 SCI participants were enrolled. Two hundred and eighty-three (55.0%) participants had experienced changing their bladder management. The most used method of current bladder management was self-voiding. About 84.7% of participants reported being satisfied with their current bladder management. Bladder management changes were most often made due to frequent urinary tract infections. Furthermore, the participants dissatisfied with their management had more urological complications. This study indicates that appropriate bladder management can improve the subjective satisfaction of patients. For long-term care, preventing urinary tract infections is a helpful strategy for patients\u2019 satisfaction with bladder management.<\/jats:p>","DOI":"10.3390\/ijerph192417032","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T05:55:43Z","timestamp":1671429343000},"page":"17032","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reasons for Altering Bladder Management and Satisfaction with Current Bladder Management in Chronic Spinal Cord Injury Patients"],"prefix":"10.3390","volume":"19","author":[{"given":"Hui-Ling","family":"Yeh","sequence":"first","affiliation":[{"name":"Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan"},{"name":"Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7165-4771","authenticated-orcid":false,"given":"Hann-Chorng","family":"Kuo","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan"},{"name":"Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan-Hsiu","family":"Tsai","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan"},{"name":"Department of Nursing, Tzu Chi University, Hualien 970374, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6624-5893","authenticated-orcid":false,"given":"Ru-Ping","family":"Lee","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1038\/s41393-019-0278-0","article-title":"A systematic review of the content and quality of clinical practice guidelines for management of the neurogenic bladder following spinal cord injury","volume":"57","author":"Bragge","year":"2019","journal-title":"Spinal Cord"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1097\/JU.0000000000000270","article-title":"Patient Reported Bladder Related Symptoms and Quality of Life after Spinal Cord Injury with Different Bladder Management Strategies","volume":"202","author":"Myers","year":"2019","journal-title":"J. Urol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.urology.2017.03.006","article-title":"Urologic Management and Complications in Spinal Cord Injury Patients: A 40- to 50-year Follow-up Study","volume":"104","author":"Gao","year":"2017","journal-title":"Urology"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Pavese, C., Schneider, M.P., Schubert, M., Curt, A., Scivoletto, G., Finazzi-Agr\u00f2, E., Mehnert, U., Maier, D., Abel, R., and R\u00f6hrich, F. (2016). Prediction of Bladder Outcomes after Traumatic Spinal Cord Injury: A Longitudinal Cohort Study. PLoS Med., 13.","DOI":"10.1371\/journal.pmed.1002041"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1007\/s00345-018-2419-z","article-title":"Non-surgical urologic management of neurogenic bladder after spinal cord injury","volume":"36","author":"Romo","year":"2018","journal-title":"World J. Urol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Patel, D.P., Lenherr, S.M., Stoffel, J.T., Elliott, S.P., Welk, B., Presson, A.P., Jha, A., Rosenbluth, J., Myers, J.B., and Neurogenic Bladder Research Group (2017). Study protocol: Patient reported outcomes for bladder management strategies in spinal cord injury. BMC Urol., 17.","DOI":"10.1186\/s12894-017-0286-3"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2118","DOI":"10.1016\/j.apmr.2018.04.030","article-title":"Optimal Bladder Management Following Spinal Cord Injury: Evidence, Practice and a Cooperative Approach Driving Future Directions in Australia","volume":"99","author":"Brock","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1179\/2045772313Y.0000000171","article-title":"Management of bladder dysfunction and satisfaction of life after spinal cord injury in Norway","volume":"37","author":"Hagen","year":"2014","journal-title":"J. Spinal Cord Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1038\/sc.2014.205","article-title":"Complications and urologic risks of neurogenic bladder in veterans with traumatic spinal cord injury","volume":"53","author":"Rabadi","year":"2015","journal-title":"Spinal Cord"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1038\/sc.2015.169","article-title":"How many spinal cord injury can catheterize their own bladder? The epidemiology of upper extremity function as it affects bladder management","volume":"54","author":"Zlatev","year":"2016","journal-title":"Spinal Cord"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1038\/s41393-018-0072-4","article-title":"Long-term bladder and bowel management after spinal cord injury: A 20-year longitudinal study","volume":"56","author":"Savic","year":"2018","journal-title":"Spinal Cord"},{"key":"ref_12","first-page":"662","article-title":"How does the new spinal-cord-injured patient profile influence bladder management?","volume":"72","year":"2019","journal-title":"Arch. Esp. Urol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1007\/s00345-018-02620-7","article-title":"The effect of appropriate bladder management on urinary tract infection rate in patients with a new spinal cord injury: A prospective observational study","volume":"37","author":"Hennessey","year":"2019","journal-title":"World J. Urol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"141","DOI":"10.4103\/0019-5413.77134","article-title":"Bladder management methods and urological complications in spinal cord injury patients","volume":"45","author":"Singh","year":"2011","journal-title":"Indian J. Orthop."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1002\/nau.24253","article-title":"The impact of catheter-based bladder drainage method on urinary tract infection risk in spinal cord injury and neurogenic bladder: A systematic review","volume":"39","author":"Kinnear","year":"2020","journal-title":"Neurourol. 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