Effects of a self‐efficacy‐centered self‐management program on neurogenic bladder after spinal cord injury: A randomized controlled trial
Xiangxiang Tang, Qian Liu, Xiaoping Su, Zepeng YuAbstract
Purpose
The present research aimed to investigate the effects of a self‐efficacy‐centered self‐management program on persons with neurogenic bladder (NGB) after spinal cord injury (SCI).
Design
A randomized controlled trial.
Materials and Methods
Eighty‐two individuals with NGB after spinal cord injury (SCI) were randomized into either the control or intervention group. The control group received standard admission and discharge education and follow‐up. The intervention group received the self‐efficacy‐centered self‐management program. Self‐efficacy was assessed at preintervention, 4, 8, and 12 weeks post‐intervention. Self‐management ability, the incidence of urinary tract infection (UTI), residual urine volume, bladder safety capacity, and quality of life were assessed at 12 weeks post‐intervention.
Results
Of the 82 recruited participants, only 79 participants (control group: n = 39, 67% males, intervention group: n = 40, 58% males) received the full intervention. A significant difference was observed in self‐efficacy score between the control and intervention groups (2.54 ± .247 versus 2.71 ± .218, mean difference = .174, 95% confidential interval: .070–.278, p = .001) at 12 weeks post‐intervention. The intervention group demonstrated significantly better outcomes than the control group at 12 weeks post‐intervention in self‐management ability, urinary tract infection (UTI) incidence, residual urine volume and bladder safety capacity. There were significant differences in quality of life (vitality [VT] and mental health [MH] subscales) between the two groups.
Conclusions
The self‐efficacy‐centered self‐management program developed in this study can significantly increase participants' self‐efficacy and bladder self‐management ability, thereby improving their bladder functional status and quality of life.