Brady Jocelyn, Loyola-Sanchez Adalberto, Crochetiere Steven, MacIsaac Rob, Kulik Erika, Okuma Yoshino, Cwiklewich Marcy, Mouneimne Magda, McFaul Tanya, Bhatia Zahra, Parmar Raj, Ho Chester, Kainth Hardeep, Knox Jason, Charbonneau Rebecca
Cumming School of Medicine, University of Calgary, Calgary, Canada.
Department of Medicine, University of Alberta, Edmonton, Canada.
J Spinal Cord Med. 2025 May;48(3):499-511. doi: 10.1080/10790268.2023.2287253. Epub 2024 Jan 17.
CONTEXT/OBJECTIVE: Urinary tract infections (UTIs) are one of the most frequent secondary complications among people with spinal cord injury (SCI). The prevention and management of UTIs is prioritized by stakeholders across Canada. The purpose of this study was to gain an in-depth understanding of the urinary bladder (bladder) management experiences of people with SCI in Alberta communities, especially how UTIs are experienced and managed.
Convergent mixed methods parallel databases variant.
Communities across Alberta, Canada.
39 survey participants and 19 interview participants, all with SCI.
One-on-one phone semi-structured interviews analyzed using thematic analysis. Quantitative surveys included demographic, multichoice, and Likert Scale questions analyzed using descriptive analysis. Both methods explored people with SCI's experiences with bladder management and UTIs. Qualitative and quantitative results were integrated through a comparison joint display table and meta-inferences.
Qualitative themes and descriptive statistics further integrated as mixed core-statements.
Bladder routine is central to daily life and maintaining bladder health, avoiding UTIs, is the priority. Several health inequities are related to (1) financial barriers dictating how bladder is managed, (2) low perceived support for appropriate bladder management, (3) low healthcare access to appropriate UTI management and (4) low providers' capacity to support bladder management and build trust with persons with SCI.
Action is required to address identified health inequities, including improvement of financial support, like appropriate catheter coverage, decrease barriers to access appropriate care and improvement of providers' capacity to address SCI bladder care.
背景/目的：尿路感染（UTIs）是脊髓损伤（SCI）患者中最常见的继发性并发症之一。加拿大各地的利益相关者都将尿路感染的预防和管理列为优先事项。本研究的目的是深入了解艾伯塔省社区脊髓损伤患者的膀胱管理经验，特别是他们对尿路感染的体验和管理方式。
收敛性混合方法平行数据库变体。
加拿大艾伯塔省的各个社区。
39名参与调查者和19名参与访谈者，均为脊髓损伤患者。
采用主题分析法对一对一电话半结构化访谈进行分析。定量调查包括人口统计学、多项选择和李克特量表问题，采用描述性分析进行分析。两种方法都探讨了脊髓损伤患者的膀胱管理和尿路感染经历。定性和定量结果通过比较联合展示表和元推断进行整合。
定性主题和描述性统计进一步整合为混合核心陈述。
膀胱日常护理对日常生活至关重要，保持膀胱健康、避免尿路感染是首要任务。一些健康不平等现象与以下方面有关：（1）经济障碍决定了膀胱的管理方式；（2）对适当膀胱管理的感知支持较低；（3）获得适当尿路感染管理的医疗服务机会较少；（4）医疗服务提供者支持膀胱管理并与脊髓损伤患者建立信任的能力较低。
需要采取行动解决已发现的健康不平等问题，包括改善经济支持，如提供适当的导管覆盖，减少获得适当护理的障碍，以及提高医疗服务提供者处理脊髓损伤膀胱护理的能力。
