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评估患有轻瘫/截瘫和尿潴留的猫的生活质量及其对护理人员的影响。

Assessment of the quality of life of cats affected by paraparesis/paraplegia and urinary retention, and their impact on caregivers.

机构信息

Department of Veterinary Medicine, Veterinary Teaching Hospital, University of Teramo, Teramo, Italy.

出版信息

J Feline Med Surg. 2024 Oct;26(10):1098612X241275253. doi: 10.1177/1098612X241275253.

Abstract

OBJECTIVES

In cats affected by severe thoracolumbar spinal cord pathologies, paraplegia and paraparesis, often accompanied by urinary retention, pose significant challenges, impacting both the cats' welfare and owners' lives. This study aimed to assess the quality of life (QoL) of cats affected by these conditions, and to evaluate the social and familial implications for caregivers.

METHODS

The study was structured into two parts. The first part comprised direct observations of aspects of QoL in cats both in household and shelter settings, while the second part involved the distribution of questionnaires to cat owners and shelter operators.

RESULTS

Cats with paraplegia/paraparesis and urinary retention can maintain a good QoL, with hindlimb mobility significantly influencing QoL scores. Shelter cats showed a comparable QoL to household cats, challenging the anecdotal beliefs that shelter cats with severe neurological impairments are destined to lead substandard lives. Operator surveys highlighted the feasibility of managing these cats in shelter environments, emphasising the importance of collaboration between caregivers and veterinary professionals. Likewise, owner surveys revealed a manageable time commitment for care, with most owners achieving proficiency in manual bladder expression within 1 month. Despite challenges, most of the owners reported positive experiences and did not contemplate euthanasia for their cats. Regular veterinary visits and occasional physiotherapy were common practices among caregivers.

CONCLUSIONS AND RELEVANCE

Owners who respond to the questionnaire and shelter operators have a high commitment to cats with paraplegia/paraparesis. Although the study acknowledges this potential bias, it suggests that dedicated care can ensure a good QoL for cats with severe spinal injuries, both in shelter and household settings. Effective communication between caregivers and veterinary professionals is essential for accurate information dissemination and optimal care provision. This research contributes to raising awareness of managing these conditions and emphasises the importance of collaborative care approaches in veterinary medicine.

摘要

目的

在患有严重胸腰椎脊髓疾病的猫中,常伴有尿潴留的四肢瘫痪和轻瘫,给猫的福利和主人的生活带来了重大挑战。本研究旨在评估这些疾病对猫生活质量(QoL)的影响,并评估对照顾者的社会和家庭影响。

方法

该研究分为两部分。第一部分包括对家庭和收容所环境中猫的 QoL 进行直接观察,第二部分则向猫主人和收容所经营者分发问卷。

结果

患有四肢瘫痪/轻瘫和尿潴留的猫可以保持良好的 QoL,后肢活动能力对 QoL 评分有显著影响。收容所的猫与家庭猫的 QoL 相当,这挑战了收容所中患有严重神经损伤的猫生活质量差的说法。经营者的调查强调了在收容所环境中管理这些猫的可行性,强调了照顾者与兽医专业人员之间合作的重要性。同样,主人的调查显示,照顾这些猫所需的时间是可以管理的,大多数主人在 1 个月内就能熟练地进行手动膀胱排空。尽管存在挑战,但大多数主人都报告了积极的体验,并不打算对他们的猫实施安乐死。定期的兽医就诊和偶尔的物理疗法是照顾者常见的做法。

结论和相关性

对问卷调查做出回应的主人和收容所经营者对四肢瘫痪/轻瘫的猫有很高的承诺。尽管研究承认存在这种潜在的偏见,但它表明,专门的护理可以确保严重脊髓损伤的猫在收容所和家庭环境中都能获得良好的 QoL。照顾者和兽医专业人员之间有效的沟通对于准确的信息传播和最佳的护理提供至关重要。这项研究有助于提高对这些疾病的管理意识,并强调在兽医医学中协作护理方法的重要性。

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