Tang Xiangxiang, Liu Qian, Su Xiaoping, Yu Zepeng
School of Nursing, Clinical College of Anhui Medical University, Hefei, China.
School of Nursing, Suzhou Medical College of Soochow University, Suzhou, China.
Jpn J Nurs Sci. 2025 Jan;22(1):e12642. doi: 10.1111/jjns.12642.
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).
A randomized controlled trial.
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.
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.
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.
本研究旨在探讨以自我效能为中心的自我管理方案对脊髓损伤（SCI）后神经源性膀胱（NGB）患者的影响。
一项随机对照试验。
82例脊髓损伤后神经源性膀胱患者被随机分为对照组或干预组。对照组接受标准的入院和出院教育及随访。干预组接受以自我效能为中心的自我管理方案。在干预前、干预后4周、8周和12周评估自我效能。在干预后12周评估自我管理能力、尿路感染（UTI）发生率、残余尿量、膀胱安全容量和生活质量。
在82名招募的参与者中，只有79名参与者（对照组：n = 39，男性占67%，干预组：n = 40，男性占58%）接受了完整干预。干预后12周，对照组和干预组的自我效能得分存在显著差异（2.54±0.247对2.71±0.218，平均差异 = 0.174，95%置信区间：0.070 - 0.278，p = 0.001）。干预后12周，干预组在自我管理能力、尿路感染（UTI）发生率、残余尿量和膀胱安全容量方面的结果明显优于对照组。两组在生活质量（活力[VT]和心理健康[MH]子量表）方面存在显著差异。
本研究中开发的以自我效能为中心的自我管理方案可显著提高参与者的自我效能和膀胱自我管理能力，从而改善其膀胱功能状态和生活质量。
