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Effect of neurogenic bowel dysfunction symptoms on quality of life after a spinal cord injury

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收录情况： ◇ SCIE

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单位： [1]Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jie‑Fang Avenue, Qiaokou District, Wuhan 430030, Hubei, China. [2]Department of Rehabilitation, Faculty of Medicine, Al Baath University, Homs, Syria. [3]Department of Physical Therapy, Al Baath University, Homs, Syria. [4]Department of Physical Therapy, Physical Therapy Department for Neuromuscular and Neurosurgical Disorder and Its Surgery, Cairo University, Cairo, Egypt

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Neurogenic bowel dysfunction (NBD) is a common problem among people with spinal injury; management of bowel dysfunction and related problems are considered significant factors in daily life after injury. But despite the critical relevance of bowel dysfunction in the daily life of SCI survivors, there have been few published studies on the management of NBD. So, this study aimed to describe the bowel programmers utilized by people with SCI in China and the impact of bowel dysfunction on the quality of life (QoL).A cross-sectional online survey.Rehabilitation Medicine Department of Wuhan's Tongji Hospital.SCI patients who had been diagnosed with neurogenic bowel dysfunction and who were receiving regular medical monitoring at the rehabilitation medicine department were invited to participate in our study.A neurogenic bowel dysfunction (NBD) score is a questionnaire developed to evaluate the severity of neurogenic bowel dysfunction. A Short Form-12 (SF-12) was designed to measure the quality of life in people with SCI. Demographic and medical status information was extracted from their medical records.The two questionnaires were sent to 413 SCI patients. Two hundred ninety-four subjects (43.1 ± 14.5 years of age; men, 71.8%) responded. Most of the respondents performed their bowel movement daily 153 (52.0%), a defecation time was 31-60 min among 70 (23.8%) of them, 149 (50.7%) used medication (drops or liquid) to treat constipation, and 169 (57.5%) used digital stimulation more than once per week to boost the bowel evacuation. This study found a significant association between the QoL score and the time used for each defecation, autonomic dysreflexia (AD) symptoms, taking medication to treat fecal incontinence, using digital stimulation, having uncontrollable flatus and perianal skin problems.Management of bowel dysfunction is complex and associated with QoL in people with SCI. Items of the NBD questionnaire that greatly deteriorated the QoL were time in one defecation > 60 min, symptoms of AD during or before defecation, taking medication (drops or liquid), and using digital stimulation. Dealing with those problems can improve the life quality of spinal cord injury survivors.© 2023. The Author(s).

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出版当年[2022]版：

大类 | 3 区医学

小类 | 3 区骨科

最新[2025]版：

大类 | 3 区医学

小类 | 3 区骨科

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出版当年[2021]版：

Q2 ORTHOPEDICS

最新[2023]版：

Q1 ORTHOPEDICS

影响因子： 2.8 最新[2023版] 3 最新五年平均 2.677 出版当年[2021版] 2.982 出版当年五年平均 2.359 出版前一年[2020版] 2.6 出版后一年[2022版]

第一作者：

第一作者单位： [1]Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jie‑Fang Avenue, Qiaokou District, Wuhan 430030, Hubei, China. [2]Department of Rehabilitation, Faculty of Medicine, Al Baath University, Homs, Syria. [3]Department of Physical Therapy, Al Baath University, Homs, Syria.

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