Effects of a self‐efficacy‐centered self‐management program on neurogenic bladder after spinal cord injury: A randomized controlled trial
Abstract
Abstract 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…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 82 participants or records.
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