以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (20): 13-18.doi: 10.16460/j.issn1008-9969.2024.20.013

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Influence of neurogenic bowel dysfunction on quality of survival in patients with spinal cord injury: a structural equation analysis

GOU Xin-yu1, WU Jing1, WEI Cui-cui2, ZHAN Shui-rong2, DU Pei-yun2, WU Ai-rong2   

  1. 1. School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai 201203;
    2. Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201613
  • Received:2024-05-11 Online:2024-10-25 Published:2024-11-07

Abstract: Objective To investigate the impact of neurogenic bowel dysfunction on the quality of survival in patients with spinal cord injury (SCI) and understand its role through a structural equation model. Methods Using a cluster sampling, patients from the spinal cord injury department of four hospitals in Shanghai were selected as the study subjects from March 2021 to February 2022. Patients were surveyed using the General Information Questionnaire, the World Health Organization Quality of Life-BREF, the Neurogenic Bowel Dysfunction score, and the Self-Rating Anxiety Scale and Patient Activation Measure. A structural equation model was established by using AMOS 28.0. Results The score of the quality of survival for patients with spinal cord injury was 47.39±10.04 and that of neurogenic bowel dysfunction 8.00 (3.00,11.00). Structural equation model showed that neurogenic bowel dysfunction had a direct negative effect on the quality of survival (β=-0.146, P=0.021), and indirectly predicted the quality of survival with positivity (β=0.202, P<0.05) and anxiety (β=-0.007, P<0.05) as mediating variables. Conclusion In this study, the quality of survival of SCI patients remains low, and neurogenic intestinal dysfunction negatively and directly affects the quality of survival of patients. Positivity and anxiety play a mediating role between neurogenic intestinal dysfunction and the quality of survival. Positive comprehensive support including intestinal care and management of patients with SCI and the psychological state of patients should be provided.

Key words: spinal cord injury, neurogenic bowel dysfunction, quality of survival, structural equation model

CLC Number: 

  • R473.74
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