Neurogenic Bladder, Incomplete Spinal Cord Injury
Conditions
Keywords
Transitional Care, Mobile Application, Quality of Life, Randomized Controlled Trial, Spinal Cord Injury
Brief summary
This is a single-blind randomized controlled trial for patients with neurogenic bladder after incomplete spinal cord injury. Participants are randomly divided into two groups. The control group receives routine transitional nursing and telephone follow-up, while the intervention group gets 4-week app-supported transitional care including health education, bladder recording and online consultation. After intervention, bladder residual urine, urinary tract infection rate, self-care ability and quality of life are compared between two groups.
Detailed description
Neurogenic bladder is a common complication after incomplete spinal cord injury, which easily leads to recurrent urinary tract infection and decreased quality of daily life. Traditional transitional follow-up is limited by time and space. This study adopts single-blind parallel-group RCT design. Eligible patients are randomly allocated at a 1:1 ratio. Control group receives standard inpatient nursing plus conventional post-discharge follow-up; intervention group receives identical inpatient care plus systematic app-based transitional care for 4 weeks. Primary outcomes are post-void residual urine volume and urinary tract infection incidence. Secondary outcomes contain self-care ability and quality of life assessed by standardized scales. All indicators are tested at baseline and 4 weeks after intervention to verify the clinical effect of app-assisted transitional nursing.
Interventions
BEHAVIORALMobile Application Based Transitional Care
Four-week continuous transitional nursing service via mobile APP for patients with neurogenic bladder after incomplete spinal cord injury, including disease-related health education, real-time voiding record, regular nursing reminder and online one-on-one nurse consultation, which differs from routine single telephone follow-up in control group.
OTHERroutine standardized inpatient bladder nursing
routine standardized inpatient bladder nursing
Sponsors
Xiamen University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Diagnosed with neurogenic bladder secondary to incomplete spinal cord injury; Age ranging from 18 to 75 years old; Clear consciousness, capable of cooperating with nursing assessment and mobile APP follow-up management; Voluntarily sign written informed consent. -
Exclusion criteria
Combined with severe renal insufficiency, malignant tumor or other life-threatening severe systemic diseases; History of previous bladder reconstructive surgery; Cognitive impairment unable to independently operate mobile APP; Refuse to continue follow-up or withdraw voluntarily during the research period. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of urinary tract infection | Within 4 weeks after subject enrollment | Count the occurrence of urinary tract infection within 4-week follow-up and calculate infection incidence of each group. |
| Post-void residual urine volume | Baseline and 4 weeks after intervention | Bladder residual urine volume is measured by ultrasonic examination at baseline and after 4 weeks of nursing intervention to compare the difference between two groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-care ability and quality of life score | Baseline and 4 weeks after intervention | Standardized scale scoring for self-care and quality of life before and after 4-week transitional nursing. |
Countries
China
Outcome results
None listed