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Characteristics of Neurogenic Bowel in Spinal Cord Injury and Perceived Quality of Life
Article first published online: 1 MAY 2012
© 2012 Association of Rehabilitation Nurses
Volume 37, Issue 3, pages 128–135, May/June 2012
How to Cite
Pardee, C., Bricker, D., Rundquist, J., MacRae, C. and Tebben, C. (2012), Characteristics of Neurogenic Bowel in Spinal Cord Injury and Perceived Quality of Life. Rehabilitation Nursing, 37: 128–135. doi: 10.1002/RNJ.00024
- Issue published online: 1 MAY 2012
- Article first published online: 1 MAY 2012
- Sigma Theta Tau Research Award
- quality of life;
- research: quantitative;
- spinal cord injury
To investigate the association between characteristics of individuals with spinal cord injury and neurogenic bowel and their perceived quality of life.
The study design is an exploratory, descriptive correlational design. To measure the variables of the study the Quality of Life Survey developed by Randell et al. () was used to measure perceived quality of life related to bowel management. Individual bowel management preferences and subjective costs and benefits of the preferences were gathered through the Neurogenic Bowel Characteristics Survey.
Data were collected from a random half of the individuals who met the inclusion criteria from the patient database (n = 1193). Two hundred and forty one surveys were analyzed for this study.
More than half of the sample (n = 134) provided their own bowel management consisting of digital stimulation, suppositories, and other aids; 8% (n = 19) had a colostomy. Regardless of the bowel management program 54% (n = 127) were satisfied with current methods. Although time reported to complete bowel programs ranged from 1 to 120 minutes, there was no difference in rating of satisfaction with time. There was a statistically significant difference between those satisfied and dissatisfied with current bowel management and quality of life; those satisfied demonstrated a higher quality of life on three subscales, work function (p = .021), bowel problems (p < .001), and social function (p < .001). Those dissatisfied with their bowel program perceived a lower quality of life and indicated problems of time (p = .001), pain or discomfort (p = .033), and poor results (p < .001).
Research data provide the patient's perspective on bowel management characteristics, complications, satisfaction, and their perceived quality of life. Results of this research will be incorporated into bowel management education and possible modification of the current inpatient bowel management program.