Priorities, needs and willingness of use of nerve stimulation devices for bladder and bowel function in people with spinal cord injury (SCI): an Australian survey,Spinal Cord Series and Cases

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Priorities, needs and willingness of use of nerve stimulation devices for bladder and bowel function in people with spinal cord injury (SCI): an Australian survey
Spinal Cord Series and Cases ( IF 0.7 ) Pub Date : 2024-03-21 , DOI: 10.1038/s41394-024-00628-3
Vanesa Bochkezanian , Kelsey J. Henricksen , Benjamin J. Lineburg , Louis A. Myers-Macdonnell , Dennis Bourbeau , Kim D. Anderson

Study design

Anonymous online survey

Objectives

To investigate the priorities, needs and willingness to adopt nerve stimulation devices for managing neurogenic bladder and bowel function in people with spinal cord injury (SCI) living in Australia.

Setting

Online survey of people living with SCI in Australia.

Methods

This anonymous online survey used Qualtrics and was advertised via standard communication channels, such as advocacy groups representing the SCI community in Australia, social media, attending SCI sporting events and by word-of-mouth.

Results

Responses from 62 individuals (32% female, 68% male) were included. Bladder emptying through urethra without catheter was the highest priority for bladder function. Reducing time required for bowel routines and constipation were the top priorities regarding bowel function. The highest concern for internal/implanted devices was the 4% chance of device surgical removal, while wearing wires under the clothes was the main concern for external devices. 53% of respondents were willing to trial an implanted nerve stimulation device, while 70% would trial an external device to improve and gain independence in bladder and bowel function.

Conclusion

The findings of this study highlighted the potential role in which nerve stimulation can have in addressing bladder and bowel dysfunction in people with SCI, and have also identified that there was a need for Australian physiotherapists to evaluate their role in bladder and bowel dysfunction. Results from this study can help guide further research in nerve stimulation devices for bladder and bowel dysfunction in people with SCI.

Sponsorship

n/a

中文翻译：

脊髓损伤 (SCI) 患者使用神经刺激装置改善膀胱和肠道功能的优先顺序、需求和意愿：一项澳大利亚调查

学习规划

匿名在线调查

目标

旨在调查生活在澳大利亚的脊髓损伤 (SCI) 患者采用神经刺激装置来管理神经源性膀胱和肠道功能的优先事项、需求和意愿。

环境

对澳大利亚 SCI 患者的在线调查。

方法

这项匿名在线调查使用 Qualtrics 并通过标准沟通渠道进行宣传，例如代表澳大利亚 SCI 社区的倡导团体、社交媒体、参加 SCI 体育赛事以及口碑传播。

结果

包括 62 人（32% 女性，68% 男性）的回复。在不使用导管的情况下通过尿道排空膀胱是膀胱功能的首要任务。减少排便所需的时间和便秘是肠道功能的首要任务。对于内部/植入设备，最受关注的是设备手术切除的可能性为 4%，而在衣服下佩戴电线是外部设备的主要关注点。 53% 的受访者愿意尝试植入式神经刺激装置，而 70% 的受访者愿意尝试外部装置来改善膀胱和肠道功能并获得独立性。