Factors affecting access to care in people with neurogenic lower urinary tract dysfunction (NLUTD) from spinal cord lesion
Keywords:
urological care, neurogenic lower urinary tract dysfunction, spinal cord lesionAbstract
Objective: To study factors affecting the access to urinary care for people with spinal cord lesions who have neurogenic lower urinary tract dysfunction (NLUTD).
Methods: This was a retrospective cohort study collecting data from medical records of people with spinal cord lesions with NLUTD who received both out-and in-patients care at Suratthani hospital between October 1, 2015, and September 30, 2016. The data was analyzed using Chi-square statistics and t-test to determine the association between gender, age, home, time to diagnosis of NLUTD, previous visits at the rehabilitation department, the present method of urination and the access to standard urinary care.
Results: Of the 140 people included, 85% were men. The mean duration from spinal cord lesions to being diagnosed with NLUTD was 49 months. Most (42.1%) needed indwelling catheterization with 7.1 % of all sample developed upper urinary tract complications after lower urinary tract dysfunction. About 35% of the sample received proper care at the first evaluation and subsequent follow-ups. Participants who were diagnosed with NLUTD for two years or more, and participants who have visited the rehabilitation department were more likely to received proper standard urinary care.
Conclusion: The duration before being diagnosed with NLUTD and having visited the rehabilitation department increased the likelihood of receiving proper standard urinary care for patients with NLUTD.
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