关键词: intermittent catheters neurogenic bladder spinal cord injury toilet facilities

Mesh : Humans Intermittent Urethral Catheterization Nervous System Diseases Spinal Cord Injuries Urinary Bladder Urinary Bladder, Neurogenic / therapy Male Female

来  源:   DOI:10.3390/ijerph20126079   PDF(Pubmed)

Abstract:
People living with neurogenic lower urinary tract dysfunction (NLUTD) often have to use clean intermittent catheters (CIC) to manage their bladder function. The use of catheters presents multiple unique challenges, based on both the person\'s inherent characteristics and on the external limitations imposed by public toilets. We review the impact of age, sex, upper limb function, caregiver assistance, time required to perform CIC, and urinary incontinence on CIC in NLUTD, with special reference to their interaction with societal and public health factors. Public toilet limitations, such as lack of availability, adequate space and special accommodation for CIC, cleanliness, and catheter design are also reviewed. These potential barriers play a significant role in the perception and performance of bladder care in people living with NLUTD.
摘要:
患有神经源性下尿路功能障碍(NLUTD)的人通常必须使用清洁的间歇性导管(CIC)来管理其膀胱功能。导管的使用提出了多个独特的挑战,基于人的固有特征和公共厕所施加的外部限制。我们回顾了年龄的影响,性别,上肢功能,照顾者援助,执行CIC所需的时间,和NLUTD中CIC的尿失禁,特别提到它们与社会和公共卫生因素的相互作用。公共厕所的限制,例如缺乏可用性,足够的空间和特殊的住宿为CIC,清洁度,和导管设计也进行了审查。这些潜在的障碍在患有NULTD的人的膀胱护理的感知和表现中起着重要作用。
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