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Abstract：
To identify different patterns of neurogenic lower urinary tract dysfunction management among Chinese community-dwelling individuals with spinal cord injury and explore the factors associated with latent classes. This was a cross-sectional study conducted in communities throughout China Mainland. Participants were recruited through the China Association of Persons with Physical Disability and a total of 2582 participants was included in the analysis. The data were collected by a questionnaire consisting of socio-demographic factors, disease-related factors, and a list of 8 bladder management methods. Latent class analysis was used to identify different latent classes of neurogenic lower urinary tract dysfunction management. Then the multinomial logistic regression was applied to analyze the relationship between neurogenic lower urinary tract dysfunction management patterns and socio-demographic and disease-related factors. Neurogenic lower urinary tract dysfunction management pattern among community-dwelling individuals with spinal cord injury was divided into four latent classes: \"urinal collecting apparatus dominated pattern\" (40.3%), \"bladder compression dominated pattern\" (30.7%), \"intermittent catheterization dominated pattern\" (19.3%) and \"urethral indwelling catheterization dominated pattern\" (9.6%). Multinomial logistic regression analysis found that the employment status, residential region, nursing need, payment method for catheterization products, hand function, time since spinal cord injury, urinary incontinence and concerns about social interaction affected by urination problems were significantly associated with latent classes. Only 19.3% of people used the intermittent catheterization as their main neurogenic lower urinary tract dysfunction management method. More attention needs to be paid to the promotion of the standardization process of intermittent catheterization in community-dwelling individuals with spinal cord injury. The associated factors of the four classes can be used for tailored and targeted interventions to increase the use of intermittent catheterization.
摘要：
确定中国社区居住脊髓损伤患者神经源性下尿路功能障碍的不同管理模式，并探讨潜在分类的相关因素。这是一项在中国大陆社区进行的横断面研究。参与者是通过中国身体残疾人协会招募的，总共2582名参与者被纳入分析。数据是通过由社会人口因素组成的问卷收集的，疾病相关因素,并列出了8种膀胱管理方法。潜在类别分析用于确定神经源性下尿路功能障碍管理的不同潜在类别。然后应用多项logistic回归分析神经源性下尿路功能障碍管理模式与社会人口统计学和疾病相关因素之间的关系。社区脊髓损伤患者的神经源性下尿路功能障碍管理模式分为四个潜在类别：“小便器为主模式”（40.3％），“膀胱压缩主导模式”(30.7%)，“间歇性导尿为主模式”（19.3%）和“尿道留置导尿为主模式”（9.6%）。多项logistic回归分析发现，就业状况，住宅区,护理需要，导管插入产品的付款方式，手功能,脊髓损伤后的时间，尿失禁和对排尿问题影响的社交互动的担忧与潜在类别显着相关。只有19.3％的人将间歇性导尿作为其主要的神经源性下尿路功能障碍管理方法。需要更加重视社区居住脊髓损伤患者间歇性导尿标准化进程的推广。四类的相关因素可用于定制和有针对性的干预措施，以增加间歇性导管插入术的使用。
