PDF(Pubmed)
Abstract：
UNASSIGNED: The inclusion of people living with spinal cord injury (SCI) in research has allowed for an informed understanding of priorities of recovery of which bowel dysfunction and bladder dysfunction have been continuously identified. Research has also demonstrated the global disparities in SCI outcomes particularly when comparing high- and low-income countries. Currently, there is a lack of direct comparison between countries when assessing SCI outcomes.
UNASSIGNED: This is an exploratory study to better understand bowel and bladder dysfunction amongst individuals with SCI in India and Canada.
UNASSIGNED: Data from 33 participants were analyzed. Participants completed an online questionnaire assessing demographic information and the Neurogenic Bowel Dysfunction (NBD) score, Wexner score, Neurogenic Bladder Symptom Score (NBSS), and the Incontinence Quality of Life Instrument (I-QOL). Continuous data were compared using t tests. For not normally distributed data, the independent Mann-Whitney U test was used. Categorical variables were evaluated for association using Fisher\'s exact or chi-square test, depending on the sample size.
UNASSIGNED: Independent Mann-Whitney U test demonstrated that the Canadian participants had poorer bowel function with higher total NBD scores (p = .007) and less frequent bowel movements (p = .036), and they were more likely to experience uneasiness, headaches, and perspiration during bowel movements (p < .001). NBSS results indicated a small but significantly higher proportion of the Indian participants were unsatisfied or unhappy with their bladder function (p = .049). The distribution of Wexner and I-QOL scores were the same across countries.
UNASSIGNED: Potential explanations for differences include lifestyle, management, financial resources, patient and caregiver education, and societal pressures, which are all heavily influenced by cultural, geographical, and economic circumstances.
UNASSIGNED: This is an exploratory study to better understand bowel and bladder dysfunction amongst individuals with SCI in India and Canada.
UNASSIGNED: Data from 33 participants were analyzed. Participants completed an online questionnaire assessing demographic information and the Neurogenic Bowel Dysfunction (NBD) score, Wexner score, Neurogenic Bladder Symptom Score (NBSS), and the Incontinence Quality of Life Instrument (I-QOL). Continuous data were compared using t tests. For not normally distributed data, the independent Mann-Whitney U test was used. Categorical variables were evaluated for association using Fisher\'s exact or chi-square test, depending on the sample size.
UNASSIGNED: Independent Mann-Whitney U test demonstrated that the Canadian participants had poorer bowel function with higher total NBD scores (p = .007) and less frequent bowel movements (p = .036), and they were more likely to experience uneasiness, headaches, and perspiration during bowel movements (p < .001). NBSS results indicated a small but significantly higher proportion of the Indian participants were unsatisfied or unhappy with their bladder function (p = .049). The distribution of Wexner and I-QOL scores were the same across countries.
UNASSIGNED: Potential explanations for differences include lifestyle, management, financial resources, patient and caregiver education, and societal pressures, which are all heavily influenced by cultural, geographical, and economic circumstances.
摘要：
■在研究中纳入患有脊髓损伤（SCI）的人，使人们能够对持续确定肠功能障碍和膀胱功能障碍的恢复优先事项有充分的了解。研究还显示了SCI结果的全球差异，特别是在比较高收入和低收入国家时。目前,在评估SCI结果时，各国之间缺乏直接比较。
这是一项探索性研究，旨在更好地了解印度和加拿大SCI患者的肠和膀胱功能障碍。
■分析了来自33名参与者的数据。参与者完成了评估人口统计信息和神经源性肠功能障碍（NBD）评分的在线问卷，Wexner得分,神经源性膀胱症状评分（BSS），和失禁生活质量仪（I-QOL）。连续数据使用t检验进行比较。对于非正态分布的数据，使用独立的Mann-WhitneyU检验。使用Fisher精确检验或卡方检验评估分类变量的关联，取决于样本量。
■独立的Mann-WhitneyU检验表明，加拿大参与者的肠功能较差，总NBD评分较高（p=.007），排便频率较低（p=.036），他们更有可能经历不安，头痛,排便时排汗（p<.001）。NBSS结果表明，印度参与者对膀胱功能不满意或不满意的比例较小，但比例明显较高（p=0.049）。Wexner和I-QOL分数的分布在各国是相同的。
■差异的潜在解释包括生活方式，管理,财政资源,病人和照顾者教育，和社会压力，这些都受到文化的严重影响，地理,和经济环境。
这是一项探索性研究，旨在更好地了解印度和加拿大SCI患者的肠和膀胱功能障碍。
■分析了来自33名参与者的数据。参与者完成了评估人口统计信息和神经源性肠功能障碍（NBD）评分的在线问卷，Wexner得分,神经源性膀胱症状评分（BSS），和失禁生活质量仪（I-QOL）。连续数据使用t检验进行比较。对于非正态分布的数据，使用独立的Mann-WhitneyU检验。使用Fisher精确检验或卡方检验评估分类变量的关联，取决于样本量。
■独立的Mann-WhitneyU检验表明，加拿大参与者的肠功能较差，总NBD评分较高（p=.007），排便频率较低（p=.036），他们更有可能经历不安，头痛,排便时排汗（p<.001）。NBSS结果表明，印度参与者对膀胱功能不满意或不满意的比例较小，但比例明显较高（p=0.049）。Wexner和I-QOL分数的分布在各国是相同的。
■差异的潜在解释包括生活方式，管理,财政资源,病人和照顾者教育，和社会压力，这些都受到文化的严重影响，地理,和经济环境。
