Nursing Management of Patients Dealing with Spina Bifida: from the Prenatal Diagnosis to Adulthood / Nursing Intervention for the Improvement of the Impact of Urinary and Fecal Incontinence on the Quality of Life of People Dealing with Spina Bifida

Author:

Calabrese Fabiana1,Poziello Antonio2,Spiezia Gennaro3ORCID,Rotunno Tiziana4,Chervino Ciro5,Iannicelli Anna Maria6

Affiliation:

1. Universita degli Studi di Napoli Federico II

2. Università degli Studi di Napoli Federico II: Universita degli Studi di Napoli Federico II, DAI Materno Infantile

3. Universita' degli Studi di Napoli Federico II, DAI Emergenze Cardiovacolari, Medicina Clinica e dell'Invecchiamento

4. Universita' degli Studi di Napoli Federico II, DAI Chirurgia Generale e Chirurgie Specialistiche, Trapianti di Rene, Nefrologia, Cure Intensive e del Dolore

5. Università degli Studi di Napoli Federico II, DAI Chirurgia Generale e Chirurgie Specialistiche, Trapianti di Rene, Nefrologia, Cure Intensive e del Dolore

6. Universita' degli studi di Napoli Federico II, DAI Materno-Infantile

Abstract

Abstract Background Urinary and fecal incontinence in people dealing with spina bifida, has inevitably an influence on the quality of life. In this analysis, the degree of education on how to manage incontinence and retention is studied, as well as the problems those might create and the consequential degree of autonomy and independence reached into the management of those. The main goal is to increase both nursing assistance and the education of the people dealing with spina bifida.Methods 125 people affected by spina bifida, belonging to the ASBI (Associazione Spina Bifida Italia) decided to file a survey concerning the bowel and bladder management. The survey was done through the “Google Docs” platform, with a link that was then shared to the members of the association by the secretariat of the association itself.Results out of 125 participants, 80 were females and 25 males. The questions concerned the level of deambulation (the 35,2% was autonomous, the 30,4% were people who use wheelchairs while the 34,4% is aid-supported), urinary incontinence, with great concern to the self-catheterization technique (the 80,8% claimed to be autonomous in performing self-catheterization, unlike the remaining 19,2%) and the impact of the said incontinence on social life (the 59,2% claimed they do not feel restrained because of their bladder incontinence or retention, unlike the remaining 40,8%). Lastly, we focused on fecal constipation and incontinence (the 57,6% claimed to struggle with incontinence, the 12% claimed they don’t and the 30,4% struggles with both conditions), on the ability of the people dealing with this to intervene to prevent unpleasant situations, in particular by using trans-anal irrigation (the 57,6% doesn’t feel autonomous in performing it).Conclusion urinary and fecal incontinence have, of course, an impact on the quality of life of people dealing with spina bifida. Nevertheless, we can observe that it is possible to improve the quality of life of these people, letting them feel confident enough to take part in social activities, through education from an incredibly young age, supplied by the medical staff and mostly by the parents (previously educated by the medical staff as well).

Publisher

Research Square Platform LLC

Reference14 articles.

1. Brain malformations and cognitive performance in spina bifida;Schneider J;Dev Med Child Neurol

2. Spina Bifida: A Review of the Genetics, Pathophysiology and Emerging Cellular Therapies;Hassan A-ES;J Dev Biol,2022

3. Neural tube defects: recent advances, unsolved questions, and controversies;Copp AJ;Lancet Neurol

4. Gala FB, Aswani Y. Imaging in spinal posterior epidural space lesions: A pictorial essay.Indian J Radiol Imaging. 2016 Jul-Sep;26(3):299–315.

5. All Incontinence is Not Created Equal: Impact of Urinary and Fecal Incontinence on Quality of Life in Adults with Spina Bifida;Szymanski KM;J Urol

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3