title: Factors influencing bladder management in male patients with spinal cord injury: a qualitative study.
abstract: METHODS
  Qualitative study using individual in-depth interviews.
  
  
  OBJECTIVE
  The objective of this study was to explore the factors influencing the choice of bladder management for male patients with spinal cord injury (SCI).
  
  
  METHODS
  Public hospitals in Malaysia.
  
  
  METHODS
  Semistructured (one-on-one) interviews of 17 patients with SCI; 7 were in-patients with a recent injury and 10 lived in the community. All had a neurogenic bladder and were on various methods of bladder drainage. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analyses.
  
  
  RESULTS
  The choice of bladder management was influenced by treatment attributes, patients' physical and psychological attributes, health practitioners' influences and social attributes. Participants were more likely to choose a treatment option that was perceived to be convenient to execute and helped maintain continence. The influence of potential treatment complications on decision making was more variable. Health professionals' and peers' opinions on treatment options had a significant influence on participants' decision. In addition, patients' choices depended on their physical ability to carry out the task, the level of family support received and the anticipated level of social activities. Psychological factors such as embarrassment with using urine bags, confidence in self-catheterization and satisfaction with the current method also influenced the choice of bladder management method.
  
  
  CONCLUSIONS
  The choice of bladder management in people with SCI is influenced by a variety of factors and must be individualized. Health professionals should consider these factors when supporting patients in making decisions about their treatment options.
authors.affiliation: Department of Rehabilitation Medicine, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: J P
authors.initials: JP
authors.lastname: Engkasan
authors.affiliation: Department of Primary Care, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: C J
authors.initials: CJ
authors.lastname: Ng
authors.affiliation: Dean's office, Faculty of Medicine, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: W Y
authors.initials: WY
authors.lastname: Low
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003657:Decision Making; D005190:Family; D006779:Hospitals, Public; D006801:Humans; D007297:Inpatients / Q000523:psychology; D007407:Interviews as Topic; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology; D010358:Patient Participation; D057240:Patient Preference; D010379:Peer Group; D012648:Self Care; D013119:Spinal Cord Injuries / Q000150:complications* / Q000523:psychology; D001743:Urinary Bladder; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000523:psychology / Q000628:therapy*; D014546:Urinary Catheterization; D055815:Young Adult