Özet:

Neurogenic bladder is one of the most important complications experienced by individuals with spinal cord injury. To investigate the methods and their effects used in the management of neurogenic bladder. Method: The study was conducted by searching CINAHL, EBSCOhost, MEDLINE, ScienceDirect, Ovid, ProQuest, Web of Science, and ULAKBIM National Databases between January 2005 and July 2017. To identify the studies, keywords such as "spinal cord injury", "bladder management", "nursing care", "catheterization", "intermittent urinary catheter" were used. Out of 607 research articles examined, 25 of them that matched the inclusion criteria were included in the study. Results: The samples of the articles within the scope of the study consists of adults, with the lowest average age of 29±12, and the highest average age of 59.5 ± 13.6. The most commonly preferred bladder management method in the investigated articles is Clean Intermittent Catheterization (CIC). In these studies, a significant correlation has been identified among the compliance to CIC and spasticity, maximum cystometric capacity, and the individual applying the catheter. The leading causes of changing the bladder management method are the Urinary Tract Infections (UTI). The results of the studies in the scope of the investigation demonstrate that the quality of life is higher in individuals, who apply CIC themselves, and who urinate spontaneously. The results of the studies demonstrate that there is a significant correlation between the age of the patients, employment status, and whether the individuals apply CIC themselves, and the levels of depression. Conclusion: CIC, which is the most preferred method in the bladder management, is indicated to be effective and safe, and decreases the risk of developing UTI. The symptoms of depression in individuals with neurogenic bladder is more common than those in the normal population

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