This is a single-blind randomized controlled trial for patients with neurogenic bladder after incomplete spinal cord injury. Participants are randomly divided into two groups. The control group receives routine transitional nursing and telephone follow-up, while the intervention group gets 4-week app-supported transitional care including health education, bladder recording and online consultation. After intervention, bladder residual urine, urinary tract infection rate, self-care ability and quality of life are compared between two groups.
Neurogenic bladder is a common complication after incomplete spinal cord injury, which easily leads to recurrent urinary tract infection and decreased quality of daily life. Traditional transitional follow-up is limited by time and space. This study adopts single-blind parallel-group RCT design. Eligible patients are randomly allocated at a 1:1 ratio. Control group receives standard inpatient nursing plus conventional post-discharge follow-up; intervention group receives identical inpatient care plus systematic app-based transitional care for 4 weeks. Primary outcomes are post-void residual urine volume and urinary tract infection incidence. Secondary outcomes contain self-care ability and quality of life assessed by standardized scales. All indicators are tested at baseline and 4 weeks after intervention to verify the clinical effect of app-assisted transitional nursing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
88
Four-week continuous transitional nursing service via mobile APP for patients with neurogenic bladder after incomplete spinal cord injury, including disease-related health education, real-time voiding record, regular nursing reminder and online one-on-one nurse consultation, which differs from routine single telephone follow-up in control group.
routine standardized inpatient bladder nursing
Siping Central People's Hospital
Siping, Jilin, China
Incidence of urinary tract infection
Count the occurrence of urinary tract infection within 4-week follow-up and calculate infection incidence of each group.
Time frame: Within 4 weeks after subject enrollment
Post-void residual urine volume
Bladder residual urine volume is measured by ultrasonic examination at baseline and after 4 weeks of nursing intervention to compare the difference between two groups.
Time frame: Baseline and 4 weeks after intervention
Self-care ability and quality of life score
Standardized scale scoring for self-care and quality of life before and after 4-week transitional nursing.
Time frame: Baseline and 4 weeks after intervention
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