Interventional effects of action research combined with bladder function rehabilitation methods for patients with...

This study explores the influencing factors of spinal cord injury neurogenic bladder (SCINB) patients and evaluates the effect of action research combined with bladder function rehabilitation (AR-BFR) on bladder function recovery, aiming to provide clinical reference for rehabilitation nursing. A total of 92 SCINB patients admitted to the rehabilitation department from January 1, 2021, to December 31, 2023, were enrolled. Patients were divided into a control group, which received conventional medication, nursing, and neuromuscular rehabilitation, and an experimental group (EG), which received AR-BFR intervention. Key indicators, including safe bladder capacity, residual urine output, bladder function grading, balanced bladder state, urinary diary execution rate, self-executable indirect catheterization rate, neurogenic bladder symptom scores, and hospital anxiety and depression scores, were assessed. Multivariate regression analysis revealed that injury severity, urinary system infection, and the use of medications to improve bladder function were the main factors affecting bladder function in SCINB patients, explaining 69.1% of the variance (R² = 0.691). After intervention, EG showed significant improvements in safe bladder capacity and bladder function grading (P < .05). The number of patients achieving higher function grades (scores of 2 and 3) significantly increased in EG. Regarding neurogenic bladder symptom scores, significant differences were found between groups in urinary storage and emptying dimensions, with EG performing better (P < .05). Additionally, EG demonstrated a significant decrease in hospital anxiety and depression scores, indicating improved psychological well-being (P < .05). The AR-BFR rehabilitation method significantly improved both bladder function and emotional health in SCINB patients compared to conventional treatments. This approach enhances patients' self-care abilities, helps prevent urinary system complications, and provides a valuable reference for clinical practice.