Nurse and Patient Perspectives on Self-Management and mHealth Service Requirements of Patients with Neurogenic Bladder Following Spinal Cord Injury: A Qualitative Study Based on the Integrated Theory of Health Behavior Change.

Authors

Lulu Zheng, Weiyue Cong, Li Li, Yuantong Zang, Na Li, Guanzhong Yan

Published in

Patient preference and adherence. Volume 20. Pages 627888. Epub Sep 09, 2026.

Abstract

Guided by the Integrated Theory of Health Behavior Change (ITHBC), this study aimed to explore self-management barriers and mobile health (mHealth) service requirements among patients with spinal cord injury-related neurogenic bladder from patient and nurse perspectives, providing evidence for developing a nurse-patient collaborative home-based self-management platform. The ITHBC highlights the synergistic interaction among knowledge and beliefs, self-regulation, and social support, fitting this study's goal of identifying multidimensional self-management barriers. Dual-perspective exploration also compensates for limitations of single-perspective studies and more comprehensively identifies clinical barriers and practical requirements.
This study adopted a descriptive qualitative design. Participants including 15 patients with neurogenic bladder following spinal cord injury and 11 nurses were recruited via purposive sampling from the Department of Rehabilitation Medicine and the Department of Spinal Surgery at a tertiary hospital in Inner Mongolia from August to December 2025. Semi-structured interviews were conducted, with telephone interviews for patients and face-to-face interviews for nurses. The ITHBC served as the conceptual framework; interview data were analyzed using Colaizzi's seven-step method.
Four themes were extracted: (1) knowledge and belief barriers; (2) self-regulation barriers; (3) social support barriers; (4) mHealth service requirements.
Patients with neurogenic bladder following spinal cord injury suffer multidimensional self-management barriers, and conventional follow-up fails to meet their long-term home rehabilitation requirements. Guided by ITHBC, a mobile home-based self-management platform developed by integrating the requirements elicited from patients and nurses, may help address these self-management challenges and strengthen the social support chain, offering a new avenue for optimizing neurogenic bladder care. Nevertheless, implementation challenges including increased workload and legal liability warrant careful consideration. It should be noted that this is only a qualitative exploratory study. The conceptual mobile health platform proposed in this paper requires iterative development and effectiveness verification in future research before clinical implementation.

PMID:
42733803
Bibliographic data and abstract were imported from PubMed on 14 Sep 2026.

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