The effect of group training of adaptation skills on self-esteem and quality of life in patients with neurogenic bladder

Introduction: Physical and psychological problems in patients with neurogenic bladder using intermittent catheterization affect all areas of their life in a way that leads to a decline in their quality of life and self-confidence. The purpose of this study was to evaluate the effect of group training of adaptation skills on self-esteem and quality of life in patients with neurogenic bladder. Methods: The method of this study was quasi-experimental with pre-test-post-test design and control group. The Research population was parents with Neurogenic Bladder Disorders referred to Khorshid Hospital in Isfahan in 2019, which from them 60 women with neurogenic bladder who had the criteria to enter the study were selected by continuous sampling method and randomly assigned based on the month of referral. Patients were replaced in two equal groups (30 in each group). The intervention group received 8 2-hour training sessions on adaptation skills by two psychotherapists and a nurse working in the urology department, and the control group received routine training. The research tools were the personal profile questionnaires, Eiseng's self-confidence, and women's quality of life for urinary incontinence women. Data analyzed by descriptive tests (mean and standard deviation) and analytical (pairwise and independent, Chi-square, Man Whitney) in SPSS -18 software. Results: The findings showed that in the pre-test stage, there wasn’t significant difference between intervention and control groups in terms of self-esteem and quality of life (P> 0.05), but in the post test between them there was significant difference in terms(P <0.001). However, the mean scores of self-esteem and quality of life in the control group were not significantly different in two stages (P> 0.05). In other words, adaptability training increased the self-esteem and quality of life of patients with neurogenic bladder (P <0/001). Conclusion: The results indicated the effectiveness of training adaptation skills on quality of life and self-esteem of people with neurogenic bladder. Therefore, it is suggested that to use this method along with other treatment methods to improve the psychological problems of these patients.