Abordagem integral da pessoa com bexiga neurogênica como base para os cuidados de enfermagem: revisão integrativa

Publicado 2025-09-25


https://doi.org/10.30554/archmed.26.1.5299.2026
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v. 26 n. 1 (2026): Archivos de Medicina (Manizales)
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Artigos de revisão
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Hernández Bernal, N. E., Pinzón Jaimes, C. ., Pérez Salamanca, K. J. ., & Ramírez Rodríguez, T. D. . (2025). Abordagem integral da pessoa com bexiga neurogênica como base para os cuidados de enfermagem: revisão integrativa. Archivos De Medicina (Manizales), 26(1). https://doi.org/10.30554/archmed.26.1.5299.2026
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https://doi.org/10.30554/archmed.26.1.5299.2026
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Hernández Bernal, N. E., Pinzón Jaimes, C. ., Pérez Salamanca, K. J. ., & Ramírez Rodríguez, T. D. . (2025). Abordagem integral da pessoa com bexiga neurogênica como base para os cuidados de enfermagem: revisão integrativa. Archivos De Medicina (Manizales), 26(1). https://doi.org/10.30554/archmed.26.1.5299.2026

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Nubia Esperanza Hernández Bernal
Docente Universidad Pedagogica y Tecnologica de Colombia - Enfermera - Magíster en Enfermería de la Universidad de la Sabana- Especialista en alta dirección y auditoría de instituciones de salud Bogotá, Cundinamarca, Colombia
Carol Pinzón Jaimes
Universidad Pedagógica y Tecnológica de Colombia. Enfermera, Especialista en Cuidado Crítico del Adulto. Magíster en Pedagogía. Tunja, Boyacá, Colombia.
https://orcid.org/0000-0002-4366-8866 ORCID
Keily Johana Pérez Salamanca
Universidad Pedagógica y Tecnológica de Colombia. Tunja, Boyacá, Colombia.
https://orcid.org/0000-0002-1138-0163 ORCID
Tania Daniela Ramírez Rodríguez
Universidad Pedagógica y Tecnológica de Colombia. Tunja, Boyacá, Colombia
https://orcid.org/0000-0002-1504-4036 ORCID
##submission.authorBio##

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Introdução: A bexiga neurogênica refere-se à disfunção de origem neurológica do trato urinário inferior (NLUTD), que tem etiologia múltipla; sendo causada principalmente por lesões medulares, tumores ou doenças neurodegenerativas. Essa disfunção se manifesta de várias maneiras, dependendo da localização da lesão, apresentando sintomatologia diversa. Objetivo: Realizar uma revisão bibliográfica que, a partir da evidência científica, contribua para o fortalecimento e a consolidação de um critério de enfermagem fundamentado para a tomada de decisões e intervenções de cuidados diretos à pessoa com lesões neurológicas que levam à NLUTD. Método: Foi realizada uma revisão integrativa da literatura entre setembro de 2023 e maio de 2024, seguindo a proposta de Whittemore e Knalf desenvolvida em seis etapas. As bases de dados bibliográficas consultadas foram: PubMed, Scopus, Web of Science, Scielo, Science Direct. O processo de seleção seguiu as etapas sugeridas pela PRISMA 2020. A análise foi realizada por meio de leitura aprofundada, e os dados extraídos foram comparados, classificados e agrupados para facilitar o processo de análise e síntese, permitindo consolidar as informações em sete temas centrais. Resultados: A equipe de enfermagem deve reconhecer a fisiopatologia, o diagnóstico clínico e urodinâmico, as alternativas de tratamento, as complicações e os critérios de enfermagem fundamentados em teorias de enfermagem, para a tomada de decisões no cuidado de pessoas com bexiga neurogênica. Conclusões: É fundamental a análise individualizada do paciente com bexiga neurogênica, baseada em todo o seu conhecimento fisiopatológico, na boa interpretação urodinâmica, nas opções terapêuticas, nas recomendações apoiadas por evidências e na incorporação de modelos teóricos de enfermagem que orientem o cuidado da pessoa que apresenta essa condição de saúde, a fim de melhorar os resultados clínicos a curto, médio e longo prazo.

 

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  1. 1. WOS. Lesiones medulares [Internet]. Who.int. World Health Organization: WHO; 2013 [cited 2024 Apr 3]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/spinal-cord-injury#:~:text=Comprender%20las%20lesiones%20medulares&text=No%20existen%20estimaciones%20fiables%20de,casos%20por%20mill%C3%B3n%20de%20habitantes.
  2. 2. Montejo Mejía F. Vista de Actualización sobre la situación de la lesión medular en América Latina: retos y oportunidades en su atención [Internet]. Revistacmfr.org. 2022 [cited 2024 Apr 3]. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/360/393
  3. 3. Bapir R, Bhatti KH, Eliwa A, García-Perdomo HA, Gherabi N, Hennessey D, Magri V, Mourmouris P, Ouattara A, Perletti G, Philipraj J, Stamatiou K, Trinchieri A, Buchholz N. Efficacy of overactive neurogenic bladder treatment: A systematic review of randomized controlled trials. Arch Ital Urol Androl [Internet]. 2022 Dec. 28 [cited 2024 Sep. 4];94(4):492-506. Available from: https://www.pagepressjournals.org/aiua/article/view/11120. https://doi.org/10.4081/aiua.2022.4.492
  4. 4. Fang H, Lin J, Liang L, Largo X, Zhu X, Cai W. A non-surgical, non-pharmacological care package for preventing upper urinary tract damage in patients with spinal cord injury and neurogenic bladder. Int J Nurs Pract. 2019 Jul 21. DOI: 10.1111/ijn.12761. https://doi.org/10.1111/ijn.12761
  5. 5. Amarenco G, Sheikh Ismaël S, Chesnel C, Charlanes A, Le Breton F. Diagnosis and clinical evaluation of neurogenic bladder. European Journal of Physical and Rehabilitation Medicine. 2017 Dec;53(6). https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2017N06A0975. https://doi.org/10.23736/s1973-9087.17.04992-9
  6. 6. Lucas E. Medical Management of Neurogenic Bladder for Children and Adults: A Review. Topics in Spinal Cord Injury Rehabilitation. 2019 Jun;25(3):195–204. Available from: https://pubmed.ncbi.nlm.nih.gov/31548786/.https://doi.org/10.1310/sci2503-195
  7. 7. Liliana García Gutiérrez, Natalya L, María A. Manejo integral de la disfunción neurogénica del tracto urinario inferior en lesión medular: actualización. Revista Colombiana de Medicina Física y Rehabilitación (Impreso) [Internet]. 2022 Dec 23 [cited 2024 Apr 3]; 32:276–90. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/362. http://dx.doi.org/10.28957/rcmfr
  8. 8. Guillermo L, Angélica Gallego Mejía, Mauricio Gómez Londoño, Catalina S. Efectos de las lesiones del sistema nervioso sobre la fisiología de la micción. CES Medicina [Internet]. 2019 Sep 1 [cited 2024 Apr 3];33(3):182–91. Available from: https://revistas.ces.edu.co/index.php/medicina/article/view/5009. https://doi.org/10.21615/cesmedicina.33.3.3
  9. 9. Asieh Soghrati, Narges Arsalani, Mohamadi S, Mohsen Vahedi, Ajami H. The Effect of Rehabilitation Nursing Interventions on the Quality of Life in Women With Neurogenic Bladder Dysfunction. Tavānbakhshī (Online) [Internet]. 2023 Jan 1 [cited 2024 Apr 3];23(4):584–601. Available from: https://rehabilitationj.uswr.ac.ir/browse.php?a_id=3061&sid=1&slc_lang=en&html=1#:~:text=The%20current%20study%20investigated%20the,intervention%20and%20regular%20follow%2Dup. http://dx.doi.org/10.32598/RJ.23.4.3513.1
  10. 10. Romo B, Smith CP, Cox A, Averbeck MA, Dowling C, Beckford C, et al. Non-surgical urologic management of neurogenic bladder after spinal cord injury. World Journal of Urology [Internet]. 2018 Jul 26 [cited 2024 Apr 3];36(10):1555–68. Available from: https://pubmed.ncbi.nlm.nih.gov/30051263/ https://doi.org/10.1007/s00345-018-2419-z.
  11. 11. Ginsberg DA, Boone TB, Cameron AP, Gousse A, Kaufman MR, Keays E, et al. The AUA/SUFU Guideline on Adult Neurogenic Lower Urinary Tract Dysfunction: Treatment and Follow-up. Journal of Urology. 2021 Nov;206(5):1106–13. Available from: https://pubmed.ncbi.nlm.nih.gov/34495688/. https://doi.org/10.1097/ju.0000000000002239
  12. 12. Panicker JN. Neurogenic Bladder: Epidemiology, Diagnosis, and Management. Seminars in Neurology [Internet]. 2020 Oct 1 [cited 2023 Sep 20];40(05):569–79. Available from: https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0040-1713876. https://doi.org/10.1055/s-0040-1713876.ISSN0271-8235.
  13. 13. Gajewski JB, Schurch B, Hamid R, Averbeck M, Sakakibara R, Agrò EF, et al. An International Continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD). Neurourology and urodynamics [Internet]. 2017 Nov 17 [cited 2024 May 1];37(3):1152–61. Available from: https://pubmed.ncbi.nlm.nih.gov/29149505/. https://doi.org/10.1002/nau.23397
  14. 14. López García-Moreno A, Barroso Manso A, Gandía Blasco VM, Esteban Fuertes M. Protocolo diagnóstico y terapéutico de la vejiga neurógena. Medicine: Programa de Formación Médica Continuada Acreditado [Internet]. 2019 [cited 2024 Mar 31];12(75):4455–61. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=6879866. https://doi.org/10.1016/j.med.2019.03.027
  15. 15. ZHANG X, WANG W, MA H, MA Y, XUE J, JU X. Effect of comprehensive nursing intervention on defecation time and incidence of urinary fistula in patients with neurogenic bladder at acute stage of stroke. Minerva Surgery. 2023 Oct. https://doi.org/10.23736/s2724-5691.23.10065-7
  16. 16. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. [Internet] 2005;52(5):546-553. DOI:10.1111/j.1365-2648.2005. 03621.x
  17. 17. Kumar SJ, Biswas D. Anatomical Aspects of Neurogenic Bladder and the Approach in Its Management: A Narrative Review. Cureus [Internet]. 2022 Nov 6 [cited 2023 Sep 20]; Available from: https://www.cureus.com/articles/116269-anatomical-aspects-of-neurogenic-bladder-and-the-approach-in-its-management-a-narrative-review#!/. https://doi.org/10.7759/cureus.31165
  18. 18. Medina‐Polo J, Adot JM, Allué M, Arlandis S, Blasco P, Casanova B, et al. Consensus document on the multidisciplinary management of neurogenic lower urinary tract dysfunction in patients with multiple sclerosis. Neurourology and Urodynamics. 2020 Jan 15;39(2):762–70. Available from: https://pubmed.ncbi.nlm.nih.gov/31943361/. https://doi.org/10.1002/nau.24276
  19. 19. Vidal Samsó J, Esteban Fuertes M, Alcaraz Rousselet MÁ, Alemán Sánchez C, Almuiña Díaz C, Ariza Lahuerta JC, et al. Documento de consenso español para el diagnóstico, el tratamiento y el manejo de la vejiga neurógena. Arch esp urol (Ed impr) [Internet]. 2019 [cited 2024 Jun 5];483–99. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/ibc-188986
  20. 20. Tang F, Cheng Z, Wen X, Guan J. Effect of continuous care intervention on the quality of life in patients with neurogenic bladder dysfunction. Journal of International Medical Research [Internet]. 2019 Mar 18 [cited 2024 Mar 13];47(5):2011–7. Available from: https://pubmed.ncbi.nlm.nih.gov/30880527/. https://doi.org/10.1177/0300060519833563
  21. 21. Kinnear N, Barnett D, O’Callaghan M, Horsell K, Gani J, Hennessey D. The impact of catheter‐based bladder drainage method on urinary tract infection risk in spinal cord injury and neurogenic bladder: A systematic review. Neurourology and Urodynamics. 2019 Dec 17;39(2):854–62. Available from: https://pubmed.ncbi.nlm.nih.gov/31845396/. https://doi.org/10.1002/nau.24253
  22. 22. Neumeier V, Stangl FP, Borer J, Anderson CE, Birkhäuser V, Chemych O, et al. Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? BMC infectious diseases [Internet]. 2023 Aug 2;23(1):507. Available from: https://pubmed.ncbi.nlm.nih.gov/37533010/. https://doi.org/10.1186/s12879-023-08475-7
  23. 23. Hartigan SM, Cohn JA, Kowalik CG, Kaufman MR, W. Stuart Reynolds, Milam DF, et al. Urodynamic Findings of Neurogenic Bladder. Springer eBooks. 2019 Jan 1;169–76. https://doi.org/10.1007/978-94-017-7509-0_18
  24. 24. Tate DG, Wheeler T, Lane GI, Forchheimer M, Anderson KD, Biering-Sorensen F, et al. Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease. The Journal of Spinal Cord Medicine. 2020 Feb 27. Available from: https://pubmed.ncbi.nlm.nih.gov/32105586/
  25. 25. Neurógena V. Guía Práctica De Enfermería [Internet]. Available from: https://evenlesionmedular.es/wp-content/uploads/2020/05/AAFF-ESC053-Gu%C3%ADa-VN-Corregida.pdf
  26. 26. Cooper CS, Steinberg RL, Thomas LJ, Storm DW, Lockwood G, Ortman CE, et al. Neurogenic bladder monitoring using the cystomanometer and cystoelastometer. Journal of Pediatric Urology. 2020 Apr 1;16(2):182–8. Available from: https://www.jpurol.com/article/S1477-5131(19)30438-3/abstract. https://doi.org/10.1016/j.jpurol.2019.12.014
  27. 27. Finazzi Agrò E, Bianchi D, Iacovelli V. Pitfalls in Urodynamics. European Urology Focus. 2020 Jan. https://doi.org/10.1016/j.euf.2020.01.005.
  28. 28. Gomelsky A, Lemack GE, Castano Botero JC, Lee RK, Myers JB, Granitsiotis P, et al. Current and future international patterns of care of neurogenic bladder after spinal cord injury. World Journal of Urology. 2018 Mar 31;36(10):1613–9. Available from: http43(2):141–64. Avails://link.springer.com/article/10.1007/s00345-018-2277-8. https://doi.org/10.1007/s00345-018-2277-8
  29. 29. Bragge P, Guy S, Boulet M, Ghafoori E, Goodwin D, Wright B. A systematic review of the content and quality of clinical practice guidelines for management of the neurogenic bladder following spinal cord injury. Spinal Cord. 2019 Apr 10;57(7):540–9. Available from: https://www.nature.com/articles/s41393-019-0278-0. https://doi.org/10.1038/s41393-019-0278-0
  30. 30. Herbert AS, Welk B, Elliott CS. Internal and External Barriers to Bladder Management in Persons with Neurologic Disease Performing Intermittent Catheterization. International Journal of Environmental Research and Public Health. 2023 Jun 8;20(12):6079–9. Available from: https://www.mdpi.com/1660-4601/20/12/6079. https://doi.org/10.3390/ijerph20126079
  31. 31. Milligan J, Goetz LL, Kennelly MJ. A Primary Care Provider’s Guide to Management of Neurogenic Lower Urinary Tract Dysfunction and Urinary Tract Infection After Spinal Cord Injury. Topics in Spinal Cord Injury Rehabilitation. 2020 Mar;26(2):108–15. Available from: https://pubmed.ncbi.nlm.nih.gov/32760189/. https://doi.org/10.46292/sci2602-108
  32. 32. López-Cruz et al. Cateterismo intermitente limpio. Procedimiento olvidado. Para el control no farmacológico de la infección urinaria en vejiga neurógena. Rev Enferm Infecc Pediatr 2022;34(140):2052-58.
  33. 33. Neves Videira LG, Corbo LN, de Avila MAG, et al. Es un articulo PubMed 2024 Analysis of Urinary Incontinence in the Neurogenic Bladder and Its Relationship with the Satisfaction and Lifestyle of People with SCI. Healthcare (Basel). 2024;12(15): 1501.Published 2024 Jul 29. https://doi.org/10.3390/healthcare12151501
  34. 34. Xiang L, Li H, Xie QQ, et al. Rehabilitation care of patients with neurogenic bladder after spinal cord injury: A literature review. World J Clin Cases. 2023;11(1):57-64. doi:10.12998/wjcc.v11.i1.57. https://doi.org/doi:10.12998/wjcc.v11.i1.57
  35. 35. Actualización documento de consenso sobre diagnóstico y tratamiento del paciente con Hiperactividad Neurogénica del Detrusor Documento de recomendaciones [Internet]. [cited 2024 Sep 27]. Available from: https://www.sinug.org/wpcontent/uploads/2024/04/Actualizacion_Consenso_HND_2024.pdf
  36. 36. Kang BI, Kim A, Kim S. Advancing Patient Care: Innovative Use of Near-Infrared Spectroscopy for Monitoring Urine Volume in Neurogenic Bladder. International Neurourology Journal. 2023 May 31;27(Suppl 1): S27-33. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263163/. https://doi.org/10.5213/inj.2346100.050
  37. 37. Manaila AI, Roman NA, Baseanu ICC, et al. The Efficiency of Rehabilitation Therapy in PatientsDiagnosed with Neurogenic Bladder: A ystematic Review. Medicina (Kaunas). 2024;60(7):1152. Published 2024 Jul 17. doi:10.3390/medicina60071152. https://doi.org/10.3390/medicina60071152
  38. 38. Bapir R, Bhatti KH, Eliwa A, García-Perdomo HA, Gherabi N, Hennessey D, Magri V, Mourmouris P, Ouattara A, Perletti G, Philipraj J, Stamatiou K, Trinchieri A, Buchholz N. Efficacy of overactive neurogenic bladder treatment: A systematic review of randomized controlled trials. Arch Ital Urol Androl [Internet]. 2022 Dec. 28 [cited 2024 Sep. 4];94(4):492-506. Available from: https://www.pagepressjournals.org/aiua/article/view/11120
  39. 39. Licow-Kamińska AA, Ciećwież SM, Ptak M, Kotlęga D, Brodowska A. Quality of Life in Female Patients with Overactive Bladder after Botulinum Toxin Treatment. Toxins. 2024; 16(1):7. https://doi.org/10.3390/toxins16010007.
  40. 40. Ramírez-García I, Blanco-Ratto L, Kauffmann S, Carralero-Martínez A, Sánchez E. Efficacy of transcutaneous stimulation of the posterior tibial nerve compared to percutaneous stimulation in idiopathic overactive bladder syndrome: Randomized control trial. Neurourol Urodyn. 2019;38(1):261-268. doi:https://doi.org/10.1002/nau.23843
  41. 41. Liu, Yi MM; Xu, Gang MD; Geng, Jiang MD. Efficacy of Transcutaneous Electrical Nerve Stimulation in the Management of Neurogenic Overactive Bladder: A Randomized Controlled Trial. American Journal of Physical Medicine & Rehabilitation 101(1):p 2-10, January 2022. | DOI: 10.1097/PHM.0000000000001836.
  42. 42. Soghrati A, Arsalani N, Mohamadi S, Vahedi M, Ajami H. The Effect of Rehabilitation Nursing Interventions on the Quality of Life in Women With Neurogenic Bladder Dysfunction. Journal of Rehabilitation [Internet]. 2023 Jan 1 [cited 2023 Mar 21];23(4):584–601. Available from: https://rehabilitationj.uswr.ac.ir/files/site1/user_files_581925/asiehsoghrati-A-10-3513-1-fed4eb7.pdf
  43. 43. Wirth, Marissa MPH; Suda, Katie J. PharmD, MS; Burns, Stephen P. MD; Weaver, Frances M. PhD; Collins, Eileen RN, PhD; Safdar, Nasia MD, PhD; Kartje, Rebecca MD, MS; Evans, Charlesnika T. PhD, MPH; Fitzpatrick, Margaret A. MD, MS. Retrospective Cohort Study of Patient-Reported Urinary Tract Infection Signs and Symptoms Among Individuals With Neurogenic Bladder. American Journal of Physical Medicine & Rehabilitation 102(8):p 663-669, August 2023. | DOI: https://doi.org/10.1097/PHM.0000000000002204
  44. 44. Pattanakuhar, Sintip MD, PhD; Ahmedy, Fatimah MD; Setiono, Steven MD; Engkasan, Julia Patrick MD, PhD; Strøm, Vegard MSc, PhD; Kovindha, Apichana MD. Impacts of Bladder Managements and Urinary Complications on Quality of Life: Cross-sectional Perspectives of Persons with Spinal Cord Injury Living in Malaysia, Indonesia, and Thailand. American Journal of Physical Medicine & Rehabilitation 102(3):p 214-221, March 2023. | Doi: https://doi.org/10.1097/PHM.0000000000002066
  45. 45. Fitzpatrick MA, Solanki P, Wirth M, et al.Knowledge, perceptions, and beliefs about urinary tract infections in persons with neurogenic bladder and impacts on interventions to promote person-centered care. Spinal Cord. 2024;62(5):221-227. doi: https://doi.org/10.1038/s41393-024
  46. 46. Werneburg GT. Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects. Res Rep Urol. 2022 Apr 4;14:109-133. doi: 10.2147/RRU.S273663. PMID: 35402319; PMCID: PMC8992741.
  47. 47. Kranz J, Schmidt S, Wagenlehner F, Schneidewind L. Catheter-associated urinary tract infections in adult patients—preventive strategies and treatment options. Deutsches Aerzteblatt Online [Internet]. 2020 Feb 7;117(6). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075456/
  48. 48. CDC. Catheter-associated Urinary Tract Infection (CAUTI) [Internet]. 2024. Available from: https://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf
  49. 49. Mazzo A, Souza Júnior VD, Jorge BM, Fumincelli L, Trevizan MA, Ventura CAA, et al. Quality and safety of nursing care for patients using intermittent urinary catheterization. Escola Anna Nery - Revista de Enfermagem [Internet]. 2017 [cited 2019 Nov 24];21(2). Available from: http://www.scielo.br/scielo.php?pid=S1414-81452017000200216&script=sci_arttext&tlng=en
  50. 50. Medina L. La pedagogía del cuidado. Editorial universitaria de Chile; 2022.
  51. 51. Del A, De M, Swanson K, El P, De Enfermería En C, Mayores A, et al. Artigo Original Texto Contexto Enferm, 2018; 27(4): e0660017 ADAPTATION OF THE MODEL OF KRISTEN SWANSON FOR NURSING CARE OF ELDERLY WOMEN. Available from: doi.org/10.1590/0104-07072018000660017

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