Conclusions: Conclusions: According to research; we see that the majority of patients in sample group have low degree of self-esteem.Young patients who have spinal cord injury have downward tendency in social environment-job fit and the hopes for future. In these situations; patients have the risk of psychiatric disorders especially like depression, anxiety. To increase their adaptation to social life and regularize their treatment; their depression levels and the factors which influence self-esteem, should be known and therapeutic approaches should be used.Limitedness of Research:Limitedness of Research: Limited number of samples and long research questions create limitations for research.

Patients with neurogenic bladder (NB) are at risk formany complications, including urinary tract Patients with neurogenic bladder (NB) are at risk formany complications, including urinary tract infection, urinary incontinence and deterioration of the upper urinary tracts with potential loss of renal infection, urinary incontinence and deterioration of the upper urinary tracts with potential loss of renal function. Before the development of modern methods of bladder management, renal failure secondary to function. Before the development of modern methods of bladder management, renal failure secondary to NB was the most common cause of death in these patients. Thus, management of the lower urinary tract NB was the most common cause of death in these patients. Thus, management of the lower urinary tract is crucially important in patients with NB to prevent damage to the upper tract and, thus, preserve renal is crucially important in patients with NB to prevent damage to the upper tract and, thus, preserve renal function. The goal of management is to allow the bladder to store areasonable volume of urine at low function. The goal of management is to allow the bladder to store areasonable volume of urine at low pressure and empty it at appropriate intervals. Over the past 30 years, clean intermittent catheterization pressure and empty it at appropriate intervals. Over the past 30 years, clean intermittent catheterization (CIC) has been used for the management of these patients. The introduction of CIC has reduced the (CIC) has been used for the management of these patients. The introduction of CIC has reduced the morbidity and mortality in these patients. This procedure has other beneficial effects, such as improved morbidity and mortality in these patients. This procedure has other beneficial effects, such as improved body image and self-esteem, and guarantees a good quality of life (QOL). Nevertheless, it is true that body image and self-esteem, and guarantees a good quality of life (QOL). Nevertheless, it is true that patients with spinal cord injury (SCI) experience physical and emotional difficulties in their daily lives, patients with spinal cord injury (SCI) experience physical and emotional difficulties in their daily lives, even when emptying problems are properly managed (Oh, 2005)even when emptying problems are properly managed (Oh, 2005)Management of NB requires a multidisciplinaryor interdisciplinary approach. Patients with NB often Management of NB requires a multidisciplinaryor interdisciplinary approach. Patients with NB often suffer from psychological problems. Perhaps the greatest potential adverse emotional consequence of suffer from psychological problems. Perhaps the greatest potential adverse emotional consequence of NB is depression. Kennedy and Rogers examined the prevalence of anxiety and depression NB is depression. Kennedy and Rogers examined the prevalence of anxiety and depression longitudinally in patients with spinal cord injury (SCI) (Oh, 2006, Kennedy, 2006)longitudinally in patients with spinal cord injury (SCI) (Oh, 2006, Kennedy, 2006)

The study was planned to determine the relation between self-respect and depression levels of patients who use clean intermittent catheterization for neurogenic bladder caused by spinal cord injury

A. OzbasA. Ozbas 1, L. Küçük 2, I. Çavdar 1, U. Fındık 3, S. Yıldız 4, J. Yıldız 5, N. Akyüz 1 1, L. Küçük 2, I. Çavdar 1, U. Fındık 3, S. Yıldız 4, J. Yıldız 5, N. Akyüz 1(1) Istanbul University Florence Nightingale School of Nursing, Dept. of Surgical Nursing, Istanbul, Turkey, (2) Istanbul University Florence Nightingale School of Nursing, Dept. of Psychiatry Nursing, Istanbul, Turkey, (3) (1) Istanbul University Florence Nightingale School of Nursing, Dept. of Surgical Nursing, Istanbul, Turkey, (2) Istanbul University Florence Nightingale School of Nursing, Dept. of Psychiatry Nursing, Istanbul, Turkey, (3) Trakya University Faculty of Health Sciences, Department of Nursing, Dept. of Surgical Nursing, Edirne, Turkey, (4) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Trakya University Faculty of Health Sciences, Department of Nursing, Dept. of Surgical Nursing, Edirne, Turkey, (4) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Istanbul, Turkey, (5) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Istanbul, TurkeyIstanbul, Turkey, (5) Department of Physical Medicine and Rehabilitation of Cerrahpasa Medical Faculty, Dept. of Nursing, Istanbul, Turkey

According to the results of the research; the average age of the patients is 34 and the majority of them are According to the results of the research; the average age of the patients is 34 and the majority of them are male 55.9%, jobless people 61.8% (n:21), traumatized due to accident 38.2% (n:13), the people who have male 55.9%, jobless people 61.8% (n:21), traumatized due to accident 38.2% (n:13), the people who have

the T7-T12 injury level 64.7% (n:22), the people who have taken CIC education from the nurse 67.6% the T7-T12 injury level 64.7% (n:22), the people who have taken CIC education from the nurse 67.6% (n:23), the people who continue the CIC application since at least six months 29.4% (n:10) and the people (n:23), the people who continue the CIC application since at least six months 29.4% (n:10) and the people who say that CIC application influences their sexual lives 64.7% (n:22). Table 1 shows the average points who say that CIC application influences their sexual lives 64.7% (n:22). Table 1 shows the average points

of the patients who have participated in research according to The Beck Depression Scale.of the patients who have participated in research according to The Beck Depression Scale.

Type of Research:Type of Research: 34 patients who had spinal cord injury and carried out CIC, were included in the 34 patients who had spinal cord injury and carried out CIC, were included in the descriptive and cross-sectional type study.descriptive and cross-sectional type study.

The Place and Time of the Study:The Place and Time of the Study: Research data was collected with individual interview. Research data was collected with individual interview.

Data Collection Tools:Data Collection Tools: The questionnaire which was prepared by researchers, was used for the The questionnaire which was prepared by researchers, was used for the purpose of determining the demographic characteristics of patients. For the purpose of determining the purpose of determining the demographic characteristics of patients. For the purpose of determining the level of depression of patients, the Beck Depression Scale (BDS); and for the purpose of evaluating self-level of depression of patients, the Beck Depression Scale (BDS); and for the purpose of evaluating self-esteem of patients, Coopersmith Self- Esteem Scale were used. The Beck Depression Scale which esteem of patients, Coopersmith Self- Esteem Scale were used. The Beck Depression Scale which consists of 21 subjects, is used to determine the level of depression and evaluate the level and violence consists of 21 subjects, is used to determine the level of depression and evaluate the level and violence change of depressive symptoms. The Self-Esteem Scale which is developed by Coopersmith consists of change of depressive symptoms. The Self-Esteem Scale which is developed by Coopersmith consists of 25 subjects and these subjects include the scale of self-esteem, self-contempt about self-esteem, 25 subjects and these subjects include the scale of self-esteem, self-contempt about self-esteem, lidership-popularity, parents-family and enterprise-anxiety. In this research, not the sub-factors lidership-popularity, parents-family and enterprise-anxiety. In this research, not the sub-factors measured by sacel but general self-esteem points are taken into account.measured by sacel but general self-esteem points are taken into account.Evaluation of Data:Evaluation of Data: The data of research is evaluated with SPSS 12.0 Program. The obtained data is The data of research is evaluated with SPSS 12.0 Program. The obtained data is evaluated with %, x, and t tests.evaluated with %, x, and t tests.

Introduction & Objectives

Material & Methods

Results

Table 1. The Average Points of Patients According to Beck Depression Scale and Self-Esteem Scale (n:34)

As shown in Table 1; the average BDS point of patients who are taken into research is 13.85 ± 9.88 and average point of Self- Esteem Scale is 45.41± 12.41.

ScalesScales AverageAverage SDSD MinMin MaxMaxBeck Depression ScaleBeck Depression Scale 13,8513,85 9,889,88 0,000,00 34,0034,00Self- Esteem ScaleSelf- Esteem Scale 45,4145,41 12,4112,41 0,000,00 68,0068,00

Tablo 2. The Profiles of Patients According to Beck Depression Scale and Self- Esteem Scale (n:34)

Tablo3: The Relationship of the Points of Beck Depression Scale with Some Variables (n:34)

Beck Depression ScaleBeck Depression ScalePointPoint nn %%

0-13 None 19,00 55,914-19 Low 4,00 11,820-28 Normal 8,00 23,529-64 High 3,00 8,8

Self- Esteem Scale Self- Esteem Scale PointPoint nn %%

≤50 Low 21,00 61,8>50 High 13,00 38,2

Acoording to evaluation of Beck Depression Scale of patients, we see that the majority of patients don’t show sign of depression 55.9 % (n:19); but according to Coopersmith Self-Esteem Scale; we see that the majority of patients show low degree of self-esteem.

AgeAge nn AverageAverage SDSD rr pp≤37 20 10,65 7,93

0,417 0,014*>37 14 18,43 10,84GenderGender nn AverageAverage SDSD tt ppFemale 15 12,33 9,24

0,792 0,434Male 19 15,05 10,44Job StatusJob StatusEmployed 13 8,54 7,72

2,692 0,011*Unemployed 21 17,14 9,77

When we compare the Beck Depression Scale points of patients with some variables; we see that the people who are unemployed ( r:2.692, p:0.011) and have the age of ≤37 ( r:0.417, p:0.014), have high depression level and have no significant relationship with independent variables.

References:References: Kennedy P, Rogers BA ( 2000).Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch Phys Med Rehab,81, 932–937.Kennedy P, Rogers BA ( 2000).Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch Phys Med Rehab,81, 932–937.Oh SJ,Shin HI,Paik NJ, Yoo T, Ku JH (2006)..Depressive symptoms of patients using clean intermittent catheterizationfor neurogenic bladder secondary to spinal cord injury. Spinal Cord ,44, 757–762Oh SJ,Shin HI,Paik NJ, Yoo T, Ku JH (2006)..Depressive symptoms of patients using clean intermittent catheterizationfor neurogenic bladder secondary to spinal cord injury. Spinal Cord ,44, 757–762Oh SJ, Ku HJ, Jeon GH, Shın HI, NAM-PAIK JN, Yoo T (2005).Health related qualıty of lıfe of patıents usıng clean ıntermıttent catheterizatıon for neurogenıc bladder secondary to spınal cord ınjury. Oh SJ, Ku HJ, Jeon GH, Shın HI, NAM-PAIK JN, Yoo T (2005).Health related qualıty of lıfe of patıents usıng clean ıntermıttent catheterizatıon for neurogenıc bladder secondary to spınal cord ınjury. Urology 65, 306–310, Urology 65, 306–310,

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