Objective To explore the effect of discharge preparation service based on the Team STEPPS model for patients with neurogenic intestinal dysfunction caused by spinal cord injury. Methods A total of 78 patients with neurogenic intestinal dysfunction caused by spinal cord injury were randomly divided into an intervention group and a control group with 39 cases in each group. The control group was given routine discharge preparation service, while the intervention group was given discharge preparation service based on the Team STEPPS model. Results The total and dimension scores of hospital discharge readiness and discharge teaching quality (except for the dimension of required content) in the intervention group were significantly higher than those in the control group, and patient satisfaction with nursing work was significantly higher than that in the control group (P<0.01 for all). Conclusion Discharge preparation service based on the Team STEPPS model can improve discharge preparation and discharge teaching quality for patients with neurogenic bowel dysfunction caused by spinal cord injury, and improve patient satisfaction.