Status Quo of Physical Resilience of Elderly Patients with Urostomy for Bladder Cancer and Its Influencing Factors
Objective To explore the current situation and its influencing factors of physical resilience in elderly patients with urostomy for bladder cancer.Methods Convenience sampling method was used to select 265 elderly patients with urosto-my in the department of urology in three tertiary A hospitals in Taiyuan,Shanxi Province.The general information question-naire,the Physical Resilience Instrument for Older Adults,the Comprehensive Scores for Financial Toxicity Based on the Pa-tient-reported Outcome Measures and the Scale of the Elderly Self-Neglect(Rural)were used for the investigation.Factors in-fluencing physical resilience were analyzed.Results The physical resilience score of elderly patients with urostomy for bladder cancer was 52.00(49.00,56.00).The multiple linear regression analysis showed that age,literacy,grip strength,pace,financial toxicity,and self-neglect were the main influencing factors(all P<0.01),explaining a total of 40.2%of the total variance.Con-clusions The physical resilience of elderly patients with urostomy for bladder cancer is at a upper-middle level,which is influ-enced by multiple factors.Nursing staff should identify the high-risk group with low physical resilience at an early stage and formulate reasonable intervention strategies to improve their physical resilience.
bladder cancerurostomyphysical resiliencefinancial toxicitythe elderlynursing care