摘要
目的 探讨膀胱肿瘤患者行造口术后感染的影响因素及护理措施.方法 本院2017年1月～2023年5月收治的84例膀胱肿瘤患者均行尿流改道泌尿造口术.根据术后住院期间有无感染分为感染组、未感染组,Logistic回归分析造口术后感染影响因素.探讨感染组护理措施及转归情况,评价感染组护理前后欧洲癌症研究与治疗组织生命质量测定量表体系的核心量表(EORTC QLQ-C30)中文版评分.结果 感染组与未感染组年龄、临床分期、体质量指数、手术时间、既往腹部手术史、合并糖尿病、造口袋过敏、造口指导比较,差异有统计学意义(P＜0.05);Logistic回归分析显示,年龄、体质量指数≥25 kg/m2、手术时间≥100 min、合并糖尿病、造口袋过敏、造口指导为患者术后感染影响因素(P＜0.05);护理后,感染组患者EORTC QLQ-C30总得分高于护理前(P＜0.05).结论 膀胱肿瘤患者造口术后感染影响因素包括年龄、体质量指数≥25 kg/m2、手术时间≥100 min、合并糖尿病、造口袋过敏、造口指导等,加强针对性护理可改善转归及生存质量.
Abstract
Objective To explore the influencing factors and nursing measures of postoperative infection in patients with bladder tumor undergoing stoma.Method From January 2017 to May 2023,84 patients with bladder tumor were treated with urostomy.The pa-tients were divided into infected group and uninfected group according to the presence or absence of infection during postoperative hos-pitalization,the influencing factors of postoperative infection were analyzed by logistic regression.To explore the nursing measures and prognosis of the infected group and evaluate Chinese version of Quality of life instruments for cancer patients-core module(EORTC QLQ-C30)score of the infected group before and after nursing.Result There were significant differences in age,clinical stage,body mass index,operation time,previous abdominal operation history,diabetes mellitus,stoma allergy and stoma guidance between infec-tion group and non-infection group(P<0.05).Logistic regression analysis showed that age,body mass index≥25 kg/m2,operation time≥100 min,diabetes mellitus,stoma allergy and stoma guidance were the influencing factors of postoperative infection in patients(P<0.05).After nursing,the total score of EORTC QLQ-C30 in infection group was higher than that before nursing(P<0.05).Conclu-sion The influencing factors of postoperative infection in patients with bladder cancer include age,BMI≥25 kg/m2,operation time≥100 min,diabetes mellitus,allergy of ostomy pocket,ostomy guidance,etc.Strengthening targeted nursing can improve prognosis and quality of life.
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