Influencing factors and nursing measures of postoperative infection in patients with bladder tumor undergoing colostomy
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.
万方数据
维普
