首页|膀胱癌尿流改道术患者二元应对的现状及相关影响因素

膀胱癌尿流改道术患者二元应对的现状及相关影响因素

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目的 研究膀胱癌尿流改道术后患者二元应对的影响因素,为降低患者心理负担提供干预思路.方法 选取2020年1月至2021年12月本院泌尿外科收治的肌层浸润性膀胱癌患者137例.采用一般资料调查表、二元应对量表、社会支持评定量表、造口病人生活质量量表进行调查.结果 膀胱癌尿流改道术后二元应对总分为(105.23±16.00)分.多元线性回归结果显示,手术类型、尿流改道时间、自理情况、社会支持程度、生活质量是膀胱癌尿流改道术后二元应对的影响因素(P<0.05).结论 膀胱癌尿流改道术患者二元应对水平有待提高.输尿管皮层造口术后、尿流改道时间短、生活不能自理、社会支持程度低、生活质量差的患者二元应对水平较差.医护人员可制定针对性措施,及时干预.
Objective To explore the influence factors of dyadic relationship and reduce psychological burden in patients undergoing radical cystectomy.Methods We selected 137 patients undergoing radical cystectomy at the Department of Urology of a hospital in Zhejiang province from January 2020 to December 2021.We used the general information questionnaire,Dyadic Coping Inventory(DCI),Social Support Rating Scale,and Stoma-QOL to investigate each patient.Results The DCI score was(105.23±16.00).Multiple linear regression analysis showed that urinary diversion type,stoma time,self-care ability,social support,and life quality were the influence factors of dyadic relationship in patients undergoing urinary diversion after radical cystectomy(P<0.05).Conclusion The level of dyadic relationship needs to be improved.Patients with ureteral dermostomy,short stoma time,low level of self-care ability,low level of social support and poor life quality had poor dyadic relationship.It is suggested to formulate effective measures and intervene timely.

Bladder cancerDyadic relationshipUrinary diversionSocial supportLife quality

吕江瑶、沈玲、严樱菊、毛思纯、黄婷、袁潇

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310006 浙江大学医学院附属杭州市第一人民医院

膀胱癌 二元应对 尿流改道 社会支持 生活质量

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(5)
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