Supportive care needs and influencing factors of 631 patients after total cystectomy

Hongmei YI; Hongyan REN; Jun WANG; Mingzhao XIAO

doi:10.16016/j.2097-0927.202203271

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Supportive care needs and influencing factors of 631 patients after total cystectomy

Medical Psychology | 更新时间：2026-01-09

- Supportive care needs and influencing factors of 631 patients after total cystectomy
- Journal of Army Medical University Vol. 44, Issue 18, Pages: 1893-1899(2022)
- 作者机构：
  
  1.400016 重庆，重庆医科大学附属第一医院：泌尿外科
  2.400016 重庆，重庆医科大学附属第一医院：护理部
- 作者简介：
- 基金信息：
  
  the National Key R & D Program(2020YFC2005900)
- DOI：10.16016/j.2097-0927.202203271
  CLC： R195.4;R473.6;R699.59
- Received：31 March 2022，
  
  Revised：2022-06-04，
  
  Published：30 September 2022
- 稿件说明：
移动端阅览
Hongmei YI, Hongyan REN, Jun WANG, et al. Supportive care needs and influencing factors of 631 patients after total cystectomy[J]. Journal of Army Medical University, 2022, 44(18): 1893-1899.
DOI：

Hongmei YI, Hongyan REN, Jun WANG, et al. Supportive care needs and influencing factors of 631 patients after total cystectomy[J]. Journal of Army Medical University, 2022, 44(18): 1893-1899. DOI： 10.16016/j.2097-0927.202203271.

摘要

目的

调查全膀胱切除术后患者支持性照护需求现状并分析其影响因素。

方法

选取2020年1月至2021年9月重庆市5所三级甲等医院的631例全膀胱切除术后患者作为研究对象。在患者术后1个月，采用一般资料调查问卷、全膀胱切除术后患者特异性支持照护需求量表进行调查；采用多元线性回归分析其相关影响因素。

结果

全膀胱切除术后患者支持性照护需求总分为(107.71±7.77)分、条目均分为(4.14±0.30)分。多元线性回归分析显示：家庭人均月收入越高(≥1 000元)，主要照顾者为配偶/子女，曾经接受保留膀胱三联疗法(trimodal therapy，TMT)，职业为农民，已婚/同居，农村合作医疗保险及手术方式为原位新膀胱术的患者术后支持性照护需求更低(

＜0.05)。

结论

全膀胱切除术后患者的特异性支持照护需求为高度需求水平，家庭人均月收入、主要照顾者、是否接受TMT治疗及手术方式是全膀胱切除术后患者支持性照护需求的主要影响因素。

Abstract

Objective

To investigate the current status of supportive care needs in patients after total cystectomy and analyze its influencing factors.

Methods

A total of 631 patients undergoing total cystectomy in 5 tertiary Class-A hospitals in Chongqing from January 2020 to September 2021 were enrolled in this study. In 1 month after surgery

the patients were investigated by general data questionnaire and supportive care needs survey. Multiple linear regression analysis was used to analyze the influencing factors.

Results

The total score of supportive care needs for post-cystectomy patients was 107.71±7.77 and the mean score of the items was 4.14±0.30. Multiple linear regression analysis showed the post-cystectomy patients with higher monthly household income per capita (≥1 000 Yuan)

spouse/children as primary caregivers

receiving bladder-sparing triple therapy (trimodal therapy

TMT)

occupation as farmers

married/cohabitation

having rural cooperative medical insurance and undergoing surgical method with

in situ

neobladder had lower supportive care needs (

0.05).

Conclusion

The demand for specific supportive care of post-cystectomy patients is quite high. Monthly household income per capita

primary caregivers

receiving TMT or not

and surgical method with

in situ

neobladder are main factors influencing the demand for supportive care need in post-cystectomy patients.

关键词

Keywords

references

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