631例全膀胱切除术后患者支持性照护需求及影响因素分析

易红美; 任洪艳; 王俊; 肖明朝

doi:10.16016/j.2097-0927.202203271

您当前的位置：

首页 >

文章列表页 >

631例全膀胱切除术后患者支持性照护需求及影响因素分析

医学心理学 | 更新时间：2026-01-09

- 631例全膀胱切除术后患者支持性照护需求及影响因素分析
- Supportive care needs and influencing factors of 631 patients after total cystectomy
- 陆军军医大学学报 2022年44卷第18期页码：1893-1899
- 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：
  
  [肖明朝，E-mail: xmz.2004@163.com XIAO Mingzhao, E-mail: xmz.2004@163.com
- 基金信息：
  
  国家重点研发计划(2020YFC2005900)
- DOI：10.16016/j.2097-0927.202203271
  中图分类号： R195.4;R473.6;R699.59
- 收稿：2022-03-31，
  
  修回：2022-06-04，
  
  纸质出版：2022-09-30
- 稿件说明：
移动端阅览
易红美, 任洪艳, 王俊, 等. 631例全膀胱切除术后患者支持性照护需求及影响因素分析[J]. 陆军军医大学学报, 2022,44(18):1893-1899.

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.
易红美, 任洪艳, 王俊, 等. 631例全膀胱切除术后患者支持性照护需求及影响因素分析[J]. 陆军军医大学学报, 2022,44(18):1893-1899. DOI： 10.16016/j.2097-0927.202203271.

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

SUNG H, FERLAY J, SIEGEL R L, et al . Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J ] . CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.

QIU H B, CAO S M, XU R H. Cancer incidence, mortality, and burden in China: a time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020[J]. Cancer Commun (Lond), 2021, 41(10): 1037-1048. DOI: 10.1002/cac2.12197.

中国肿瘤医院泌尿肿瘤协作组. 中国膀胱癌保膀胱治疗多学科诊治协作共识[J]. 中华肿瘤杂志, 2022, 44(3) : 209-218. DOI: 10.3760/cma.j.cn112152-20220113-00035.

Cooperative Group for Urological Tumors of China Cancer Hospital. Expert consensus of multi-disciplinary collaboration on bladder-preserving treatment for bladder cancer in China[J]. Chin J Oncol, 2022, 44(3): 209-218. DOI: 10.3760/cma.j.cn112152-20220113-00035.

REN H Y, TANG P, ZHAO Q H, et al . Symptom clusters and related factors in bladder cancer patients three months after radical cystectomy[J ] . BMC Urol, 2017, 17(1): 65. DOI: 10.1186/s12894-017-0255-x.

HUI D. Definition of supportive care: does the semantic matter?[J]. Curr Opin Oncol, 2014, 26(4): 372-379. DOI: 10.1097/CCO.0000000000000086.

PATERSON C, JENSEN B T, JENSEN J B, et al . Unmet informational and supportive care needs of patients with muscle invasive bladder cancer: a systematic review of the evidence[J ] . Eur J Oncol Nurs, 2018, 35: 92-101. DOI: 10.1016/j.ejon.2018.05.006.

RAMMANT E, VAN HECKE A, DECAESTECKER K, et al . Supportive careneeds and utilization of bladder cancer patients undergoing radical cystectomy: a longitudinal study[J ] . Psychooncology, 2022, 31(2): 219-226. DOI: 10.1002/pon.5795.

WITJES J A, BRUINS H M, CATHOMAS R, et al . European association of urology guidelines on muscle-invasive and metastatic bladder cancer: summary of the 2020 guidelines[J ] . Eur Urol, 2021, 79(1): 82-104. DOI: 10.1016/j.eururo.2020.03.055.

MASLOW A. Motivation and Personality[M]. 2nd ed. New York: Harper and Row, 1970.

FITCH M I. Supportive care framework[J]. Can Oncol Nurs J, 2008, 18(1): 6-24. DOI: 10.5737/1181912x181614.

BHANVADIA S K. Bladder cancersurvivorship[J]. Curr Urol Rep, 2018, 19(12): 111. DOI: 10.1007/s11934-018-0860-6.

DONG M Y, NIE A L, LIU C X, et al . Psychological resilience of patients with bladder cancer after radical cystectomy and urinary diversion: a cross-sectional study[J ] . Psychooncology, 2022, 31(1): 21-29. DOI: 10.1002/pon.5770.

MOHAMED N E, CHAOPRANG HERRERA P, HUDSON S, et al . Muscle invasive bladder cancer: examining survivor' burden and unmet needs[J ] . J Urol, 2014, 191(1): 48-53. DOI: 10.1016/j.juro.2013.07.062.

刘雪军, 刘天遥, 谢尚训, 等. 机器人辅助腹腔镜下保留性神经全膀胱切除术临床应用及疗效分析[J]. 中华男科学杂志, 2019, 25(9): 797-801. DOI: 10.13263/j.cnki.nja.2019.09.005.

LIU X J, LIU T Y, XIE S X, et al . Nerve-sparing robot-assisted laparoscopic radical cystectomy: clinica l application and effect[J ] . Natl J Androl, 2019, 25(9): 797-801. DOI: 10.13263/j.cnki.nja.2019.09.005.

KING A J, EVANS M, MOORE T H, et al . Prostate cancer and supportive care: a systematic review and qualitative synthesis of men's experiences and unmet needs[J ] . Eur J Cancer Care (Engl), 2015, 24(5): 618-634. DOI: 10.1111/ecc.12286.

靳晓蒙, 汤利萍, 曹英, 等.膀胱癌尿流改道腹壁造口病人疾病获益感现状及其影响因素分析[J]. 护理研究, 2021, 35(13): 2425-2430.

JIN X M, TANG L P, CAO Y, et al . Status quo and influencing factors of disease benefit finding in patients with bladder cancer undergoing abdominostomy by diversion of urinary flow[J ] . Chin Nurs Res, 2021, 35(13): 2425-2430.

马丹丹, 任洁, 乔够梅, 等. 膀胱癌尿流改道腹壁造口患者健康素养与社会支持及健康信念的相关性[J]. 护理学杂志, 2021, 36(17): 33-35. DOI: 10.3870/j.issn.1001-4152.

MA D D, REN J, QIAO G M, et al . Relationship among health literacy, social support and health belief in bladder cancer patients undergoing abdominal ostomy for urinary diversion[J ] . J Nurs Sci, 2021, 36(17): 33-35. DOI: 10.3870/j.issn.1001-4152.

卢芳, 王英, 张洪琼. 膀胱癌患者自我感受负担及其影响因素研究[J]. 西部医学, 2018, 30(9): 1383-1386. DOI: 10.3969/j.issn.1672-3511.2018.09.029.

LU F, WANG Y, ZHANG H Q. Investigation of self-perceived burden and its influencing factors among bladder cancer patients[J]. Med J West China, 2018, 30(9): 1383-1386. DOI: 10.3969/j.issn.1672-3511.2018.09.029.

荆玲, 张磊洁. 南京市妇科恶性肿瘤患者恐惧疾病进展现状及危险因素的调查研究[J]. 解放军护理杂志, 2020, 37(12): 38-42. DOI: 10.3969/j.issn.1008-9993.2020.12.010.

JING L, ZHANG L J. Status quo and risk factors of fear of cancer progression in gynecological malignant tumors patients inNanjing[J]. Nurs J Chin PLA, 2020, 37(12): 38-42. DOI: 10.3969/j.issn.1008-9993.2020.12.010.

PERLIS N, KRAHN M, ALIBHAI S, et al . Conceptualizing global health-related quality of life in bladder cancer[J ] . Qual Life Res, 2014, 23(8): 2153-2167. DOI: 10.1007/s11136-014-0685-9.

MOHAMED N E, SHAH Q N, KATA H E, et al . Dealing with the unthinkable: bladder and colorectal cancer patients' and informal caregivers' unmet needs and challenges in life after ostomies[J ] . Semin Oncol Nurs, 2021, 37(1): 151111. DOI: 10.1016/j.soncn.2020.151111.

陈雨静, 袁秀红, 彭俊生. 胃癌患者支持性照顾需求的现状及其影响因素[J]. 解放军护理杂志, 2020, 37(2): 48-51. DOI: 10.3969/j.issn.1008-9993.2020.02.014.

CHEN Y J, YUAN X H, PENG J S. Supportive care needs and its influencing factors among patients with gastriccarcinoma[J]. Nurs J Chin PLA, 2020, 37(2): 48-51. DOI: 10.3969/j.issn.1008-9993.2020.02.014.

常艳, 周红, 党慧, 等. 老年膀胱癌尿路造口患者生活重构过程中的体验研究[J]. 中华护理教育, 2020, 17(8): 751-755. DOI: 10.3761/j.issn.1672-9234.2020.08.018.

CHANG Y, ZHOU H, DANG H, et al . The experience of life reconstruction of older bladder cancer patients with urinary stoma: a qualitative study[J ] . Chin J Nurs Educ, 2020, 17(8): 751-755. DOI: 10.3761/j.issn.1672-9234.2020.08.018.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

直肠癌术后回肠造口还纳患者发生低位前切除综合征的影响因素分析

肾移植受者运动恐惧潜在剖面分析及影响因素研究

经腹、经阴道超声介入穿刺硬化治疗卵巢巧克力囊肿术中疼痛影响因素分析

基于社区管理的原发性高血压患者血压控制效果的影响因素研究

上海方舱医院新型冠状病毒感染者焦虑、抑郁、失眠状况及影响因素调查研究