中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性调查  

Compliance with a scheduled cystoscopic surveillance among patients with moderate-to-high risk non-muscle-invasive bladder cancer

作　　者：郑丹萍[1] 梁艳彩[1] 翟文佳[1] 崔健 郭娜[2] Zheng Danping;Liang Yancai;Zhai Wenjia;Cui Jian;Guo Na(Department of International Medical Services,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医院国际医疗部,北京100730 [2]北京协和医院护理部,北京100730

出　　处：《护理学杂志》2020年第2期38-41,共4页Journal of Nursing Science

摘　　要：目的了解中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性,并分析其影响因素。方法便利抽取在门诊复查并预约行膀胱镜检查患者247例,采用一般资料调查表及疾病进展恐惧简化量表调查,通过询问患者及查阅病案方式追溯患者膀胱镜复诊情况。结果患者膀胱镜复诊次数为2~14次,中位数为6次,23.5%(58例)患者膀胱镜复诊依从性差。患者疾病复发恐惧总得分为(28.57±5.28)分,有51例(20.6%)出现疾病复发恐惧心理功能失调;疾病复发恐惧心理功能失调、膀胱镜检疼痛评分、病程是影响膀胱癌患者膀胱镜复诊依从性的危险因素,已婚、经济上能承受支出是影响膀胱镜复诊依从性的保护性因素(P<0.05,P<0.01)。结论中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性偏低,医务人员需重视患者膀胱镜复诊依从性的影响因素,特别是易出现疾病复发恐惧心理失调的高危人群,需采取干预措施以减轻患者疾病复发恐惧,提高患者膀胱镜复诊依从性。Objective To investigate the compliance with a scheduled cystoscopic surveillance among patients with moderate-to-high risk non-muscle-invasive bladder cancer(NMIBC),and to analyze its influencing factors.Methods A total of 247 patients attending outpatient clinic and had booked cystoscopic surveillance were selected using convenient sampling,then they were investigated using the general information questionnaire and the short form of Fear of Progression Questionnaire(FOP-Q-SF),and the patients were asked and their medical records were checked to trace their compliance with cystoscopic surveillance.Results The median times of cystoscopic surveillance was 6(2-14 times),and 23.5%(n=58)patients′compliance with the scheduled cystoscopic surveillance was bad.The total score of FoP-Q-SF was(28.57±5.28)points,and 51(20.6%)patients suffered from mental dysfunction of fear of cancer recurrence.Mental dysfunction of fear of cancer recurrence,assessed pain score of cystoscopic surveillance,length of disease history were risk factors of compliance with scheduled cystoscopic surveillance among bladder cancer patients,while married,bear and fully affordable economic expenditure were its protective factors(P<0.05,P<0.01).Conclusion The compliance with scheduled cystoscopic surveillance among patients with moderate-to-high risk NMIBC is low,medical staff should pay attention to its influencing factors,especially those who were prone to suffer from mental dysfunction of fear of cancer recurrence,it is necessary to take measures to reduce patients′fear of cancer recurrence,and increase their compliance with scheduled cystoscopic surveillance.

关 键 词：膀胱癌 膀胱镜 疾病复发 疼痛 恐惧 复诊依从性 

分 类 号：R473.6[医药卫生—护理学]