膀胱全切加双侧输尿管皮肤造口的膀胱癌患者出院准备度及影响因素分析  

Analysis of discharge readiness and influencing factors in bladder cancer patients with radical cystectomy plus bilateral ureterocutaneostomy

作　　者：张林林 苏萍 初云云 李振香 魏民 ZHANG Linlin;SU Ping;CHU Yunyun;LI Zhenxiang;WEI Min(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;Department of Urology,Shandong Provincial Tumor Hospital,Jinan,Shandong 250617,China;Department of Outpatient,Affiliated Shandong Provincial Hospital,Shandong First Medical University,Jinan,Shandong 250021,China)

机构地区：[1]山东中医药大学护理学院,济南250355 [2]山东省肿瘤医院泌尿外科,济南250617 [3]山东第一医科大学附属省立医院门诊部,济南250021

出　　处：《重庆医学》2020年第20期3367-3371,共5页Chongqing medicine

基　　金：山东省重点研发计划项目(2016GSF201224)。

摘　　要：目的了解行膀胱全切加双侧输尿管皮肤造口的膀胱癌患者的出院准备度情况,并分析其相关影响因素。方法采用便利抽样,选取2019年2月至2020年1月于山东省肿瘤医院和山东第一医科大学附属省立医院接受膀胱全切加双侧输尿管皮肤造口的108例膀胱癌患者为研究对象。采用多重线性回归分析出院准备度影响因素。结果膀胱癌患者出院准备度平均得分为(75.5±10.7)分。多重线性回归分析结果显示:年龄、文化程度、自我效能量表评分、汉密尔顿抑郁量表评分、社会支持、住院时间、出院指导质量是膀胱癌患者出院准备度的主要影响因素(P<0.05)。结论膀胱癌患者出院准备度处于中低水平,针对性的干预对提升患者出院准备度具有理论与实际意义。Objective To investigate the discharge readiness of the patients undergoing total cystectomy and bilateral ureterocutaneostomy,and to analyze its related factors.Methods The convenience sampling was used to select 108 cases receiving radical total cystectomy and bilateral ureterocutaneostomy in the Shandong Provincial Tumor Hospital and the Affiliated Shandong Provincial Hospital of Shandong First Medical University from February 2019 to January 2020 as the study subjects.The multiple linear regression was dopted to analyze the influencing factors of discharge readiness.Results The average score of discharge readiness was(75.5±10.7)points.The multiple linear regression analysis results showed that the age,education level,general self-efficacy score,Hamilton Depression Scale score,social support,hospitalization length,discharge guidance quality were the main influencing factors of discharge readiness in the patients with bladder cancer(P<0.05).Conclusion The discharge readiness in the patients with bladder cancer is in the middle and low level.The targeted intervention has theoretical and practical significance for improving the discharge readiness of the patients.

关 键 词：膀胱肿瘤 膀胱造口术 病人出院 出院准备度 自我效能 社会支持 影响因素分析 

分 类 号：R47[医药卫生—护理学]