老年膀胱全切术后造口患者心理状况与生存质量的相关性分析  

Correlation between psychological status and survival quality in patients with stoma after total bladder cystectomy

作　　者：熊柱凤[1] 汤利萍[2] XIONG Zhufeng;TANG Liping(Department of Urological Surgery,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China;Department of Nursing,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学第一附属医院泌尿外科,南昌330006 [2]南昌大学第一附属医院护理部,南昌330006

出　　处：《重庆医学》2021年第7期1117-1120,共4页Chongqing medicine

基　　金：江西省科技厅应用研究培育计划项目(20181BBG78029);江西省科技厅重点研发项目一般项目(20203BBGL73153)。

摘　　要：目的探讨老年膀胱全切术后造口患者心理状况与生存质量的相关性。方法回顾性分析该院2018年1月至2019年6月收治的60例行膀胱全切术老年膀胱癌患者临床资料,根据是否发生造口分为造口组(24例)和无造口组(36例),并选取同期30例健康人作为对照组。比较各组心理状况与生存质量评分,分析老年膀胱全切术后造口患者心理状况与生存质量的相关性。结果造口组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱、总分较无造口组、对照组高,精力-活力较无造口组、对照组低,差异有统计学意义(P<0.05);造口组世界卫生组织生存质量测定量表(WHOQOL-100)各个领域评分较无造口组、对照组更低,差异有统计学意义(P<0.05)。紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱与WHOQOL-100各个领域评分均存在负相关性(P<0.05),精力-活力与WHOQOL-100各个领域评分均存在正相关性(P<0.05)。结论评估心理状况可有效预测行膀胱全切术老年膀胱癌患者的生存质量,从而指导改善预后。Objective To explore the correlation between the psychological status and survival quality in the patients with stoma after total bladder cystectomy.Methods The clinical data of 60 elderly bladder cancer patients with total bladder cystectomy in the hospital from January 2018 to June 2019 were retrospectively analyzed.According to whether existing stoma,the cases were divided into the stoma group(n=24)and non-stoma group(n=36).Contemporaneous 30 healthy volunteers were selected as the control group.The psychological status and survival quality score were compared among the three groups.The correlation between the psychological status and survival quality in the patients with stoma after total bladder hysterectomy was analyzed.Results The scores of tension-anxiety,depression-dejection,angry-hostile,weary-bluntness,confusion-disorder,and the total POMS score in the stoma group were higher than those in the non-stoma group and control group,while the score of energy-vitality was lower than that in the non-stoma group and control group and the differences were statistically significant(P<0.05).The World Health Organization Quality of Life-100(WHOQOL-100)scores in all dimensions were shown to be lower than those in the non-stoma group and the control group,and the differences were statistically significant(P<0.05).The scores of tension-anxiety,depression-dejection,angry-hostile,weary-bluntness and confusion-disorder had the negative correlation with the score of each domain in WHOQOL-100(P<0.05),and the score of energy-vitality was positively correlated with the score of each dimension in WHOQOL-100(P<0.05).Conclusion Evaluating the psychological status can effectively predict the survival quality in the elderly patients with bladder cancer undergoing total bladder cystectotmy,thus guide to improve the prognosis.

关 键 词：膀胱癌 膀胱全切除术 造口 老年 心理状况 生存质量 

分 类 号：R473.73[医药卫生—护理学]