机器人辅助腹腔镜膀胱癌根治术患者病耻感危险因素分析及护理对策  

Risk factors and nursing strategies for self-stigma in patients underwent robot-assisted laparoscopic radical cystectomy

作　　者：李静 夏赟[2] 张明霞 LI Jing;XIA Yun;ZHANG Mingxia(Department of Pharmacy,Wuhan NO.1 Hospital,Wuhan 430000,China;Operating Room,Wuhan NO.1 Hospital,Wuhan 430000,China)

机构地区：[1]武汉市第一医院药学部,湖北武汉430000 [2]武汉市第一医院手术室,湖北武汉430000

出　　处：《机器人外科学杂志（中英文）》2024年第3期399-405,共7页Chinese Journal of Robotic Surgery

基　　金：湖北省武汉市卫健委青年项目(WZ20F08)。

摘　　要：目的:探讨机器人辅助腹腔镜膀胱癌根治术患者术后早期病耻感及危险因素与护理对策。方法:选取2022年5月—2023年11月武汉市第一医院收治的33例膀胱癌患者。采用问卷法调查行机器人辅助腹腔镜膀胱癌根治术患者的早期病耻感与负性情绪水平。以Pearson相关性分析病耻感与负性情绪的关系,采用线性回归分析病耻感的影响因素。结果:本研究共发放问卷33份,回收有效问卷31份,有效率为93.94%。31例患者术后早期病耻感社会影响量表(SIS)总分为31~94分,平均(63.29±17.97)分;焦虑评分42~67分,平均(53.68±6.36)分;抑郁评分39~71分,平均(56.81±7.17)分。焦虑、抑郁与病耻感SIS总分及各维度评分呈显著正相关(P<0.05)。线性回归分析显示,年龄、受教育程度、居住地、造口接受程度、造口自理程度以及焦虑、抑郁为患者术后病耻感的影响因素(P<0.05)。结论:机器人辅助腹腔镜膀胱癌根治术患者术后早期病耻感与年龄、受教育程度、居住地、造口接受程度、造口自理程度以及焦虑、抑郁密切相关。Objective:To investigate the risk factors and nursing strategies for early self-stigma in patients after robot-assisted laparoscopic radical cystectomy.Methods:33 patients with bladder cancer who were admitted to Wuhan NO.1 Hospital from May 2022 to November 2023 were selected.A questionnaire was used to investigate the early self-stigma and negative emotion of patients underwent robot-assisted laparoscopic radical cystectomy.Pearson correlation analysis was used to analyze the relationship between self-stigma and negative emotions,and linear regression analysis was used to analyze the influencing factors of self-stigma.Results:A total of 33 questionnaires were sent out and 31 valid questionnaires were collected,with an effective rate of 93.94%.The total scores of Social Impact Scale(SIS)for self-stigma in the early postoperative period of 31 patients ranged from 31 to 94,with an average of(63.29±17.97)scores.Anxiety scores ranged from 42 to 67,with an average of(53.68±6.36)scores.Depression scores ranged from 39 to 71,with an average of(56.81±7.17)scores.There was a significant positive correlation between anxiety,depression and self-stigma(P<0.05).Linear regression analysis showed that age,education,residence,stoma acceptance,stoma self-care,anxiety and depression were the influencing factors of postoperative self-stigma(P<0.05).Conclusion:The early postoperative self-stigma of patients underwent robot-assisted laparoscopic radical cystectomy is closely related to age,education,residence,stoma acceptance,stoma self-care,anxiety and depression.

关 键 词：膀胱癌 腹腔镜膀胱癌根治术 机器人辅助手术 病耻感 护理对策 

分 类 号：R473.73[医药卫生—护理学]