膀胱癌术后造口患者创伤后成长的研究进展  

Research progress on posttraumatic growth in urostomy patients

作　　者：申园园 常红娟[1] Shen Yuanyuan;Chang Hongjuan(School of Nursing,Xinriang Medical College,Xinriang,Henan 453000,China)

机构地区：[1]新乡医学院护理学院,河南新乡453000

出　　处：《泌尿外科杂志（电子版）》2024年第1期65-68,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：手术治疗肌层浸润性膀胱癌(bladder cancer,Bca)标准术式为膀胱切除尿流改道术,但是膀胱切除后腹壁保留的泌尿造口对患者的生理和心理产生极大影响。泌尿造口患者无法再从尿道排尿,而腹壁的造口无法控制尿液,患者需要终身佩戴造口袋收集排泄出的尿液。手术创伤、形象受损、活动受限均会使患者产生负性情绪,经历创伤体验。本文对国内外创伤后成长(posttraumatic growth,PTG)的研究现状作一综述,了解泌尿造口患者PTG的研究进展,主要包括测量工具、影响因素、干预措施等,旨在为临床护理实践提供参考。The standard surgical treatment for muscle-invasive bladder cancer(Bca)is cystectomy and urinary diversion,but the urostomy preserved in the abdominal wall after cystectomy has a great impact on the physiology and psychology of patients.Patients with a urostomy can no longer urinate through the urethra,and a stoma in the abdominal wall does not control urine,and the person needs to wear a pouch for life.Surgical trauma,image damage and limited mobility can all cause patients to experience negative emotions and physical and psychological trauma.It is very important to pay attention to the post-traumatic growth of urostomy patients to improve the quality of life of urostomy patients.In this paper,the current research status of posttraumatic growth(PTG)at home and abroad was reviewed to understand the research progress of PTG in patients with urostomy,including measurement tools,influencing factors,intervention measures,etc.,in order to provide reference for clinical nursing practice.

关 键 词：膀胱癌 膀胱全切除术 尿流改道术 创伤后成长 

分 类 号：R737.14[医药卫生—肿瘤]