Huang Li, Peng Shuang
Clinical Nursing Teaching and Research Section, The Second XiangYa Hospital of Central South University, Changsha, China.
Front Surg. 2022 May 25;9:860162. doi: 10.3389/fsurg.2022.860162. eCollection 2022.
Bladder cancer is a common malignancy of the urinary system, which occurs mostly in elderly men, and the incidence is increasing year by year. To analyze the status quo and related factors of discharge readiness of patients with bilateral ureteral stoma after radical cystectomy, a retrospective, noncomparative was performed. 544 patients with bilateral ureteral stoma after radical cystectomy in our hospital from December 2018 to December 2020 were selected. The self-designed questionnaire, discharge readiness scale (RHDS) and discharge guidance quality scale (QDTS) were used to investigate the general data, and multiple linear regression was used to analyze the related influencing factors. The total score of RHDS was (72.57 ± 18.56) and the total score of QDTS was (105.63 ± 24.18); the total score of RHDS was positively correlated with the total score of QDTS ( = 0.882, = 0.000); the results of multiple linear regression showed that age, discharge direction and care mode were the main factors influencing the discharge readiness of patients ( < 0.05). In conclusions, the discharge readiness of patients with bilateral ureteral stoma after radical cystectomy is in the medium level, and there is a large space for improvement. Nurses should strengthen the guidance and nursing of patients' discharge preparation to reduce the incidence of postoperative complications and readmission rate.
膀胱癌是泌尿系统常见的恶性肿瘤，多发生于老年男性，且发病率逐年上升。为分析根治性膀胱切除术后双侧输尿管造口患者的出院准备情况及相关因素，进行了一项回顾性、非对照研究。选取了2018年12月至2020年12月在我院行根治性膀胱切除术后双侧输尿管造口的544例患者。采用自行设计的问卷、出院准备度量表（RHDS）和出院指导质量量表（QDTS）调查一般资料，并采用多元线性回归分析相关影响因素。RHDS总分（72.57±18.56），QDTS总分（105.63±24.18）；RHDS总分与QDTS总分呈正相关（=0.882，=0.000）；多元线性回归结果显示，年龄、出院去向和护理方式是影响患者出院准备情况的主要因素（<0.05）。结论：根治性膀胱切除术后双侧输尿管造口患者的出院准备情况处于中等水平，有较大的改善空间。护士应加强对患者出院准备的指导和护理，以降低术后并发症的发生率和再入院率。
