机器人外科学杂志（中英文）2024，Vol.5Issue(3)：399-405,7.DOI:10.12180/j.issn.2096-7721.2024.03.015
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
摘要
Abstract
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Key words
Bladder Cancer/Laparoscopic Radical Cystectomy/Robot-assisted Surgery/Stigma/Nursing Strategy分类
医药卫生引用本文复制引用
李静,夏赟,张明霞..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[J].机器人外科学杂志（中英文）,2024,5(3):399-405,7.基金项目
湖北省武汉市卫健委青年项目(WZ20F08) Youth Project of Wuhan Municipal Health Commission in Hubei Province(WZ20F08) （WZ20F08）
