中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性调查
作者:
作者单位:

作者简介:

女,硕士,主管护师

通讯作者:

基金项目:


Compliance with a scheduled cystoscopic surveillance among patients with moderate-to-high risk non-muscle-invasive bladder cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 了解中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性,并分析其影响因素。方法 便利抽取在门诊复查并预约行膀 胱镜检查患者247例,采用一般资料调查表及疾病进展恐惧简化量表调查,通过询问患者及查阅病案方式追溯患者膀胱镜复诊情 况。结果 患者膀胱镜复诊次数为2~14次,中位数为6次,23.5%(58例)患者膀胱镜复诊依从性差。患者疾病复发恐惧总得分 为(28.57±5.28)分,有51例(20.6%)出现疾病复发恐惧心理功能失调;疾病复发恐惧心理功能失调、膀胱镜检疼痛评分、病程是 影响膀胱癌患者膀胱镜复诊依从性的危险因素,已婚、经济上能承受支出是影响膀胱镜复诊依从性的保护性因素(P<0.05,P< 0.01)。结论 中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性偏低,医务人员需重视患者膀胱镜复诊依从性的影响因素,特别 是易出现疾病复发恐惧心理失调的高危人群,需采取干预措施以减轻患者疾病复发恐惧,提高患者膀胱镜复诊依从性。

    Abstract:

    Objective To investigate the compliance with a scheduled cystoscopic surveillance among patients with moderate-to-high risk non-muscle-invasive bladder cancer(NMIBC), and to analyze its influencing factors. Methods A total of 247 patients attending outpatient clinic and had booked cystoscopic surveillance were selected using convenient sampling, then they were investigated using the general information questionnaire and the short form of Fear of Progression Questionnaire (FOP-Q-SF), and the patients were asked and their medical records were checked to trace their compliance with cystoscopic surveillance. Results The median times of cystoscopic surveillance was 6 (2-14 times), and 23.5% (n=58) patients′ compliance with the scheduled cystoscopic surveillance was bad. The total score of FoP-Q-SF was (28.57±5.28) points, and 51 (20.6%) patients suffered from mental dysfunction of fear of cancer recurrence. Mental dysfunction of fear of cancer recurrence, assessed pain score of cystoscopic surveillance, length of disease history were risk factors of compliance with scheduled cystoscopic surveillance among bladder cancer patients, while married, bear and fully affordable economic expenditure were its protective factors (P<0.05, P<0.01). Conclusion The compliance with scheduled cystoscopic surveillance among patients with moderate-to-high risk NMIBC is low, medical staff should pay attention to its influencing factors, especially those who were prone to suffer from mental dysfunction of fear of cancer recurrence, it is necessary to take measures to reduce patients′ fear of cancer recurrence, and increase their compliance with scheduled cystoscopic surveillance.

    参考文献
    相似文献
    引证文献
引用本文

郑丹萍,梁艳彩,翟文佳,崔健,郭娜.中高危非肌层浸润性膀胱癌患者膀胱镜复诊依从性调查[J].护理学杂志,2020,35(2):38-41

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2019-08-19
  • 最后修改日期:2019-10-03
  • 录用日期:
  • 在线发布日期: 2022-08-29