| 张翠红,许方蕾,益伟清,单娟,彭蕾,齐小文.老年直肠癌患者术后发生尿失禁现状调查及影响因素研究[J].上海护理,2020,20(1): |
| 老年直肠癌患者术后发生尿失禁现状调查及影响因素研究 |
| Investigation on the status of postoperative urinary incontinence in elderly patients with rectal cancer and influencing factors |
| DOI： |
| 中文关键词: 老年直肠癌 尿失禁 影响因素 |
| 英文关键词:elderly rectal cancer urinary incontinence influencing factors |
| 基金项目:]上海市科委课题(16411951800) |
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| 中文摘要: |
| 目的 了解住院老年直肠癌患者术后尿失禁发生现状及影响因素,为制定老年直肠癌患者术后护理方案提供科学依据。方法 采用国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)对2017年5月-2018年5月一所二级甲等医院,一所三级甲等医院170例老年围手术期直肠癌患者进行问卷调查,了解老年直肠癌患者术后尿失禁发生情况；分析患者年龄、性别、文化程度、医疗付费方式、疾病史、体重指数、手术方式、手术时间、术后镇痛泵使用时间、留置导尿时间及围术期尿路感染发生与术后尿失禁的关系。结果 老年直肠癌术后发生尿失禁有38例(23.9%),单因素分析显示患者年龄、糖尿病史、腹部盆腔手术史、体重指数BMI>25kg/m2、手术时间>150min、术后发生尿路感染是老年直肠癌患者术后尿失禁的独立因素,差异有显著性(P <0.05)。Logistic回归分析显示年龄大、围术期发生尿路感染、BMI指数>25kg/m2、腹部盆腔手术史老年直肠癌患者尿失禁发生率高。结论 老年直肠癌患者术后尿失禁发生情况不容忽视,术前要评估患者有无尿失禁史、年龄、腹部盆腔手术史、糖尿病史、体重指数、避免围术期发生尿路感染,缩短手术时间,及早对老年直肠癌手术患者进行护理干预。 |
| 英文摘要: |
| Objective To investigate the current status and influencing factors of postoperative urinary incontinence in elderly patients with rectal cancer, and to provide a scientific basis for the development of postoperative care for elderly patients with rectal cancer. Method It is based on the International Incontinence Advisory Committee Urinary Incontinence Questionnaire (ICI- Q-SF) A questionnaire survey was conducted among 170 elderly patients with perioperative rectal cancer in a Grade A hospital from May 2017 to May 2018 to understand the postoperative urine of elderly patients with rectal cancer. Incontinence; analysis of patient age, gender, education level, medical payment method, disease history, body mass index, surgical procedure, operation time, postoperative analgesia pump use time, indwelling catheterization time, and perioperative urinary tract infection Postoperative urinary incontinence? Results 38 cases (23.9%) of urinary incontinence occurred in elderly patients with rectal cancer. Univariate analysis showed age,diabetes, history of abdominal pelvic surgery, and BMI>25kg/m2,Surgical time>150min, Postoperative urinary tract infection is an independent factor for postoperative urinary incontinence in elderly patients with rectal cancer. The difference is significant (P <0.05). Logistic regression analysis shows that the age、perioperative urinary tract infection、BMI Index >25kg/m2 abdominal pelvic surgery history which the incidence of urinary incontinence in elderly patients with rectal cancer is high.Conclusion The incidence of postoperative urinary incontinence in elderly patients with rectal cancer can not be ignored, the patient should be assessed before surgery for the history of urinary incontinence: Age、 abdominal pelvic surgery history、diabetes history、 body mass index、 avoid perioperative urinary tract infections, shorten the operation time, and early nursing intervention for elderly patients with rectal cancer surgery. |
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