摘要
目的:分析机器人辅助腹腔镜下根治性前列腺切除术后患者护理需求的影响因素,为制定支持性护理干预策略提供依据。方法:回顾性分析2021年2月—2024年2月于四川大学华西医院接受机器人辅助腹腔镜下根治性前列腺切除术的133例前列腺癌患者的临床资料。术后采用34条目癌症患者支持性照护需求简明问卷(SCNS-SF34)对患者进行护理需求评估,并比较两组患者年龄、BMI、家庭月收入、文化程度、婚姻状况、吸烟史、饮酒史、高血压史、糖尿病史、居住地、社会支持水平、希望水平、宗教信仰、抑郁状态、焦虑状态、病程、疾病分期及Gleason评分等。结果:根据SCNS-SF34评分结果,将其中39例(29.32%)评分>102分的患者纳入高需求组,94例(70.68%)评分≤102分的患者纳入低需求组。单因素分析结果显示,两组患者在年龄、文化程度、希望水平、宗教信仰、Gleason评分方面的差异具有统计学意义(P<0.05)。将术后患者对护理的需求作为因变量,将年龄、文化程度、希望水平、宗教信仰、Gleason评分作为自变量,分别对各个自变量开展相应赋值处理。经共线性诊断,宗教信仰的方差膨胀因子(VIF)值分别是9.048,容忍度为0.111,说明该项具有共线性问题,可考虑将其移出模型后再次分析。多因素分析发现,年龄、文化程度、希望水平、Gleason评分均是RARP术后患者对护理需求的影响因素(P<0.05)。结论:机器人辅助腹腔镜下根治性前列腺切除术后,仍有部分患者存在较高的护理需求,该现象可能与患者年龄、文化程度、希望水平及Gleason评分等因素相关。因此,应制定具有针对性的支持性护理干预策略,系统优化术后护理服务,充分满足患者的个性化需求,从而有效促进康复进程。
Objective:To analyse factors influencing patients’nursing needs following robot-assisted laparoscopic radical prostatectomy(RARP)and provide evidence for developing supportive nursing intervention strategies.Methods:A retrospective analysis was conducted on clinical data of 133 prostate cancer patients who underwent RARP at West China Hospital of Sichuan University from February 2021 to February 2024.Postoperative nursing needs were assessed using the supportive care needs survey-short form 34(SCNS-SF34).Age,BMI,monthly household income,education level,marital status,smoking history,alcohol consumption history,hypertension history,diabetes history,residence,social support level,hope level,religious belief,depression status,anxiety status,disease duration,disease stage,and Gleason score were compared between the two groups of patients.Results:Based on SCNS-SF34 scores,39 patients(29.32%)with scores>102 were assigned to the high-need group,and 94 patients(70.68%)with scores≤102 were assigned to the low-need group.Univariate analysis showed statistically significant differences between the two groups in age,education level,hope level,religious belief,and Gleason score(P<0.05).Postoperative nursing needs were set as the dependent variable,with age,education level,hope level,religious belief,and Gleason score as independent variables.After assigning values to each independent variable,collinearity diagnosis revealed that the variance inflation factor(VIF)for religious belief was 9.048,with a tolerance of 0.111,indicating a collinearity issue.Thus,religious belief was removed from the model for further analysis.Multivariate analysis identified age,education level,hope level,and Gleason score as significant factors influencing nursing needs after RARP(P<0.05).Conclusion:Part of patients still experiences high nursing demands after RARP,which may be associated with age,education level,hope level,and Gleason score.Therefore,targeted supportive nursing intervention strategies should be developed to systematically optimize postoperative care services,fully meet individualized patient needs,and effectively promote recovery.
作者
汪宇
刘爽
范冬萍
奉琴
黄映勤
何其英
徐航
WANG Yu;LIU Shuang;FAN Dongping;FENG Qin;HUANG Yingqin;HE Qiying;XU Hang(Department of Urology/Institute of Urology,West China Hospital of Sichuan University,Chengdu 610041,China;West China School of Nursing,Sichuan University,Chengdu 610041,China)
出处
《机器人外科学杂志(中英文)》
2025年第12期2164-2169,共6页
Chinese Journal of Robotic Surgery
基金
国家自然科学基金(82403963)。
