宫颈癌术后带导尿管出院患者自我管理能力的影响因素研究

  目的  调查并分析宫颈癌术后携带导尿管出院患者的自我管理能力及其影响因素，为探索有效提高宫颈癌术后带尿管出院患者自我管理行为的方法提供参考依据。  方法  应用便利抽样随机选取2020年2—5月在中国科学院大学附属肿瘤医院行宫颈癌根治术，出院时经测量膀胱残余尿量>100 mL后需携带导尿管出院的135例患者作为研究对象，采用一般情况调查表、宫颈癌根治术后带导尿管出院患者自我管理能力量表进行问卷调查。  结果  宫颈癌术后带导尿管出院患者自我管理能力总分为(136.51±19.75)分，其中53.33%(72/135)处于中上水平。宫颈癌术后带尿管出院患者自我管理能力的单因素分析结果显示:年龄、文化程度、家庭年收入、医保类型、居住环境、主要家庭照顾者均为影响因素(F=6.388、7.130、4.926、8.571、10.968、4.261，均P < 0.05)。多元线性回归分析结果显示:宫颈癌术后带尿管出院患者自我管理能力的相关因素为家庭年收入、居住环境(t=3.239、2.082，均P < 0.05)。  结论  年龄、文化程度、家庭年收入、医保类型、居住环境、主要家庭照顾者是宫颈癌术后带导尿管出院患者自我管理能力的影响因素，对相关因素进行管理干预，可为临床护理提供科学指导，提高患者生活质量。 

Studies on the influencing factors of self-management of discharged patients with urinary catheters after cervical cancer surgery

  Objective  To investigate and analyse the influencing factors of self-management of discharged patients with indwelling urinary catheters after cervical cancer surgery, and provide certain references for improving self-management behaviours.  Methods  Using convenience sampling method, cervical cancer patients who underwent radical hysterectomies from February 2020 to May 2020 and inserted with urinary catheters after discharge were randomly selected as research objects. The general information questionnaire and self-management ability scale were also used to obtain data.  Results  The total score of self-management ability was (136.51±19.75), 53.33% of which were above-average level (72/135). Univariate analyses showed that age, education level, annual family income, medical insurance type, residential environment and main family caregiver were influencing factors of self-management abilities of discharged patients with urinary catheters after surgery (F=6.388, 7.130, 4.926, 8.571, 10.968, 4.261, all P < 0.05). Multiple linear regression analyses showed that annual family income and residential environment were related influencing factors of self-management ability (F=-3.239, -2.041, all P < 0.05).  Conclusion  Age, occupation, annual family income and residential environment are the influencing factors of self-management abilities of discharged patients with urinary catheters after cervical cancer surgeries. The management intervention of relevant factors can provide scientific guidance for clinical nursing and improve the quality of life of patients.