回肠代输尿管术后患者生活质量影响因素的质性研究

doi:10.3761/j.issn.0254-1769.2025.14.012

摘要/Abstract

摘要：

目的探讨回肠代输尿管术后患者健康相关生活质量的影响因素，为制订有效的管理方案提供依据。方法基于健康相关生活质量概念模型，通过描述性质性研究方法，采用目的抽样法，选取在北京市某三级甲等医院泌尿外科行回肠代输尿管手术的16例患者进行半结构式访谈，使用定向内容分析法进行资料分析。结果共提炼出6个主题及10个亚主题：症状因素（管路相关症状困扰、胃肠道症状困扰），个体特征因素（负性情绪明显、健康行为养成），环境因素（亲友、同事支持，基层医疗服务缺乏），功能状态因素（身体功能康复、社会功能恢复），生理功能因素（肾功能异常风险、原发病复发风险），一般健康感知因素。结论回肠代输尿管术后患者健康相关生活质量受留置管路相关症状和负性情绪、健康行为、社会支持、功能状态等多方面的影响。医护人员应及时针对上述因素进行有效评估和干预，提高患者的生活质量。

关键词: 回肠代输尿管术, 生活质量, 影响因素, 质性研究, 护理

Abstract:

Objective To explore the influencing factors of health-related quality of life in patients after ileal ureteral replacement，and to provide a reference for formulating effective management plans. Methods Based on the conceptual model of health-related quality of life，16 patients who underwent ileal ureteral replacement in the Department of Urology of a tertiary A hospital in Beijing were selected for semi-structured interviews using descriptive research methods and purposive sampling method. The data were analyzed using directed content analysis. Results There are 6 themes and 10 sub-themes：symptom factors（distress of tube-related symptoms，distress of gastrointestinal symptoms）；individual characteristics factors（obvious negative emotions，health behavior development）；environmental factors（support from relatives and colleagues，lack of primary medical services）；functional status factors（physical function rehabilitation，social function recovery）；physiological function factors（test abnormal test index，risk of primary disease recurrence）；general health perception factors. Conclusion The health-related quality of life of patients undergoing ileal ureteral replacement surgery was affected by symptoms，negative emotions，health behaviors，social support，functional status et al. In view of the above factors，medical staff should carry out effective evaluation and intervention in time，so as to improve the quality of life of patients.

Key words: Ileal Ureteral Replacement, Quality of Life, Influencing Factor, Qualitative Study, Nursing Care

王燕, 贯华, 李志华, 李学松, 庞冬. 回肠代输尿管术后患者生活质量影响因素的质性研究[J]. 中华护理杂志, 2025, 60(14): 1736-1741.

WANG Yan, GUAN Hua, LI Zhihua, LI Xuesong, PANG Dong. Influencing factors of health-related quality of life in patients after ileal ureteral replacement：a qualitative study[J]. Chinese Journal of Nursing, 2025, 60(14): 1736-1741.

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