CAJ | 학술논문

[目的]调查回肠代膀胱尿流改道病人的生活质量现状，并分析病人生活质量的影响因素。[方法]运用一般资料调查表和WHO 生活质量简表(WHOQOL BREF)对188例回肠代膀胱尿流改道的膀胱癌病人进行调查，并分析病人的一般资料对其生活质量的影响。[结果]本次调查中病人生活质量除了社会关系维度中性生活满意度较低外，其余各维度及总体评价均较好；病人生活质量的主要影响因素为性别、家庭经济收入、术后时间、造口并发症等。[结论]应关注男性、家庭经济状况差、术后时间短的病人，鼓励病人积极预防和治疗尿路造口相关并发症，有针对性地为病人提供医疗护理服务，从而提高其生活质量。
[목적]조사회장대방광뇨류개도병인적생활질량현상，병분석병인생활질량적영향인소。[방법]운용일반자료조사표화WHO 생활질량간표(WHOQOL BREF)대188례회장대방광뇨류개도적방광암병인진행조사，병분석병인적일반자료대기생활질량적영향。[결과]본차조사중병인생활질량제료사회관계유도중성생활만의도교저외，기여각유도급총체평개균교호；병인생활질량적주요영향인소위성별、가정경제수입、술후시간、조구병발증등。[결론]응관주남성、가정경제상황차、술후시간단적병인，고려병인적겁예방화치료뇨로조구상관병발증，유침대성지위병인제공의료호리복무，종이제고기생활질량。
Objective:To investigate the status quo of quality of life of ileal neobladder urinary diversion patients and analyze the influence of patients'general informations on quality of life.Methods:A total of 188 cases of bladder cancer patients with ileal neobladder urinary diversion were investigated on their quality of life and its influencing factors by using patient’s general information questionnaire and WHOQOL BREF.Results:In this survey,in addition to the sexual satisfaction in social relationship dimension was low,the rest dimensions satis-faction and the overall evaluation were good.Conclusion:We should concern about the elderly,male patients with poor family economic status and a short time after surgery,and encourage patients to actively participate in whatever work,actively prevent and treat urinary stoma related complications,so as to provide medical care for patients targetedly,thereby to promote patients’health and improve their quality of life.