目的：探讨机器人辅助腹腔镜膀胱癌根治术患者术后早期病耻感及危险因素与护理对策。方法：选取 2022 年 5 月—2023 年 11 月武汉市第一医院收治的 33 例膀胱癌患者。采用问卷法调查行机器人辅助腹腔镜膀胱癌 根治术患者的早期病耻感与负性情绪水平。以 Pearson 相关性分析病耻感与负性情绪的关系，采用线性回归分析病 耻感的影响因素。结果：本研究共发放问卷 33 份，回收有效问卷 31 份，有效率为 93.94%。31 例患者术后早期病 耻感社会影响量表（SIS）总分为 31~94 分，平均（63.29±17.97）分；焦虑评分 42~67 分，平均（53.68±6.36）分； 抑郁评分 39~71 分，平均（56.81±7.17）分。焦虑、抑郁与病耻感 SIS 总分及各维度评分呈显著正相关（P<0.05）。 线性回归分析显示，年龄、受教育程度、居住地、造口接受程度、造口自理程度以及焦虑、抑郁为患者术后病耻感 的影响因素（P<0.05）。结论：机器人辅助腹腔镜膀胱癌根治术患者术后早期病耻感与年龄、受教育程度、居住地、 造口接受程度、造口自理程度以及焦虑、抑郁密切相关。

Objective: To investigate the risk factors and nursing strategies for early self-stigma in patients after robotassisted laparoscopic radical cystectomy. Methods: 33 patients with bladder cancer admitted to Wuhan NO.1 Hospital from May 2022 to November 2023 were selected. A questionnaire was used to investigate the early self-stigma and negative emotion of patients underwent robot-assisted laparoscopic radical cystectomy. Pearson correlation was used to analyze the relationship between self-stigma and negative emotion, and linear regression was used to analyze the influencing factors of self-stigma. Results: A total of 33 questionnaires were sent out and 31 valid questionnaires were collected, with an effective rate of 93.94%. The total scores of Social Impact Scale (SIS) for self-stigma in the early postoperative period of 31 patients ranged from 31 to 94, with an average of (63.29±17.97) scores. Anxiety scores ranged from 42 to 67, with an average of (53.68±6.36) scores.Depression scores ranged from 39 to 71, with an average of (56.81±7.17) scores. There was a significant positive correlation between anxiety, depression and self-stigma (P<0.05). Linear regression analysis showed that age, education, residence, stoma acceptance, stoma self-care, anxiety and depression were the influencing factors of postoperative self-stigma (P<0.05). Conclusion: The early postoperative self-stigma of patients undergoing robot-assisted laparoscopic radical cystectomy is closely related to age, education, residence, stoma acceptance, stoma self-care, anxiety and depression.

收稿日期：2023-12-27  录用日期：2024-02-05 

Received Date: 2023-12-27  Accepted Date: 2024-02-05 

基金项目：湖北省武汉市卫健委青年项目（WZ20F08） 

Foundation Item: Youth Project of Wuhan Municipal Health Commission in Hubei Province (WZ20F08) 

通讯作者：张明霞，Email：3339309152@qq.com 

Corresponding Author: ZHANG Mingxia, Email: 3339309152@qq.com 

引用格式：李静，夏赟，张明霞 . 机器人辅助腹腔镜膀胱癌根治术患者病耻感危险因素分析及护理对策 [J]. 机器人外科学杂志（中 英文），2024，5（3）：399-405. 

Citation: LI J, XIA Y, ZHANG M X, et al. Risk factors and nursing strategies for self-stigma in patients undergoing robot-assisted laparoscopic radical cystectomy [J]. Chinese Journal of Robotic Surgery, 2024, 5(3): 399-405.

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