Investigation on the status of quality of life in patients with urostomy and its influence factors analysis

Objective To understand the quality of life in patients with urostomy, analyze its influencing factors, and provide the basis for the development of the personalized patient health education scheme.

Methods A total of 196 patients treated with total cystectomy and ureterostomy from January 2018 to April 2023 at a tertiary grade A hospital in Anhui province were selected as the study subjects.The quality of life scale was used to conduct cross-sectional investigation in patients with bladder cancer, and the single factor analysis and multiple linear regression analysis were used to analyze its influencing factors.

Results The total quality of life score of patients treated with urostomy was (59.85±5.16) points.Among them, the physiological status score was (15.07±2.53) points, the social/family status score was (9.02±2.97) points, the emotional status score was (6.48±2.24) points, the functional status score was (9.64±2.46) points, and the specific module score was (19.65±2.14) points.The results of univariate analysis showed that the differences of QOL scores of patients with different age, education level, monthly income, caregiver and stomostomy type were statistically significant(P＜0.01).The results of multivariate linear regression analysis showed that the age, education level and stomostomy type were the influencing factors of the quality of life in patients with urostomy in Anhui area (P＜0.01).

Conclusions The overall quality of life in patients with urostomy is low, and the content and form of health education should be flexible according to the specific conditions of patients in clinical work.