| Objective:To analyze the health-related quality of lif(eQOL)and principal influencing factors of orthotopic neobladder after cystectomy for bladder carcinoma according to the questionnaire of SF-36 table and quality of life correlation factor.This investigation aims was provided science bases of the selection about the clinician and nurses therapeutics and nursing programs,and the improving the patients′QOL.Methods:82 people,urinary bladder were ablated after they were diagnosed as bladder carcinoma by pathological diagnosis in the second hospital of Kunming Medical College between January 2004 and December 2005,who met the conditions of internalization and elimination were studied. They were divided into two groups according to urinary diversion,one is urinary diversion patients including 54 cases,the other is non- urinary diversion patients including 28 cases. The quality of life was investigated face to face after six months,one year and two years of operation according to the questionnaire of SF-36 table and quality of life correlation factor. Dates were analyzed by SPSS 16.0,t-test was used to analyzed dates emerging on normal distribution,Wilcoxon-test was used to analyze dates emerging on non-normal distribution. The correlations between HRQOL scores and its influencing factors were analyzed by Backward(p<0.05).Results:1.The HRQOL evaluation about the patients ablated the whole urinary bladder displayed that amplitude of the interior concordance Cronbach a coefficient among each dimensions was 0.66-0.92.The test-retestreliability,0.82-0.93,was good in correlation among each dimensions,the split-half reliability reached to 0.94.In Survey of Content Validity,36 items were founded to be related to their dimensions respectively,but not to others,the achievement ratio of aggregation test and discrimination test was 100%.In the evaluation about construct validity,the correlation between each dimensions and two main constituents was consistent with theoretical model,and the summary variance contribution ratio of two main constituents reached to 64.7.2. The mean age and clinical classification ratio have no significant differences between urinary diversion and non-urinary diversion,and the object studied was comparability.3. The scores about society action and mental health was more high in urinary diversion patients six months to two years after operation,majority urinary diversion patients thought they were healthy one year after operation,and the pant-healthy scores was more high than the non-urinary diversion patients. The recovery of physiological health did not fall behind the urinary diversion patients.4. 13 factors can affect each dimensions scores of HRQOL in urinary diversion patients.7 important factors can affect multiple dimensions,there were controlling urination , recalling hospitalization experiences , indisposition after discharge ,understanding degree of morbidity,follow-up times,ages and educational backgrounds. Of the total,controlling urination,recalling hospitalization experiences and indisposition after discharge were maximum. The cause of morbility,histological grading and educational backgrounds could not affect the scores of each dimensions .Conclusion:1. SF-36 table,which was used to evaluate the HRQOL of Radical Cystectomy patientas,had good reliability and validity,so it was credible and valid to HRQOL of this crowds.2. The quality of life in urinary diversion patients after operation were better than others.3. 7 important factors can affect HRQOL,there were controlling urination,recalling hospitalization experiences , indisposition after discharge , understanding degree of morbidity,follow-up times,ages and educational backgrounds. controlling urination,recalling hospitalization experiences and indisposition after discharge were maximum.4. Studying about evaluation of living quality and its related influencing factors can provide important scientific evidence for effectual nursing to urinary diversion patients.
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