Supportive care needs and influencing factors of 631 patients after total cystectomy

Abstract

Objective To investigate the current status of supportive care needs in patients after total cystectomy and analyze its influencing factors. Methods A total of 631 patients undergoing total cystectomy in 5 tertiary Class-A hospitals in Chongqing from January 2020 to September 2021 were enrolled in this study. In 1 month after surgery, the patients were investigated by general data questionnaire and supportive care needs survey. Multiple linear regression analysis was used to analyze the influencing factors. Results The total score of supportive care needs for post-cystectomy patients was 107.71±7.77 and the mean score of the items was 4.14±0.30. Multiple linear regression analysis showed the post-cystectomy patients with higher monthly household income per capita (≥1 000 Yuan), spouse/children as primary caregivers, receiving bladder-sparing triple therapy (trimodal therapy, TMT), occupation as farmers, married/cohabitation, having rural cooperative medical insurance and undergoing surgical method with in situ neobladder had lower supportive care needs (P < 0.05). Conclusion The demand for specific supportive care of post-cystectomy patients is quite high. Monthly household income per capita, primary caregivers, receiving TMT or not, and surgical method with in situ neobladder are main factors influencing the demand for supportive care need in post-cystectomy patients.

Keywords

• total cystectomy
• supportive care needs
• influencing factors