Study on the trajectory and influencing factors of urinary incontinence in patients after orthotopic neobladder surgery
10.3761/j.issn.0254-1769.2025.02.012
- VernacularTitle:原位新膀胱术后患者尿失禁发展轨迹及影响因素研究
- Author:
Jiarong DING
1
;
Hui CHEN
;
Xuerui WANG
;
Xiaoling SUN
;
Yin ZHANG
Author Information
1. 210000 南京市 南京中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Bladder Cancer;
0rthotopic Neobladder Surgeiy;
Urinary Incontinence;
Trajectory;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(2):208-214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the status and trajectory of urinary incontinence in patients with bladder cancer after orthotopic neobladder surgery,and analyze the characteristics of different trajectory categories,to provide references for the intervention and management of urinary incontinence in patients after orthotopic neobladder surgery.Methods A prospective study design was adopted,and the convenience sampling was used to select 142 eligible patients who underwent in orthotopic neobladder surgery in a tertiary hospital from January 2019 to August 2022.Demographic and clinical data of the patients were collected.The continence status of patients was evaluated by the International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)at 1 month after surgery,3 months after surgery,6 months after surgery and 1 year after surgery.Additionally,postoperative physical condition scores,pelvic floor muscle training,and timed urination information were collected.The Group-Based Trajectory Model was used to identify the development trajectory of urinary incontinence,and the logistic regression was conducted to identify influencing factors of urinary incontinence trajectories.Results 142 cases were included.There are 3 distinct daytime and nocturnal incontinence trajectory groups that were respectively identified:the significantly improved group(21.83％,29.58％),the slowly alleviated group(52.82％,48.59％),and the risk fluctuation group(25.35％,21.83％).Multivariate logistic regression analysis indicated that age,preservation of neurovascular bundles,and adherence to timed voiding were factors significantly influencing urinary incontinence trajectory categories(P＜0.05).Conclusion The trajectory of urinary incontinence in patients undergoing orthotopic neobladder surgery showed an overall improvement trend within a year,with group differences.Clinical attention should be paid to the dynamic evaluation of postoperative urinary incontinence in older,unreserved nerves,and those who did not adhere to scheduled urination,and a phased matching postoperative rehabilitation plan should be developed to improve the urinary control level of patients.
