目的 探讨老年膀胱癌尿路造口患者的躯体复原力现状，并分析其影响因素。方法 便利抽样法选取太原市3所三级甲等医院泌尿外科的265例老年膀胱癌尿路造口患者为研究对象，通过一般资料调查表、老年人躯体复原力量表、患者报告结局的经济毒性评分量表、老年人自我忽视评估量表对其进行调查并分析躯体复原力的影响因素。结果 老年膀胱癌尿路造口患者躯体复原力得分为52.00（49.00，56.00）分；多元线性回归分析表明，年龄、文化程度、握力、步速、经济毒性、自我忽视是躯体复原力的影响因素（均P＜0.01），共解释了总变异的40.2%。结论 老年膀胱癌尿路造口患者躯体复原力水平中等偏上，受多因素影响。护理人员应早期识别躯体复原力较低的高危人群，并制订合理的干预策略，以提升其躯体复原力。

Objective To explore the current situation and its influencing factors of physical resilience in elderly patients with urostomy for bladder cancer.Methods Convenience sampling method was used to select 265 elderly patients with urostomy in the department of urology in three tertiary A hospitals in Taiyuan,Shanxi Province.The general information questionnaire,the Physical Resilience Instrument for Older Adults,the Comprehensive Scores for Financial Toxicity Based on the Patient-reported Outcome Measures and the Scale of the Elderly Self-Neglect（Rural）were used for the investigation.Factors influencing physical resilience were analyzed.Results The physical resilience score of elderly patients with urostomy for bladder cancer was 52.00(49.00, 56.00).The multiple linear regression analysis showed that age,literacy,grip strength,pace,financial toxicity,and self-neglect were the main influencing factors (all P＜0.01),explaining a total of 40.2% of the total variance.Conclusions The physical resilience of elderly patients with urostomy for bladder cancer is at a upper-middle level,which is influenced by multiple factors.Nursing staff should identify the high-risk group with low physical resilience at an early stage and formulate reasonable intervention strategies to improve their physical resilience.

R473.73