Functional impairment of Bladder Cancer Patients Post Radical Cystectomy and Urinary Diversion Procedure: A Correlational Study
, Essmat Abdel-Hady Mansour . 2017
Abstract: Bladder cancer is a life threatening disease; it is a condition of long –term duration, not curable and having many residual features that impose limitations on individual’s functional capabilities. Radical cystectomy is the standard treatment for patients with muscle – invasive bladder cancer, it means the total removal of the bladder, there is no doubt that any urinary diversion post radical cystectomy constructed with an impact on patient’s future life and might change the activity of daily functional status. There for This study aimed at study the functional impairment post radical cystectomy operation as an indicator of the prognosis in individual patients. A cross-sectional descriptive correlational design was used for the current study using Karnovesky Performance Index, this tool is employed to assess patient's health status in relation to physical activity performance for 100 bladder cancer patients and post radical cystectomy at one of the eight Cancer Institute affiliated to Ministry of Health, in Egypt.The results of this study revealed a deterioration of the functional status of the patients 3&6 months postoperatively and a statistical significance difference was observed between ages, marital status, having children with the functional status of the patients. Conclusion and recommendations: it is concluded that functional status of the patients post radical cystectomy decreased 3, 6 months post-operative, and patient more than 50 years, married & the patients having children were both need care taker and hospitalization, the recommendation of this study is to use a larger sample size and different settings in a further research to ensure generalization and viability of the results Keywords: bladder cancer, radical cystectomy, urinary diversion, Karnovesky performance index.
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