Disease Communication Experience Between Couples in Bladder Patients Undergoing Cutaneous Ureterostomy:A Qualitative Study
ZHANG Mengran
WANG Lixiao
LI Mengming
LIU Yangyang
Abstract：Objective To explore the real feelings and psychological experiences of disease communication between bladder patients undergoing cutaneous ureterostomy and their spouses,in order to further promote effective communication between husband and wife,enhance the ability to cope with disease.Methods Purposive sampling method was used to select bladder patients undergoing cutaneous ureterostomy from May to November 2021 in the First Affiliated Hospital of Zhengzhou University for semi-structured interviews.Data was analyzed by Colaizzi 7-step analysis method.Results Four themes and ten sub themes were extracted from the disease communication experience of patients with bladder cancer ureteral dermatostomy:avoid sensitive topics during communication between husband and wife(including avoidance of personal emotions and inner feelings,avoidance of life and death or time limits),avoidant communication has a negative impact on patients(including negative emotions that cannot be effectively expressed,a sense of alienation,the decline of self-confidence,the decline of the ability to cope with the disease),posttraumatic growth and positive communication experience(including the increased of communication initiative,the increased of the sense of tacit understanding,the improved of intimate relationships),expectation of professional guidance(including disease knowledge guidance,communication skills training).Multi-dimensional display of patient and couple disease communication experience.Conclusion Spouses have communication difficulties and guidance needs at different stages in the process of disease communication.Medical staff should help patients and their spouses cope with pressure in environmental events of bladder cancer through disease professional knowledge guidance and psychological intervention.
Keywords：bladder cancercutaneous ureterostomydisease communicationqualitative research
Publication Date：2025-01-14
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：6( 29-34 )