Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial

Rev Esc Enferm USP. 2019 Jan 31:53:e03421. doi: 10.1590/S1980-220X2018012503421.
[Article in English, Portuguese]

Abstract

Objective: To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory.

Method: A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5.

Results: There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001).

Conclusion: The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Anxiety / epidemiology
  • Depression / epidemiology
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Patient Discharge
  • Patient Education as Topic / methods*
  • Patient Satisfaction
  • Prostatectomy / psychology*
  • Self Care / methods*
  • Self Care / psychology
  • Self Efficacy*
  • Single-Blind Method
  • Surveys and Questionnaires