Specific nursing improves postoperative urine control function and the self-efficacy of patients undergoing radical prostatectomies

Jiangliang Jiang; Liting Du; Xuhua Wang; Shuiying Huang; Wenhao Hu; Libo Zhou; Xiaoxu Liu

Specific nursing improves postoperative urine control function and the self-efficacy of patients undergoing radical prostatectomies

Am J Transl Res. 2022 Mar 15;14(3):1695-1704. eCollection 2022.

Authors

Jiangliang Jiang¹, Liting Du², Xuhua Wang³, Shuiying Huang⁴, Wenhao Hu⁵, Libo Zhou⁶, Xiaoxu Liu⁷

Affiliations

¹ Operating Room, The Affiliated People's Hospital of Ningbo University Ningbo 315040, Zhejiang Province, China.
² Department of Anesthesia and Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou 310000, Zhejiang Province, China.
³ Center for The Hand, Ningbo Sixth Hospital Ningbo 315000, Zhejiang Province, China.
⁴ Department of Surgical Anaesthesia, Xiangya Hospital Central South University Changsha 410008, Hunan Province, China.
⁵ Department of Urology, The Affiliated People's Hospital of Ningbo University Ningbo 315040, Zhejiang Province, China.
⁶ Department of Emergency, Ningbo Yinzhou No. 2 Hospital Ningbo 315199, Zhejiang Province, China.
⁷ Operating Room, Ningbo Yinzhou No. 2 Hospital Ningbo 315199, Zhejiang Province, China.

PMID: 35422910
PMCID: PMC8991116

Abstract

Background: Radical prostatectomy is a treatment for prostate cancer (PC), but most patients suffer urinary incontinence, decreased urinary control function, and poor prognoses after the surgery. Specific nursing intervention is a nursing model based on the patients' individual conditions and disease progression.

Objective: To investigate the effects of specific nursing intervention on the urinary control functions and self-efficacy of radical prostatectomy patients.

Methods: From April 1, 2016 to June 30, 2019, 149 patients who underwent radical prostatectomies in our hospital were retrospectively selected for this observational study and assigned to two groups in accordance with the different nursing intervention method each patient underwent. Seventy-six patients who underwent specific nursing intervention were included in the observation group (OG), and 73 patients who underwent routine nursing intervention were included in the control group (CG). The clinical symptoms, the urodynamic indexes, the recoveries of urinary control function, the incidences of urinary incontinence, and the complications were observed in both groups. The Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores were used to evaluate the unhealthy emotions. The self-efficacy scale (GSES) and SF-36 were used to evaluate the self-efficacy and the quality of life (QOL), respectively.

Results: After the nursing, the improvement in the clinical symptoms in the OG was significantly better than it was in CG. The improvement in the postoperative urodynamic indexes in the OG was significantly better than it was in the CG. The recovery of urinary control function in the OG was significantly higher than it was in the CG. The incidence of urinary incontinence in OG was significantly lower than it was in the CG. The incidence of complications in the OG was significantly lower than it was in the CG. The SAS and SDS scores in the OG were significantly lower than they were in the CG. After the intervention, the patients' GSES and SF-36 scores in the OG were significantly higher than they were in the CG.

Conclusion: Specific nursing intervention can ameliorate the urinary control functions and self-efficacy, reduce unhealthy emotions, and improve the QOL of radical prostatectomy patients.

Keywords: Specific nursing; improvement research; postoperative urinary control function; radical prostatectomy; self-efficacy.