Educational intervention to prevent postoperative complications and improve functional outcomes in patients with transurethral resection of the prostate
DOI:
https://doi.org/10.17533/udea.iee.v43n2e05Keywords:
nurses, transurethral resection of prostate, non-randomized controlled trials as topic, control groupsAbstract
Objective. To assess the effectiveness of an educational intervention in reducing post-operative complications and improve functional outcome patients undergoing Transurethral Resection of the Prostate -TURP-.
Methods. A quasi-experimental nursing-led study (post-test only control design) was conducted among 60 TURP patients (intervention group n=30 and control group n=30). Face-to-face education on self-management strategies lasting 20-25 minutes, educational booklet and weekly telephone follow-up was administered to the intervention group; while control group received routine care. Data collection tool administered at 4th and 8th week post TURP included a post-operative checklist, IPSS (International Prostate Symptom Score), and IIEF (international index of erectile function).
Results. Urinary incontinence rates were considerably reduced in the experimental group at 4 weeks (p<0.001). Despite an 8-week reduction in differences, both groups Indicated effective care and no cases of trans-urethral resection syndrome or urinary tract infection. In the experimental group, IPSS scores were lower (9.9±4.6) than in the control group (15.6±5.8) indicating improved symptoms (p<0.001). Additionally, IIEF scores were higher in the experimental Group (3.5±1.2) than in the control group (2.6±1.2), suggesting improved erectile function with nurse-led intervention (p<0.004).
Conclusion. The nurse-led educational intervention effectively improves functional outcomes and reduce post-operative complications in Benign prostatic hyperplasia patients following TURP. Integrating such interventions by healthcare professionals can further accelerate recovery and minimize complications.
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1. Khalil AS, Sayed SY, Ahmed WR, Gadelkareem RA. Effect of pre-operative nursing instructions on patient’s knowledge and potential post-operative complications after transurethral resection of the prostate. Assiut Scientific Nursing Journal. 2021; 9(25):136-45.
2. Choudhary D, Kalal N, Kumar A, Choudhary GR, Sharma P. Effect of nurse-directed education program on improvement in severity of symptoms and quality of life among patients with benign prostate hypertrophy: a quasi-experimental study. Urologic Nursing. 2024; 43(6):261-71.
3. Bayat R, Shahsavari H, Faghihzadeh S, Amaniyan S, Vaismoradi M. Effect of the nurse-led sexual health discharge program on the sexual function of older patients undergoing transurethral resection of prostate: a randomized controlled trial. Geriatrics. 2023; 5(1):13.
4. Bagla S, Smirniotopoulos J, Orlando J, Piechowiak R. Cost analysis of prostate artery embolization (PAE) and transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia. Cardio Vascular and Interventional Radiology. 2024; 40(11):1694–7.
5. Choi EPH, Chin WY, Lam CLK, Wan EYF, Chan AKC, Chan KHY. Evaluation of the effectiveness of nurse-led continence care treatments for Chinese primary care patients with lower urinary tract symptoms. PLOS ONE. 2023; 10(6):e0129875.
6. Mazur AW, Thompson IM. Efficacy and morbidity of “channel” TURP. Urology. 2024; 38(6):526–8.
7. Subrata SA. Health‐related quality of life in patients undergoing TURP: translating evidence into urological nursing practice. International Journal of Urological Nursing. 2023; 14(1):36–46.
8. Alexander CE, Scullion MM, Omar MI, Yuan Y, Mamoulakis C, N’Dow JM, et al. Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction. Cochrane Urology Group. 2023. Available from: https://doi.wiley.com/10.1002/14651858.CD009629.pub4
9. Lynch M, Sriprasad S, Subramonian K, Thompson P. Postoperative haemorrhage following transurethral resection of the prostate (TURP) and photoselective vaporisation of the prostate (PVP). The Annals of the Royal College of Surgeons of England. 2023; 92(7):555–8.
10. Tong Y, Xie K, Li S. Self-care and quality of life in elderly Chinese patients with benign prostatic hyperplasia. Nursing Science Quarterly. 2020; 33(1):79–84.
11. Abt D, Müllhaupt G, Hechelhammer L, Markart S, Güsewell S, Schmid HP, et al. Prostatic artery embolisation versus transurethral resection of the prostate for benign prostatic hyperplasia: 2-year outcomes of a randomised, open-label, single-centre trial. European Urology. 2021; 80(1):34–42.
12. Tuhkanen K, Heino A, Aaltoma S, Ala-Opas M. Sexual function of LUTS patients before and after neodymium laser prostatectomy and transurethral resection of prostate. Urologia Internationalis. 2004; 73(2):137–42.
13. Quek KF, Low WY, Razack AH, Loh CS. Reliability and validity of the International Prostate Symptom Score in a Malaysian population. British Journal of Urology. 2001; 88(1):21–5.
14. van Kollenburg RAA, de Bruin DM, Wijkstra H. Validation of the electronic version of the International Index of Erectile Function (IIEF-5 and IIEF-15): a crossover study. Journal of Medical Internet Research. 2019; 21(7):e13490.
15. Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP)—incidence, management, and prevention. European Urology. 2006; 50(5):969–80.
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