Abstract：
BACKGROUND: Radical prostatectomy (RP) is a treatment method for prostate cancer (PCa). However, patients usually experience urinary incontinence and a reduction in quality of life after surgery. Seeking a nursing programme is necessary to improve the prognosis of patients undergoing RP. This study aims to explore the effect of the cluster nursing through empowerment education on patients with RP.
METHODS: The general data of 203 patients who underwent RP surgery from June 2021 to June 2023 were collected for a retrospective study. After excluding four patients who changed from RP to laparotomy during surgery, four patients with incomplete clinical data and three patients without normal communication ability, the remaining 192 patients were included in the study. The patients were divided into two groups in accordance with different nursing plans. In this study, 98 patients receiving the cluster nursing through empowerment education were set as the observation group (OG), and 94 patients undergoing routine nursing were included in the reference group (RG). The indicators of postoperative recovery, mental health status and life coping ability were compared between the two groups.
RESULTS: The times to first exhaustion, to start eating, of first off-bed activity and of hospitalisation in the OG were shorter than those in the RG (p < 0.001). No significant difference was found in the total incidence of complications between the two groups (p > 0.05). Before management, no significant difference in the scores of Hospital Anxiety and Depression Scale (HADS) and Activity of Daily Living Scale (ADL) was observed between the OG and RG (p > 0.05). After management, the HADS and ADL scores of the two groups all decreased, and the OG showed a greater reduction in scores than the RG (p < 0.001).
CONCLUSIONS: The cluster nursing through empowerment education can shorten the recovery time of patients after RP surgery and improve their living ability. This effect is beneficial to their mental health and can provide additional directions for the formulation of subsequent clinical nursing programmes.
METHODS: The general data of 203 patients who underwent RP surgery from June 2021 to June 2023 were collected for a retrospective study. After excluding four patients who changed from RP to laparotomy during surgery, four patients with incomplete clinical data and three patients without normal communication ability, the remaining 192 patients were included in the study. The patients were divided into two groups in accordance with different nursing plans. In this study, 98 patients receiving the cluster nursing through empowerment education were set as the observation group (OG), and 94 patients undergoing routine nursing were included in the reference group (RG). The indicators of postoperative recovery, mental health status and life coping ability were compared between the two groups.
RESULTS: The times to first exhaustion, to start eating, of first off-bed activity and of hospitalisation in the OG were shorter than those in the RG (p < 0.001). No significant difference was found in the total incidence of complications between the two groups (p > 0.05). Before management, no significant difference in the scores of Hospital Anxiety and Depression Scale (HADS) and Activity of Daily Living Scale (ADL) was observed between the OG and RG (p > 0.05). After management, the HADS and ADL scores of the two groups all decreased, and the OG showed a greater reduction in scores than the RG (p < 0.001).
CONCLUSIONS: The cluster nursing through empowerment education can shorten the recovery time of patients after RP surgery and improve their living ability. This effect is beneficial to their mental health and can provide additional directions for the formulation of subsequent clinical nursing programmes.
摘要：
背景：根治性前列腺切除术（RP）是前列腺癌（PCa）的一种治疗方法。然而,患者通常会出现尿失禁和手术后生活质量下降。寻求护理方案对于改善接受RP的患者的预后是必要的。本研究旨在探讨授权教育集束化护理对RP患者的影响。
方法：收集2021年6月至2023年6月接受RP手术的203例患者的一般资料，进行回顾性研究。在排除了四名在手术过程中从RP改为剖腹手术的患者后，4例临床资料不完整,3例沟通能力不正常,其余192例患者纳入研究.根据不同的护理方案将患者分为两组。在这项研究中,将98例接受授权教育集束化护理的患者设为观察组,将接受常规护理的94例患者纳入参照组(RG)。术后恢复的指标，比较两组患者的心理健康状况和生活应对能力。
结果：第一次耗尽的时间，开始吃，OG的首次卧床活动和住院时间短于RG（p<0.001）。两组并发症总发生率差异无统计学意义(p>0.05)。在管理之前，OG和RG之间的医院焦虑抑郁量表（HADS）和日常生活活动能力量表（ADL）得分差异无统计学意义（p>0.05）。经过管理,两组的HADS和ADL评分均下降,OG比RG降低更多（p<0.001）。
结论：集束化教育可缩短RP术后患者的康复时间，提高患者的生活能力。这种效果有利于他们的心理健康，并且可以为制定后续的临床护理计划提供额外的指导。
方法：收集2021年6月至2023年6月接受RP手术的203例患者的一般资料，进行回顾性研究。在排除了四名在手术过程中从RP改为剖腹手术的患者后，4例临床资料不完整,3例沟通能力不正常,其余192例患者纳入研究.根据不同的护理方案将患者分为两组。在这项研究中,将98例接受授权教育集束化护理的患者设为观察组,将接受常规护理的94例患者纳入参照组(RG)。术后恢复的指标，比较两组患者的心理健康状况和生活应对能力。
结果：第一次耗尽的时间，开始吃，OG的首次卧床活动和住院时间短于RG（p<0.001）。两组并发症总发生率差异无统计学意义(p>0.05)。在管理之前，OG和RG之间的医院焦虑抑郁量表（HADS）和日常生活活动能力量表（ADL）得分差异无统计学意义（p>0.05）。经过管理,两组的HADS和ADL评分均下降,OG比RG降低更多（p<0.001）。
结论：集束化教育可缩短RP术后患者的康复时间，提高患者的生活能力。这种效果有利于他们的心理健康，并且可以为制定后续的临床护理计划提供额外的指导。
