Educational intervention to prevent postoperative complications and improve functional outcomes in patients with transurethral resection of the prostate.
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| Title: | Educational intervention to prevent postoperative complications and improve functional outcomes in patients with transurethral resection of the prostate. |
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| Alternate Title: | Intervención educativa para prevenir las complicaciones postoperatorias y mejorar los resultados funcionales en pacientes con resección transuretral de la próstata. Intervenção educativa para prevenção de complicações pós-operatórias e melhora dos resultados funcionais em pacientes submetidos à ressecção transuretral de próstata. |
| Authors: | Parvez parvezyakub00@gmail.com, Kalal, Nipin1 kalalnipin@gmail.com, Singh, Mahendra2 dr.mahi1118@gmail.com, Sharma, Khina2 khinasharma1043@gmail.com |
| Source: | Investigación & Educación en Enfermería. May-Aug2025, Vol. 43 Issue 2, p1-11. 11p. |
| Subjects: | PREVENTION of surgical complications, PATIENT education, NURSES, PAMPHLETS, URINARY tract infections, SELF-management (Psychology), T-test (Statistics), PROSTATE-specific antigen, URINARY incontinence, EDUCATIONAL outcomes, FUNCTIONAL assessment, INTERVIEWING, FISHER exact test, CLINICAL trials, TREATMENT effectiveness, TERTIARY care, DESCRIPTIVE statistics, CHI-squared test, HEMATURIA, FEVER, BENIGN prostatic hyperplasia, RESEARCH methodology, TELEPHONES, RURAL conditions, QUALITY of life, TRANSURETHRAL prostatectomy, DATA analysis software, PATIENT aftercare, SELF-employment |
| Geographic Terms: | INDIA |
| Abstract (English): | 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. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Evaluar la efectividad de una intervención educativa para reducir las complicaciones postoperatorias y mejorar los resultados funcionales de los pacientes sometidos a Resección Transuretral de Próstata -RTUP-. Métodos. Se realizó un estudio cuasi-experimental liderado por enfermería, con grupo control solo en el post-test. Participaron 60 pacientes sometidos a RTUP (grupo intervención n=30 y grupo control n=30) en Rajasthan, India. Al grupo de intervención se le impartió educación por enfermería sobre estrategias de automanejo de 20-25 minutos de duración, un folleto educativo y seguimiento telefónico semanal; mientras que el grupo de control recibió atención rutinaria. La herramienta de recogida de datos fue administrada a la 4ª y 8ª semana tras la RTUP incluía una lista de comprobación postoperatoria IPSS (puntuación internacional de síntomas prostáticos) e IIFE (índice internacional de función eréctil). Resultados. Las tasas de incontinencia urinaria se redujeron considerablemente en el grupo experimental a las 4 semanas (p<0.001). A pesar de que las diferencias se redujeron a las 8 semanas, ambos grupos indicaron una atención eficaz y ningún caso de síndrome de resección transuretral o infección urinaria. En el grupo experimental, las puntuaciones del IPSS fueron más bajas (9.9±4.6) que en el grupo de control (15.6±5.8), lo que indica una mejoría de los síntomas (p<0.001). Además, las puntuaciones del IIEF fueron mayores en el grupo experimental (3.5±1.2) que en el grupo de control (2.6±1.18), lo que sugiere una mejora de la función eréctil con la intervencin (p<0.004). Conclusiones. La intervención educativa dirigida por enfermeras mejora eficazmente los resultados funcionales y reduce las complicaciones postoperatorias en pacientes con hiperplasia benigna de próstata tras una RTUP. La integración de este tipo de intervenciones por parte de los profesionales sanitarios puede acelerar aún más la recuperación y minimizar las complicaciones. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo. Avaliar a eficácia de uma intervenção educacional na redução de complicações pós-operatórias e na melhora dos resultados funcionais em pacientes submetidos à Ressecção Transuretral da Próstata (RTU). Métodos. Um estudo quase experimental (com um grupo controle apenas no pós-teste) foi conduzido por enfermeiros com a participação de 60 pacientes submetidos à RTU (grupo intervenção n= 30 e grupo controle n= 30). O grupo intervenção recebeu educação presencial sobre estratégias de autogestão com duração de 20 a 25 minutos, um folheto educativo e acompanhamento semanal por telefone; enquanto o grupo controle recebeu cuidados de rotina. A ferramenta de coleta de dados administrada em 4 e 8 semanas após a RTU incluiu uma lista de verificação pós-operatória, IPSS (International Prostate Symptom Score) e IIEF (International Index of Erectile Function). Resultados. As taxas de incontinência urinária foram significativamente reduzidas no grupo experimental em 4 semanas (p< 0.001). Embora as diferenças tenham diminuído em 8 semanas, ambos os grupos relataram cuidados eficazes e nenhum caso de síndrome de ressecção transuretral ou infecção do trato urinário. As pontuações do IPSS foram menores no grupo experimental (9.9 ± 4,6) do que no grupo controle (15.6±5,8), indicando melhora nos sintomas (p<0.001). Além disso, as pontuações do IIEF foram maiores no grupo experimental (3.5±1.2) do que no grupo controle (2.6±1.18), sugerindo melhora da função erétil com a intervenção liderada por enfermeiros (p<0.004). Conclusões. A intervenção educacional liderada por enfermeiros melhora efetivamente os resultados funcionais e reduz as complicações pós-operatórias em pacientes com hiperplasia prostática benigna após TURP. A integração dessas intervenções por profissionais de saúde pode acelerar ainda mais a recuperação e minimizar as complicações. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | 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. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01205307 |
| DOI: | 10.17533/udea.iee.v43n2e05 |
