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.
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]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Educational intervention to prevent postoperative complications and improve functional outcomes in patients with transurethral resection of the prostate.
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  Data: Intervenci&#243;n educativa para prevenir las complicaciones postoperatorias y mejorar los resultados funcionales en pacientes con resecci&#243;n transuretral de la pr&#243;stata.&lt;br /&gt;Interven&#231;&#227;o educativa para preven&#231;&#227;o de complica&#231;&#245;es p&#243;s-operat&#243;rias e melhora dos resultados funcionais em pacientes submetidos &#224; ressec&#231;&#227;o transuretral de pr&#243;stata.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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&lt;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&#177;4.6) than in the control group (15.6&#177;5.8) indicating improved symptoms (p&lt;0.001). Additionally, IIEF scores were higher in the experimental Group (3.5&#177;1.2) than in the control group (2.6&#177;1.2), suggesting improved erectile function with nurse-led intervention (p&lt;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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Evaluar la efectividad de una intervenci&#243;n educativa para reducir las complicaciones postoperatorias y mejorar los resultados funcionales de los pacientes sometidos a Resecci&#243;n Transuretral de Pr&#243;stata -RTUP-. M&#233;todos. Se realiz&#243; un estudio cuasi-experimental liderado por enfermer&#237;a, con grupo control solo en el post-test. Participaron 60 pacientes sometidos a RTUP (grupo intervenci&#243;n n=30 y grupo control n=30) en Rajasthan, India. Al grupo de intervenci&#243;n se le imparti&#243; educaci&#243;n por enfermer&#237;a sobre estrategias de automanejo de 20-25 minutos de duraci&#243;n, un folleto educativo y seguimiento telef&#243;nico semanal; mientras que el grupo de control recibi&#243; atenci&#243;n rutinaria. La herramienta de recogida de datos fue administrada a la 4&#170; y 8&#170; semana tras la RTUP inclu&#237;a una lista de comprobaci&#243;n postoperatoria IPSS (puntuaci&#243;n internacional de s&#237;ntomas prost&#225;ticos) e IIFE (&#237;ndice internacional de funci&#243;n er&#233;ctil). Resultados. Las tasas de incontinencia urinaria se redujeron considerablemente en el grupo experimental a las 4 semanas (p&lt;0.001). A pesar de que las diferencias se redujeron a las 8 semanas, ambos grupos indicaron una atenci&#243;n eficaz y ning&#250;n caso de s&#237;ndrome de resecci&#243;n transuretral o infecci&#243;n urinaria. En el grupo experimental, las puntuaciones del IPSS fueron m&#225;s bajas (9.9&#177;4.6) que en el grupo de control (15.6&#177;5.8), lo que indica una mejor&#237;a de los s&#237;ntomas (p&lt;0.001). Adem&#225;s, las puntuaciones del IIEF fueron mayores en el grupo experimental (3.5&#177;1.2) que en el grupo de control (2.6&#177;1.18), lo que sugiere una mejora de la funci&#243;n er&#233;ctil con la intervencin (p&lt;0.004). Conclusiones. La intervenci&#243;n educativa dirigida por enfermeras mejora eficazmente los resultados funcionales y reduce las complicaciones postoperatorias en pacientes con hiperplasia benigna de pr&#243;stata tras una RTUP. La integraci&#243;n de este tipo de intervenciones por parte de los profesionales sanitarios puede acelerar a&#250;n m&#225;s la recuperaci&#243;n y minimizar las complicaciones. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Avaliar a efic&#225;cia de uma interven&#231;&#227;o educacional na redu&#231;&#227;o de complica&#231;&#245;es p&#243;s-operat&#243;rias e na melhora dos resultados funcionais em pacientes submetidos &#224; Ressec&#231;&#227;o Transuretral da Pr&#243;stata (RTU). M&#233;todos. Um estudo quase experimental (com um grupo controle apenas no p&#243;s-teste) foi conduzido por enfermeiros com a participa&#231;&#227;o de 60 pacientes submetidos &#224; RTU (grupo interven&#231;&#227;o n= 30 e grupo controle n= 30). O grupo interven&#231;&#227;o recebeu educa&#231;&#227;o presencial sobre estrat&#233;gias de autogest&#227;o com dura&#231;&#227;o 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 ap&#243;s a RTU incluiu uma lista de verifica&#231;&#227;o p&#243;s-operat&#243;ria, IPSS (International Prostate Symptom Score) e IIEF (International Index of Erectile Function). Resultados. As taxas de incontin&#234;ncia urin&#225;ria foram significativamente reduzidas no grupo experimental em 4 semanas (p&lt; 0.001). Embora as diferen&#231;as tenham diminu&#237;do em 8 semanas, ambos os grupos relataram cuidados eficazes e nenhum caso de s&#237;ndrome de ressec&#231;&#227;o transuretral ou infec&#231;&#227;o do trato urin&#225;rio. As pontua&#231;&#245;es do IPSS foram menores no grupo experimental (9.9 &#177; 4,6) do que no grupo controle (15.6&#177;5,8), indicando melhora nos sintomas (p&lt;0.001). Al&#233;m disso, as pontua&#231;&#245;es do IIEF foram maiores no grupo experimental (3.5&#177;1.2) do que no grupo controle (2.6&#177;1.18), sugerindo melhora da fun&#231;&#227;o er&#233;til com a interven&#231;&#227;o liderada por enfermeiros (p&lt;0.004). Conclus&#245;es. A interven&#231;&#227;o educacional liderada por enfermeiros melhora efetivamente os resultados funcionais e reduz as complica&#231;&#245;es p&#243;s-operat&#243;rias em pacientes com hiperplasia prost&#225;tica benigna ap&#243;s TURP. A integra&#231;&#227;o dessas interven&#231;&#245;es por profissionais de sa&#250;de pode acelerar ainda mais a recupera&#231;&#227;o e minimizar as complica&#231;&#245;es. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.17533/udea.iee.v43n2e05
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 11
        StartPage: 1
    Subjects:
      – SubjectFull: PREVENTION of surgical complications
        Type: general
      – SubjectFull: PATIENT education
        Type: general
      – SubjectFull: NURSES
        Type: general
      – SubjectFull: PAMPHLETS
        Type: general
      – SubjectFull: URINARY tract infections
        Type: general
      – SubjectFull: SELF-management (Psychology)
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: PROSTATE-specific antigen
        Type: general
      – SubjectFull: URINARY incontinence
        Type: general
      – SubjectFull: EDUCATIONAL outcomes
        Type: general
      – SubjectFull: FUNCTIONAL assessment
        Type: general
      – SubjectFull: INTERVIEWING
        Type: general
      – SubjectFull: FISHER exact test
        Type: general
      – SubjectFull: CLINICAL trials
        Type: general
      – SubjectFull: TREATMENT effectiveness
        Type: general
      – SubjectFull: TERTIARY care
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: CHI-squared test
        Type: general
      – SubjectFull: HEMATURIA
        Type: general
      – SubjectFull: FEVER
        Type: general
      – SubjectFull: BENIGN prostatic hyperplasia
        Type: general
      – SubjectFull: RESEARCH methodology
        Type: general
      – SubjectFull: TELEPHONES
        Type: general
      – SubjectFull: RURAL conditions
        Type: general
      – SubjectFull: QUALITY of life
        Type: general
      – SubjectFull: TRANSURETHRAL prostatectomy
        Type: general
      – SubjectFull: DATA analysis software
        Type: general
      – SubjectFull: PATIENT aftercare
        Type: general
      – SubjectFull: SELF-employment
        Type: general
      – SubjectFull: INDIA
        Type: general
    Titles:
      – TitleFull: Educational intervention to prevent postoperative complications and improve functional outcomes in patients with transurethral resection of the prostate.
        Type: main
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          Dates:
            – D: 01
              M: 05
              Text: May-Aug2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01205307
          Numbering:
            – Type: volume
              Value: 43
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Investigación & Educación en Enfermería
              Type: main
ResultId 1