Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2022; 10(5): 1517-1526
Published online Feb 16, 2022. doi: 10.12998/wjcc.v10.i5.1517
Effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease
Xi-Chun Zheng, Ting-Ting Luo, Dan-Dan Cao, Wen-Zhi Cai
Xi-Chun Zheng, Ting-Ting Luo, Dan-Dan Cao, Department of Urology, Shenzhen Hospital of Southern Medical University, Shenzhen 518000, Guangdong Province, China
Wen-Zhi Cai, Nursing Department, Southern Medical University, Shenzhen 518000, Guangdong Province, China
Author contributions: Zheng XC and Cai WZ designed this retrospective study, Zheng XC and Luo TT wrote this paper; Zheng XC, Luo TT, Cao DD and Cai WZ were responsible for sorting the data.
Supported by Nursing Scientific Research Project Fund of Nursing Society of Guangdong Province, No. gdhlxueh2019zx218; Shenzhen Bao’an District Science and Technology Plan, No. 20200515053525001.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee Shenzhen Hospital of Southern Medical University (Approval No. NYSZYYEC20210005).
Conflict-of-interest statement: Nothing to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Zhi Cai, PhD, Chief Nurse, Nursing Department, Southern Medical University, No. 1333 Xinhu Road, Bao’an District, Shenzhen 518000, Guangdong Province, China. caiwzh@smu.edu.cn
Received: November 14, 2021
Peer-review started: November 14, 2021
First decision: December 9, 2021
Revised: December 26, 2021
Accepted: January 8, 2022
Article in press: January 8, 2022
Published online: February 16, 2022
Processing time: 88 Days and 21.5 Hours
Abstract
BACKGROUND

Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction. In severe cases, it leads to bladder detrusor dysfunction, resulting in dysuria, frequent urination, urgent urination, incomplete urination, and other symptoms including renal function injury. An operation to restore normal urination function and to control postoperative complications, as far as possible, is the most common method for benign prostatic disease.

AIM

To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.

METHODS

In total, 130 patients diagnosed with benign prostatic disease, from January 2018 to June 2021, in our hospital, were selected and divided into observation and control groups according to their treatment options. Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention. The intervention with the observation group included psychological counseling about negative emotions, pelvic floor exercises, and post-hospital discharge care. The complications of the two groups were counted, and the general postoperative conditions of the two groups were recorded. The urinary flow dynamics indexes of the two groups were detected, and differences in clinical international prostate system score (IPSS) and urinary incontinence quality of life questionnaire (I-QOL) scores were evaluated.

RESULTS

Postoperative exhaust time (18.65 ± 3.23 h and 24.63 ± 4.51 h), the time of indwelling catheter (4.85 ± 1.08 d and 5.63 ± 1.24 d), and hospitalization time (8.78 ± 2.03 d and 10.23 ± 2.28 d) in the observation group were lower than in the control group. The difference was statistically significant (P < 0.05). After the operation, the maximum urinary flow rate (Qmax) increased (P < 0.05), the residual urine volume (RUV) decreased (P < 0.05), and the maximum closed urethral pressure (MUCP) was not statistically significant (P > 0.05) compared to pre-operation. The Qmax of the observation group was higher than that of the control group, while the RUV was lower than that of the control group. There was no significant difference in MUCP between the observation and control groups (P > 0.05). The I-QOL score of the two groups improved (P < 0.05), and the IPSS decreased (P < 0.05). After the operation, the I-QOL score of the observation group was higher than that of the control group, and the IPSS was lower than that of the control group (P < 0.05). There were no significant differences in the incidence of urethral injury (1.54% and 3.08%), bladder spasm (0.00% and 1.54%), and secondary bleeding (1.54% and 4.62) between the observation and control groups (P > 0.05).

CONCLUSION

The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease, thus improving postoperative urodynamics and rehabilitation, and quality of life.

Keywords: Precise nursing service mode; Prostate disease; Urinary incontinence; Urodynamics; Life quality

Core Tip: The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease, thus improving postoperative urodynamics and rehabilitation, as well as patients’ quality of life.