Randomized Clinical Trial
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2022; 10(9): 2792-2800
Published online Mar 26, 2022. doi: 10.12998/wjcc.v10.i9.2792
Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer
Xiao-Hui Yang, Li-Fen Wu, Xiao-Yu Yan, Ying Zhou, Xue Liu
Xiao-Hui Yang, Xiao-Yu Yan, Ying Zhou, Department of Critical Care Medicine, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Li-Fen Wu, Department of Urology Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Xue Liu, Department of Urology Surgery, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Yang XH designed the study, collected data, and wrote and revised the manuscript; Wu LF interpreted and analyzed the data; Yan XY and Zhou Y collected the data; Liu X corrected the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Dushu Lake Hospital Affiliated to Soochow University and The First Affiliated Hospital of Soochow University.
Informed consent statement: All participants or their legal guardian provided informed written consent before enrollment.
Conflict-of-interest statement: We declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Data sharing statement: The datasets are not publicly available but are available from the corresponding author on reasonable request.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
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: Xue Liu, Nurse, Department of Urology Surgery, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Industrial Zone, Suzhou 215000, Jiangsu Province, China. xueliu0705@163.com
Received: December 7, 2021
Peer-review started: December 7, 2021
First decision: January 10, 2022
Revised: January 27, 2022
Accepted: March 6, 2022
Article in press: March 6, 2022
Published online: March 26, 2022
Processing time: 105 Days and 3.6 Hours
Abstract
BACKGROUND

Prostate cancer is a major disease impacting men’s health worldwide. Peplau, who is known as “the mother of psychiatric society,” developed an interpersonal relationship theory for nursing. Implementation of this theory in practice has been shown to positively impact patients’ quality of life and reduce adverse symptoms after surgery.

AIM

To investigate the effects of a nursing model based on Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer.

METHODS

Eighty-nine patients with prostate cancer who underwent transurethral resection of the prostate (TURP) participated in this study. These patients were admitted to The First Affiliated Hospital of Soochow University or Dushu Lake Hospital Affiliated to Soochow University between January 2020 and April 2021. Patients were randomized into either the Peplau nursing group (n = 44) or a routine nursing group (n = 45). The routine nursing group received routine care and bladder function training, while the Peplau care group received care that integrated concepts from the Peplau interpersonal relationship theory as well as bladder function training. The urinary incontinence symptoms of the two groups were recorded, and the respective International Prostate Symptom Scores (IPSS), Functional Assessment of Chronic Illness Therapy- Spiritual Well-Being (FACIT-Sp) scores, and quality of life (QOL) scores for each group were compared before and after three months of nursing intervention.

RESULTS

During the intervention period, the duration of urinary incontinence, frequency, number and amount of urinary incontinence were significantly greater in the routine nursing group compared to the Peplau care group (P < 0.05). The indicators of the routine nursing group were 7.13 ± 2.42 days, 8.23 ± 2.75 times, and 1.24 ± 0.42 L, while those of the Peplau care group were 4.74 ± 1.85 d, 4.21 ± 1.26 times, and 0.56 ± 0.11 L, respectively. After three months of intervention, the mean IPSS score of the routine nursing group was significantly reduced (P < 0.05), while the mean FACIT-Sp and QOL scores were significantly increased (P < 0.05). The mean IPSS score in the Peplau nursing group was significantly lower compared to the routine nursing group, while the FACIT-Sp and QOL scores were higher (P < 0.05).

CONCLUSION

A nursing model based on Peplau’s interpersonal relationship theory combined with bladder function training can significantly improve prostate function and urinary symptoms, resulting in the restoration of physiological function and improvement in the QOL of patients with prostate cancer following TURP.

Keywords: Peplau interpersonal relationship theory; Bladder function training; Prostate cancer; Quality of life; Nursing

Core Tip: Prostate cancer is the most common non-skin cancer in men worldwide. This study investigated the effects of a nursing model based on Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer. Total 89 post-surgical patients with prostate cancer were randomized into either the Peplau nursing group or the routine nursing group. After three months of nursing care, various indicators, such as Functional Assessment of Chronic Illness Therapy- Spiritual Well-Being scores and quality of life scores, were examined. Results suggested that the type of combined nursing model can significantly improve physiological function and urinary symptoms.