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
ARTICLE HIGHLIGHTS
Research background

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. The postoperative nursing quality has greatly influenced the care for urinary incontinence.

Research motivation

In order to find a reasonable nursing way to improve postoperative urinary incontinence of patients with prostate disease.

Research objectives

This study aimed to observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.

Research methods

A total of 130 patients diagnosed with benign prostatic disease were selected and divided into observation and control groups according to their treatment options. The control was given routine nursing mode intervention; The observation group was given precise nursing service mode intervention. The postoperative exhaust time, time of indwelling catheter, hospitalization time, urethral orifice injury, bladder spasm, secondary hemorrhage, and urinary incontinence were recorded. Clinical international prostate system score (IPSS) and urinary incontinence quality of life questionnaire (I-QOL) scores were used to evaluate the symptoms and life quality.

Research results

Postoperative exhaust time, time of indwelling catheter and hospitalization time in the observation group were lower than in the control group. After the operation, the maximum urinary flow rate increased, the residual urine volume decreased, and the maximum closed urethral pressure was not statistically significant compared with during pre-operation; After the operation, the I-QOL score of the two groups improved, and the IPSS decreased. 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. The incidence of urinary incontinence in the observation group was lower than that in the control group, and there was no statistical significance in the duration of urinary incontinence between the observation group and the control group.

Research conclusions

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

Research perspectives

Next, we want to explore the improvement effect of precision nursing service mode on the prognosis of patients undergoing surgery for other urinary diseases