Construction and application of a pelvic floor muscle training program for patients with radical prostatectomy
10.3761/j.issn.0254-1769.2024.08.002
- VernacularTitle:前列腺癌根治术患者盆底肌训练方案的构建及初步应用
- Author:
Wenbo QIAO
1
;
Sijia HOU
;
Keping ZHU
;
Yaqin LI
;
Siyuan WU
;
Ziyi QI
;
Wei WANG
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Keywords:
Radical Prostatectomy;
Pelvic Floor Muscle Training;
Delphi Technology;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(8):909-915
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a pelvic floor muscle training program for patients undergoing radical prostatectomy,and to provide a reference for clinical practice.Methods The evidence related to pelvic floor muscle training in patients undergoing radical prostatectomy was systematically searched and the quality was evaluated.The draft of pelvic floor muscle training program for patients undergoing radical prostatectomy was constructed based on the KAP theory and it was demonstrated and revised by expert meetings.From February to March 2023,Delphi method was used to determine the final scheme.37 patients were selected as the control group and 38 patients as the experimental group to implement the scheme and evaluate the application effect.Results 2 rounds of Delphi consultations were conducted among 17 experts,and the recovery rate of the questionnaire was 100％.The expert authority coefficient was 0.89.The Kendall harmony coefficients of the importance and feasibility of the second round of consultation were 0.270 and 0.209(P＜0.001).The coefficient of variation of importance and feasibility of items were 0～0.18 and 0～0.20.The final program included 3 first-level items,8 second-level items and 29 third-level items.1 month after surgery,there was no significant difference in urinary incontinence score(P=0.242)and there was significant difference in pelvic floor muscle training compliance(P=0.011)between 2 groups.Conclusion The program was applied preliminary in clinical practice and it was confirmed with scientific and practical meaning,so it can provide a reference for clinical nursing.
