Application of predictive nursing to the rehabilitation of patients after endoscopic surgery for prostate under the concept of enhanced recovery after surgery.
- Author:
Qian MENG
1
;
Lei YU
1
;
Xin WANG
1
;
Meng-Ling WU
1
;
Xiu-Qin YE
1
Author Information
1. Department of Urology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu 210002, China.
- Publication Type:Journal Article
- Keywords:
enhanced recovery after surgery;
predictive care;
prostate disease;
quality of life;
application value
- MeSH:
Humans;
Male;
Prostatic Hyperplasia/nursing*;
Endoscopy;
Postoperative Complications/prevention & control*;
Aged;
Enhanced Recovery After Surgery;
Middle Aged;
Prostate/surgery*
- From:
National Journal of Andrology
2025;31(9):823-826
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the efficacy of predictive nursing on the recovery of patients after endoscopic surgery for prostate under the concept of enhanced recovery after surgery(ERAS).
METHODS:A total of 82 patients with benign prostatic hyperplasia who underwent surgery from February 2022 to February 2023 were divided into control group (n=41) with traditional care and the observation group (n=41) with predictive care based on the difference in nursing methods. And the clinical data of the two groups were compared. Results: The observation group showed lower incidence rates than the control group for all individual complications (urinary tract infection [2.44% vs 4.88%], hemorrhage [2.44% vs 7.32%], bladder spasm [0% vs 4.88%], and hypostatic pneumonia [0% vs 2.44%]), though none reached statistical significance (P>0.05). However, the total complication rate was significantly lower in the observation group (4.88% vs 19.51%, P < 0.05). Notably,the observation group demonstrated significantly lower IPSS scores (5.49±1.53 vs 10.35±1.77, P<0.05) and shorter hospital stays ([5.26±0.38] d vs [9.95±0.84] d, P<0.05). Additionally, nursing satisfaction was markedly higher in the observation group (92.68% vs 78.95%, P<0.05).Conclusion: The application of ERAS -guided anticipatory nursing in postoperative rehabilitation for patients with benign prostatic hyperplasia can significantly improve quality of life, reduce complication rates, shorten hospital stays, and enhance patient satisfaction.