Development and application of a preoperative communication question prompt list for older patients with benign prostatic hyperplasia:a randomized controlled study
10.16016/j.2097-0927.202508088
- VernacularTitle:良性前列腺增生老年患者术前沟通问题提示列表构建及其应用效果的随机对照研究
- Author:
Jia LIU
1
;
Zuli ZHANG
;
Xian XIA
;
Huan ZHANG
;
Siyun YE
;
Wenhao SHEN
;
Xuemei LI
Author Information
1. 陆军军医大学(第三军医大学)第一附属医院泌尿外科
- Keywords:
aged;
prostatic hyperplasia;
communication;
randomized controlled trial
- From:
Journal of Army Medical University
2025;47(18):2281-2288
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a preoperative question prompt list(QPL)for older patients with benign prostatic hyperplasia(BPH)and evaluate its effectiveness in application.Methods This trial adopted a randomized controlled design.The QPL was developed by literature review,expert discussions,and Delphi consultation.Convenience sampling was used to subject 76 older BPH inpatients treated in our department,and then they were randomly divided into control(routine communication,n=38)and intervention(QPL-assisted communication,n=38)groups.Number of the questions patient asking,communication duration,information recall,and communication quality were compared between the 2 groups.Results In the 2 rounds of expert consultation,the response rate of questionnaire was 94.44%and 100%,the authority coefficient was 0.89 and 0.93,the coefficient of variation was 0.05～0.22 and 0～0.11,and Kendall's coefficients was 0.645(Chi-square=87.782,P<0.001)and 0.733(Chi-square=74.789,P<0.001),respectively.The final QPL included 3 themes and 7 questions.The intervention group asked more questions(4.03±1.89 vs 2.11±1.27,P<0.05)but spent similar time for communication(8.18±2.11 vs 7.67±1.72 min,P>0.05).At 1 d before discharge,better information recall(8.74±1.12 vs 6.49±1.68,P<0.001)and communication quality(60.06±6.25 vs 54.86±7.98,P<0.05)were observed in the intervention group when compared with the control group.Conclusion Our developed preoperative communication QPL is of scientificalness and effectiveness for elderly BPH patients.This tool can not only encourage question-asking behavior,but also improve information recall and communication quality in the patients.
