Effectiveness of discharge preparation service based on interactive attainment theory in patients undergoing bladder cancer surgery
10.3760/cma.j.cn115682-20240320-01469
- VernacularTitle:基于互动达标理论的出院准备服务在膀胱癌手术患者中的应用
- Author:
Xizi CHENG
1
;
Zhao TANG
1
Author Information
1. 新乡医学院第一附属医院泌尿外科，新乡 453100
- Publication Type:Journal Article
- Keywords:
Bladder cancer;
Transurethral resection of bladder tumors;
Interactive attainment theory;
Readiness for discharge;
Patient readmission
- From:
Chinese Journal of Modern Nursing
2025;31(5):645-650
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of a discharge preparation service based on interaction attainment theory in bladder cancer patients undergoing transurethral resection of bladder tumors (TURBT) .Methods:Convenience sampling was used to select 158 bladder cancer patients who underwent TURBT from January to December 2022 in the First Affiliated Hospital of Xinxiang Medical University as the study subjects. The subjects were divided into observation group and control group of 79 cases each according to the random number table method. Control group implemented routine TURBT postoperative management and discharge guidance, and observation group implemented a discharge preparation service based on interaction attainment theory on the basis of control group. Readiness for Hospital Discharge Scale-Chinese version (RHDS-C) scores, post-discharge bladder perfusion adherence, 30-day unplanned readmission rates, and first-year tumor recurrence rates were compared between the two groups.Results:A total of 154 patients eventually completed the intervention, 76 in control group and 78 in observation group. The total RHDS-C score and the four dimensions scores of observation group were all higher than those of control group, and the differences were statistically significant (all P<0.05). Bladder perfusion adherence in observation and control groups were 99.60% (1 476/1 482) and 98.41% (1 421/1 444), respectively, and the difference was statistically significant (χ 2=10.518, P<0.01). The 30-day unplanned readmission rate and tumor recurrence rate in the first year were 15.79% (12/76) and 42.11% (32/76) in control group, 3.85% (3/78) and 17.95% (14/78) in observation group, respectively, and the differences were statistically significant (χ 2=6.246, 10.723; all P<0.05) . Conclusions:A discharge preparation service based on the interaction attainment theory is effective in improving discharge readiness and bladder perfusion adherence in patients with TURBT for bladder cancer, and it reduces the 30-day unplanned readmission rate and the first-year tumor recurrence rate.
