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.

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.

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Objective:To explore the effectiveness and complications of non-incision removal of tunneled cuffed catheter (TCC).Methods:The clinical characteristics, surgical plans and complications of patients with TCC removal in the Renal Division of Peking University First Hospital from January 1, 2015 to December 31, 2020 were collected and analyzed retrospectively. The patients were divided into non-incision removal group and traditional incision removal group. The clinical characteristics, procedure success rate, procedural duration and complications were compared between the two groups.Results:A total of 349 patients were included in this study, for whom 368 catheter removal procedures were performed, including 286 procedures in the non-incision removal group, 75 procedures in the traditional incision removal group, and 7 procedures without records of surgical plans. There was no significant difference in age, sex, basic kidney diseases and catheter remaining time and location between the two groups (all P>0.05). Two procedures in the non-incision removal group and 1 procedure in the traditional incision removal group failed respectively, and there was no significant difference in the procedure success rate between the two groups (99.3% vs 98.7%, χ2=0.290, P=0.590). The procedural duration in the non-incision removal group was lower than that in the traditional incision removal group [(5.36±1.70) min vs (17.55±3.28) min, t=44.198, P<0.001]. Among the patients who needed TCC exchange, there was no significant difference in the selection of new catheter position between the two groups ( P=0.330). In terms of complications, there were 2 procedures of local hematoma in the non-incision removal group and 1 procedure of infection in the traditional incision removal group, and there was no severe complication in both groups. Conclusions:There was no significant difference in the procedural success rate and complications between non-incision removal group and traditional incision removal group, and non-incision procedure may be superior in reducing the procedure duration and harm less to the patients. Non-incision procedure is a safe and effective method to remove TCC.