Analysis of the Current Status and Influencing Factors of the Readiness for Discharge of Patients after Prostate Cancer Surgery Based on the Concept of Enhanced Recovery after Surgery (ERAS)

Youdi Cai,Limei Zhang,Jinhong Zhong,Limin Liang,Kun Bao,Huan Jian,Yuanyuan Huang

doi:10.4236/ojn.2021.1112086

Abstract

Objective To investigate the level of readiness for discharge of patients after prostate cancer surgery based on the concept of Enhanced Recovery After Surgery (ERAS), and to explore its influencing factors, so as to provide references for improving the readiness for discharge of patients after prostate cancer surgery. Methods The general information questionnaire, the discharge preparation scale, and the discharge guidance quality scale were used to investigate 119 patients discharged from the urological surgery department of a tertiary A-level hospital in Guangzhou after radical prostatectomy. Results The total score of discharge readiness of patients after radical prostatectomy was 147.74 ± 35.71 points, which was at a lower middle level and the total score of discharge guidance quality was 180.68 ± 38.91 points, which was at a medium level. Multiple linear regression analysis showed that education level, family monthly income, Gleason score, whether to perform lymphatic dissection, whether to discharge with a urinary catheter, and the quality of discharge guidance were the main factors influencing the readiness for discharge of patients after prostate cancer surgery. Conclusion In clinical nursing work, it is necessary to implement individualized health education according to the characteristics and needs of different patients to improve the level of preparation for discharge of patients after prostate cancer surgery.

Highlights

Prostate cancer is a common urinary system tumor in men; in recent years, the incidence of prostate cancer has gradually increased in China, and the recurrence rate and mortality rate are relatively high [1]
The total score of discharge readiness of patients after radical prostatectomy was 147.74 ± 35.71 points, which was at a lower middle level and the total score of discharge guidance quality was 180.68 ± 38.91 points, which was at a medium level
Multiple linear regression analysis showed that education level, family monthly income, Gleason score, whether to perform lymphatic dissection, whether to discharge with a urinary catheter, and the quality of discharge guidance were the main factors influencing the readiness for discharge of patients after prostate cancer surgery

Summary

Introduction

Prostate cancer is a common urinary system tumor in men; in recent years, the incidence of prostate cancer has gradually increased in China, and the recurrence rate and mortality rate are relatively high [1]. Some researchers [4] pointed out that after getting discharged from hospital, patients with prostate cancer are still in high demands of guidance on aspects such as follow-up treatment options, medication instructions, urinary control rehabilitation exercises, sexual function recovery, and psychological and social support. This study analyzes the readiness for discharge of patients with prostate cancer after surgery and explores its influencing factors. It aims to improve the readiness of patients for discharge, ensure the safety of patients after discharge, and improve the self-care ability of patients after discharge.

Methods

Results

Discussion

Conclusion