Effects of comfort nursing interventions on clinical effects and negative emotions in patients receiving transurethral plasmakinetic resection of the prostate

Abstract

Objective To explore the effects of comfort nursing interventions on clinical effects and negative emotions in patients receiving transurethral plasmakinetic resection of the prostate (PKRP) . Methods A total of 94 patients with benign prostatic hyperplasia (BPH) were selected and randomized into a control group (n=47) and an observation group (n=47) from May 2013 to June 2015. All the patients received PKRP. Patients in the control group received conventional nursing care, while patients in the observation group received perioperative comfort nursing interventions in addition to conventional nursing. The changes in the patients' blood pressure and heart rate were detected; SAS and SDS were used to evaluate their anxiety and depression levels post operation; relevant clinical indicators were measured and compared between the two groups to evaluate their short- and long-term clinical effects; and the incidence of complications and satisfaction were compared between the two groups. Results Compared with control group, the systolic pressure, diastolic pressure, average arterial pressure and heart rate of the oberservation group were lower, and SAS and SDS scores in the patients of the oberservation group were lower postoperatively (P<0.05) . The time of bladder irrigation, catheter indwelling, operation and hospital stay was shortened in the patients in the observation group as compared to the control group (P<0.01) . International prostate symptom score (IPSS) and residual urine volume decreased 3 months post operation, while the maximum urine flow rate and quality of life score (QLS) increased compared with preoperative conditions (P<0.05) . The satisfaction and the incidence of complications following nursing interventions were 95.74% and 12.77% for the patients in the observation group and 78.72% and 40.43% for the patients in the control group, respectively (P<0.05) . Conclusions Comfort nursing interventions can improve the psychological state of PKRP patients, enhance their short-and long-term effects and satisfaction, and reduce the incidence of related complications. Key words: Urological surgery; Anxiety; Depression; Comfort nursing; Clinical effects; Complication; Transurethral plasmakinetic resection of the prostate