Abstract
Objective To explore the effects of transitional care on postoperative urinary control function and quality of life among prostatic cancer patients so as to provide a basis for improving patients' quality of life after discharge. Methods From January 2013 to December 2014, we selected 120 prostatic cancer patients with postoperative urinary incontinence of the First Affiliated Hospital of Wenzhou Medical University as subjects. All of the patients were divided into observation group and control group with the method of random number table. Patients of control group received routine nursing instruction after discharge. On the basis of routine nursing, patients of observation group were treated with transitional care after discharge. The urinary control function and quality of life of patients between two groups were compared six months after discharge. Results The total compliance rate of functional exercise for pelvic mucles in observation group was 91.7% statistically higher than that (71.7%) of control group (χ2=8.015, P<0.01) ; the scores of self-care, self-responsibility, self-concept and health knowledge of observation group were statistically higher than those of control group (t=4.536, 11.425, 9.674, 2.942; P<0.01) . The recovery time of urinary control function of observation group was (1.21±0.72) months lower than that (3.03±0.84) months of control group (t=12.742, P<0.01) ; the total score of quality of life was (77.13±12.42) in observation group higher than that (59.76±13.21) in control group (t=6.574, P<0.01) ; the differences were all statistical. Conclusions The application of transitional care in postoperative prostatic cancer patients after discharge can improve patient compliance as well as self-care ability, shorten postoperative recovery time of urinary control function and improve patients' quality of life. Key words: Prostatic neoplasms; Prostatectomy; Urinary incontinence; Quality of life; Transitional care; Urinary control function
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