Background: This study aimed to investigate the effect of an intensive patients' care program (IPCP) on anxiety, depression, and survival rate of renal cell carcinoma (RCC) patients post radical nephrectomy.Methods: This study consisted of two stages: a randomized, controlled stage (stage I) and a longterm follow-up stage (stage II). A total of 182 RCC patients who underwent radical nephrectomy were consecutively recruited and were allotted into a IPCP group (IPCP plus usual care), or a control group (only usual care) in a 1:1 ratio. Anxiety and depression were evaluated by HADS and SAS/SDS at baseline (M0), M3, M6, M9 and M12. Overall survival (OS) was documented.Results: The decrease of HADS-A score was larger, the percentage of patients with anxiety at M12 assessed by HADS-A score was reduced and the percentage of patients with light anxiety at M12 assessed by HADS-A score was greater in IPCP group compared with control group. The SAS score at M3, M6, M9 and M12 were declined and the SAS score reduction at M12 was greater in IPCP group compared with control group. The reduction of HADS-D score in IPCP group was greater compared with control group. The SDS score at M12 was reduced in IPCP group compared with control group, and the decrease of SDS score at M12 in IPCP group was larger compared with control group. Patients with sustained anxiety assessed by HADS-A score and SAS score had worse OS compared with patients without sustained anxiety.Conclusions: IPCP ameliorated anxiety and depression, and sustained anxiety correlated with worse OS in RCC patients post radical nephrectomy.
The objective is to explore the application effect of comprehensive nursing intervention in prevention of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery. From April 2019 to April 2020, 200 patients who received urological laparoscopic surgery and robot-assisted laparoscopic surgery were selected. According to the random number table method, they were divided into control group and observation group, 100 cases in control group and 100 cases in observation group. Patients in control group received routine nursing, while patients in observation group received comprehensive nursing intervention. The skin condition, swelling, pain, and occurrence of deep venous thrombosis and pulmonary embolism of lower extremities in 2 groups were observed. The experimental results showed that the lower limb swelling, lower limb pain, and lower limb deep vein thrombosis in the control group were significantly higher than those in the observation group, but all patients were cured and discharged after taking effective symptomatic treatment and nursing measures in time. In the control group, pulmonary embolism occurred in 3 patients, all of whom died. There was no significant difference in skin changes of lower limbs (
P
>
0.05
), and there were significant differences in other skin changes (
P
<
0.05
). It proved that comprehensive nursing intervention can effectively prevent the formation of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery with high-risk factors.
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