Extended nursing for the recovery of urinary functions and quality of life after robot-assisted laparoscopic radical prostatectomy: a randomized controlled trial

Abstract

PurposeThe purpose of this work is to explore the effects of continuing nursing care intervention on postoperative urinary control and quality of life among patients with prostate cancer.MethodsThis was a single-center, parallel, and randomized controlled trial that was carried out at the Department of Urology, the First Affiliated Hospital of Anhui Medical University, China. The participants underwent robot-assisted laparoscopic radical prostatectomy (RARP) between October 2014 and April 2016. The patients were randomized to the experimental and control groups (n=37/group). Patients in the control group received routine nursing care, while patients in the experimental group received continuing nursing care. During the 6-month follow-up, each patient was invited at the hospital discharge and at 1, 3, and 6 months to fill the ICI-Q-SF and SF-36 questionnaires.ResultsThe scores of urinary incontinence were improved in the intervention group compared with controls at 3 and 6 months after discharge (both P < 0.01). The scores of quality of life in the experimental group were significantly higher than control group at 1, 3, and 6 months (all P < 0.01). Adverse events were mild or moderate in intensity and were resolved in all patients. All adverse events were related to RARP.ConclusionsContinuing nursing care intervention had significant beneficial effects on urinary functions and quality of life in patients with prostate cancer after RARP. This approach warrants to be promoted in the clinical setting.

Intervenções de enfermagem para incontinência urinária e disfunção sexual após prostatectomia radical

“…Of the 18 articles included, (5)(6)(7)(8)11,12,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) 17 were found in the electronic databases and one in the references of the selected studies. In the reference lists of the excluded reviews, no study was found that complied with the inclusion criteria set.…”

“…In the reference lists of the excluded reviews, no study was found that complied with the inclusion criteria set. As for the language of the articles, 16 were published in English, (5,6,8,11,12,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) one in Spanish (7) and one in Portuguese. (23) As for the country where the study was developed, three were developed in Spain, followed by the United States, United Kingdom, Italy, Australia and China, with two studies each, and Brazil, Denmark, Sweden, Norway and The Netherlands, with one study in each country.…”

“…Concerning the year of publication, one study was published in 2018, (11) one in 2017, (17) five in 2016, (18)(19)(20)(21)(22) five in 2015 (5,(23)(24)(25)(26) and six in 2014. (6)(7)(8)12,27,28) As for the evidence level (EL), five studies presented level II, (5,11,12,21,27) ten level VI (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)28) and three level VII. (6)(7)(8) What the strategies for the implementation of the interventions are concerned, Nursing interventions for UI and SD, Nursing interventions for UI and Nursing interventions for SD were the categories created after analyzing the studies.…”

“…(6)(7)(8) What the strategies for the implementation of the interventions are concerned, Nursing interventions for UI and SD, Nursing interventions for UI and Nursing interventions for SD were the categories created after analyzing the studies. It is highlighted that nine studies (5)(6)(7)11,12,17,22,23,26) fit into more than one category.…”

“…In addition, the importance of research on nursing interventions focused on these patients, which results in scientific evidence and contributes to the development of qualified nursing care, is highlighted. (9)(10)(11)(12) The objective of this integrative review is to identify, in the literature, nursing interventions to promote urinary continence and adaptation to SD after RP.…”