The Effect of Discharge Education and Post-Discharge Telephone Counseling on Quality of Life in Patients Undergoing Radical Prostatectomy: A Randomized Controlled Study

Öz

Aim: This study aims to determine the effect of model-based discharge education, and post-discharge telephone counseling on patients who have undergone radical prostatectomy on their quality of life. Methods: This randomized controlled study consisted of patients who underwent radical prostatectomy surgery and completed with a total of 42 patients, 20 of whom were in the experimental and 22 in the control group. The experimental group patients and their relatives were given discharge education and patients were called every two weeks after the operation. The control group received standard care. The patients’ quality of life was evaluated the day before the operation, and at the 6th and 12th weeks after surgery. The data were collected with the “Personal Information Form”, and “Short Form-12 Health Survey (SF-12)”. Results: 55.0% of the patients in the experimental group and 54.5% of the patients in the control group experienced urinary incontinence; 45.0% of the experimental group patients and 50.0% of the control group patients experienced erectile dysfunction three months after surgery. The experimental group had statistically significantly higher SF-12 mental component scores in the 12th week than the control group (p < 0.05). Conclusion: Model-based discharge education and post-discharge telephone counseling for patients who had radical prostatectomy surgery were effective in the mental dimension of the patient's quality of life, but not in the physical dimension. Providing patients with different information channels will support the psychological dimension of their quality of life.

Anahtar Kelimeler

• Counseling
• education
• quality of life
• nursing
• prostatectomy

Kaynakça

1. 1.Akturan S, Gümüş B, Özer Ö, et al. Death rates and causes of death in Turkey between 2009 and 2016 based on TUIK Data. Konuralp Med. J. 2019;11:9-16. http://dx.doi.org/10.18521/ktd.506407
2. 2.De Resende Izidoro LC, Soares GB, De Castro Vieira T, et al. Health-related quality of life and psychosocial factors after radical prostatectomy. Acta Paul Enferm, 2019;32: 169-77. https://doi.org/10.1590/1982-0194201900024
3. 3.Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training in radical prostatectomy: A randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urol. 2019;19:1-10. https://doi.org/10.1186/s12894-019-0546-5
4. 4.Kırdal Y, Koç H, Atila FE, et al. Urological Cancers. In: Kırdal Y (ed) Urology Nursing Handbook. Galenos. 2022, 42-6.
5. 5.Colak S, Vural F. Sexual life and quality of life after radical prostatectomy. Turkiye Klin J Nurs Sci., 2021;13:711-6.
6. 6.Ayhan H, İyigün E, Göktaş S, Hatipoğlu S. Problems encountered by male patients after radical prostatectomy. Gulhane Med J. 2008;50(3):180-9.
7. 7.Gomes CRG, Eduardo AHA, Mosteiro-Diaz MP, et al. Nursing interventions for urinary incontinence and sexual dysfunction after radical prostatectomy. Acta Paul Enferm. 2019;32:106-112. https://doi.org/10.1590/1982-0194201900015
8. 8.Jurys T, Kupilas A, Rajwa P, et al. Role of preoperative patient education among prostate cancer patients treated by radical prostatectomy. Cent Eur J Urol. 2022;75(3):272-6. https://doi.org/10.5173%2Fceju.2022.0037

9. 9.Khanna A, Faris A, Zampini A, et al. Increased preparedness before radical prostatectomy is associated with better patient-reported post-operative sexual outcomes. J Urol. 2019;201:e489. https://doi.org/10.1097/01.JU.0000555981.10693.4e
10. 10.Seyhan Ak E, Ozbas A. Current approaches in the postoperative care of prostate cancer. JAREN. 2019;5:81-9.
11. 11.Albaugh JA, Sufrin N, Lapin BR, Petkewicz J, Tenfelde S. Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners. BMC Urology. 2017;17(1):45. https://doi.org/10.1186/s12894-017-0231-5
12. 12.Rogers F, Rashidi A, Ewens B. Education and support for erectile dysfunction and penile rehabilitation post-prostatectomy: A qualitative systematic review. Int J Nurs Stud. 2022;130:104212. https://doi.org/10.1016/j.ijnurstu.2022.104212
13. 13.Villa G, Galli E, Azzimonti V, Doneda M, Giannetta N, Manara DF. Empowerment-based education in urological patients: A scoping review. Clinical Nursing Research. 2022;31(4):666-89. https://doi.org/10.1177/10547738211030389
14. 14.Bisbey CC, Ristau TA, Johnson MD, Streed MM, Bursiek AA, Grubbs PL. The power of education: Preoperative class reduces anxiety and improves confidence. Medsurg Nursing, 2017;26(5):324-6.
15. 15.Akkoyun S, Tas Arslan F. Evaluation of a pediatric patient with chronic kidney disease according to nursing model based on life activities: A case report. J Gen Heal Sci. 2019;1(1):78-93.
16. 16.Vicdan AK, Karabacak BG, Alpar ŞE. Classification of 2012-2014 NANDA-I nursing diagnostics using the Nursing Model Based on Activities of Living. J Hum Sci. 2015;12: 1626-36.
17. 17.Akçay E, Ören B. Ulcerative Colitis case evaluation according to Roper, Logan and Tierney's Life Activities-Based Nursing Model. Journal of Nursing Science. 2024; 7(2):250-9. https://doi.org/10.54189/hbd.1497754
18. 18.Aksoy F, Sarı E, Batmaz F, Öztürk H. Nursing care given to a patient diagnosed with prostate cancer in line with the Nursing Model Based on Life Activities with NANDA, NOC, and NIC classification systems. Turkiye Klinikleri Journal of Nursing Sciences. 2023;15(3): 865-81.
19. 19.Ferreira da Mata LR, Caldas Ferreira T, Campos de Carvalho E. Nursing actions in the perioperative period and in preparing prostatectomy patients for discharge. Investig y Educ en Enfermería. 2013;31:406-13.
20. 20.Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587
21. 21.Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 2007;39(2):175-91. https://doi.org/10.3758/bf03193146
22. 22.Soylu C, Kütük B. Reliability and Validity of the Turkish Version of SF-12 Health Survey. Turkish Journal of Psychiatry. 2022; 33(2):108-17. https://doi.org/10.5080/u25700
23. 23.Tabachnick BG, Fidell LS. B.G Tabachnick, L.S. Fidell Using Multivariate Statistics (sixth ed.) Pearson, Boston, 2013.
24. 24.Schulz KF, Altman DG, Moher D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Journal of Pharmacology and Pharmacotherapeutics. 2010;1(2):100-7. https://doi.org/10.4103/0976-500X.72352
25. 25.Kaya Ç, Bilik Ö. Effect of counseling on quality of life and self-care agency for patients who are scheduled for total knee replacement. Clin Nurs Res. 2022; 31: 519–29. https://doi.org/10.1177/10547738211058985
26. 26.Park KH, Song MR. The effects of postdischarge telephone counseling and short message service on the knee function, activities of daily living, and life satisfaction of patients undergoing total knee replacement. Orthop Nurs. 2017; 36: 229–36. https://doi.org/10.1097%2FNOR.0000000000000332
27. 27.Shin DW, Lee SH, Kim TH, et al. Health-Related Quality of Life Changes in Prostate Cancer Patients after Radical Prostatectomy: A Longitudinal Cohort Study. Cancer Res Treat. 2018; 51: 556-67. https://doi.org/10.4143/crt.2018.221
28. 28.Burt J, Caelli K, Moore K, Anderson M. Radical prostatectomy: men's experiences and postoperative needs. Journal of Clinical Nursing. 2005; 14(7):883-90. https://doi.org/10.1111/j.1365-2702.2005.01123.x
29. 29.Ding N, Ruan L, Xi J, et al. Application of peer education based on WeChat support in patients after laparoscopic radical prostatectomy. Chinese J Pract Nurs. 2021;37:961-7.
30. 30.Strączyńska A, Weber-Rajek, M, Strojek, K, et al. The impact of pelvic floor muscle training on urinary incontinence in men after radical prostatectomy (RP)-a systematic review. Taylor Fr. 2019;14:1997-2005.
31. 31.Yuan Y, Hu Y, Cheng JX, Ding P. Psychological nursing approach on anxiety and depression of patients with severe urinary incontinence after radical prostatectomy–a pilot study. Journal of International Medical Research. 2019;47(11):5689-701. https://doi.org/10.1177/0300060519878014
32. 32.Faydaci G, Metin M, Eryildirim B, et al. Changes in patients’ quality of life following treatment of localized and metastatic prostate cancer. J Urol., 2011;37:184-190.