Effects of nursing intervention based on Snyder's hope theory combined with bladder control training on urinary incontinence patients after radi-cal prostate cancer surgery
Objective To explore the effects of nursing intervention based on Snyder's hope theory combined with bladder control training on urinary incontinence patients after radical prostate cancer surgery.Methods A total of 83 patients un-dergoing radical prostate cancer surgery in Rugao Hospital of Traditional Chinese Medicine,Jiangsu Province from April 2022 to April 2023 were selected as the study objects,and patients were divided into control group(42 cases)and an inter-vention group(41 cases)by random envelope drawing.The control group received standard nursing plus bladder control training,while the intervention group received nursing intervention based on Snyder's hope theory in addition to the control group's regimen for four weeks.Before and after the intervention,both groups'urinary incontinence,urinary function scores(international consultation on incontinence questionnaire-short form[ICIQ-SF]and expanded prostate cancer index composite for urinary incontinence[EPIC-UIN]),quality of life(incontinence quality of life questionnaire[I-QOL]),psy-chological status(state-trait anxiety inventory and Beck depression inventory-Ⅱ[BDI-Ⅱ]),and postoperative complica-tions were assessed.Results After intervention,the frequency of urination,the frequency of urine leakage,the volume of urination,and the score of urinary incontinence in the intervention group were lower than those in the control group,the differences were statistically significant(P＜0.05).After intervention,ICIQ-SF score of the two groups was lower than be-fore intervention,EPIC-UIN score was higher than before in-tervention,ICIQ-SF score of the intervention group was lower than that of the control group,EPIC-UIN score was higher than that of the control group,the differences were statistically significant(P＜0.05).After intervention,the I-QOL scores of the two groups were higher than before tervention,and the intervention group was higher than the control group,the differences were statistically significant(P＜0.05).After interven-tion,the state anxiety inventery,trait anxiety inventery and BDI-Ⅱ scores of the two groups were lower than before inter-vention,and the intervention group was lower than the control group,the differences were statistically significant(P＜0.05).The total incidence of complications in the intervention group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion Nursing interventions based on Snyder's hope theory combined with blad-der control training effectively reduce the severity of urinary incontinence,improve urinary function,enhance quality of life,and alleviate psychological symptoms of anxiety and depression in patients following radical prostatectomy,demonstrating significant clinical utility.
Prostate cancerSnyder's hope theoryNursing interventionBladder control trainingUrinary incontinence
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