[The mediating effects of self-efficacy between symptom experience and quality of life in prostatic hyperplasia patients after cystostomy].

OBJECTIVE: To evaluate the symptom experience of patients with benign prostatic hyperplasia and bladder fistula. Exploring the mediating effect of self-efficacy on the relationship between symptom experience and quality of life in patients with benign prostatic hyperplasia undergoing long-term indwelling cystostomy. METHODS: This study used a cross-sectional survey design. Patients with prostatic hyperplasia with cystostomy in the Urology department of General Hospital of Eastern Theater Command from January 2020 to February 2023 were selected, and relevant data were collected by IPSS, IIEF-5, HAMD, GSES, and quality of life score scale for statistical analysis. We then construct a structural equation model to evaluate the mediating effect of self-efficacy between symptom experience and quality of life. RESULTS: The average score of IPSS was (22.55±8.26) ; the average score of IIEF-5 was (10.54±4.10) ; the average score of HAMD was (6.82±2.35) ; the average score of self-efficacy was (20.80±8.65) ; and the average score of quality of life was (71.65±12.55) . Symptom experience was significantly negatively correlated with self-efficacy and quality of life( r=－0.496 , P<0.01；r=－0.518 , P<0.01) . Self-efficacy was significantly positively correlated with quality of life( r= 0.412，P<0.05). Symptom experience significantly negatively affected quality of life through self-efficacy (Effect = －0.218，P = 0.014) . CONCLUSION: Self-efficacy is positively correlated with the quality of life of patients with benign prostatic hyperplasia who have long-term indwelling cystostomy tube. Nursing staff can improve the level of self-efficacy of patients by implementing corresponding interventions.

[Clinical application value of preoperative emotional management combined with family members' interactive description nursing in plasmakinetic enucleation of the prostate].

OBJECTIVE: To assess the clinical application value of preoperative emotional management combined with family members' interactive description nursing (PEM+FMID) in plasmakinetic enucleation of the prostate (PKEP). METHODS: This perspective study included 108 cases of PKEP performed in our hospital from July 2020 to May 2022. We randomly divided the patients into a control (n = 54) and an observation group (n = 54), the former receiving routine nursing, while the latter PEM+FMID in addition, before surgery. We recorded the operation time, perioperative blood loss and postoperative hospital stay, obtained the patients' Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) scores before and after nursing intervention, and their compliance, satisfaction and postoperative complications after intervention, and compared the data between the two groups. RESULTS: The average postoperative hospital stay was significantly shorter in the observation than in the control group (ï¼»6.35 ± 1.39ï¼½ d vs ï¼»7.19 ± 1.39ï¼½ d, P< 0.05). Compared with the baseline, the SDS and SAS scores of the patients were significantly decreased at 1 week after operation (P < 0.05), and markedly lower in the observation group than in the control (P < 0.05). The compliance rate (87.04% vs 66.67%) and satisfaction rate (92.59% vs 70.37%) of the patients were significantly higher in the observation than in the control group (both P < 0.05), while the total incidence rate of postoperative complications was lower in the former than in the latter (7.41% vs 33.33%, P < 0.05), particularly those of bladder irritation, hematuria, urinary retention and fever (all P < 0.05). CONCLUSION: Preoperative emotional management combined with family members' interactive description nursing can effectively relieve the negative emotions of the patients undergoing PKEP, improve their compliance and satisfaction, and reduce postoperative complications.