Welcome to visit Zhongnan Medical Journal Press Series journal website!

A qualitative study on the real experience of discharging patients with urinary catheter placement after radical prostatectomy

Published on Jan. 25, 2025Total Views: 182 timesTotal Downloads: 41 timesDownloadMobile

Author: LIU Yuping 1 GAI Qiongyan 2 ZHONG Weiqin 1 LI Ping 3

Affiliation: 1. Jiangsu University Gulou Clinical Medical College, Nanjing 210008, China 2. Jiangbei Auxiliary Service Patients Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China 3. Department of Urology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China

Keywords: Prostatic neoplasms Indwelling catheter Discharging patients Real experience Qualitative research

DOI: 10.12173/j.issn.1004-5511.202410116

Reference: Liu YP, Gai QY, Zhong WQ, Li P. A qualitative study on the real experience of discharging patients with urinary catheter placement after radical prostatectomy[J]. Yixue Xinzhi Zazhi, 2025, 35(1): 48-56. DOI: 10.12173/j.issn.1004-5511.202410116.[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Objective  To explore the real experiences of patients discharged with indwelling urinary catheters after radical prostatectomy, and to propose targeted nursing interventions and continuous care recommendations.

Methods  A purposive sampling method was used to select patients who underwent radical prostatectomy discharged from a urology department at Nanjing Drum Tower Hospital in Nanjing from June 2023 to October 2023. Data were collected through in-depth interviews and analyzed using NVivo 12.0 software and the Colaizzi 7-step analysis method for qualitative research.

Results  There were 3 themes and 8 sub-themes summarized from the interviews, including physiological discomfort and daily life challenges (limited daily activities, disrupted sleep, and challenges with clothing and personal hygiene), psychological stress and social difficulties (social stigma, social avoidance), social support and rehabilitation guidance (needs for family daily care support, needs for love and respect, rehabilitation guidance needs).

Conclusion  Patients undergoing radical prostatectomy with indwelling urinary catheters face complex lifestyle challenges after discharge. Therefore, developing a comprehensive rehabilitation nursing plan for radical prostatectomy patients after discharge is advised to ensure that patients receive continuous care and support to enhance overall quality of life, thus promoting their physical, mental, and social recovery.

Full-text
Please download the PDF version to read the full text: download
References

1.王贝贝, 董柏君, 杨艳. 共享决策在局限性前列腺癌病人治疗决策中的应用进展[J]. 护理研究, 2021, 35(7): 1212-1216. [Wang BB, Dong BG, Yang Y. Application progress of shared decision? Making in treatment decision? Making of patients with localized prostate cancer[J]. Chinese Nursing Research, 2021, 35(7): 1212-1216.] DOI: 10.12102/j.issn.1009-6493.2021.07.017.

2.Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.

3.闵淑慧, 胡依, 郭芮绮, 等. 1990-2019年中国前列腺癌疾病负担分析及趋势预测[J]. 中国肿瘤, 2023, 32(3): 171-177. [Min  SH, Hu Y, Guo RQ, et al. Analysis of disease burden of prostate cancer in China from 1990 to 2019 and trend prediction[J]. Chinese Oncology, 2023, 32 (3): 171-177.] DOI: 10.11735/j.issn.1004-0242.2023.03.A002.

4.Amaral GLGD, Costa KMM, Lima CMF, et al. Quality of life and body image of patients with urinary disorders[J]. Rev Bras Enferm, 2020, 73 Suppl 1: e20190522. DOI: 10.1590/0034-7167-2019-0522.

5.Ndomba ALM, Laisser RM, Konje ET, et al. Life with an indwelling urinary catheter: experiences from male patients attending the urology clinic at a tertiary hospital in Northwestern Tanzania-a qualitative study[J]. Nurs Rep, 2022, 12(4): 791-803. DOI: 10.3390/nursrep12040077.

6.Litwin MS, Tan H. The diagnosis and treatment of prostate cancer: a review[J]. JAMA, 2017, 317(24): 2532-2542. DOI: 10.1001/jama.2017.7248.

7.刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J]. 护理学杂志, 2019, 34(11): 90-92. [Liu M. Using an example to illustrate Colaizzi's phenomenological data analysis method[J]. Journal of Nursing Science, 2019, 34(11): 90-92.] DOI: 10.3870/j.issn.1001-4152. 2019.11.090.

8.王丹,王岚,王莎. 居家老年留置导尿患者家庭导管护理现状调查[J]. 特别健康, 2024, (13): 199-200. [Wang D, Wang L, Wang S. Investigation on the current situation of home catheterization nursing for elderly patients with indwelling catheterization at home[J]. Special Health, 2024, (13): 199-200.] DOI: 10.3969/j.issn.2095-6851.2024.13.100.

9.Mackay WG, MacIntosh T, Kydd A, et al. Living with an indwelling urethral catheter in a community setting: exploring triggers for unscheduled community nurse "out-of-hours" visits[J]. J Clin Nurs, 2018, 27(3-4): 866-875. DOI: 10.1111/jocn.14117.

10.韩春蕾, 谢壮壮, 曲德鑫, 等. 老年人健康影响因素的多水平模型分析[J]. 中国老年学杂志, 2021, 41(20): 4574-4577. [Han CL, Xie ZZ, Qu DX, et al. Multi level model analysis of factors affecting the health of elderly people[J]. Chinese Journal of Gerontology, 2021, 41(20): 4574-4577.] DOI: 10.3969/j.issn. 1005-9202.2021.20.063.

11.Siegel RL, Miller KD, Fuchs HE, et al. Cancer statistics, 2022[J]. CA Cancer J Clin, 2022, 72: 7-33. DOI: 10.3322/caac.21708.

12.Siegel DA, O'Neil ME, Richards TB, et al. Prostate cancer incidence and survival, by stage and race/ethnicity-United States, 2001-2017[J]. MMWR Morb Mortal Wkly Rep, 2020, 69(41): 1473-1480. DOI: 10.15585/mmwr.mm6941a1.

13.Safdar N, Codispoti N, Purvis S, et al. Patient perspectives on indwelling urinary catheter use in the hospital[J]. Am J Infect Control, 2016, 44(3): e23-24. DOI: 10.1016/j.ajic.2015.10.011.

14.帅晶. 奥马哈系统对留置尿管居家护理患者生活质量的影响[J]. 中国实用医药, 2017, 12(32): 175-176. [Shuai J. The impact of Omaha system on the quality of life of patients receiving home care with indwelling urinary catheters[J]. China Practical Medical, 2017, 12(32): 175-176. DOI: 10.14163/j.cnki.11-5547/r.2017.32.098.

15.佟泽根, 余文霞, 李海艳, 等. "互联网+护理服务"在留置导尿管延续护理中的应用效果[J]. 中国临床研究, 2021, 34(12): 1736-1738, 1741. [Tong ZG, Yu WX, Li HY, et al. Application effect of "internet plus nursing service" in continuous nursing care of indwelling catheter[J]. Chinese Journal of Clinical Research, 2021, 34(12): 1736-1738, 1741.] DOI: 10.13429/j.cnki.cjcr.2021.12.035.

16.Nicholson NR, Feinn R, Casey EA, et al. Psychometric evaluation of the social isolation scale in older adults[J]. Gerontologist, 2020, 60(7): e491-501. DOI: 10.1093/geront/gnz083.

17.董朝晖, 卢惠娟, 陆箴琦, 等. 癌症患者社会疏离体验的质性研究[J]. 中华护理杂志, 2023, 58(6): 670-675. [Dong  CH, Lu  HJ, Lu ZQ, et al. Experiences of social isolation in cancer patients: a qualitative research[J]. Chinese Journal of Nursing, 2023, 58(6): 670-675.] DOI: 10.3761/j.issn.0254-1769. 2023.06.004.

18.王志敏, 仲学锋, 张莲芝. 安徽省癌症健康教育需求现状及影响因素[J]. 中国慢性病预防与控制, 2016, 24(6): 449-452. [Wang ZM, Zhong XF, Zhang LZ. Current situation and influencing factors of cancer health education demand in Anhui province[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2016, 24(6): 449-452.] DOI: 10.16386/j.cjpccd.issn.1004-6194.2016.06.015.

19.Major B, O'Brien LT. The social psychology of stigma[J]. Annu Rev Psychol, 2005, 56: 393-421. DOI: 10.1146/annurev.psych.56.091103.070137.

20.Eymech O, Brunckhorst O, Deacon M, et al. The impact of radical prostatectomy on the social well-being of prostate cancer survivors: a qualitative Meta-synthesis[J]. Eur J Cancer Care (Engl), 2022, 31(4): e13630. DOI: 10.1111/ecc.13630.

21.王辰辰, 傅巧美, 陈慧. 前列腺癌病人病耻感现状调查及其影响因素研究[J]. 全科护理, 2021, 19(5): 705-708. [Wang  CC, Fu QM, Chen H. Investigation on the current status of shame among prostate cancer patients and its influencing factors[J]. Chinese General Practice Nursing, 2021, 19(5): 705-708.] DOI: 10.12104/j.issn.1674-4748.2021.05.039.

22.南宁市第二人民医院. 一种适用于术后留置尿管患者的可调节裤子: CN202321138701.2[P]. 2023-09-29. [The Second Nanning People's Hospital. An adjustable pair of pants suitable for postoperative indwelling catheterization patients: CN202321138701.2[P]. 2023-09-29.]

23.刘艳, 张琪. 重视癌症患者的健康宣教[J]. 中国厂矿医学, 2006, 19(6): 497. [Liu Y, Zhang Q. Pay attention to health education for cancer patients[J]. Chinese Journal of Clinical Research, 2006, 19(6): 497.] DOI: 10.3969/j.issn.1674-8182. 2006.06.078.

24.Sen K, Prybutok G, Prybutok V. The use of digital technology for social wellbeing reduces social isolation in older adults: a systematic review[J]. SSM Popul Health, 2022, 17: 101020. DOI: 10.1016/j.ssmph.2021.101020.

25.易红美. 前列腺癌患者支持性照护需求的研究进展[J]. 重庆医学, 2022, 51(10): 1774-1777, 1782. [Yi HM. Research advances on supportive care needs of patients with prostate cancer[J]. Chongqing Medicine, 2022, 51(10): 1774-1777, 1782.] DOI: 10.3969/j.issn.1671-8348.2022.10.033.

26.Wang L, Yang L, Di X, et al. Family support, multidimensional health, and living satisfaction among the elderly: a case from shaanxi province, China[J]. Int J Environ Res Public Health, 2020, 17(22): 8434. DOI: 10.3390/ijerph17228434.

27.Feng Q, Straughan PT. What does successful aging mean? Lay perception of successful aging among elderly singaporeans[J]. J Gerontol B Psychol Sci Soc Sci, 2017, 72(2): 204-213. DOI: 10.1093/geronb/gbw151.

28.Shamsikhani S, Ahmadi F, Kazemnejad A, et al. Meaning of respect for older people in family relationships[J]. Geriatrics (Basel), 2022, 7(3): 57. DOI: 10.3390/geriatrics7030057.

29.Shamsikhani S, Ahmadi F, Kazemnejad A, et al. Typology of family support in home care for iranian older people: a qualitative study[J]. Int J Environ Res Public Health, 2021, 18(12): 6361. DOI: 10.3390/ijerph18126361.

30.阎璐, 梁雪, 闻欣. 前列腺癌患者家庭支持水平与生活质量及自我形象的相关分析[J]. 临床与病理杂志, 2016, 36(11): 1758-1761. [Yan L, Liang X, Wen X. The correlation analysis of family support level and life quality and self-image in patients with prostate cancer[J]. Journal of Clinical and Pathological Research, 2016, 36(11): 1758-1761.] DOI: 10.3978/j.issn.2095-6959.2016.11.014.

31.苗钟元, 范围. 子女收入、家庭支持与老年人健康[J]. 中国卫生政策研究, 2023, 16(7): 31-39. [Miao ZY, Fan W. Children's income level, family support and the health of older adults[J]. Chinese Journal of Health Policy, 2023, 16(7): 31-39.] DOI: 10.3969/j.issn.1674-2982.2023.07.005.

32.宋鹏娟, 刘均娥, 陈少华, 等. 回归家庭干预对乳腺癌术后患者康复效果的影响[J]. 中华护理杂志, 2022, 57(2): 133-139. [Song PJ, Liu JE, Chen SH, et a1. Effect of return-to-family intervention on rehabilitation efficacy of breast cancer patients[J]. Chinese Journal of Nursing, 2022. 57(2): 133-139.] DOI: 10.3761/j.issn.0254-1769.2022.02.001.

33.赵青, 谢蕴慧, 龚英, 等. 脑卒中病人出院后对延续性护理意愿和需求的质性研究[J]. 全科护理, 2020, 18(2): 192-196. [Zhao Q, Xie YH, Gong Y, et al. Qualitative study on the willingness and needs of continuous care in stroke patients after discharge from hospital[J]. Chinese General Practice Nursing, 2020, 18(2): 192-196.] DOI: 10.12104/j.issn.1674-4748. 2020.02.021.

34.常鹄, 陈元立, 李纪宾, 等. 北京市三个社区肿瘤患者对健康宣教传播肿瘤相关防治知识的知晓情况分析与评价 [J]. 中国肿瘤临床与康复, 2019, 26(12): 1421-1424. [Chang H, Chen  YL, Li JB. et al. Analysis and evaluation of patients, knowledge on cancer prevention and treatment after health education in three districts in Beijing[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2019, 26(12): 1421-1424.] DOI: 10.13455/j.cnki.cjcor.2019.12.03.

35.安革利, 谢红娟. 多学科协作配合焦点解决护理对前列腺癌患者术后恢复的影响[J]. 肿瘤基础与临床, 2024, 37(2): 216-218. [An GL, Xie HJ. Multidisciplinary collaboration and focus on addressing the impact of nursing on postoperative recovery of prostate cancer patients[J]. Journal of Basic and Clinical Oncology, 2024, 37(2): 216-218.] DOI: 10.3969/j.issn.1673-5412.2024.02.027.

36.赵蕾, 陈怡婷, 李琳, 等. 分析基于快速康复外科理念的多学科协作围术期护理对前列腺癌根治术患者术后疼痛评分, 并发症及睡眠质量的影响[J]. 世界睡眠医学杂志, 2023, 10(8): 1937-1939. [Zhao L, Chen YT, Li L, et al. To analyze the effects of multidisciplinary collaborative perioperative nursing based on the fts concept on postoperative pain score, complications and sleep quality of patients undergoing radical prostatic cancer surgery[J]. World Journal of Sleep Medicine, 2023, 10(8): 1937-1939.] DOI: 10.3969/j.issn.2095-7130.2023.08.065.