Objective  Based on Meleis' transition theory, this study explored the experiences and perceptions of patients undergoing robot-assisted radical prostatectomy (RARP) in participating in discharge preparation services, aiming to provide more humanized and targeted nursing recommendations for clinical practice.

Methods  A descriptive qualitative study was conducted. Using purposive sampling, patients who underwent RARP at Nanjing Drum Tower Hospital between August 2023 and January 2024 were selected for semi-structured face-to-face interviews. Interviews were conducted within 24 hours before discharge and during the first follow-up two weeks after discharge. For patients unable to return for follow-up, telephone interviews were conducted. Thematic analysis was performed using directed content analysis.

Results  A total of 20 patients were included. The experiences of patients participating in discharge preparation services were summarized into three main themes and nine sub-themes: awareness of discharge transition (ambivalence toward discharge decisions, uncertainty about the disease, active participation in the discharge process); multifaceted challenges during discharge transition (changes in physiological function, psychological and emotional distress, difficulties in social reintegration, challenges in accessing information); expectations for postoperative recovery (regaining a sense of control, actively adapting to the patient role).

Conclusion  Future healthcare and social services should place greater emphasis on addressing patients' physiological, psychological, social, and informational challenges. Through more personalized care, community services tailored to patients' needs, and clear health guidance, patients can be better supported in coping with postoperative challenges.

1.Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2024, 74(3): 229-263.

2.Schafer EJ, Laversanne M, Sung H, et al. Recent patterns and trends in global prostate cancer incidence and mortality: an update[J]. Eur Urol, 2025, 87(3): 302-313.

3.Mulholland C, Soliman C, Furrer MA, et al. Same day discharge for robot-assisted radical prostatectomy: a prospective cohort study documenting an Australian approach[J]. ANZ J Surg, 2023, 93(3): 669-674.

4.Holze S, Kuntze AS, Mende M, et al. Assessment of different continence definitions in the context of the randomized multicenter prospective LAP-01 trial-Does the best definition change over time?[J]. Eur J Med Res, 2024, 29(1): 58.

5.Cheng X, Zhou L, Liu W, et al. Construction and verification of risk predicting models to evaluate the possibility of venous thromboembolism after robot-assisted radical prostatectomy[J]. Ann Surg Oncol, 2022, 29(8): 5297-5306.

6.Moschini M, Gandaglia G, Fossati N, et al. Incidence and predictors of 30-day readmission after robot-assisted radical prostatectomy[J]. Clin Genitourin Cancer, 2017, 15(1): 67-71.

7.苏晓萍,郑志平,蔡翠珊,等. 前列腺癌根治术患者出院准备服务方案的构建与应用[J]. 护理学杂志, 2024, 39(21): 24-28. [Su XP, Zheng ZP, Cai CS, et al. Construction and application of the discharge preparation service plan for patients undergoing radical prostatectomy[J]. Journal of Nursing Science, 2024, 39(21): 24-28.]

8.Kralik D, Visentin K, van Loon A. Transition: a literature review[J]. J Adv Nurs, 2006, 55(3): 320-329.

9.Ding X, Wang A, Tian J, et al. Preparedness, demand, and burden of informal caregivers of stroke survivors from hospital to home: a longitudinal study based on transition theory[J]. Public Health Nurs, 2025, 42(5): 1617-1626.

10.林敏, 朱佳楠, 陈京立. 过渡理论在出院护理实践领域的应用及研究进展[J]. 护士进修杂志, 2020, 35(23): 2141-2145. [Lin M, Zhu  JN, Chen JL. The application and research progress of transition theory in the field of discharge care practice[J]. Journal of Nurses Training, 2020, 35(23): 2141-2145.]

11.陆华贞,金园园,李惠玲. 3种内容分析法在护理质性研究中的应用进展[J]. 中华护理杂志, 2024, 59(11): 1405-1409. [Lu HZ, Jin  YY, Li HL. Research progress on the application of 3 common types of content analysis in the qualitative studies of nursing[J]. Chinese Journal of Nursing, 2024, 59(11): 1405-1409.]

12.曹洁,孙彩红,丁艳,等. 前列腺癌病人手术决策类型及其影响因素[J]. 护理研究, 2020, 34(11): 1878-1881. [Cao J, Sun CH, Ding  Y, et al. Types of surgical decisions for prostate cancer patients and their influencing factors[J]. Chinese Nursing Research, 2020, 34(11): 1878-1881.]

13.Devos J, Van Praet C, Decaestecker K, et al. Cognitive factors influencing treatment decision-making in patients with localised prostate cancer: development of a standardised questionnaire[J]. Acta Clin Belg, 2015, 70(4): 272-279.

14.Reichert M, Popeneciu IV, Uhlig A, et al. Cognitive ability as a non-modifiable risk factor for post-prostatectomy urinary incontinence: a double-blinded, prospective, single-center trial[J]. Front Surg, 2022, 8: 812197.

15.Mardani A, Farahani MA, Khachian A, et al. Fear of cancer recurrence and coping strategies among prostate cancer survivors: a qualitative study[J]. Curr Oncol, 2023, 30(7): 6720-6733.

16.Jones KC, Austad K, Silver S, et al. Patient perspectives of the hospital discharge process: a qualitative study[J]. J Patient Exp, 2023, 10: 23743735231171564.

17.Alarslan G, Mennes R, Kieft R, et al. Patients involvement in the discharge process from hospital to home: a patient's journey[J]. J Adv Nurs, 2024, 80(6): 2462-2474.

18.刘玉萍, 盖琼艳, 钟维琴, 等. 前列腺癌根治术患者出院留置尿管真实体验的质性研究[J]. 医学新知, 2025, 35(1): 48-56. [Liu YP, Gai QY, Zhong WQ, et al. 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.]

19.郭晓菡, 祝凯, 黄霞, 等. 社区老年人积极老龄化的潜在剖面分析及护理需求研究[J]. 中华护理杂志, 2024, 59(16): 2014-2020. [Guo XH, Zhu K, Huang X, et al. Analysis of the potential profiles of active aging among community-dwelling elderly and research on their nursing needs[J]. Chinese Journal of Nursing, 2024, 59(16): 2014-2020.]

20.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.]

21.Tsandila Kalakou F, Aase K, Kjosavik SR, et al. Supportive care needs of men with prostate cancer after hospital discharge: multi-stakeholder perspectives[J]. Int J Qual Stud Health Well-being, 2021, 16(1): 1960706.

22.Grenier A, Viscogliosi C, Delli-Colli N, et al. The performance assessment of self-care skills to predict adverse events post-discharge[J]. Can J Occup Ther, 2022, 89(2): 190-200.

23.Yen HY, Liu D, Chi MJ, et al. Awareness of and subjective needs for post-discharge healthcare services among older adult patients[J]. BMC Nurs, 2023, 22(1): 129.

24.万胤辰, 王招娣, 吴坤, 等. 照顾能力干预方案在晚期肺癌患者家庭照顾者中的应用研究[J]. 中华护理杂志, 2024, 59(15): 1824-1831. [Wan YC, Wang ZD, Wu K, et al. Application research of care ability intervention program in family caregivers of patients with advanced lung cancer[J]. Chinese Journal of Nursing, 2024, 59(15): 1824-1831.]

25.Phillips C, Gray RE, Fitch MI, et al. Early postsurgery experience of prostate cancer patients and spouses[J]. Cancer Pract, 2000, 8(4): 165-171.

26.刘秀梅,张俊,李婷婷,等. 知识图谱视角下前列腺癌患者疾病体验的研究热点与前沿动态可视化分析[J]. 中国男科杂志, 2025, 39(3): 126-134. [Liu XM, Zhang J, Li TT, et al. Dynamic visual analysis of research hotspots and frontiers of disease experience of prostate cancer patients from the perspective of knowledge graph[J]. Chinese Journal of Andrology, 2025, 39(3): 126-134.]

27.Rahota RG, Salin A, Gautier JR, et al. A prehabilitation programme implemented before robot-assisted radical prostatectomy improves peri-operative outcomes and continence recovery[J]. BJU Int, 2022, 130(3): 357-363.

28.马磊, 曾津. 同伴支持教育对机器人辅助前列腺癌根治术后患者自我效能生活质量及社会支持的影响[J]. 安徽医学, 2022, 43(2): 232-236. [Ma L, Zeng J. The impact of peer support education on the self-efficacy, quality of life, and social support of patients undergoing robot- assisted radical prostatectomy[J]. Anhui Medical Journal, 2022, 43(2): 232-236.]

29.Michael NA, Mselle LT, Tarimo EM, et al. The effectiveness of nurse-led transition care on post-discharge outcomes of adult stroke survivors: a systematic review and Meta-analysis[J]. Nurs Open, 2025, 12(3): e70140.

30.高春华, 林燕, 俞超, 等. 专科护士主导的出院准备服务在肺移植患者中的应用研究[J]. 中华护理杂志, 2023, 58(18): 2181-2188. [Gao CH, Lin Y, Yu C, et al. A study on the application of discharge preparation services led by nurse specialists in patients undergoing lung transplantation[J]. Chinese Journal of Nursing, 2023, 58(18): 2181-2188.]

31.周君, 陈丽茹, 吴小凤, 等. 多层次团队合作在国产腹腔镜机器人辅助中老年前列腺癌根治术中的意义[J]. 中国临床保健杂志, 2022, 25(5): 686-688. [Zhou J, Chen LR, Wu XF, et al. The significance of multi-level team collaboration in the domestic laparoscopic robot-assisted radical prostatectomy for middle-aged and elderly patients[J]. Chinese Journal of Clinical Healthcare, 2022, 25(5): 686-688.]