Effect of Nursing Guidelines on Clinical Outcomes for Patients Undergoing Transurethral Resection of Prostate

Abozied, Eman Mohammed; Abdelaziz, Amany Lofty; Bastaweesy, Mohammed Gaber; Khalil, Shaimaa A.

doi:10.21608/tsnj.2025.457083

Effect of Nursing Guidelines on Clinical Outcomes for Patients Undergoing Transurethral Resection of Prostate

Document Type : Original Article

Authors

¹ Demonstrator of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt

² Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt

³ Proffesor of Urology Surgery, Faculty of Medicine, Tanta University, Egypt.

⁴ Lecturer of Medical Surgical Nursing , Faculty of Nursing, Tanta University Egypt.

10.21608/tsnj.2025.457083

Abstract

Background: Transurethral Resection of the Prostate (TURP) still the benchmark surgical management for benign prostatic hyperplasia (BPH), in spite of newer minimally invasive technique. Patient teaching is essential to lessen anxiety and complications. Aim: To investigate the impact of structured nursing guidelines on clinical outcomes for patients undergoing TURP. Design: Quasi - experimental research was employed. Setting: The study executed at Student's Hospital connected to Tanta University Hospitals, Ministry of Higher Education, Egypt. Subject: A purposive sample of 50 adult male patients scheduled for undergoing TURP allocated to control group who obtained routine care and intervention group who was given pre/postoperative nursing instructions Tools: Three tools were used in this study: Tool I:Patients' Assessment Structured Interview Questionnaire .Tool II: Patients Clinical Outcomes sheet including three parts: Part1:Pain Assessment tool, Part 2: Beck Anxiety Inventory, Part 3 :Post Resectoscope Patient's Observation for risks of Complication Checklist. Tool III:A questionnaire for rating health-related quality of life Result: The intervention group showed significant improvement in total knowledge (100%) high level of knowledge (p <0.001), decreased total anxiety (Beck Inventory , 80% had mild anxiety level ;p <0.001) , lower pain scores (Numeric rating scale ; P value = 0.001 , complications rates (hematurea ,urinary incontinence and dysuria ) were lower at 2 months follow up (p <0.05) and there was a statistical significant differences in total life quality level between both groups (p=0.000). Conclusion: The implementation of structured nursing instructions positively influences clinical outcomes in patients undergoing TURP . Recommendations: Structured patient education using diverse educational materials (verbal, written, visual aids) should be integrated into routine nursing care for TURP patients.