Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial

Abstract

Objective: To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory. Method: A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5. Results: There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001). Conclusion: The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

Patient experiences of self-care management after radical prostatectomy

“…Patients in our study highlighted the importance of information and support about self-care being adjusted for their specific situation and coming at the right time. We also found low adherence to recommendations, for instance regarding self-care for erectile function, which is in line with other studies (Schildmeijer et al, 2019, Mata et al, 2019. Research suggests personalized and tailored information (Nelson et al, 2019, Blödt et al, 2018, providing patients with the possibility to choose the timing and contents of the information given, which might improve adherence.…”

Cross-cultural adaptation and validation of the Urinary Incontinence Scale After Radical Prostatectomy for the Brazilian context

“…In the pre-testing, in the filling instructions, the term "urinary incontinence" was not well understood by participants with advanced age and low schooling level. It is noteworthy that this is a profile already identified in another study that evaluated the effectiveness of a teaching program for the discharge of prostatectomized patients (21) and, therefore, technical terms should be avoided as they cause confusion and limit participation. The greater difficulty in reading and understanding basic information also impacts decision-making, since many patients do not ask for clarification on unfamiliar terms, which compromises the effectiveness of communication (14) .…”

Adaptação transcultural e validação da Urinary Incontinence Scale After Radical Prostatectomy para o contexto brasileiro

“…Tabela 4 -Apresentação dos valores de coeficientes de correlação item-total da EIUPR e dos valores do alfa de Cronbach, se o item for excluído (n=80 No pré-teste, nas instruções de preenchimento, o termo "incontinência urinária" não foi bem compreendido pelos participantes com idade avançada e baixa escolaridade. Ressalta-se que esse é um perfil já identificado em outro estudo que avaliou a efetividade de programa de ensino para alta de pacientes prostatectomizados (21) e, portanto, termos técnicos devem ser evitados por causar confusão e limitar a participação. A maior dificuldade de leitura e compreensão de informações básicas também impacta na tomada de decisões, visto que muitos pacientes não pedem esclarecimentos sobre termos desconhecidos o que compromete a eficácia da comunicação (14) .…”