Psychological nursing intervention on anxiety and depression in patients with urinary incontinence after radical prostatectomy

Abstract

Background: Prostate cancer (PC) is one of the most familiar disease of the male reproductive system globally. In treating the clinically localized PC, the radical prostatectomy is regarded as a gold standard, but it is associated with syndromes as urinary incontinence (UI), which can have a significant impact on patients’ quality of life. Nurse takes responsibility in the management of the UI for their convenience compared with doctors to contact with patients and build better trust relationships with survivals. However, most of the studies focus on the physiological level, the psychological nursing intervention research is less. The purpose of the trial is to introduce a psychological intervention program and to study its effects on anxiety and depression after prostatectomy in IU patients. Methods: This is a single-center randomized controlled trial that was authorized by Ethics Committee of the First People's Hospital of Chenzhou City (2020054). One hundred participants who undergo radical prostatectomy are analyzed. Inclusion criteria are the following: PC is diagnosed based on histological results; Participants in the study voluntarily sign the informed consent table; Severe UI after extubation; Patients with postoperative UI do not receive any drug treatment. Exclusion criteria are the followings: patients with the history of prostate operation; patients with the history of severe renal and liver malignancy; UI caused by reasons other than prostatectomy. The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed. All data are collected and analyzed by the Social Science software version 21.0 (SPSS, Inc., Chicago, IL) program. Results: The relevant indexes of severe UI patients are compared in the table. Conclusion: Psychological nursing intervention may have a positive effect on depression and anxiety in the UI patients after receiving the radical prostatectomy.

Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial

“…Thus, through a therapeutic option with the use of cognitive-behavioral strategies (17) , implemented in a timely manner, the chances of returning to full and definitive voiding control will be greater (18) . With this, it is possible to reduce the chance of physical consequences that can impact the lives of subjects with UI (19) , in addition to reducing the economic impact for both patients and health services, with a consequent reduction in the need for more complex, invasive and costly therapeutic measures (20) .…”

Prostatectomy postoperative urinary incontinence: From origin to treatment

“…This discomfort lowers the overall quality of life and further exacerbates anxiety and depression, which leads to social, psychological, and physical pain. In addition, PPUI brings great financial pressure and psychological burden to patients and their families, instilling a sense of shame and loss 43 …”

Programa cognitivo-comportamental para controle de sintomas do trato urinário inferior pós-prostatectomia radical: ensaio clínico randomizado

“…Assim, por meio de uma opção terapêutica com o uso de estratégias cognitivo-comportamentais (17) , implementadas em tempo oportuno, as chances de retorno do controle miccional de forma integral e definitiva serão maiores (18) . Com isso, é possível reduzir a chance de consequências físicas que podem impactar a vida dos sujeitos com IU (19) , além de reduzir o impacto econômico tanto para pacientes quanto para serviços de saúde, com a consequente redução da necessidade de medidas terapêuticas mais complexas, invasivas e onerosas (20) .…”