Efficiency of evidence-based collaborative nursing on complications, negative emotions and quality of live in radical prostatectomy.

Am J Transl Res 2025;17(1):349-357 www.ajtr.org /ISSN:1943-8141/AJTR0158015 Original Article Efficiency of evidence-based collaborative nursing on complications, negative emotions and quality of live in radical prostatectomy Xiujing Wu1, Xiaoying Zang2 1 Department of Urology, Tianjin Medical University General Hospital, Tianjin 300052, China; 2School of Nursing, Tianjin Medical University, Tianjin 300052, China Received May 24, 2024; Accepted December 2, 2024; Epub January 15, 2025; Published January 30, 2025 Abstract: Objective: To evaluate the effectiveness of evidence-based collaborative nursing in reducing complications, alleviating negative emotions, and improving the quality of life in patients undergoing radical prostatectomy. Methods: In this retrospective study, Sixty-three patients who underwent surgery for prostate cancer between September 2021 and August 2022 were included as the control group, while 75 patients hospitalized between September 2022 and August 2023 were selected as the observation group. All these patients were treated at Tianjin Medical University General Hospital. The control group received routine nursing care, while the observation group received evidence-based collaborative nursing in addition to standard care. Complications, emotional state, self-care ability, fear of disease progression, quality of life, urodynamic index and the satisfaction with care were compared and analyzed between the two groups. Results: The observation group experienced significantly fewer complications than the control group (P<0.05). After intervention, both groups showed a significant reduction in negative emotional scores and an increase in positive emotional scores compared to pre-intervention (all P<0.05), with the observation group demonstrating more pronounced alterations (all P<0.05). Self-care ability scores in both groups improved significantly post-intervention (P<0.05), with the observation group showing higher scores than the control group (P<0.05). Scores related to fear of disease progression were significantly lower in both groups post-intervention, with the observation group showing a greater reduction (P<0.05). Quality of life scores in the functional dimension improved and symptom scores decreased in both groups post-intervention (P<0.05), with the observation group showing better outcomes than the control group (P<0.05). Urodynamic indices, including maximum urine flow, maximum urethral closure, and maximum bladder capacity, improved significantly in both groups post-intervention (P<0.05), with the observation group outperforming the control group (P<0.05). Additionally, the observation group reported higher satisfaction with nursing care compared to the control group (P<0.05). Conclusion: Evidence-based collaborative caring significantly improves emotional well-being, enhances self-care ability and quality of life, and reduces postoperative complications in patients undergoing radical prostatectomy. This approach holds great potential for broader clinical application. Keywords: Evidence-based medicine, collaborative nursing, prostate cancer, radical surgery, postoperative complications, negative emotions, quality of life Introduction Prostate cancer is the most common malignant tumor affecting the reproductive and urinary systems in elderly men and it is the fifth leading cause of death among males. With the changes in the global environment, the incidence of prostate cancer has been increasing annually, severely impacting the physical and mental health, and life expectancy of affected patients [1]. Radical prostatectomy is the primary treatment for early-stage prostate cancer. Nevertheless, the operation involves the removal of the patient’s sexual organs, which can be challenging for many to accept, leading to varying degrees of psychological distress. In addition, surgical trauma and high incidence of postoperative complications further aggravates the negative emotions of patients after radical surgery, significantly affecting their postoperative quality of life [2]. https://doi.org/10.62347/DZDL1914 Nursing for radical prostatectomy Evidence-based medical care is a new nursing mode guided by scientific evidence, incorporating the professional skills of healthcare providers, relevant research findings, and the specific needs of patients [3, 4]. This model facilitates the development of well-informed nursing decisions and plans by rigorously integrating the latest scientific research with the clinical expertise of nurses and the individual circumstances of the patient. By tailoring care strategies to each patient’s condition, evidence-based nursing ensures a higher quality of service delivery [5]. Collaborative care, based on responsibilitybased care, emphasizes patient self-care ability and encourages active participation from both patients and their families. This approach allows for a more efficient and reasonable use of available resources [6]. To further improve the psychological well-being and quality of life of prostate cancer patients following surgery, our hospital implemented an evidence-based collaborative nursing model beginning September 2022. This study aims to evaluate the effectiveness of evidence-based collaborative nursing in reducing complications, alleviating negative emotions, and improving the quality of life in patients undergoing radical prostatectomy. Materials and methods Clinical profile In this retrospective study, 63 patients who underwent surgical treatment for prostate cancer between September 2021 and August 2022 were included as the control group, while 75 cases hospitalized from September 2022 to August 2023 were included as the observation group. All patients were treated at Tianjin Medical University General Hospital, and the study was approved by the Hospital Ethics Committee. Inclusion and exclusion criteria Inclusion criteria: (1) Patients diagnosed with prostate cancer by prostate biopsy and who underwent laparoscopic radical prostatectomy [7]. (2) Patients with normal mental and verbal communication abilities. (3) Patients with complete clinical data. (4) Patients with primary school education level or above. (5) Patients with stable postoperative vital signs. 350 Exclusion criteria: (1) Patients with significant declines in vital organ function (e.g., heart, liver, kidney). (2) Patients who died during surgery. (3) Patients with concomitant malignant tumors. (4) Patients with contraindications to laparoscopic radical prostatectomy. Methods All procedures were performed by the same group of doctors and nurses in our department. Patients in the control group received routine nursing interventions, including preoperative health education, preoperative psychological care, postoperative management, dietary guidance, postoperative activity guidance, and postoperative complication management. The observation group received evidence-based collaborative nursing interventions in addition to the r (...truncated)