[Individualized whole-course management in prostatic puncture biopsy: Application and efficiency].

ABSTRACT

OBJECTIVE: To evaluate the application of individualized whole-course management (IWCM) in prostatic puncture biopsy. METHODS: We reviewed the clinical data on 280 cases of ultrasound-guided transrectal prostatic puncture biopsy performed in our department from June 2016 to October 2017. We assigned the patients to an observation group (P = 140) and a control group (P = 140), the former given IWCM － preoperative education, intraoperative nursing care and postoperative guidance for complication prevention, while the latter going through only the routine procedures of preoperative talk and assigning of operation agreement. We compared the incidence of postoperative complications, blood pressure change and heart rate fluctuation of the patients and their satisfaction with IWCM. RESULTS: Prostatic puncture operations were successfully completed in all the patients. Compared with the controls, the patients in the observation group showed a significantly lower incidence rate of postoperative complications (P < 0.05), less significant fluctuation in blood pressure and heart rate intra- and postoperatively (P < 0.05), lower intraoperative pain scores (P < 0.05), and higher satisfaction with IWCM (80% ［112/140］ vs 95.7% ［134/140］, P < 0.05). CONCLUSION: Preoperative education, intraoperative nursing care and postoperative guidance for complication prevention can reduce the incidence of postoperative complications and improve the satisfaction of the patients undergoing ultrasound-guided prostate puncture.