Patient information at discharge--a study of a combined approach.

OBJECTIVE: To describe patients' perceptions of a new information procedure related to going home after urological surgery. This procedure, developed in an action research project, included a discharge talk with the nurse and an information booklet for the patients to keep. METHODS: A convenience sample of 99 patients responded to a survey sent home 1 week after discharge (return 78.6%). The Patient Information and Nurse Interaction Scale (PINI) was used for data collection. RESULTS: The sample were mostly male (81%), older (mean 71.9 years), and hospitalised on average less than 4 days. Patients who got the booklet had significantly more favourable perceptions on information received (p<0.05) on 11 of 21 items, and 91% said they would not have managed very well at home without it. CONCLUSION: The patients who received the booklet knew more about what might happen to them, were less uncertain and had fewer concerns when going home. PRACTICE IMPLICATIONS: The combination of standardised written information and a talk with the nurse where patients participated in individualising the information appears to have had a significant impact on self-management at home.

[Study on prevention of catheter associated urinary tract infection by using JUS long-acting antibacterial material].

OBJECTIVE: To observe the effect of reducing the incidence of CAUTI by spraying the long-acting antibacterial material JUS on the surface of catheter and urethral orifice. METHODS: Sixty male patients, aged from 68 to 79, with indwelling catheter after TURP were divided randomly into two groups (control group and treated group), each consisting of 30 patients. For the control group, their urethral orifice was treated conventionally twice a day; while for the treated group, in addition to the conventional treatment of their urethral orifice, the catheter and their urethral orifice were sprayed with the long-acting antibacterial material JUS twice a day. RESULT: The number of cases of urinary tract infection in the treated group during catheterization was evidently less than those of the control group (P < 0.01), so the difference was of remarkable significance. CONCLUSION: The long-acting antibacterial material, after spraying on the wall of catheter and urethral orifice of the patients with indwelling catheter, may form a layer of physically antibacterial molecular film to prevent the formation of a bacterial biological film and effectively reduce the incidence of CAUTI.

Preparing patients for urological surgery.

There is consensus among health care professionals that patients need and use written and oral patient education to prepare for hospitalisation. The purpose of this study was to re-design information for patients preparing for transurethral surgery (TUR P-B) and describe the effect of this change. A quasi-experimental design was used to answer the research questions. The findings showed that patients did benefit in some areas. The patients found a correspondence between what they were told to expect and what actually happened in the hospital. Nurses need to evaluate written materials to see that they are current and reflect best practice.

Bipolar transurethral resection of the prostate--a new approach.

Benign prostatic hyperplasia (BPH) is a common problem among older men. Transurethral resection of the prostate (TURP) is a common surgical procedure for treatment of BPH. Typically, TURP is performed using monopolar electric current and a wire electrode; however, the irrigating solution used during this procedure has the potential to cause transurethral resection (TUR) syndrome. A new technology uses bipolar electrosurgery, which creates less risk of electrical shock, and saline irrigation, which eliminates the risk for TUR syndrome.

Assessment and intervention knowledge of nurses in managing catheter patency in continuous bladder irrigation following TURP.

Continuous bladder irrigation (CBI) is an established procedure designed to prevent the formation and retention of blood clots following transurethral prostatectomy (TURP). The purpose of this study was to evaluate a tool designed to determine what steps the nurse should follow to assess whether a catheter is blocked and the actions to be taken to restore catheter patency for CBI.

TUNA of the prostate in an office setting: nursing implications.

Transurethral needle ablation is a minimally invasive treatment for benign prostatic hyperplasia. The procedure, with emphasis on patient selection, preoperative preparation, nursing role during the treatment, as well as postoperative care and assessment, is discussed.

Telephone follow-up after urological surgery.

A significant minority of patients will require specialist advice or further treatment after undergoing a TURP. Nurse-led telephone follow-up provides such patients with easy continued access to a specialist centre. When setting up a post-surgical telephone follow-up clinic, issues relating to patient selection, staff availability and administrative support needs must be considered.

Older patient perioperative care as experienced via transurethral resection of the prostate (TURP).

This reflective piece takes a holistic approach to an older patient having a transurethral resection of the prostate, commonly known as a TURP. It concentrates on the effects of age and likely comorbidities, and how the care given at each stage--preoperatively, anaesthetically, surgically and postoperatively--by the perioperative team can help to optimise the outcome for the patient. The article offers a critical appraisal of the best evidence available which supports the development of evidence based practitioners.