Effect of hospital, community and home care model on nursing and quality of life of patients after transurethral resection of benign prostatic hyperplasia.

Objective: To explore the effect of hospital, community and home care model on the nursing effect and quality of life of patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection.

Methods: As a prospective study, 89 patients with transurethral resection of BPH were randomly divided into two groups by different nursing methods: a research group and a control group. The control group (n=41) received regular nursing, and the research group (n=48) received hospital, community and home care intervention. Both nursing methods were performed from patients' admission to discharge. The changes of psychological status (measured by Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD)), self-care ability (measured by Exercise of Self-care Agency Scale (ESCA)) and quality of life (measured by Benign Prostatic Hyperplasia Quality of Life Scale (BPH-QLS)), the incidence of postoperative complications and nursing satisfaction of patients before and after intervention were compared between the two groups.

Results: After nursing, the HAMA and HAMD scores in the research group were lower than those in the control group; the ESCA score and BPH-QLS score were higher than those in the control group (P<0.05); the incidence of complications in the research group was lower than that in the control group (P<0.05); the nursing satisfaction in the research group was higher than that in the control group (P<0.05).

Conclusion: The intervention of hospital, community and family care nursing model for patients with transurethral resection of BPH can reduce the occurrence of complications, significantly improve their psychological status and self-care ability, thus improving the quality of life and nursing satisfaction of patients.