Authors (including presenting author) :
Lee ST, Wong KY
Affiliation :
Department of Surgery, United Christian Hospital
Introduction :
Transurethral resection of prostate (TURP) is the mainstay of surgical treatment for men with lower urinary tract symptoms caused by bladder prostatic obstruction. Effective postoperative nursing care and patient education are essential to prevent and detect post-TURP complications in patients during hospitalization and after discharge. This quality enhancement project aimed to improve postoperative care for TURP patients.
Objectives :
(1) To enhance post-TURP patients’ knowledge on postoperative complications and management; (2) to enhance nurses’ knowledge of TURP postoperative care, related complications and nursing management; (3) to reduce postoperative complications in TURP patients.
Methodology :
A staff education session was conducted on 30 Sept 2023, targeting surgical nurses at United Christian Hospital. The session provided updates on post-TURP complications and nursing care. A pre-post education questionnaire was designed, using multiple-choice questions and a 5-point Likert scale to assess nurses’ knowledge and satisfaction levels.
Patient education was conducted from September to October 2023 using a PowerPoint presentation and information leaflet, targeting patients admitted to the surgical ward after TURP. A re-post education questionnaire was designed, with multiple-choice questions and 4-point Likert scale, to examine patients’ knowledge and satisfaction levels.
Result & Outcome :
A total of 15 nurses participated in the education session and completed the questionnaires. There was a significant increase in nurses’ knowledge from pre-test score (M = 5.1, SD = 2) to post-test score (M = 9.7, SD = 0.8, t = 9, p < .001, paired t-test). Nurses’ satisfaction with the education in increasing their knowledge in post-TURP complications and confidence in post-TURP nursing care was 100%. 8 patients participated in the education program and completed the questionnaires. Post-test scores demonstrated a significant knowledge improvement (M = 5.8, SD = 0.5, t = 7.6, p <.001, paired t-test). Patients reported 100% satisfaction on the education and leaflet in increasing their knowledge. Notably, no unscheduled readmission or Accident and Emergency Department visits were recorded among these patients 3 months after discharge.
This project significantly enhanced the quality of TURP postoperative care in the surgical ward. Post-TURP patients benefited from acquiring knowledge of postoperative complications and expressed higher satisfaction with post-TURP nursing care. Nurses improved their competence in managing post-TURP care. Post-TURP complications could be therefore minimized, early detected and managed effectively during hospitalization and after discharge. It is planned to put the staff education session as a regular training for new surgical nurses to increase their knowledge on TURP care.
