Psychological nursing intervention on anxiety and depression
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Prostate cancer (PC) is one of the most familiar disease of the male reproductive system globally. In treating the clinically localized PC, the radical prostatectomy is regarded as a gold standard, but it is associated with syndromes as urinary incontinence (UI), which can have a significant impact on patients’ quality of life. Nurse takes responsibility in the management of the UI for their convenience compared with doctors to contact with patients and build better trust relationships with survivals. However, most of the studies focus on the physiological level, the psychological nursing intervention research is less. The purpose of the trial is to introduce a psychological intervention program and to study its effects on anxiety and depression after prostatectomy in IU patients.

A single-center randomized controlled trial was organized. One hundred participants who underwent radical prostatectomy were analyzed.

*Inclusion criteria are the following: PC is diagnosed based on histological results; Participants in the study voluntarily sign the informed consent table; Severe UI after extubation; Patients with postoperative UI do not receive any drug treatment.
* Exclusion criteria are the followings: patients with the history of prostate operation; patients with the history of severe renal and liver malignancy; UI caused by reasons other than prostatectomy.

The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed.

Control group receives conventional nursing intervention, including health education to the patients before surgery, correct guidance before and after the urinary catheter is removed, and the health education for the patients after discharge, and conducting the telephone follow-up (containing psychological counseling, the care of daily life, training methods of pelvic floor muscle and bladder).

In addition the patients in the psychoeducation group are intervened by a team and 2 nurses with an intermediate professional qualification. The duty of the head nurse is to manage the postoperative recovery of patients, actively monitor and care, listen to the complaints of patients in time, and communicate with the patients along with their families regularly, and then actively deal with the related problems of patients. After the catheter is removed, the patient is guided through a relaxation exercise that has been learned in advance of the surgery. Patients are followed up by telephone once a week after removal of the catheter. All nursing team members participate in group psychological nursing intervention.

Outcome measures
The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed. The evaluation of depression degree is carried out with the “Zung self-rating Depression Scale,” while the anxiety degree is evaluated through the “Zung Self-Rating Anxiety Scale".

Psychological nursing intervention may have a positive effect on depression and anxiety in the UI patients after receiving the radical prostatectomy.

Source: https://journals.lww.com/md-journal/Fulltext/2020/11250/Psychological_nursing_intervention_on_anxiety_and.20.aspx
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