Randomized Clinical Trial
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2022; 10(9): 2792-2800
Published online Mar 26, 2022. doi: 10.12998/wjcc.v10.i9.2792
Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer
Xiao-Hui Yang, Li-Fen Wu, Xiao-Yu Yan, Ying Zhou, Xue Liu
Xiao-Hui Yang, Xiao-Yu Yan, Ying Zhou, Department of Critical Care Medicine, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Li-Fen Wu, Department of Urology Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Xue Liu, Department of Urology Surgery, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Yang XH designed the study, collected data, and wrote and revised the manuscript; Wu LF interpreted and analyzed the data; Yan XY and Zhou Y collected the data; Liu X corrected the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Dushu Lake Hospital Affiliated to Soochow University and The First Affiliated Hospital of Soochow University.
Informed consent statement: All participants or their legal guardian provided informed written consent before enrollment.
Conflict-of-interest statement: We declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Data sharing statement: The datasets are not publicly available but are available from the corresponding author on reasonable request.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue Liu, Nurse, Department of Urology Surgery, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Industrial Zone, Suzhou 215000, Jiangsu Province, China. xueliu0705@163.com
Received: December 7, 2021
Peer-review started: December 7, 2021
First decision: January 10, 2022
Revised: January 27, 2022
Accepted: March 6, 2022
Article in press: March 6, 2022
Published online: March 26, 2022
Processing time: 105 Days and 3.6 Hours
ARTICLE HIGHLIGHTS
Research background

Prostate cancer is the most common noncutaneous cancer affecting men today. It largely affects men in the fifth and sixth decade of life. Transurethral resection of the prostate (TURP) is an effective treatment method for prostate cancer, but it may result in pain, psychological pressure, and economic burden for patients. Therefore, medical staff must provide effective care measures to assist patients in completing their treatment and improving their prognoses.

Research motivation

This study intends to provide more theoretical foundations of a nursing model for patients with prostate cancer and to verify whether the combined care model has research value.

Research objectives

This is a new attempt to demonstrate the application of Peplau’s interpersonal relationship theory combined with bladder function training to improve prognoses for patients with prostate cancer.

Research methods

In our study, 89 patients with prostate cancer were randomized into a Peplau nursing group (n = 44) and a routine nursing group (n = 45) following TURP. Patients in the routine nursing group received routine care and bladder function training, while patients in the Peplau care group received care based on the Peplau interpersonal relationship theory. The urinary incontinence symptoms, international prostate symptom score (IPSS), functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp), and quality of life (QOL) scores of the two groups were compared before and after three months of nursing intervention.

Research results

The duration, frequency of occurrence, and amount of incontinence in the routine nursing group were significantly greater than those in the Peplau care group. After three months of intervention, the mean IPSS score of the routine nursing group was significantly reduced, while the mean FACIT-Sp and QOL scores were significantly increased. The mean IPSS score in the Peplau nursing group was significantly lower than that in the routine nursing group, while the FACIT-Sp and QOL scores were higher, respectively.

Research conclusions

The combination of a nursing model based on Peplau’s interpersonal relationship theory with bladder function training can significantly improve prostate function, urinary system symptoms, negative emotions, and QOL for patients with prostate cancer.

Research perspectives

A diagnosis of prostate cancer can result in increased anxiety and uncertainty. However, interpersonal relationships, including partnerships, friendships, and social networks, may provide powerful conduits for health promotion messages and may prove to be fruitful mechanisms for an increase in the early presentation of men most at risk. Peplau’s interpersonal relationship theory has been widely used in various fields in the nursing industry. In the future, the utilization of Peplau’s interpersonal relationship theory combined with bladder function training will provide a useful framework for investigating clinical phenomena and guiding nurses' actions.