Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Department of Pediatric Surgery Nursing, West China Second University Hospital, Sichuan University/West China.
Turk J Med Sci. 2024 Jan 3;54(2):459-470. doi: 10.55730/1300-0144.5811. eCollection 2024.
BACKGROUND/AIM: Urethroplasty is the preferred treatment for hypospadias but is affected by the severity of anomalies, making it a complex procedure with potential postoperative complications. Following surgery, parents receive instructions and recommendations, whether from nurses or physicians, regardless of complication rates. However, nurses play a crucial role in educating caregivers before surgery and providing postoperative care during follow-up. The study aims to assess parents' knowledge and practices, as well as the frequency of complications in boys who underwent urethroplasty for hypospadias and received postoperative nurse-led care and whose parents received preoperative education against those of boys who underwent urethroplasty under routine hospital care.
In this retrospective study, Han Chinese boys aged 21-41 months in Western China who underwent urethroplasty for hypospadias were divided into two groups: the NI cohort (n = 103), where they received postoperative nurse-led care and their parents received preoperative education, and the RH cohort (n = 142), where boys underwent routine hospital care.
After urethroplasty, higher numbers of caregivers with satisfactory knowledge (96 (93%) vs. 80 (56%), p < 0.0001) and practice (102 (99%) vs. 132 (93%), p = 0.0276) were reported in the NI cohort compared to the RH cohort. Additionally, a higher number of boys in the RH cohort experienced adverse effects such as moderate bleeding (13 (9%) vs. 1 (1%), p = 0.0052), wound infection (17 (12%) vs. 4 (4%), p = 0.0356), urinary obstruction (35 (25%) vs. 10 (10%), p = 0.0049), burning sensation (47 (33%) vs. 15 (15%), p = 0.0019), and urinary stent fall (32 (23%) vs. 6 (6%), p = 0.0008) compared to those in the NI cohort.
Preoperative instructions enhance caregivers' knowledge and practices following urethroplasty, while postoperative nurse-led care reduces immediate postoperative complications associated with hypospadias in boys.
背景/目的：尿道成形术是治疗尿道下裂的首选方法，但受畸形严重程度的影响，因此手术复杂，术后可能出现并发症。手术后，无论并发症发生率如何，护士或医生都会向父母提供指导和建议。然而，护士在手术前教育照顾者和提供术后随访护理方面发挥着至关重要的作用。本研究旨在评估接受尿道成形术治疗尿道下裂的男孩的父母的知识和实践情况，以及接受术后护士主导护理和接受术前教育的男孩与接受常规医院护理的男孩的并发症发生率。
在这项回顾性研究中，将中国西部年龄在 21-41 个月的汉族男孩分为两组：NI 组（n=103），接受术后护士主导护理，其父母接受术前教育；RH 组（n=142），男孩接受常规医院护理。
尿道成形术后，NI 组报告有更多的照顾者具有满意的知识（96（93%）vs. 80（56%），p < 0.0001）和实践（102（99%）vs. 132（93%），p = 0.0276）。此外，RH 组中有更多的男孩出现不良影响，如中度出血（13（9%）vs. 1（1%），p = 0.0052）、伤口感染（17（12%）vs. 4（4%），p = 0.0356）、尿梗阻（35（25%）vs. 10（10%），p = 0.0049）、烧灼感（47（33%）vs. 15（15%），p = 0.0019）和尿支架脱落（32（23%）vs. 6（6%），p = 0.0008）。
术前指导提高了尿道成形术后照顾者的知识和实践水平，而术后护士主导的护理降低了男孩尿道下裂术后早期并发症的发生。
