Peng Shuang, Wei Yongbao, Ye Liefu, Jin Xin, Huang Li
Department of Urology, The Second Xiangya Hospital, Central South University, Hunan, Changsha, 410011, China.
Shengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, No.134, Dong Street, Fuzhou, 350001, China.
Sci Rep. 2024 Dec 28;14(1):31520. doi: 10.1038/s41598-024-83303-9.
Prostate cancer, a common malignancy in older men, often requires laparoscopic radical prostatectomy, considered the gold standard treatment. However, postoperative complications can significantly impact quality of life and psychological well-being. The emergence of mobile internet health management offers a promising approach for accessible and effective post-discharge care. This study evaluates the effectiveness of mobile internet management in postoperative care for prostate cancer patients, focusing on disease knowledge, psychological well-being, self-care capabilities, and quality of life. From September 2020 to September 2021, prostate cancer patients who underwent radical surgery at our Department of Urology were divided into a control group receiving standard care and an intervention group receiving mobile internet-based care. Patients were followed over six months, with assessments conducted at both 3 and 6 months post-intervention. We evaluated changes in disease knowledge, psychological status (using SAS/SDS scales), self-care ability (via the ESCA scale), and quality of life (measured by SF-36). A total of 112 patients were divided into two groups of 56 each. Repeated measures ANOVA indicated significant improvements in disease knowledge over time, between groups, and in their interaction (P < 0.05). Mastery scores of disease knowledge increased at both 3 and 6 months post-intervention compared to baseline (P < 0.05). The intervention group showed significantly reduced scores on the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) compared to the control group (P < 0.05). Self-care capabilities-including self-directed concept, nursing responsibility, skills, and health knowledge level-also improved, with more pronounced gains in the intervention group (P < 0.05). Quality of life scores in domains such as social function, mental health, vitality, role emotional, bodily pain, role physical, physical function, and general health were higher in the intervention group than in the control group post-intervention (P < 0.05). Mobile internet management significantly enhances postoperative care for prostate cancer patients by improving disease knowledge, psychological well-being, self-care capabilities, and quality of life. These findings support further research to validate long-term benefits and broader application potentials.
前列腺癌是老年男性常见的恶性肿瘤，通常需要进行腹腔镜根治性前列腺切除术，这被视为金标准治疗方法。然而，术后并发症会对生活质量和心理健康产生重大影响。移动互联网健康管理的出现为便捷有效的出院后护理提供了一种有前景的方法。本研究评估移动互联网管理在前列腺癌患者术后护理中的有效性，重点关注疾病知识、心理健康、自我护理能力和生活质量。2020年9月至2021年9月，在我院泌尿外科接受根治性手术的前列腺癌患者被分为接受标准护理的对照组和接受基于移动互联网护理的干预组。对患者进行了为期六个月的随访，在干预后3个月和6个月进行评估。我们评估了疾病知识、心理状态（使用SAS/SDS量表）、自我护理能力（通过ESCA量表）和生活质量（通过SF-36测量）的变化。总共112名患者被分为两组，每组56名。重复测量方差分析表明，随着时间的推移、组间以及两者的交互作用，疾病知识均有显著改善（P < 0.05）。与基线相比，干预后3个月和6个月疾病知识的掌握得分均有所提高（P < 0.05）。与对照组相比，干预组的自评抑郁量表（SDS）和自评焦虑量表（SAS）得分显著降低（P < 0.05）。自我护理能力，包括自我导向概念、护理责任、技能和健康知识水平也有所提高，干预组的改善更为明显（P < 0.05）。干预后，干预组在社会功能、心理健康、活力、角色情感、身体疼痛、角色身体、身体功能和总体健康等生活质量领域的得分高于对照组（P < 0.05）。移动互联网管理通过改善疾病知识、心理健康、自我护理能力和生活质量，显著增强了前列腺癌患者的术后护理。这些发现支持进一步研究以验证长期益处和更广泛的应用潜力。
