• J Coll Physicians Surg Pak · Oct 2023

    Randomized Controlled Trial Comparative Study

    Effect of Preventive Nursing on Male Children with Hypospadias in Preventing Postoperative Complications.

    • Xiao-Qing Shi, Shi-Lei Guo, Wei Zheng, Bo-Song Zhang, Jie Wang, and Bin Yang.
    • Department of Urology Surgery, Beijing Children's Hospital Affiliated to Capital Medical University Baoding Hospital, Hebei, China.
    • J Coll Physicians Surg Pak. 2023 Oct 1; 33 (10): 115311581153-1158.

    ObjectiveTo determine the clinical impact of preventive nursing on children with hypospadias and the intervention effect on postoperative complications.Study DesignComparative study. Place and Duration of the Study: Department of Urology Surgery, Beijing Children's Hospital Affiliated to Capital Medical University Baoding Hospital, Hebei, China, from August 2019 to July 2021.MethodologyChildren with hypospadias who received elective surgery were randomly divided into two groups of forty cases each. The control group received traditional specialised nursing care during the perioperative period, the study group administered preventive care on the control basis. The postoperative rehabilitation, VAS, anxiety and depression score, postoperative complications, and nursing satisfaction were compared between the two groups.ResultsThe time of first bowel movement, extubation, and hospitalisation in the study group were significantly shorter than in the control group, with statistically significant value (p<0.001). After intervention, the SAS and SDS in the study group were significantly lower than those in the control group, and the difference was statistically significant (p<0.05). The incidence of complications in the study group was 7.50%, lower than the 25% of control group (p = 0.034). The postoperative VAS scores of the study group were significantly lower than those of control group at 6 and 24 hours (p<0.05). Besides, nursing satisfaction in the study group was 97.50%, higher than the 82.50% of the control group (p = 0.025).ConclusionPreventive nursing had a reliable nursing effect on children undergoing hypospadias surgery, which can reduce postoperative complications, alleviate postoperative pain, improve postoperative anxiety and depression, enhance nursing experience, and promote postoperative recovery.Key WordsPreventive care, Hypospadias in male children, Urethroplasty, Complication, Clinical effect.

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