Effect of mind map-guided nursing on pain control after transurethral resection of the prostate

思维导图引导护理对经尿道前列腺切除术后疼痛控制的影响

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Abstract

We aimed to analyze the effect of mind map-guided nursing on pain control after transurethral resection of the prostate (TURP). Eighty patients with benign prostatic hyperplasia undergoing TURP were randomly separated into either a control group (routine perioperative nursing) or an intervention group (mind map-guided nursing). Visual Analog Scale (VAS) scores were employed to compare pain levels at 24 and 48 h postoperatively. Additional outcomes included the number of patient-controlled analgesia activations, time to first flatus, and length of hospital stay. Quality of life (Short Form-36 (SF-36)), sleep quality (Pittsburgh Sleep Quality Index (PSQI)), anxiety and depression (Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)), and prostate function (International Prostate Symptom Score (IPSS)) were evaluated before and after nursing interventions. Patient satisfaction with nursing care was also compared. After nursing interventions, the intervention group exhibited lower VAS scores at 24 and 48 h postoperatively, fewer analgesia pump activations, shorter time to first flatus, and reduced length of hospital stay, higher SF-36 scores across all dimensions, lower PSQI, SAS, SDS, and IPSS scores, as well as higher nursing satisfaction versus the control group (all P<0.05). Mind map-guided nursing alleviated postoperative pain following TURP, enhanced quality of life, sleep quality, and mental state, promoted prostate function recovery, and enhanced patient satisfaction with nursing.

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