Clinical trial NCT05980741: Exploration of New Nursing Models for Urological Surgery
Official title: Exploration of New Nursing Models for Urological Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Urological Nursing
Keywords: High-quality nursing, Primary nursing, Roy Adaptation Model, Urological surgery
Lead sponsor: Tongji Hospital
Sponsor class: OTHER
First posted: 2023-08-08
Enrollment: 300
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: High-quality nursing will be provided to the study group based on primary nursing
Primary purpose: SUPPORTIVE_CARE

Brief summary: Patients undergoing urological surgery often need to be provided with targeted nursing care to ensure that the therapeutic effects can be fully realized, however, the traditional nursing cannot reach the expect effect.both patient outcome and nurse satisfaction have been reported with high levels of dissatisfaction in the traditional nursing. Therefore, exploring a new, patient-centered and effective nursing mode is needed. In 2010, the Chinese Ministry of Health proposed a project named the High-Quality Care Project to improve nurse and patient outcomes through the transformation of the nursing care delivery system in hospitals. This study aims to compare the new nursing model and the traditional nursing, and to explore a more effective nursing model for urological surgery.

Detailed description: Patients who underwent urological disease diagnosed and treated in our department were included in this study. The patients were randomly divided into two groups through the random number table method, with a 1:1 ratio. The control group received traditional urological care. The study group comprised 3 subgroups, and each subgroup received different nursing model. All the three new nursing models, including high-quality nursing (primary nursing), Clinical care pathway, and Roy adaptation model.were given to the subgroups respectively.

High-quality nursing refers to effective nursing measures in multiple aspects and dimensions, provided to patients according to their actual conditions by centering on the patients throughout their ongoing treatment, strengthening the primary nursing care, and fully implementing the nursing responsibility including managing complications and providing long-term support and information, to ensure patient satisfaction and to improve the patient's quality of life. Clinical care pathway includes multidisciplinary care plans that provides detailed guidelines for patients with specific clinical problems, and the Roy adaptation model (RAM), proposed by nursing scientist Sister Callista Roy in 1970, offers a comprehensive framework to guide nursing care for patients with chronic diseases.

Eligibility criteria: Inclusion Criteria:

1. patients with a definite diagnosis of urological disease confirmed by pathological examination or imaging;
2. patients with definite surgical indications;
3. patients with complete follow-up information.

Exclusion Criteria:

1. patients with hepatic or renal dysfunction or serious organic lesions in other organs;
2. patients with associated lymph node and distant metastases;
3. patients who withdrew during the study;
4. patients with incomplete case and follow-up data.

Primary outcomes:
measure: Patients' quality of life after surgery
timeFrame: 3 months
measure: Patient satisfaction
timeFrame: 3 months
measure: Postoperative complications
timeFrame: 3 months
measure: The postoperative time to flatus
timeFrame: 1 month
measure: the time for first bowel movement
timeFrame: 1 month
measure: the length of hospital stay
timeFrame: 1 month
Secondary outcomes:
Other outcomes:
Locations:
city: Wuhan
country: China
facility: Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
state: Hubei
Study officials:
affiliation: Tong Ji Hospital, Tong Medical College, Huazhong University of Science and Technology
name: E-Jun Peng, Dr.
role: PRINCIPAL_INVESTIGATOR
References: