Kết quả chăm sóc người bệnh sau phẫu thuật u phì đại tuyến tiền liệt lành tính và một số yếu tố liên quan tại Bệnh viện Trung ương Quân đội 108 năm 2024

Benign prostatic hyperplasia (BPH) is a highly prevalent condition among aging males, with its incidence increasing significantly with age, affecting a substantial portion of men globally and in Vietnam. While various treatment modalities exist, including transurethral resection of the prostate (TURP), the success of surgical interventions extends beyond the surgeon's skill, heavily relying on the quality of nursing care. Effective nursing plays a pivotal role in post-operative monitoring, early complication detection, timely intervention, and holistic patient support, ultimately enhancing treatment outcomes. Despite the recognized efficacy of TURP, comprehensive studies specifically addressing the influence of nursing care outcomes and associated factors post-BPH surgery in the Vietnamese context remain limited. This study aims to bridge this gap by describing nursing care activities and analyzing factors affecting patient outcomes at 108 Military Central Hospital in 2024.

Medical professionals, particularly urologists, nurses, hospital administrators, and healthcare policymakers involved in the care of patients with benign prostatic hyperplasia. Researchers in nursing science and public health will also find this study relevant.

This prospective descriptive study investigated nursing care outcomes and associated factors for 120 male patients undergoing transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) at 108 Military Central Hospital between April and September 2024. The research systematically collected data on demographic characteristics, clinical findings, nursing activities, treatment results, and patient satisfaction, processed using SPSS 22.0. The patient cohort, with a mean age of 72.9 years, predominantly comprised elderly males, reflecting the typical epidemiology of BPH. Key findings revealed highly positive nursing outcomes: pain significantly decreased post-operatively (VAS 5.92 to 3.17), and mobility was fully restored before discharge. An impressive 90% of patients achieved good nursing care outcomes, coupled with a high patient satisfaction rate of 97.5%. Factors such as educational level, occupation, and family economic status were significantly associated with better nursing outcomes (p<0.05), indicating that socio-economic background can influence recovery. Conversely, the presence of post-operative complications markedly reduced care effectiveness (p=0.01), underscoring the critical need for vigilant monitoring and proactive management. The study concludes that the nursing care provided to BPH patients undergoing TURP at 108 Military Central Hospital is effective, leading to low complication rates and high patient satisfaction. While overall care, including pain management, urinary catheter care, and psychological support, is well-executed, areas like nutritional counseling require improvement. The results highlight the importance of targeted interventions for patients with lower educational backgrounds or those experiencing complications to further optimize treatment quality and recovery, emphasizing the indispensable role of comprehensive nursing in patient well-being post-surgery.