Effectiveness of a home care teaching program for prostatectomized patients

a randomized controlled clinical trial

  • Luciana Regina Ferreira da Mata Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Cissa Azevedo Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Mariana Ferreira Vaz Gontijo Bernardes 1 Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Tânia Couto Machado Chianca Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Maria da Graça Pereira Universidade do Minho, Escola de Psicologia
  • Emilia Campos de Carvalho Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
Keywords: Oncology Nursing, Prostatic Neoplasms, Prostatectomy, Health Education, Patient Discharge, Clinical Trial

Abstract

Objective: To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory. Method: A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5. Results: There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001). Conclusion: The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

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Published
2019-03-13
How to Cite
Mata, L., Azevedo, C., Bernardes, M., Chianca, T., Pereira, M. da G., & Carvalho, E. (2019). Effectiveness of a home care teaching program for prostatectomized patients. Revista Da Escola De Enfermagem Da USP, 53, e03421. https://doi.org/10.1590/s1980-220x2018012503421
Section
Original Articles