The Development of Nursing Practice Guidline for Benign Prostatic Hyperplasia Patient who received Transurethral Resection of The Prostate gland

Abstract

Objective : To develop and evaluate the implementation of nursing practice guidelines for patients with benign prostatic hyperplasia (BPH) undergoing transurethral prostate surgery at the Urological Surgery Ward, Mahasarakham Hospital.

Methods : This research and development study consisted of four phases: 1) study the situation and problem conditions, 2) develop practical guidelines, 3) quality testing, and conduct a pilot study, 3) examine effectiveness using a quasi-experimental research design with one group, post-test only design, and 4) evaluate results, make improvements, and confirm quality. The sample included 10 professional nurses and 30 BPH patients who underwent transurethral prostate surgery. Research instruments included a self-care ability assessment form for patients undergoing transurethral surgery, a nursing practice evaluation form, a clinical outcome recording form, and a satisfaction evaluation form. The study was conducted between March and December 2024, and data were analyzed using descriptive statistics and content analysis.

 Results : The study produced concrete, clear nursing practice guidelines aligned with the operational context, covering pre-operative preparation, the first 24 hours post-surgery, and the pre-discharge phase. The guidelines encompassed four key activity categories (M-S-K-H protocol): 1) medication administration according to treatment plans and adequate intravenous fluid/nutrition, 2) safety care and activity management, 3) education on essential self-care knowledge, and 4) hygiene care and urinary catheter management. Following implementation, mild postoperative complications were observed but were not severe. According to the guidelines, professional nurses correctly performed 86.7% of the nursing practices. Both patients and nurses reported high levels of satisfaction with the guideline.

 Conclusion : The developed nursing practice guidelines for BPH patients undergoing transurethral prostate surgery promoted standardized nursing care and reduce postoperative complication rates. However, continuous monitoring and evaluation of the guideline's implementation are recommended.