The Effects of a PRO-SELF Program on Urinary Control Behaviors and Urinary Incontinence in Patients with Prostate Cancer after Radical Prostatectomy

Main Article Content

Nipawan Intachot
Sirilak Kitsripisarn
Pokket Sirisreetreerux

Abstract

This quasi-experimental research aimed to examine the effect of interventions based on the self-care concept called a ‘PRO-SELF’ Program for urinary control behaviors and urinary incontinence in patients with prostate cancer after radical prostatectomy. The sample consisted of 40 men with urinary incontinence after radical
prostatectomy being admitted to Ramathibodi Hospital. The participants were assigned either to an experimental group (n = 20) or a control group (n = 20). The research instruments consisted of the PRO-SELF program, a demographic questionnaire, a urinary control behavior questionnaire, and the 1-hour pad test. Data were analyzed using descriptive statistics, a chi-square test, a t-test, the Mann-Whitney U test, and the
Wilcoxon signed-rank test. The result revealed the higher means scores of the urinary control behaviors in the experimental group than in the control group before and after participating in the PRO-SELF Program significantly. Likewise, the experimental group had significantly lower means scores of urinary incontinence than the control group. The study illustrates that the PRO-SELF Program for urinary control effectively improved urinary control behaviors and reduced the urinary incontinence in patients with urinary
incontinence after radical prostatectomy. Hence, implementing the PRO-SELF Program is recommended for patients with prostate cancer after radical prostatectomy to promote better urinary control behaviors and lower urinary incontinence.
Keywords: PRO-SELF Program, Urinary incontinence, Urinary control behaviors,Prostate cancer, Radical prostatectomy

Article Details

How to Cite
1.
Intachot N, Kitsripisarn S, Sirisreetreerux P. The Effects of a PRO-SELF Program on Urinary Control Behaviors and Urinary Incontinence in Patients with Prostate Cancer after Radical Prostatectomy . Nurs Res Inno J [Internet]. 2021 Dec. 24 [cited 2024 Dec. 22];27(3):360-74. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/248088
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บทความวิจัย

References

Seo HJ, Lee NR, Son SK, Kim DK, Rha KH, Lee SH.Comparison of robot-assisted radical prostatectomy and

open radical prostatectomy outcomes: a systematic review and meta-analysis. Yonsei Med J. 2016;57(5):1165-77.

Information for analysis of health data, Faculty of Medicine Ramathibodi Hospital, Mahidol University. Inpatients general report who had prostate cancer and had radical prostatectomy 2016-2020; 2021 [cited 2021 March2]. Available from: https://docs.google.com/spreadsheets/d/1xU3Ta6XJdvOpDWOG1mdOXzJPN

w6TFecA/edit?dls=true#gid=1104109517 (in Thai)

Hatiboglu G, Teber D, Tichy D, Pahernik S, Hadaschik B, Nyarangi-Dix J, et al. Predictive factors for immediate

continence after radical prostatectomy. World J Urol.2016;34(1):113-20.

Haglind E, Carlsson S, Stranne J, Wallerstedt A, Wilderang U, Thorsteinsdottir T, et al. Urinary incontinence and

erectile dysfunction after robotic versus open radical prostatectomy: a prospective, controlled, nonrandomised

trial. Eur Urol. 2015;68(2):216-25.

Phlatyothin L, Rangsaritvirachot K, Kittichaiset R.Development of empowerment program in stroke patients

with urinary incontinence. Journal of Medical Department.2016;41(3):102-11. (in Thai)

Wang W, Huang QM, Liu FP, Mao QQ. Effectiveness of preoperative pelvic floor muscle training for urinary

incontinence after radical prostatectomy: a meta-analysis.BMC Urol. 2014;14:99.

Ratwisai P, Srichaikul B, Songkasri C. Kegel and urinary bladder training exercise program for urinary incontinence in elderly females at Na Tan subdistrict, Tha Khantho district, Kalasin province. Journal of the Office of DPC 7 Khon Kaen. 2017;1:47-57. (in Thai)

Sam N. M.S. Psychology dictionary professional reference. Behavior control; 2013 [cited 2021 March 1].

Available from: https://psychologydictionary.org/behavior-control/

Dubbelman Y, Groen J, Wildhagen M, Rikken B, Bosch R. The recovery of urinary continence after radical

retropubic prostatectomy: a randomized trial comparing the effect of physiotherapist-guided pelvic floor muscle

exercises with guidance by an instruction folder only. BJUInt. 2010;106(4):515-22.

Santa Mina D, Au D, Alibhai SMH, Jamnicky L, FaghaniN, Hilton WJ, et al. A pilot randomized trial of conventional versus advanced pelvic floor exercises to treat urinary incontinence after radical prostatectomy: a study protocol.BMC Urol. 2015;15:94.

Prangprasit O, Danaidutsadeekul S, Thosingha O, Ramart P. The relationships among physical activity, knowledge,comorbidity and quality of life in patients with urinary incontinence following radical prostatectomy. Nursing Science Journal of Thailand. 2013;31(4):55-65. (inThai)

Narasong P, Tridech P, Pandi W, Nualyong C. Quality of life of prostate cancer patients with robotic assisted

laparoscopic radical prostatectomy in Siriraj Hospital.Siriraj Nursing Journal. 2011;4(1):43-55. (in Thai)

Santa Mina D, Matthew AG, Hilton WJ, Au D, Awasthi R, Alibhai SMH, et al. Prehabilitation for men undergoing

radical prostatectomy: a multi-centre, pilot randomized controlled trial. BMC Surg. 2014;14: article number: 89.

Newman DK, Burgio KL. Conservative management of urinary incontinence: behavioral and pelvic floor therapy and urethral and pelvic devices. In Alan J. Wein, Louis R.Kavoussi, Alan W. Partin, Craig A. Peters, editors.

Campbell-Walsh Urology. 11th ed. China: Elsevier; 2016.p.1875-98.

Rajkowska-Labon E, Bakula S, Kucharzewski M,Sliwinski Z. Efficacy of physiotherapy for urinary

incontinence following prostate cancer surgery. BioMed Res Int. 2014;2014: article ID: 785263.

West CM, Dodd MJ, Paul SM, Schumacher K, Tripathy D, Koo P, et al. The PRO-SELF: pain control program-an

effective approach for cancer pain management. Oncol Nurs Forum. 2003;30(1):65-73.

Dodd MJ, Miaskowski C. The PRO-SELF program: aself-care intervention program for patients receiving cancer

treatment. Semin Oncol Nurs. 2000;16(4):300-8.

Erdfelder E, Faul F, Buchner A. GPOWER: a general power analysis program. Behav Res Methods Instrum &

Comput 1996;28:1-11.

Kongtragul J, Tukhanon W, Tudpudsa P, Suedee K,Tienchai S, Leewansangtong S, et al. Effect of adding

concentration therapy to kegel exercise to improve continence after radical prostatectomy, randomized

control. J Med Assoc Thai. 2014;97(5):1-5.

Abdel-fattah M, Barrington JW, Youssef M. The standard 1-hour pad test: does it have any value in clinical practice.Eur Urol. 2004;46(3):377-80.

Lucas MG, Bosch RJL, Burkhard FC, Cruz F, Madden TB, Nambiar AK, et al. EAU guidelines on assessment

and nonsurgical management of urinary incontinence. EurUrol. 2012;62(6):1130-42.

Aree-Ue S, Youngcharoen P. The 6 item cognitive function test-Thai version: psychometric property testing.

Ramathibodi Nursing Journal. 2020;26(2):188-202.(in Thai)

Kochakarn V, Viseshsindh W, Pummangura W.Management of urinary incontinence.Bangkok: Idea

Instant Printing; 2010. (in Thai)

O´Sullivan R, Karantanis E, Stevermuer TL, Allen W,Moore KH. Definition of mild, moderate, and severe

incontinence on the 24-hour pad test. BJOG.2004;111(8):859-62.

Prasertsuk N, Kerdnaimongkol U, Sa-artyen K.Development of holistic creative learning skills for older

person in rural area of Thailand: mental health care dimension. Silpakorn Education Research Journal.

;8(2):49-61. (in Thai)

Ronnarithivichai C, Sujijantararat R, Petchpansri S,Thaweeboon T, Sujijantararat P, Meehadsai N. Effect of

symptom management model on duration of bladder control in elderly women with urinary incontinence. Journal of Nursing Science. 2013;31(2):7-15. (in Thai)

Patel MI, Yao J, Hirschhorn AD, Mungovan SF.Preoperative pelvic floor physiotherapy improves

continence after radical retropubic prostatectomy. Int JUrol. 2013;20(10):986-92.

Jeong SJ, Yeon JS, Lee JK, Cha WH, Jeong JW, Lee BK,et al. Development and validation of nomograms to predict the recovery of urinary continence after radical prostatectomy: comparisons between immediate, early,

and late continence. World J Urol. 2014;32(2):437-44.