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

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Nipawan Intachot
Sirilak Kitsripisarn
Pokket Sirisreetreerux


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


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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 . Rama Nurs J [Internet]. 2021 Dec. 24 [cited 2022 May 28];27(3):360-74. Available from:


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