Utilisation of Peplau's Interpersonal Relationship Theory in Nursing Enhances the Recovery Outcomes of Patients with Renal Cancer Undergoing Laparoscopic Radical Nephrectomy.
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Abstract
Background: Patients undergoing laparoscopic radical nephrectomy (LRN) for renal cancer face multifaceted challenges that can affect their physical, psychological, and emotional well-being. This study aimed to evaluate the impact of nursing based on Peplau's theory on the recovery outcomes of patients treated with LRN for renal cancer, focusing on their nutritional status, spiritual well-being, and quality of life (QOL) after the surgical procedure.
Methods: A total of 148 patients with renal cancer who underwent LRN at our hospital between January 2023 and January 2024 were initially selected and grouped according to the type of postoperative nursing approach. Among the 75 patients receiving routine nursing, three with thrombosis of the renal vein or inferior vena cava and two with multiple renal tumours were excluded. Ultimately, 70 patients were included in the control group. Along with the routine nursing interventions, 73 patients received nursing care based on Peplau's interpersonal relationship theory. A total of 70 patients were categorised in the Peplau nursing group after excluding two with multiple renal tumours and one with a history of laparoscopic partial nephrectomy (LPN). Data on demographic characteristics, disease features, nutritional indices, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) scores, and QOL scores were collected and analysed using statistical tests.
Results: The haemoglobin (p < 0.001), albumin (p = 0.002), prealbumin (p = 0.013), and transferrin levels (p < 0.001) after nursing in the Peplau nursing group showed a significant increase compared to those in the control group. Moreover, the Peplau nursing group demonstrated significantly higher FACIT-Sp (p < 0.001) and QOL scores (p < 0.001) after nursing than the control group.
Conclusions: Nursing grounded in Peplau's interpersonal relationship theory may have a beneficial effect on the nutritional status, spiritual well-being, and QOL of patients undergoing LRN for renal cancer.
期刊介绍：
Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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