Preoperative parent education and postoperative nurse-led care for boys versus routine hospital care for urethroplasty for hypospadias in Western China: a retrospective study

Authors

Lisi WANG, Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, , Sichuan University, Chengdu, Sichuan, ChinaFollow
Zhengdong WANG, Department of Pediatric Surgery Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan, ChinaFollow
Xiaohui MAO, Department of Pediatric Surgery Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan, ChinaFollow
Yingjun FU, Department of Pediatric Surgery Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan, ChinaFollow
Qian LEI, Department of Pediatric Surgery Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan, ChinaFollow
Qin LIAO, Sichuan University West China Hospital: West China Hospital of Sichuan UniversityFollow

DOI

10.55730/1300-0144.5811

Abstract

Background/aim: Urethroplasty is the preferred treatment for hypospadias but is affected by the severity of anomalies, making it a complex procedure with potential postoperative complications. Following surgery, parents receive instructions and recommendations, whether from nurses or physicians, regardless of complication rates. However, nurses play a crucial role in educating caregivers before surgery and providing postoperative care during follow-up. The study aims to assess parents’ knowledge and practices, as well as the frequency of complications in boys who underwent urethroplasty for hypospadias and received postoperative nurse-led care and whose parents received preoperative education against those of boys who underwent urethroplasty under routine hospital care. Materials and methods: In this retrospective study, Han Chinese boys aged 21–41 months in Western China who underwent urethroplasty for hypospadias were divided into two groups: the NI cohort (n = 103), where they received postoperative nurse-led care and their parents received preoperative education, and the RH cohort (n = 142), where boys underwent routine hospital care. Results: After urethroplasty, higher numbers of caregivers with satisfactory knowledge (96 (93%) vs. 80 (56%), p < 0.0001) and practice (102 (99%) vs. 132 (93%), p = 0.0276) were reported in the NI cohort compared to the RH cohort. Additionally, a higher number of boys in the RH cohort experienced adverse effects such as moderate bleeding (13 (9%) vs. 1 (1%), p = 0.0052), wound infection (17 (12%) vs. 4 (4%), p = 0.0356), urinary obstruction (35 (25%) vs. 10 (10%), p = 0.0049), burning sensation (47 (33%) vs. 15 (15%), p = 0.0019), and urinary stent fall (32 (23%) vs. 6 (6%), p = 0.0008) compared to those in the NI cohort. Conclusion: Preoperative instructions enhance caregivers’ knowledge and practices following urethroplasty, while postoperative nurseled care reduces immediate postoperative complications associated with hypospadias in boys.

Keywords

Congenital anomaly, hypospadias, postoperative care, urethroplasty, urinary obstruction, urinary stent failure

First Page

459

Last Page

470

Recommended Citation

WANG, Lisi; WANG, Zhengdong; MAO, Xiaohui; FU, Yingjun; LEI, Qian; and LIAO, Qin (2024) "Preoperative parent education and postoperative nurse-led care for boys versus routine hospital care for urethroplasty for hypospadias in Western China: a retrospective study," Turkish Journal of Medical Sciences: Vol. 54: No. 2, Article 12. https://doi.org/10.55730/1300-0144.5811
Available at: https://journals.tubitak.gov.tr/medical/vol54/iss2/12