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

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.

DOI

10.55730/1300-0144.5811

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