Perioperative Nursing Considerations for Transurethral Resection Prostatectomy
Yananan Ratanatherawichian¹, Benjamas Preechakoon², Papatsawan Pungkate¹, Tawiwan Intarakaew³, Phongthara Vichitvejpaisal⁴
Affiliation :
¹ Urological Surgery Unit, Perioperative Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; ² Perioperative Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; ³ Perioperative Care Unit, Perioperative Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; ⁴ Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
The present article was an overview of transurethral resection prostatectomy (TURP) and its prevalence, emphasizing the critical role of perioperative nursing in enhancing patient safety and outcomes. Preoperative nursing assessment was explored, covering the importance of patient history and risk assessment, diagnostic tests and evaluations, patient counseling, and informed consent, as well as preoperative optimization and preparation. The intraoperative nursing management section outlines key responsibilities in setting up the operating room, maintaining infection control, preventing specific clinical risk of TURP, managing anesthesia, ensuring surgical team coordination and communication, and adhering to evidence-based guidelines.
Postoperative nursing care focused on immediate recovery and monitoring, pain management strategies, urinary catheter care, early ambulation, complication prevention, and patient education. Emerging trends and innovations in perioperative nursing were discussed, including advancements in surgical techniques, integration of new technologies, telemedicine, and the adoption of holistic care approaches.
The present article also addressed the challenges facing perioperative nurses, such as workforce shortages and burnout, research gaps in TURP nursing, and the importance of promoting ongoing education and training. By examining these key elements, the present article provided a comprehensive resource for perioperative nurses, healthcare providers, and researchers, aimed to enhance understanding, improved patient care, and stimulated further advancements in the field.
Received 25 January 2024 | Revised 3 April 2024 | Accepted 4 April 2024
DOI: 10.35755/jmedassocthai.2024.5.13988
Keywords : Benign prostatic hyperplasia; Patient-centered care; Perioperative nursing; Transurethral resection prostatectomy
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