Full
Outline
To develop a preoperative question prompt list (QPL) for older patients with benign prostatic hyperplasia (BPH) and evaluate its effectiveness in application.
This trial adopted a randomized controlled design. The QPL was developed by literature review, expert discussions, and Delphi consultation. Convenience sampling was used to subject 76 older BPH inpatients treated in our department, and then they were randomly divided into control (routine communication, n=38) and intervention (QPL-assisted communication, n=38) groups. Number of the questions patient asking, communication duration, information recall, and communication quality were compared between the 2 groups.
In the 2 rounds of expert consultation, the response rate of questionnaire was 94.44% and 100%, the authority coefficient was 0.89 and 0.93, the coefficient of variation was 0.05~0.22 and 0~0.11, and Kendall’s coefficients was 0.645 (Chi-square=87.782, P<0.001) and 0.733 (Chi-square=74.789, P<0.001), respectively. The final QPL included 3 themes and 7 questions. The intervention group asked more questions (4.03±1.89 vs 2.11±1.27, P<0.05) but spent similar time for communication (8.18±2.11 vs 7.67±1.72 min, P>0.05). At 1 d before discharge, better information recall (8.74±1.12 vs 6.49±1.68, P<0.001) and communication quality (60.06±6.25 vs 54.86±7.98, P<0.05) were observed in the intervention group when compared with the control group.
Our developed preoperative communication QPL is of scientificalness and effectiveness for elderly BPH patients. This tool can not only encourage question-asking behavior, but also improve information recall and communication quality in the patients.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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