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Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial* * Extracted from the thesis: “Efetividade de um programa de ensino para o cuidado domiciliar de pacientes submetidos à prostatectomia radical: ensaio clínico randomizado”, Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, 2013.

Efectividad de un programa de enseñanza para cuidado domiciliario de pacientes prostatectomizados: ensayo clínico controlado randomizado

ABSTRACT

Objective:

To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory.

Method:

A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5.

Results:

There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001).

Conclusion:

The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

DESCRIPTORS:
Oncology Nursing; Prostatic Neoplasms; Prostatectomy; Health Education; Patient Discharge; Clinical Trial

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E-mail: reeusp@usp.br