Related Experiment Video
Updated: Jul 14, 2025
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Effect of Preventive Nursing on Male Children with Hypospadias in Preventing Postoperative Complications
Xiao-Qing Shi1, Shi-Lei Guo1, Wei Zheng1
1Department of Urology Surgery, Beijing Children's Hospital Affiliated to Capital Medical University Baoding Hospital, Hebei, China.
Insights
Preventive nursing significantly improves outcomes for children with hypospadias undergoing surgery. This approach reduces complications, pain, and anxiety, leading to better recovery and higher patient satisfaction.
Area of Science:
- Pediatric Urology
- Surgical Nursing
- Patient Outcomes
Background:
- Hypospadias is a common congenital condition in male children requiring surgical correction (urethroplasty).
- Postoperative complications and patient discomfort are significant concerns following hypospadias surgery.
- Optimizing perioperative nursing care is crucial for improving surgical outcomes in pediatric patients.
Purpose of the Study:
- To evaluate the clinical impact of a preventive nursing intervention in pediatric hypospadias surgery.
- To assess the effect of preventive nursing on reducing postoperative complications.
- To compare patient-reported outcomes and satisfaction between preventive and traditional nursing care.
Main Methods:
- A comparative study involving 80 children with hypospadias undergoing elective surgery, randomly assigned to a study group (preventive nursing) or a control group (traditional nursing).
- Key outcome measures included time to first bowel movement, extubation, and hospitalization, pain scores (VAS), anxiety and depression scores (SAS/SDS), complication rates, and nursing satisfaction.
- Data were collected and analyzed to compare the two groups over the perioperative period.
Main Results:
- The preventive nursing group demonstrated significantly shorter times for first bowel movement, extubation, and hospitalization (p<0.001).
- Postoperative anxiety and depression scores were significantly lower in the study group (p<0.05), as were VAS pain scores at 6 and 24 hours (p<0.05).
- The incidence of complications was significantly reduced (7.50% vs. 25%, p=0.034) and nursing satisfaction was higher (97.50% vs. 82.50%, p=0.025) in the preventive nursing group.
Conclusions:
- Preventive nursing is an effective intervention for children undergoing hypospadias surgery.
- This nursing approach reliably reduces postoperative complications, pain, and psychological distress.
- Preventive nursing enhances the overall patient experience and promotes faster postoperative recovery.
Objective:
To determine the clinical impact of preventive nursing on children with hypospadias and the intervention effect on postoperative complications.
Study Design:
Comparative study. Place and Duration of the Study: Department of Urology Surgery, Beijing Children's Hospital Affiliated to Capital Medical University Baoding Hospital, Hebei, China, from August 2019 to July 2021.
Methodology:
Children with hypospadias who received elective surgery were randomly divided into two groups of forty cases each. The control group received traditional specialised nursing care during the perioperative period, the study group administered preventive care on the control basis. The postoperative rehabilitation, VAS, anxiety and depression score, postoperative complications, and nursing satisfaction were compared between the two groups.
Results:
The time of first bowel movement, extubation, and hospitalisation in the study group were significantly shorter than in the control group, with statistically significant value (p<0.001). After intervention, the SAS and SDS in the study group were significantly lower than those in the control group, and the difference was statistically significant (p<0.05). The incidence of complications in the study group was 7.50%, lower than the 25% of control group (p = 0.034). The postoperative VAS scores of the study group were significantly lower than those of control group at 6 and 24 hours (p<0.05). Besides, nursing satisfaction in the study group was 97.50%, higher than the 82.50% of the control group (p = 0.025).
Conclusion:
Preventive nursing had a reliable nursing effect on children undergoing hypospadias surgery, which can reduce postoperative complications, alleviate postoperative pain, improve postoperative anxiety and depression, enhance nursing experience, and promote postoperative recovery.
Key Words:
Preventive care, Hypospadias in male children, Urethroplasty, Complication, Clinical effect.
Related Concept Videos
01:17Urinary Tract Infection IV: Nursing Management
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:25Urinary Tract Calculi VI: Surgical Management
01:21Nursing Assessment of the Genitourinary System I: Health History
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...