Influence of seamless nursing on the stress state of patients undergoing transurethral prostate resection

Objective: Our aim was to explore the influence of seamless nursing on the stress state of patients treated by transurethral resection of the prostate (TURP). Methods: We prospectively enrolled 96 patients who were to undergo TURP and randomly divided them into the seamless care group (n=48) and the routine care group (n=48), according to a random number table method. The routine care group received conventional nursing care, while the seamless care group received whole seamless nursing care. Moreover, the heart rate, and systolic and diastolic blood pressure were measured before, during and after surgery. The adrenaline, noradrenaline and cortisol levels were determined by radioimmunoassay before and after surgery. The incidence of postoperative complications, the degree of satisfaction with care and self-rating anxiety scale (SAS) scores were also recorded. Results: The preoperative, intraoperative and postoperative heart rate, and systolic and diastolic blood pressure, preoperative and postoperative levels of adrenaline, noradrenaline and cortisol, and complication rates were all significantly lower in the seamless care group than in the routine care group (all P<0.05). The overall satisfaction was also significantly better, and the length of hospital stay was much shorter in the seamless care group than in the routine care group (both P<0.05). After surgery, the SAS scores of both groups were markedly decreased, while the SAS scores of seamless care group were significantly lower than those of routine care group (P<0.05). Conclusion: Seamless nursing care can effectively improve the operating room nursing, help patients reduce their stress response to surgery, alleviate anxiety and enhance satisfaction with overall care, which is worth of being popularized clinically.