基于希望理论的护理干预对机器人辅助腹腔镜下根治性前列腺切除术患者术后负性情绪的影响OA

Objective:To investigate the effect of hope theory-based nursing intervention on fear of disease progression and other negative emotions in patients undergoing robot-assisted laparoscopic radical prostatectomy.Methods:100 prostate cancer patients who were treated at Nantong First People's Hospital between January 2025 and September 2025 were enrolled.They were randomly divided into the control group(n=50)and the study group(n=50)using a random number table.The control group received routine nursing care,while the study group received hope theory-based nursing interventions.Comparisons were made between the two groups regarding degree of fear of progression[fear of progression questionnaire-short form(FoP-Q-SF)],negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],postoperative recovery,urinary control function,and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire-core 30(EORTC QLQ-C30)].Results:After intervention,the study group showed significantly lower FoP-Q-SF scores than the control group(P<0.05).After intervention,the study group also had significantly lower SAS and SDS scores than the control group(P<0.05).While there was no significant difference in postoperative time to first flatus between the two groups(P>0.05),the time to first ambulation was earlier and the length of hospital stay was shorter in the study group than the control group(P<0.05).After intervention,urinary continence recovery occurred sooner in the intervention group,with fewer leakage episodes,higher maximum urethral closure pressure,and elevated Valsalva leak point pressure(P<0.05).After intervention,improvements in EORTC QLQ-C30 scores were significantly better in the study group than those in the control group(P<0.05).Conclusion:Hope theory-based nursing intervention can effectively alleviate fear of disease progression and negative emotions such as anxiety and depression in prostate cancer patients after robot-assisted laparoscopic radical prostatectomy.It can also promote earlier postoperative ambulation,accelerate rehabilitation,shorten length of hospital stays,and improve urinary control function and quality of life.