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Structured Periprocedural Nursing Interventions in Men Undergoing Transrectal Prostate Biopsy

7. august 2026 oppdatert av: Maja Arđelan, University of Mostar

Impact of Structured Periprocedural Nursing Interventions on Resilience and Anxiety in Men Undergoing Transrectal Prostate Biopsy: A Prospective Longitudinal Interventions Study With Histopathological Stratification

This prospective longitudinal interventional study aims to evaluate the effect of structured peri-procedural nursing interventions on resilience and anxiety in men undergoing transrectal prostate biopsy. Participants will receive a standardized nursing intervention before and after the biopsy procedure. Resilience, anxiety, pain, lower urinary tract symptoms, and perceived nursing support will be assessed at predefined time points. Histopathological findings (benign or malignant) will be used for subgroup analyses. The study is conducted at the University Clinical Hospital Mostar, Bosnia and Herzegovina.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This is a prospective, single-center, longitudinal interventional study conducted at the Department of Urology, University Clinical Hospital Mostar, Bosnia and Herzegovina.

The objective is to determine whether structured peri-procedural nursing interventions improve resilience and reduce anxiety in men undergoing transrectal prostate biopsy.

Participants will be assessed at three time points:

  • baseline before the biopsy,
  • 0-24 Houra after the procedure
  • 2-3 weeks after the biopsy after receiving histopathological results. The study outcomes include resilience, anxiety, pain, lower urinary tract symptoms, and patients perception of nursing support.

Histopathological disgnosis (benign or malignant) will be used for subgroup analyses.

Approximately 120-140 participants are expected to be enrolled, with an anticipated final sample of approximately 100-110 participants after follow-up.

Studietype

Intervensjonell

Registrering (Antatt)

120

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

  • Bosnia og Herzegovina
    • Federation of Bosnia and Herzegovina
      • Mostar, Federation of Bosnia and Herzegovina, Bosnia og Herzegovina, 88000
        • Rekruttering
        • University Clinical Hospital Mostar
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • Male participants aged 40 years or older.
  • Scheduled for transrectal ultrasound-guided prostate biopsy because of suspected prostate cancer.
  • Able to understand the study procedures and provide written informed consent.
  • Willing to complete all study assessments during the follow-up period.

Exclusion Criteria:

  • Inabillity to provide informed consent.
  • Severe cognitive impairment or psychiatric disorder preventing questionnaire completion.
  • Previous disgnosis of prostate cancer.
  • Inabillity to complete follow-up assessments.
  • Withdrawal of informed consent at any time.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Støttende omsorg
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Structured peri-procedural nursing Intervention
All participants receive the same structured peri-procedural nursing Intervention before and after transrectal prostate biopsy.
Atferdsmessig: Structured peri-procedural nursing Intervention
The structured peri-procedural nursing Intervention includes standardized patient education, procedral preparation, comminication, emotional support, and nursing care provided before, during, and after transrectal prostate biopsy. All participants receive the same Intervention according to the predefined study protocol.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in resilience measured by the Connor-Davidson Resilience Scale (CD-RISC-25)
Tidsramme: Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
To assess in resilience in men undergoing transrectal prostate biopsy after structured peri-procedural nursing Intervention.
Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in anxiety measured by the Hamilton Anxiety Rating Scale (HAM-A)
Tidsramme: Baseline (7 days before biopsy), and 2-3 weeks after biopsy following disclosure of histopathological results.
To assess changes in anxiety levels in men undergoing transrectal prostate biopsy following structured peri-procedural nursing Intervention.
Baseline (7 days before biopsy), and 2-3 weeks after biopsy following disclosure of histopathological results.
Change in lower urinary tract symptoms associated with the biopsy procedure and recovery.
Tidsramme: Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
To assess changes in lower urinary tract symptoms associated with the biopsy procedure and recovery.
Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
Pain intensity measured by the Numeric Rating Scale (NRS)
Tidsramme: 0-24 hours after biopsy.
To assess pain intensity experienced after transrectal prostate biopsy.
0-24 hours after biopsy.
Perception of nursing care measured by a structured patient questionnaire
Tidsramme: 0-24 hours after biopsy and 2-3 weeks after biopsy.
To assess patients perception of peri-procedural nursing care, comminication, emotional support, and information provided.
0-24 hours after biopsy and 2-3 weeks after biopsy.

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Histopathological disgnosis after prostate biopsy
Tidsramme: 2-3 weeks after prostate biopsy, when histopathological results are disclosed.
Histopathological biopsy results will be recorded and participants will be stratified into benign and malignant disgnosis groups for pre-specified subgroup analyses.
2-3 weeks after prostate biopsy, when histopathological results are disclosed.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University of Mostar

Etterforskere

  • Hovedetterforsker: Maja Ardjelan, MSc, University of Mostar
  • Studiestol: Katica Pavlović, MD, PhD, University of Mostar

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

4. august 2026

Primær fullføring (Antatt)

4. juli 2027

Studiet fullført (Antatt)

4. august 2027

Datoer for studieregistrering

Først innsendt

7. august 2026

Først innsendt som oppfylte QC-kriteriene

7. august 2026

Først lagt ut (Faktiske)

12. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

12. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

7. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • No. 229/26

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

IPD-planbeskrivelse

Individual participant data collected during this study will not be made publicly available. Only aggregated study results will be published.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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