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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
120
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.
University Clinical Hospital Mostar
Mostar, Federation of Bosnia and Herzegovina, Bosnia and Herzegovina
RECRUITINGChange in resilience measured by the Connor-Davidson Resilience Scale (CD-RISC-25)
To assess in resilience in men undergoing transrectal prostate biopsy after structured peri-procedural nursing Intervention.
Time frame: Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
Change in anxiety measured by the Hamilton Anxiety Rating Scale (HAM-A)
To assess changes in anxiety levels in men undergoing transrectal prostate biopsy following structured peri-procedural nursing Intervention.
Time frame: 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.
To assess changes in lower urinary tract symptoms associated with the biopsy procedure and recovery.
Time frame: 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)
To assess pain intensity experienced after transrectal prostate biopsy.
Time frame: 0-24 hours after biopsy.
Perception of nursing care measured by a structured patient questionnaire
To assess patients perception of peri-procedural nursing care, comminication, emotional support, and information provided.
Time frame: 0-24 hours after biopsy and 2-3 weeks after biopsy.
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