已发表论文

为患有良性前列腺增生的老年患者提供教育手册以提高健康信息的回忆能力

 

Authors Liu J , Chen X, Zhou Y, Zhang J, Zhang Z, Zhang H, Li X

Received 16 July 2025

Accepted for publication 20 October 2025

Published 1 November 2025 Volume 2025:18 Pages 7061—7071

DOI https://doi.org/10.2147/JMDH.S552838

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Jia Liu,1,* Xiaomei Chen,2,* Yuanxiu Zhou,3,* Jing Zhang,1 Zuli Zhang,1 Huan Zhang,1 Xuemei Li1 

1Department of Urology, First Affiliated Hospital of Army Medical University, Chongqing, People’s Republic of China; 2Department of Nursing, Chengdu Wenjiang District People’s Hospital, Chengdu, People’s Republic of China; 3Department of Urology, Rongchang District People’s Hospital, Chongqing, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Xuemei Li, Department of Urology, First Affiliated Hospital of Army Medical University, No. 30, Gaotanyanzheng Street, Shapingba District, Chongqing, 400038, People’s Republic of China, Tel +86-13908306486, Email 18883029178@163.com

Background: A common challenge in health education for older surgical patients is poor memory, which hinders the processing of health information. Structured educational materials have been shown to be effective in improving information retention, but there remains a paucity of materials specifically designed to address the cognitive and sensory characteristics of older adults.
Objective: To evaluate the effect of an adapted education booklet based on cognitive load theory and older adults’ preferences on the memory of health information in older surgical adults experiencing benign prostatic hyperplasia (BPH).
Methods: A randomized controlled trial was conducted at a tertiary hospital from January to February 2025. Sixty-four older adults scheduled for BPH surgery were randomly divided into an intervention group (n=32, using an adapted education booklet) and a control group (n=32, using conventional education materials). Both groups received standard perioperative education. Health information recall was evaluated using a standardized questionnaire on the day before discharge. Secondary outcomes included satisfaction with nursing care and the nurse’s support for the booklet.
Results: There were no differences between the two groups in terms of age, body mass index, educational attainment, monthly personal income, and length of hospital stay. Adults in the intervention group demonstrated superior recall of health information and nursing satisfaction compared to the control group (P < 0.001). Over 85% of nurses believed that the booklet did not increase their workload, improved nurse-adult communication, and expressed support for its clinical application.
Conclusion: Adapting an education booklet based on cognitive load theory and older adult preferences can significantly improve health information recall and satisfaction among older adults experiencing BPH. High acceptance among nurses suggests that this intervention has potential for clinical application. This simple, easy-to-administer, and inexpensive method of patient education could be extended to other areas of geriatric surgical education.

Keywords: prostatic hyperplasia, older, educational material, information recall, patient education