Abstract: Objective To investigate the effect of bladder training under the guidance of the goal management theory on promoting the recovery of urination function in the elderly patients receiving prostate stent implantation. Methods This study adopted a historical controlled clinical trial design. The elderly high-risk patients with benign prostatic hyperplasia (BPH) undergoing spiral thermal expansion stent implantation in Department of Urology from January 1, 2021 to August 31, 2024 were enrolled. All patients were divided into the control group (n=24) and the observation group (n=30) according to the admission time. The control group received conventional bladder training, while the observation group received bladder training based on goal management theory. The length of hospital stay and postoperative urinary function were compared between the two groups. Results In the observation group, the time of first postoperative urination[1.0(0.9,2.0)d vs 2.0(1.1,3.0)d, P=0.016], the time of cystostomy tube sealing [5.5(3.8,8.3)d vs 10.0(6.0,16.0)d, P=0.007] and the length of hospital stay [9.0(7.0,12.0)d vs 12.0(9.0,19.0)d, P=0.020] were shorter than those in the control group. The daily urinary function classification of the observation group was better than that of the control group (P<0.05). Conclusions The bladder training based on goal management can improve the urination function of the elderly high-risk patients with BPH after stent implantation, and has clinical promotion value.

Key words: benign prostatic hyperplasia, spiral thermo-expandable prostatic stent, high risk, bladder training, goal management theory