The Impact of Preoperative Visits Using the Omaha System on Patients Undergoing Transurethral Resection of the Prostate: Improvement in Sleep Quality and Negative Psychological Aspects.

Abstract

Background: The Omaha System, recognised for its comprehensive approach that encompasses physical, psychosocial, and environmental factors, has shown promise in improving patient outcomes across various healthcare settings. This study aimed to investigate the impact of preoperative visits conducted using the Omaha System on patients undergoing transurethral resection of the prostate (TURP), with a specific focus on sleep quality and negative psychological aspects.

Methods: A retrospective cohort study was conducted, including patients scheduled for TURP between March 2022 and March 2024. Patients were categorised into two groups based on the preoperative visit methods: Traditional preoperative visits and those utilising the Omaha System. A total of 120 patients were included in the study, with 68 patients experiencing traditional preoperative visits and 52 patients receiving visits using the Omaha System. Various parameters, including sleep quality, psychological aspects, and clinical characteristics, were assessed and analysed both preoperatively and postoperatively.

Results: Preoperatively, there were no significant differences in sleep quality parameters or negative psychological aspects between the two groups. However, postoperatively, the group that received preoperative visits using the Omaha System demonstrated significant improvements in sleep quality, including the Pittsburgh Sleep Quality Index (PSQI) global score (p = 0.015), sleep latency (p = 0.043), sleep duration (p = 0.002), sleep efficiency (p = 0.004), and sleep disturbances (p = 0.004). Additionally, reductions in anxiety (p = 0.006), depression (p = 0.028), stress (p = 0.025), fear related to the surgery (p = 0.009), and uncertainty (p = 0.005) were observed postoperatively in the Omaha System group compared to the traditional visit group.

Conclusions: The implementation of preoperative visits using the Omaha System significantly improved postoperative sleep quality and reduced negative psychological aspects among patients undergoing TURP.