Ask an answerable question (PICO)：
Clinical question formation- the purpose is to explore whether the exercise strengthening the pelvic floor muscle is effective in improving the urinary incontinence in the patients after the prostatectomy. PICO-P: 70 years old, after Da Vinci prostatectomy, I: Pelvic floor exercise, C: No exercise, O: Urinary incontinence.
The Method and Analysis of Literature Review：
(1)The literature search database includes: Cochrane, Clinicalkey Nursing, PubMed, and CEPS.
(2)The keywords include: P (radical prostatectomy, prostatic cancer, postprostatectomy), I (pelvic muscle exercise, kegel exercise, pelvic floor muscle training), O (incontinence). The keywords and PICO conform to the PICO keyword sequence: I & P O C, Combinet text words / keywords / MeSH term search. Boolean characters "OR, AND, NOT" are used, and the screening language is Chinese and English.
Critical Appraisal：
Quality evaluation of literature-the search results: there are a total of 253 articles in the Chinese and English literature database. Wherein, after deducting the duplicates, non-RCT, non-SR research, research design methods that do not meet PICO, and low grades, after excluding and deleting the literature, a total of 2 articles are evaluated, using the 2018 version of CASP as the evaluation tool.
Clinical Application of Evidence：
Clinical application of evidence-use the 7 steps of the empirical knowledge translation to improve, implement and analyze the results at the same time. The study was designed as a randomized controlled experimental study. During the study period, from March 1, 2020 to April 30, 2020, a ward of a regional medical center in the south was selected, and the pelvic floor exercises were used as the interventional measures during the intervention period.
Evaluation of Effectiveness：
Explore the effect of the pelvic floor muscle exercise on improving the urinary incontinence in the patients after Da Vinci prostatectomy with the statistical analysis. After the intervention from March 1, 2020 to April 30, 2020, among the 10 patients admitted, through the statistical verification, (1) Basic information: the two groups have no difference in the age and BMI, P value (>0.05). (2) After the implementation of the interventional measures, the statistical test research results show that for the patients with the urinary incontinence after Da Vinci prostatectomy, the pelvic floor muscle exercise can effectively improve the average time to urinate and the weight of the cotton pad P value (<. 001), and improve the quality of life.
Conclusions and Recommendations：
The purpose of this article is to explore whether the exercise strengthening the pelvic floor muscle can effectively improve the urinary incontinence in the patients after Da Vinci prostatectomy. Based on the empirical inquiry and clinical application, PICO is formed to use the empirical medical strategies to search and screen the relevant literature, and strictly evaluate 2 literatures. It is understood that the pelvic floor muscle exercise can indeed reduce the urinary incontinence after Da Vinci prostatectomy, improve the degree of the urinary incontinence and improve the quality of life. We have extended this answer to the clinical applications. Although only 10 patients were admitted, through our empirical application, we found that the pelvic floor muscle exercise can indeed improve the urinary incontinence and improve the quality of life of the patients after Da Vinci prostatectomy, without the cost and without the side effects. This result is consistent with Aylin (2018) and Joanne (2019). In the hope of benefiting more patients after Da Vinci prostatectomy, the quality of the care can be upgraded.
