Effect of a nursing instructional module on the acute side effects of double-J stent removal for ureterolithiasis patients: a quasi-experimental study

护理指导模块对输尿管结石患者双J管取出术后急性副作用的影响:一项准实验研究

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Abstract

BACKGROUND: The double-J (DJ) stent is an indispensable device in urology, a rudimentary part of numerous procedures and a management tool for patients with ureteric calculi. However, some issues connected to its usage still arise. The issues include patient discomfort, urinary symptoms (such as urgency and frequency), hematuria, infection, stent migration, and encrustation with prolonged indwelling time. AIM: The study aims to determine whether awhether a nursing instructional module has a positive effect on the acute side effects of DJ stent removal for ureterolithiasis patients. METHODS: The study employed a quasi-experimental research design on 50 patients (25 in the study group, with a nursing instuctional model, and 25 in the control group, with support as usual). The patient's knowledge about ureteral stones, the ureteral DJ stent assessment chart and the Ureteral Stent Discomfort tools were used to measure the patient's knowledge about ureteral stones and appraise the ureteral stent discomfort and acute side effects after removal in the two groups. RESULTS: Most studied patients were males (64.0, 56.0%) and married (80.0, 76.0%). There was a 100% satisfactory knowledge level for the study group and highly statistically significant differences in all domains of the ureteral stent discomfort test of urinary symptoms among ureterolithiasis patients after the nursing instructional module implementation for the studied patients. CONCLUSION: Implementing the nursing instructional module effectively refined patients' knowledge and reduced ureteral stent discomfort and acute side effects.

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