Abstract
OBJECTIVE: To explore the efficacy and safety of continuous nursing based on the Omaha System in patients with double-J stents after upper urinary tract stones surgery. PATIENTS AND METHODS: A total of 171 patients who underwent upper urinary tract stones surgery in our department from July 2022 to December 2023 were selected. According to the envelope randomization method, patients were divided into a control group (85 cases) and a study group (86 cases). In the control group, we carried out discharge education upon discharge, distributed health education manuals, explained the nursing, diet, daily exercise, and other precautions for indwelling double-J stents outside the hospital. On the basis of the control group, the Omaha System will be used to evaluate nursing issues, including the four aspects with the highest post discharge nursing needs: physiological, psychological, environmental, and health-related behaviors. Then, problem oriented continuous nursing. RESULTS: After nursing intervention, the cognitive score, behavioral score, and condition score of the two groups were separately higher than pre-nursing, and the scores in the study group were all significantly higher than those in the control group (P < 0.05). With respect to the secondary important variables, the overall incidence of complications in the study group was significantly lower than that in the control group (P < 0.05). CONCLUSIONS: The application of continuous nursing based on the Omaha System in patients with double-J stents after upper urinary tract stones surgery can improve nursing outcomes, reduce the incidence of complications, and enhance self-care capabilities.