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Chinese Journal of Endourology(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (03): 214-218. doi: 10.3877/cma.j.issn.1674-3253.2022.03.005

• Clinical Research • Previous Articles     Next Articles

The application value of standardized scenario training mode in the treatment of patients with urinary sepsis after PCNL

Xiaofeng Wu1, Liru Cheng1, Xin Cheng1, Yu Feng1, Han Deng1, Ling Zhang2,()   

  1. 1. Department of Urology, Changhai Hospital Affiliated to Naval Medical University, Shanghai 200433, China
    2. Department of Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai 200433, China
  • Received:2022-03-10 Online:2022-06-01 Published:2022-05-19
  • Contact: Ling Zhang

Abstract:

Objective

Urinary sepsis is one of the most dangerous complications after PCNL for patients with urinary stones, especially infectious stones. This study intends to explore the application value of standardized scenario training mode in the treatment of patients with urinary sepsis after PCNL through clinical effect evaluation.

Methods

The management records and clinical data of patients with urinary sepsis after PCNL in the department of Urology of our hospital from January 2019 to December 2020 were collected. The patients in 2019 were in the group before the application of standardized scenario training mode, and the patients in 2020 were in the group after the application standardized scenario training mode. Statistical analysis was conducted on the predictive success rate of urinary sepsis in nurses, the preparation time of rescue items, the time to take effective measures for patients, the success rate of treatment and the postoperative hospitalization time of patients respectively.

Results

Before and after using the standardized scenario training mode, the predictive success rate of nurses on urinary sepsis after PCNL was 12.5% (1/8) vs 80.0% (8/10), (P<0.05). The average preparation time was (6.6±0.7) min vs (3.4±0.5) min, (P<0.05). The time to take effective measures was (10.8±2.0) min vs (5.0±1.6) min (P<0.05). The success rates were 75.0% (6/8) vs 90.0% (9/10) (P>0.05); The postoperative hospitalization time of patients were (4.8±2.1) days vs (3.3±1.6) days, respectively (P<0.05).

Conclusions

The standardized scenario training mode has higher application value in the treatment of patients with urinary sepsis after PCNL, which effectively improves the prediction success rate of urinary sepsis by nurses, effectively shortens the time for nurses to prepare items and take effective measures, and shortens the hospitalization time of patients.

Key words: PCNL, Urinary sepsis, Scenario training mode

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