Effect of multi-mode health education on postoperative body condition and stone recurrence rate in patients with urinary calculi

doi:10.3877/cma.j.issn.1674-3253.2020.06.008

Abstract

Abstract:

Objective

To explore the effect of multi-mode health education on postoperative stress response, psychological status, sexual life quality and stone recurrence rate of patients with urinary calculi.

Methods

A total of 84 patients with urinary calculi treated with surgery in the hospital between February 2018 and February 2019 were selected prospectively. They were divided into 2 groups by the random number table method, 42 cases in each group. The control group were given routine nursing, and on this basis, the experimental group were given multi-mode health education. The stress state [cortisol (Cor), norepinephrine (NE), adrenaline (AD)], psychological status [self-rating depression scale (SDS) scores, self-rating anxiety scale (SAS) scores], mastery of health knowledge, health promoting lifestyle profile-II (HPLP-II) scores, satisfaction with sexual life and stone recurrence rate were compared between the two groups.

Results

Three days after surgery, the serum Cor, NE and AD levels in both groups were significantly increased (P<0.05), but the levels in experimental group were significantly lower than those in control group (P<0.05). After 2 weeks of intervention, SDS scores and SAS scores in experimental group were significantly lower than those in control group (P<0.05), while mastery of health knowledge scores were significantly higher than those in control group (P<0.05). After 3 months of intervention, scores of health responsibility, nutrition and exercise in HPLP-II of experimental group were significantly higher than those of control group (P<0.05). The satisfaction of experimental group of sexual life was significantly better than that of control group (P<0.05). The stone recurrence rates in experimental group at 6 and 12 months after surgery were significantly lower than those in the control group (P<0.05).

Conclusion

Multi-mode health education can effectively alleviate postoperative stress response of patients with urinary calculi, increase their health knowledge, improve their psychological status and healthy behaviors, reduce stone recurrence rate, and improve sexual life quality, with positive application value.

Key words: Urinary calculi, Stone recurrence, Health education, Stress, Psychological status, Sexual life quality

Ming Xie, Yunyan Wang, Jingyi Su, Kun Che. Effect of multi-mode health education on postoperative body condition and stone recurrence rate in patients with urinary calculi[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(06): 434-438.

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References 16

[1]	Arias Vega R, Pérula de Torres LA, Jiménez García C, et al. Comorbidity and socio-demographic factors associated with renal lithiasis in persons aged 40 to 65: A cross-sectional study[J]. Med Clin, 2017, 149(9): 383-390.
[2]	Kusumi K, Becknell B, Schwaderer A . Trends in pediatric urolithiasis: patient characteristics, associated diagnoses, and financial burden[J]. Pediatr Nephrol, 2015, 30(5): 805-810.
[3]	Medina-Escobedo M, González-Herrera L, Villanueva-Jorge S, et al. Metabolic abnormalities and polymorphisms of the vitamin D receptor (VDR) and ZNF365 genes in children with urolithiasis[J]. Urolithiasis, 2014, 42(5): 395-400.
[4]	任晓磊, 夏海波. 泌尿系结石腔镜手术后尿源性脓毒血症发生的原因及防治[J/CD]. 中华腔镜泌尿外科杂志（电子版）, 2018, 12(5): 356-358.
[5]	陈星, 郭剑明, 徐志兵, 等. S.T.O.N.E.肾结石评分系统用于经皮肾镜取石术的临床研究[J]. 中华泌尿外科杂志, 2014, 35(1): 40-44.
[6]	Huang SW, Tsai CY, Wang J, et al. Increased Risk of New-Onset Hypertension After Shock Wave Lithotripsy in Urolithiasis: A Nationwide Cohort Study[J]. Hypertension, 2017, 70(4): 721-728.
[7]	张成龙, 齐忠权. 尿路结石现代治疗方法的探讨[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2015, 9(1): 59-62.
[8]	Hamamoto S, Unno R, Taguchi K, et al. Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy[J]. Urolithiasis, 2017, 46(Suppl 1): e449-e449.
[9]	Amirhassani S, Mousavi-Bahar SH, Iloon Kashkouli A, et al. Comparison of the safety and efficacy of one-shot and telescopic metal dilatation in percutaneous nephrolithotomy: a randomized controlled trial[J]. Urolithiasis, 2014, 42(3): 269-273.
[10]	林峰, 陈军, 王鸿康. 不同手术方式治疗输尿管结石的效果分析[J]. 中国全科医学, 2014, 17(17): 2036-2039.
[11]	朱文静, 杨明, 彭煜, 等. 泌尿系结石中西医结合防治模式探讨[J]. 中医杂志, 2015, 56(17): 1462-1464.
[12]	罗大伟,余亚萍, 蒋玉梅, 等. 个体化护理干预对肾结石术后患者肾造瘘管及并发症的影响效果[J]. 中国急救医学, 2017, 37(z1): 95-96.
[13]	杨泽松, 叶烈夫, 胡敏雄, 等. 上尿路结石腔内碎石术后感染危险因素及建立术前预警评分系统的临床研究[J]. 中华泌尿外科杂志, 2016, 37(10): 781-785.
[14]	赵敏丽, 华青芬, 汪静娜, 等. 78例老年肾结石行经皮肾取石术的护理[J]. 中国微创外科杂志, 2014, 14(2): 191-192.
[15]	王竹芳, 王静茹. 中药协定方治疗泌尿系结石疗效观察及护理体会[J]. 中国中医基础医学杂志, 2014, 20(6): 853-853.
[16]	王燕, 戴新娟, 周萍, 等. 健康促进模式教育对上尿路结石患者生活方式的影响[J]. 中华护理杂志, 2015, 50(10): 41-45.

一般资料	例数	性别		年龄[岁，（±s）]	BMI[kg/m²，（±s）]	结石部位（例）		结石直径[mm，（±s）]
一般资料	例数	男	女	年龄[岁，（±s）]	BMI[kg/m²，（±s）]	肾结石	输尿管结石	肾结石	输尿管结石
实验组	42	24	18	44±7	23.4±2.4	27	15	16.3±3.1	12.9±2.0
对照组	42	26	16	43±7	23.4±2.3	24	18	15.2±3.0	13.6±2.1
统计值		χ²=0.198		t=0.525	t=0.095	χ²=0.449		t=1.307	t=0.988
P值		0.657		0.601	0.924	0.503		0.197	0.331
一般资料	例数	文化程度（例）			家庭人均经济水平（元/月，例）			婚姻状况（例）
一般资料	例数	初中及以下	高中	大学及以上	≤4000	4000～8000	≥8000	未婚	已婚	其他
实验组	42	18	16	8	12	20	10	14	25	3
对照组	42	15	18	9	11	18	13	10	28	4
统计值		χ²=0.449			χ²=0.540			χ²=0.979
P值		0.799			0.763			0.613
一般资料	例数	ASA分级(例)		上尿路积水（例）	肾绞痛（例）	感染（例）	发病至治疗时间[月，（±s）]	术后结石成分（例）
一般资料	例数	Ⅰ级	Ⅱ级	上尿路积水（例）	肾绞痛（例）	感染（例）	发病至治疗时间[月，（±s）]	一水草酸钙	一水草酸钙+二水草酸钙	一水草酸钙+二水草酸钙+碳酸磷灰石	无水尿酸	其他
实验组	42	25	17	8	10	4	3.85±0.62	13	15	8	4	2
对照组	42	29	13	9	07	5	3.94±0.67	16	14	9	2	1
统计值		χ²=0.830		χ²=0.074	χ²=0.664	χ²=0.124	t=0.639	χ²=1.404
P值		0.362		0.786	0.415	0.724	0.525	0.844

一般资料	例数	性别		年龄[岁，（±s）]	BMI[kg/m²，（±s）]	结石部位（例）		结石直径[mm，（±s）]
一般资料	例数	男	女	年龄[岁，（±s）]	BMI[kg/m²，（±s）]	肾结石	输尿管结石	肾结石	输尿管结石
实验组	42	24	18	44±7	23.4±2.4	27	15	16.3±3.1	12.9±2.0
对照组	42	26	16	43±7	23.4±2.3	24	18	15.2±3.0	13.6±2.1
统计值		χ²=0.198		t=0.525	t=0.095	χ²=0.449		t=1.307	t=0.988
P值		0.657		0.601	0.924	0.503		0.197	0.331
一般资料	例数	文化程度（例）			家庭人均经济水平（元/月，例）			婚姻状况（例）
一般资料	例数	初中及以下	高中	大学及以上	≤4000	4000～8000	≥8000	未婚	已婚	其他
实验组	42	18	16	8	12	20	10	14	25	3
对照组	42	15	18	9	11	18	13	10	28	4
统计值		χ²=0.449			χ²=0.540			χ²=0.979
P值		0.799			0.763			0.613
一般资料	例数	ASA分级(例)		上尿路积水（例）	肾绞痛（例）	感染（例）	发病至治疗时间[月，（±s）]	术后结石成分（例）
一般资料	例数	Ⅰ级	Ⅱ级	上尿路积水（例）	肾绞痛（例）	感染（例）	发病至治疗时间[月，（±s）]	一水草酸钙	一水草酸钙+二水草酸钙	一水草酸钙+二水草酸钙+碳酸磷灰石	无水尿酸	其他
实验组	42	25	17	8	10	4	3.85±0.62	13	15	8	4	2
对照组	42	29	13	9	07	5	3.94±0.67	16	14	9	2	1
统计值		χ²=0.830		χ²=0.074	χ²=0.664	χ²=0.124	t=0.639	χ²=1.404
P值		0.362		0.786	0.415	0.724	0.525	0.844

组别	例数	皮质醇		t值	P值	去甲肾上腺素		t值	P值	肾上腺素		t值	P值
组别	例数	干预前	术后3 d	t值	P值	干预前	术后3 d	t值	P值	干预前	术后3 d	t值	P值
实验组	42	163±29	225±37	-12.297	<0.001	240±38	285±47	-6.777	<0.001	0.12±0.02	0.30±0.05	-33.330	<0.001
对照组	42	162±27	274±40	-21.445	<0.001	239±38	333±50	-13.768	<0.001	0.12±0.01	0.42±0.07	-48.606	<0.001
t值		0.099	-5.891			0.062	-4.541			0.000	-9.040
P值		0.921	<0.001			0.951	<0.001			1.000	<0.001

组别	例数	皮质醇		t值	P值	去甲肾上腺素		t值	P值	肾上腺素		t值	P值
组别	例数	干预前	术后3 d	t值	P值	干预前	术后3 d	t值	P值	干预前	术后3 d	t值	P值
实验组	42	163±29	225±37	-12.297	<0.001	240±38	285±47	-6.777	<0.001	0.12±0.02	0.30±0.05	-33.330	<0.001
对照组	42	162±27	274±40	-21.445	<0.001	239±38	333±50	-13.768	<0.001	0.12±0.01	0.42±0.07	-48.606	<0.001
t值		0.099	-5.891			0.062	-4.541			0.000	-9.040
P值		0.921	<0.001			0.951	<0.001			1.000	<0.001

组别	例数	SDS评分		t值	P值	SAS评分		t值	P值	健康知识掌握评分		t值	P值
组别	例数	干预前	干预2周后	t值	P值	干预前	干预2周后	t值	P值	干预前	干预2周后	t值	P值
实验组	42	46.1±8.0	34.1±6.1	11.003	<0.001	49.7±7.4	35.3±6.0	13.940	<0.001	40.1±7.2	86.6±9.0	-37.050	<0.001
对照组	42	45.9±7.9	40.3±7.5	04.782	<0.001	49.1±7.4	43.8±7.2	04.759	<0.001	39.7±7.1	70.2±8.3	-25.605	<0.001
t值		0.092	-4.122			0.322	-5.832			0.281	8.610
P值		0.927	<0.001			0.748	<0.001			0.779	<0.001

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