Wu Yu-Yun, Zhang Rui, Li Mei, Guo Ying-Ying, Tao Rong-Zhen, Zhou Shuang
Department of Breast Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University Nanjing, Jiangsu, China.
Department of Cardiothoracic Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University Nanjing, Jiangsu, China.
Am J Clin Exp Urol. 2025 Jun 15;13(3):241-248. doi: 10.62347/RIJM8139. eCollection 2025.
This study aimed to assess the efficacy and safety of tracking extended nursing (TEN) on patients with urinary tract stones after holmium laser lithotripsy (HLL).
A total of 232 patients with urinary tract stones after HLL were prospectively randomized into 2 groups. One hundred and sixteen patients in the study group accepted TEN mode and 116 patients serving as control accepted only traditional nursing mode. The Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores, measured at different time points, were considered the primary outcomes for evaluating patients' psychological state. The secondary end points were Quality of life (QOL) scores and complications between the two groups.
After the TEN mode was applied to the study group, the HAMD and HAMA scores were significantly lower than those in the control group at the second and fourth week (P<0.05). With regard to the secondary variables, the QOL scores in the study group was significantly higher than that in the control group at the second and fourth week (P<0.05). In addition, the overall incidence of complications was significantly lower in the study group than in the control group (P<0.05). No serious complications were reported in either group.
The TEN mode improves psychological well-being and Qol in urinary tract stone patients undergoing HLL, accelerates recovery, reduces complications, and enhances self-care.
本研究旨在评估延续性跟踪护理（TEN）对钬激光碎石术（HLL）后尿路结石患者的疗效及安全性。
将232例HLL术后尿路结石患者前瞻性随机分为两组。研究组116例患者接受TEN模式，116例对照组患者仅接受传统护理模式。不同时间点测量的汉密尔顿抑郁量表（HAMD）和汉密尔顿焦虑量表（HAMA）评分被视为评估患者心理状态的主要指标。次要终点为两组的生活质量（QOL）评分及并发症情况。
研究组采用TEN模式后，在第2周和第4周时HAMD和HAMA评分显著低于对照组（P<0.05）。关于次要变量，研究组在第2周和第4周时的QOL评分显著高于对照组（P<0.05）。此外，研究组并发症的总发生率显著低于对照组（P<0.05）。两组均未报告严重并发症。
TEN模式可改善接受HLL的尿路结石患者的心理健康和生活质量，加速康复，减少并发症，并增强自我护理能力。
