Fathy Dawood Rasha, Abdelwahab Khedr Mahmoud, Alanezi Shadaid, Abdel Gawad Ali Rabie Emad
Assistant Professor of Medical-Surgical Nursing, Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Assistant Professor, College of Nursing, University of Hafr Albatin, Hafr Albatin, Saudi Arabia.
J Res Nurs. 2025 Aug 23:17449871251328928. doi: 10.1177/17449871251328928.
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.
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.
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.
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.
Implementing the nursing instructional module effectively refined patients' knowledge and reduced ureteral stent discomfort and acute side effects.
双J（DJ）支架是泌尿外科不可或缺的器械，是众多手术的基本组成部分，也是输尿管结石患者的治疗工具。然而，其使用仍存在一些问题。这些问题包括患者不适、尿路症状（如尿急和尿频）、血尿、感染、支架移位以及长期留置导致的结石形成。
本研究旨在确定护理指导模块对输尿管结石患者DJ支架取出术后的急性副作用是否有积极影响。
本研究采用准实验研究设计，对50例患者进行研究（研究组25例，采用护理指导模式；对照组25例，采用常规支持）。使用患者对输尿管结石的了解情况、输尿管DJ支架评估表和输尿管支架不适工具来测量患者对输尿管结石的了解程度，并评估两组患者取出支架后的输尿管支架不适和急性副作用。
大多数研究对象为男性（64.0，56.0%）且已婚（80.0，76.0%）。研究组患者的知识水平满意度为100%，在对研究对象实施护理指导模块后，输尿管结石患者输尿管支架不适试验中尿路症状的所有领域均存在高度统计学意义的差异。
实施护理指导模块有效地提高了患者的知识水平，减少了输尿管支架不适和急性副作用。
