Efficacy and safety of continuous nursing based on the Omaha System in patients with double-J stents after upper urinary tract stones surgery: a prospective study
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. A total of 171 patients who underwent upper urinary tract stones surgery in our department from July 2022 to December 2023 were selected. Acco...
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| Published in | American journal of clinical and experimental urology Vol. 13; no. 3; pp. 233 - 240 |
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| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
United States
e-Century Publishing Corporation
01.01.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2330-1910 2330-1910 |
| DOI | 10.62347/XBFV3220 |
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| Abstract | 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.
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.
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).
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. |
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| AbstractList | 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.OBJECTIVETo 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.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.PATIENTS AND METHODSA 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.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).RESULTSAfter 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).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.CONCLUSIONSThe 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. 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. 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. 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). 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. 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. |
| Author | Huang, Hui |
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| Keywords | complication nursing outcomes Continuous nursing double-J stents Omaha System |
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| References_xml | – volume: 5 start-page: 274 year: 2018 ident: ref6 article-title: Ureteral stents in urolithiasis publication-title: Asian J Urol doi: 10.1016/j.ajur.2018.07.002 – volume: 11 start-page: 1136663 year: 2023 ident: ref9 article-title: Feasibility of the Omaha System for the care of children with dilated cardiomyopathy publication-title: Front Pediatr doi: 10.3389/fped.2023.1136663 – ident: ref1 doi: 10.1159/000486798 – volume: 89 start-page: 75 year: 2022 ident: ref2 article-title: Clinical significance of DJ stent culture in patients with indwelling ureteral stents prior to endourological intervention publication-title: Urologia doi: 10.1177/0391560320962400 – volume: 107 start-page: 288 year: 2023 ident: ref13 article-title: Treatment of ureteral stent-related symptoms publication-title: Urol Int doi: 10.1159/000518387 – ident: ref7 – ident: ref20 – volume: 31 start-page: 109 year: 2019 ident: ref11 article-title: Adapting Maslow's hierarchy of needs as a framework for resident wellness publication-title: Teach Learn Med doi: 10.1080/10401334.2018.1456928 – volume: 94 start-page: 305 year: 2022 ident: ref3 article-title: Management of encrusted ureteral stents: two center experience publication-title: Arch Ital Urol Androl doi: 10.4081/aiua.2022.3.305 – volume: 33 start-page: 256 year: 2016 ident: ref19 article-title: Feasibility of using the Omaha System for community-level observations publication-title: Public Health Nurs doi: 10.1111/phn.12231 – volume: 28 start-page: 34 year: 2003 ident: ref8 article-title: Articulating the value-added dimension of NP care publication-title: Nurse Pract doi: 10.1097/00006205-200312000-00006 – volume: 37 start-page: 1703 year: 2019 ident: ref5 article-title: Influence of biofilms on morbidity associated with short-term indwelling ureteral stents: a prospective observational study publication-title: World J Urol doi: 10.1007/s00345-018-2569-z – volume: 42 start-page: 68 year: 2022 ident: ref4 article-title: Retained ureteral stents, an avoidable source of morbidity: 10 years' experience from a single tertiary care centre publication-title: Pan Afr Med J doi: 10.11604/pamj.2022.42.68.29935 – ident: ref18 – volume: 13 start-page: 711209 year: 2022 ident: ref10 article-title: The application of the Omaha System in community rehabilitation nursing for patients with stroke and previous falls publication-title: Front Neurol doi: 10.3389/fneur.2022.711209 – ident: ref0 – volume: 2022 start-page: 8735363 year: 2022 ident: ref16 article-title: Clinical efficacy and psychological impact of Omaha-based continuing care for prostate cancer patients publication-title: Comput Math Methods Med doi: 10.1155/2022/8735363 – volume: 28 start-page: 299 year: 2014 ident: ref14 article-title: Seeing the whole person: feasibility of using the Omaha System to describe strengths of older adults with chronic illness publication-title: Res Theory Nurs Pract doi: 10.1891/1541-6577.28.4.299 – ident: ref17 – ident: ref12 – ident: ref15 |
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| Title | Efficacy and safety of continuous nursing based on the Omaha System in patients with double-J stents after upper urinary tract stones surgery: a prospective study |
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