Effect of application of health education model on patients undergoing extracorporeal shock wave lithotripsy of urinary calculi
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Objective To observe the effect of application of health education model on patients un-dergoing extracorpereal shock wave lithotripsy of urinary calculi. Methods We randomly divided 278 patients undergoing extracorporeal shock wave lithotripsy of urinary calculi into the experimental group(136 cases) and the control group(142 cases).The experimental group received health education according to the model of health education, while the control group adopted routine health education. The treatment effect of lithotripsy after 1 week,2 weeks and 1 month was evaluated. Results After health education,the cure rate at I week after lithotripsy was 50.7%, which was higher than that of the control group,28.2%, the cure rates at 2 weeks and 1 month were 58.2% and 86.0%, which were better than those of the control group, 49.0% and 70.4%. Conclusions Application of health education model can improve the treatment effect of extracorporeal shock wave lithotripsy of urinary calculi and alleviate pain of patients as soon as possible.
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Health education; Model; Extracorporeal shock wave lithotripsy; Urinary calculiKeywords:
Extracorporeal
The present study reviews our experience and analyzes the results achieved with extracorporeal shock wave lithotripsy in the treatment of urinary calculi in children.From 1985 to 1995, 36 children, with ages ranging from 5 months to 14 years, were treated by ESWL, and in some cases by combination therapy (percutaneous nepholithectomy and/or ureteroscopy).Excellent results were achieved in 74.9% of the patients; of these, 52.7% were stone-free 2 to 90 days after treatment.Extracorporeal shock wave lithotripsy is the treatment of choice in children with urinary lithiasis, although there are some exceptions. The method of evaluation and treatment in children are the same as in the adult patients.
Ureteroscopy
Extracorporeal
Urinary stone
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Objective:To evaluate the efficacy of extracorporeal shock wave lithotripsy(ESWL) to the patients with urinary calculi.Methods:2399 patients were involved in the observation,including 508 cases of kidney stones,1631 cases of ureteral stone and 260 cases of bladder stones.Results:After treatment 2357 cases responsed effectively and the efficiency was 98.20%.1240 cases were cured in the first ESWL treatment and 810 cases were cured after several treatments.The cure rate was 85.45% and it showed excellent effects in lithotripsy and emptying rate.The patient with urinary calculi could well tolerance and the adverse effects were minor.Conclusion:Extracorporeal shock wave lithotripsy is an effective therapy for urinary calculi,and it is necessary to give corresponding flexible application to ureteral stones,bladder according to stone location and size.
Extracorporeal
Cure rate
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Objective To explore effect of comprehensive care guide on gravel and stone row in extracorporeal shock wave lithotripsy during perioperative period.Methods 748 cases with urinary stone patient underwent extracorporeal shock wave lithotripsy were selected.Diet,drinking,exercise guidance and other nursing care were given to all patients. The patient′s condition was evaluated in preoperative,intraoperative and postoperative period,and nursing efficacy was observed.Results The cure rate was 83.7%,the total effective rate was 94.9%.No serious complication and no recurrence case.Conclusion Comprehensive nursing intervention can reduce incidence of complication in patient with extracorporeal shock wave lithotripsy,and improve the effect.
Extracorporeal
Perioperative nursing
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We investigated whether shock wave lithotripsy affects kidney growth in children.This prospective controlled study included 150 children with renal stones who presented for shock wave lithotripsy between March 2005 and February 2010 (group A). The control arm included 100 children without any urological problems who were enrolled in the study after obtaining written maternal consent (group B). All children in both groups underwent abdominal ultrasound to assess renal size (bipolar renal length), which was repeated after 6 months for group A and after 1 year for both groups.Bipolar renal size in group A increased significantly at 6 months and 1 year after shock wave lithotripsy. Renal growth did not differ based on patient age at shock wave lithotripsy (p = 0.472), number of shock wave lithotripsy sessions (p = 0.65) or number of stones (p = 0.405). There was no significant difference between the rate of kidney growth in children who underwent shock wave lithotripsy during the year of the study and normal controls.Shock wave lithotripsy has no deleterious effect on the normal rate of renal growth in children. This outcome is not affected by either the number of stones or the age of the child at shock wave lithotripsy.
Shock wave lithotripsy
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Objective To study the effects of URSL combined with ESWL in patients with renal pelvis calculi.Methods One hundred and twenty patients admitted to Huangmei County Maternal and Child Health Hospital of Hubei Province from April 2009 to March 2012 were randomly divided into the observation group(n = 60) and the control group(n = 60);the observation group were treated with URSL combined with ESWL,and the control group were treated with URSL only,and the clinical effects were contrasted between the two groups.Results The operation time of the observation group was significantly shorter than the control group(P 0.01);the blood loss of the observation group was significantly less than the control group(P 0.01);the stone clear rate(93.3%) of the observation group was significantly higher than the control group(56.7%)(P 0.01);there was no significant difference in postoperative urinary tract infection incidence between the two groups(P 0.05).Conclusion URSL combined with ESWL has reliable effects in patients with renal pelvis calculi,with less damage and low incidence of urinary tract infection after surgery,which should be widely applied in clinical.
Renal pelvis
Ureteroscopy
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The introduction of extracorporeal shock wave lithotripsy represented an important evolution in urinary tract lithiasis management. The aim of this study is to describe the results of extracorporeal shock wave lithotripsy for the treatment of urinary tract lithiasis in children, focusing on the index of elimination of the calculi and the complications occurring during the procedure and during the following three months.From September 1991 to July 2002, 135 children between one and 12 years, suffering from urinary tract lithiasis underwent extracorporeal shock wave lithotripsy. A retrospective analysis of these patients was carried out.One hundred and ninety-five calculi ranging in size from 5.0 mm to 20.0 mm were treated, out of which 147 were found in the kidneys and 48 in the ureter. Urinary tract dilation was presented by 30% of the children at the time of the procedure. After extracorporeal shock wave lithotripsy 75.8% of the calculi were eliminated: 64.1% were stone-free and 11.7% had < or = 4 mm stones. Ureteral calculi and 5-10 mm stones responded better than the kidney and 11-20 mm stones (P = 0.027 and P = 0.012, respectively). No differences were detected according to the calculi location, whether in the ureter or kidney (P = 0.637 and P = 0.703, respectively). The shock wave intensity of 14kv was as efficient as the higher voltage. Short-term complications were observed in 23.7%, characterized by fever and pain.In children, extracorporeal shock wave lithotripsy proved to be able to eliminate 75.8% of the treated calculi and 83.7% of the patients presented a complete or partial response. Complications were observed in 23.7% of patients, and pain was the most frequent symptom.
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Ureteroscopy
Extracorporeal
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Introduction : This study was performed in order to evaluate the immediate and long‐term outcome of patients undergoing extracorporeal shock wave lithotripsy (ESWL) for isolated lower pole calculi. Methods: Three hundred and seventy renal units of 350 patients (240 men and 110 women; mean age 55 years) with isolated lower pole renal stones of smaller than 2 cm 2 were studied. Follow up ranged from 1 to 52 months (mean, 15 months) to time of censorship, significant period of secondary urologic evaluation. Results : Out of 370 renal units in 350 patients, 212 (57,29%) were stone‐free 1 month after ESWL and 21 (5.67%) spontaneously became stone‐free within another 1–52 months (mean, 15 months). Intervention was required after 1–52 months (mean, 17.5 months) and accomplished by ESWL alone (30/350 patients 8.57%) or combined with retrograde endoscopy (10/350 patients 2.85%) while retrograde manipulation was necessary in two of the 350 patients (0.57%). Conclusion: Extracorporeal shock wave lithotripsy is the initial treatment of choice in patients with lower pole stones < 2 cm 2 , because the overall stone‐free rate is acceptable and because even in the residual calculi, the risk of suffering symptomatic episodes requiring secondary intervention is low.
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Objective: To evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) in treatment of Urinary calculi. Methods: A total of 2 725 cases of urinary calcali treated with ESWL from 1993 to 2004 were analysed retrospectively and discussed with review of the literature. Of the 2 725 cases, 922 had renal calculi, 1 789 had ureteral calculi, 14 had bladder calculi. Results: At the 3-month follow-up, the overall stone free rate after ESWL was 94. 4%(2572/2725), 109(4.0%) cases had residual fragments. 16(0.6%) cases was failure then treated with open surgery. Conclusion:ESWL is highly efficient with high success rate, and it has less adverse effects and no severe complication, ESWL is a safe and effective treatment for urinary tract calculi.
Extracorporeal
Upper urinary tract
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Objective We aimed to discuss the model of health education for patients undergoing extracorporeal shock wave lithotripsy of urinary calculi and validate its effect. Methods We divided 490 patients who were to undergo extracorporeal shock wave lithotripsy of urinary calculi into the control group (230 cases) and the test group (260 cases). The test group received health education according to the model of health education. While the control group adopted routine health education method. The ache during operation, treatment effect and incidence rate of complications in the two groups were evaluated and compared. Results The incidence rate of pain, complications and effective rate in the test group was 6.92%, 4.99% and 99.23%, which were better than those of the control group (28.26%, 16.09% and 96.09%), P＜0.01. Conclusions Establishment of the model of health education could improve the treatment effect of extracorporeal shock wave lithotripsy, reduce the incidence rate of complications and the relase rate of urinary calculi.
Key words:
Health education; Model; Extracorporeal shock wave lithotripsy; Urinary calculi
Extracorporeal
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