输尿管结石患者经皮肾镜取石术后出院准备度现状及其相关影响因素分析

Analysis of Discharge Readiness of Patients with Ureteral Calculi after Percutaneous Nephrolithotomy and Related Influencing Factors

目的探析输尿管结石患者经皮肾镜取石术后出院准备度现状,并分析相关影响因素。方法采用前瞻性研究方法,纳入2020年10月-2022年10月医院行经皮肾镜取石术治疗的输尿管结石患者80例作为研究对象,设计基线资料调查表,详细统计所有患者的临床资料,调查并对比患者相关资料差异,将可能的因素纳入,采用多元线性回归分析输尿管结石患者经皮肾镜取石术后出院准备度的相关影响因素。结果80例输尿管结石患者经皮肾镜取石术后出院准备度评分(85.50±7.20)。不同文化程度、携带肾造瘘管、社会支持以及希望水平的输尿管结石患者RHDS评分比较(P<0.05);后经线性回归分析结果显示,文化程度、携带肾造瘘管、社会支持以及希望水平是输尿管结石患者出院准备度的影响因素(P<0.05)。结论证实输尿管结石患者经皮肾镜取石术出院准备度总体处于中等水平,文化程度、携带肾造瘘管、社会支持以及希望水平是其重要的影响因素。

Objective To investigate the status quo of discharge readiness of patients with ureteral calculi after percutaneous nephrolithotomy,and to analyze related influencing factors.Methods A prospective study was conducted,including 80 cases of patients with ureteral calculi who underwent percutaneous nephrolithotomy from October 2020 to October 2022.The baseline data questionnaire was designed,the clinical data of all patients were analyzed in detail,the differences in relevant data of patients were investigated and compared,and possible factors were included.Multiple linear regression was used to analyze the factors influencing discharge readiness of patients with ureteral calculi after percutaneous nephrolithotomy.Results The discharge readiness score of 80 patients with ureteral calculi after percutaneous nephrolithotomy was 85.50±7.20.RHDS scores of ureteral calculi patients with different education,nephrostomy,social support and hope level were compared(P<0.05).Linear regression analysis showed that education level,carrying of nephrostomy tube,social support and hope level were influencing factors of discharge readiness of patients with ureteral calculi(P<0.05).Conclusion It is confirmed that the discharge readiness of percutaneous nephrolithotomy patients with ureteral calculi is generally at a medium level.Education level,carrying of nephrostomy tube,social support and hope level are important influencing factors.