Volume 29, Issue 3
DOI: 10.24205/03276716.2020.901
Effects of Systematic Nursing on the Stress Response, Psychological State, Postoperative Complications, and Nursing Satisfaction of Patients with Ureteral Calculi Undergoing Holmium Laser Lithotripsy with Flexible Ureteroscope under General Anesthesia
Abstract
Objective: To explore the effects of systematic nursing on the stress response, psychological state, postoperative complications, and nursing satisfaction of patients with ureteral calculi undergoing holmium laser lithotripsy with flexible ureteroscope under general anesthesia. Methods: A total of 152 patients with ureteral calculi treated with holmium laser lithotripsy with ureteroscope in our hospital from July 2017 to June 2019 were enrolled, of which 80 patients were assigned to an observation group nursed under a systematic nursing mode and 72 patients were assigned to a control group nursed under a routine nursing mode. Operation indications of the two groups including hospitalization time and operation time were evaluated and compared and the stone-free rate of the two groups were compared. The levels of superoxide dismutase (SOD), plasma cortisol (Cor), and malondialdehyde (MDA) of patients in the two groups were determined, and the psychological quality of them were scored by the self-rating anxiety scale (SAS) and self-rating depression scale (SDS), and compared. In addition, the treatment cooperation degree of patients in the two groups after 24 hours of treatment and the nursing compliance of them after 7 days of nursing were evaluated, and the complications of the two groups were compared. Moreover, the nursing satisfaction of the patients was explored at the discharge of them. Results: The observation group experienced shorter hospitalization time and operation time and showed higher stone-free rate than the control group. After treatment, the SOD and Cor levels in the observation group were lower than those in the control group, while the MDA level in the observation group was higher than that in the control group. In addition, the observation group got lower SAS and SDS scores, and showed higher treatment cooperation degree and nursing compliance, less complications, and higher nursing satisfaction than the control group. Conclusion: Systematic nursing can effectively improve the stress response and psychological state of patients with ureteral calculi undergoing holmium laser lithotripsy with flexible ureteroscope under general anesthesia and reduce the incidence of postoperative complications in them, which contributes to a higher nursing satisfaction and is worthy of clinical promotion.
Keywords
Holmium laser, lithotripsy, ureteroscope, systematic nursing