Implementation of whole-course high-quality nursing in percutaneous nephrolithotomy for the treatment of urinary calculi and its effects on complications

Abstract

Objective: This paper aimed to unravel the implementation of whole-course high-quality nursing in percutaneous nephrolithotomy (PCNL) for the treatment of urinary calculi and its effects on complications. Methods: Ninety-five patients with urinary calculi were selected and all received PCNL. The patients were randomly separated into two groups, of which 50 cases were in the control group, received conventional nursing throughout the treatment, and 45 cases were in the observation group, accepted whole-course high-quality nursing on top of the control group. Postoperative recovery time, including bed time, pain relief time, and hospitalization time was compared. The psychological status was measured by Self-Rating Anxiety scale (SAS) and Self-Rating Depression Scale (SDS). The postoperative pain degree was tested by Visual Analogue Scale (VAS) at 6 h, 12 h, and 24 h postoperatively. Quality of life was assessed by the Generic Quality Of Life Inventory-74 (GQOLI-74). Nursing satisfaction, treatment efficacy, and complications were compared. Results: The observation group possessed shorter bed time, pain relief time, and hospitalization time and reduced SAS and SDS scores after nursing versus the control group. VAS scores of patients in the observation group at 6 h, 12 h, and 24 h postoperatively were reduced versus those in the control group. The scores of all dimensions of GQOLI-74 in the observation group were raised relative to the control group. The observation group possessed higher nursing satisfaction and clinical efficacy and reduced complications than the control group. Conclusion: During the treatment period of PCNL for urinary calculi, the implementation of whole-course high-quality nursing effectively reduces postoperative complications, regulates patients’ adverse psychological status, and has a positive effect on improving the quality of life, which has promotion value.