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在提取绳上实施自我移除的尿道支架的常规使用:潜在的患者报告的结果措施和并发症
Jianliang Liu1,2, Thomas P Cundy3,4, Natalie Parker3
1Department of Urology, The Queen Elizabeth Hospital, Woodville, SA, Australia. laurenceliujianliang@gmail.com.
World journal of urology
|October 16, 2023
概括
尿道支架提取绳使患者能够安全轻松地自拔,从而减少了停留时间和成本. 这项研究表明,常规使用是可行的,患者满意度高,节省成本.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 患者护理 患者护理
背景情况:
- 尿道支架通常需要囊镜进行切除.
- 支架拔线为患者自拔提供了一个替代方案,可能减少停留时间和医疗费用.
- 对安全性和患者接受度的担忧限制了提取绳的常规使用.
研究的目的:
- 为了评估尿道支架使用提取弦的例行自我清除尿道支架的安全性,有效性和患者经验.
- 提供证据,解决关于临床使用支架提取链的担忧.
主要方法:
- 2020年2月通过了一项医院政策,通过提取绳进行尿道支架的例行自拔.
- 收集和分析了关于临床结果和患者报告结果的前性数据.
- 动机包括改善服务能力,与流行病相关的医院避开,增强患者体验和节省成本.
主要成果:
- 168名患者接受了尿路透镜检查,用置在抽取绳上的支架;平均停留时间为5.2天.
- 79%的患者在家中成功自我清除.
- 观察到的并发症率很低:3.0%的支架脱,1.8%的支架由于绳子脱落而保留. 90%的人会再次自行清除,其中61%的人认为"非常容易".
结论:
- 尿道支架提取绳的常规使用是可行的,可接受的安全配置文件.
- 通过提取字符串自我移除与有利的患者体验有关.
- 实施常规的提取字符串使用可以为医疗机构节省大量成本.
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