利用行为修改技术预防结石
Leonid I Aksenov1, Necole M Streeper2, Charles D Scales1,3,4
1Department of Urology, Duke University School of Medicine, Durham, North Carolina.
Current opinion in urology
|November 14, 2023
概括
技术可以通过促进更好的补水习惯来帮助减少尿路结石的复发. 结合智能水瓶和移动应用程序,可以增加每日液体摄入量并预防结石.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 行为科学 行为科学
- 医疗卫生技术 技术 技术
背景情况:
- 尿石的复发是一个重要的临床问题.
- 改变行为对于防止石头复发至关重要,特别是吸收液体.
- 传统的行为改变方法有其局限性.
研究的目的:
- 审查技术在促进减少尿路结石复发的行为中的作用.
- 确定有效的技术干预措施,以预防石头.
主要方法:
- 审查当前关于技术辅助行为变化对于石头疾病的文献.
- 分析使用智能水瓶,移动应用程序和行为改变技术的研究.
主要成果:
- 智能水瓶和移动应用程序显示了改善流体摄入的潜力.
- 使用智能瓶,应用程序和行为技术的联合干预表明了最有前途的结果.
- 其他技术,如智能药片 dispensers 和水分监控器需要进一步评估.
结论:
- 目前关于技术在预防尿路结石复发中的作用的研究有限.
- 需要进一步的研究来优化技术干预,并确定预防石头的有效习惯形成策略.
相关概念视频
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
11
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
11
Urinary Tract Calculi VI: Surgical Management
8
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
8
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi V: Nursing Management
12
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
12
Urinary Tract Calculi I: Introduction
16
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
16
Acute Kidney Injury IV: Diagnostic Studies and Prevention
18
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
18


