相关实验视频
Updated: May 5, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.0K
早期URSL中的决策遗憾分析与尿路结石≤1厘米的医疗驱逐疗法1
Anshuman Singh1, Arun Chawla2, Kasi Viswanath Gali1
1Department of Urology and Renal Transplant, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
World journal of urology
|October 3, 2024
概括
对于尿路结石进行尿道透视性石 (URSL) 治疗的患者经历了更高的决策冲突,但结果更好. 医学驱逐疗法 (MET) 导致更多的决策后悔,疼痛和焦虑,尽管最初的冲突率较低.
科学领域:
- 泌尿病学和决策科学研究.
- 在石头管理中以患者为中心的护理.
- 评估与健康相关的生活质量 (HRQoL).
背景情况:
- 共享决策 (SDM) 对于患者在尿路石块≤1厘米时,在尿路透镜式石 (URSL) 和医疗驱逐疗法 (MET) 之间做出选择至关重要.
- 评估决策冲突,满意度和遗憾对于了解患者在石头治疗中的选择至关重要.
研究的目的:
- 评估在患者选择URSL或MET的尿路结石≤1厘米的SDM后的决定性遗憾.
- 为了比较URSL和MET群体之间的决策冲突,满意度和遗憾.
主要方法:
- 包括具有尿路结石≤1厘米的成年患者 (>18岁).
- 患者接受了SDM,并被分配到URSL或MET组.
- 在治疗结束时使用了剑桥尿路石PROM (CUSP) 问卷,决策后悔量表和OPTION量表.
主要成果:
- 396名患者选择了URSL,111名患者选择了MET. 乌鲁斯尔的石头较大 (7.16比5.50毫米),但没有石头的比例更高 (87.1%比68.5%).
- 决策冲突在URSL组中更高 (77.3%对比57.7%),而决策遗憾在MET组中更高 (33.24±30.89对比17.26±12.92).
- MET患者报告了更高的焦虑 (6.94对5.85),而URSL患者经历了更多的尿路症状和干扰工作/旅行.
结论:
- 在MET患者中,更高的决策遗憾与更长的治疗,疼痛,焦虑以及可能需要进一步的程序有关.
- 尽管决策冲突较高,但患者往往更喜欢URSL,以更快地清除石头并减少焦虑.
- SDM有助于患者在治疗选择中进行导航,尽管遗憾因所选择的模式及其相关结果而有所不同.
更多相关视频
相关概念视频
01:28Urinary Tract Calculi I: Introduction
1.1K
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...
1.1K
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
860
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
860
01:30Urinary Tract Calculi III: Medical Management
400
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)...
400
01:28Urinary Tract Calculi V: Nursing Management
494
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...
494
01:25Urinary Tract Calculi VI: Surgical Management
1.0K
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...
1.0K
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
3.5K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
3.5K