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双J支架:对一些人来说是一场梦,对其他人来说只有当被忽视时才会成为麻烦
Aydemir Asdemir1, İsmail Emre Ergin2, Abuzer Öztürk3
1Department of Urology, Faculty of Medicine, Sivas Cumhuriyet University, 58140 Sivas, Turkey.
患者的遵从性显著影响在尿路透镜性石透症后的双J (DJ) 支架移除. 较低的教育水平和较年轻的年龄与不遵守相关,强调需要更好的患者教育和提醒.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术患者护理手术患者护理
背景情况:
- 尿道透视性石是结石和尿道结石的常见手术.
- 双J (DJ) 支架通常在手术后使用.
- 患者遵守切除支架的时间对于最佳结果至关重要.
研究的目的:
- 调查患者遵守对双J (DJ) 支架移除时间的影响.
- 为了确定与未遵守的患者进行尿路透镜性石.
主要方法:
- 对146名年龄在20至80岁的患者进行了回顾性审查,这些患者接受了尿路透镜式石.
- 对DJ支架保留时间的分析,根据14-35天的窗口对合规性进行分类.
- 合规和不合规群体之间的人口和教育因素的比较.
主要成果:
- 平均DJ支架保留时间为36.6天,146名患者中有80名患者不合规.
- 年轻患者对支架的耐受性明显较低 (p=0.032).
- 更高的教育水平与更好地遵守切除支架的相关性显著 (p=0.036).
结论:
- 患者教育和术后规划至关重要,尤其对年轻人来说.
- 很大一部分患者不知道推的DJ支架切除时间表.
- 使用短信或应用程序等提醒可以提高合规性,并防止遗忘的支架并发症.
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