E116 Impact of double J ureteral stents on general health, work performance and sexual matters

Bosio, Andrea; Destefanis, Paolo; Alessandria, E.; Dalmasso, Ettore; Buffardi, A.; Chiarissi, M. Lucci; Berta, Giovanni Nicolao; Bisconti, A.; Fontana, Dario; Frea, B.

doi:10.1016/s1569-9056(13)61781-9

Cited by 2 publications

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“…Patients with indwelling DJs were asked to increase their water intake and to avoid vigorous activities, which would alleviate the severity of gross haematuria. 18 , 19 The compliance of younger patients is generally poor, and they are more likely to engage in inadequate water consumption 20 and participate in more daily activities than older adults; this could explain the more severe gross haematuria among younger patients. Another explanation is that symptoms such as urgency or flank pain are easily detected, and patients are told to be aware of the occurrence of gross haematuria and be mindful about observing the colour of their urine.…”

Section: Discussionmentioning

confidence: 99%

Free interactive counselling program in a mobile communication application for improving health education on indwelling ureteric stents after ureterorenoscopic lithotripsy: An observational study

et al. 2022

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Objective This study examines the potential benefit of an interactive counselling program via a mobile application (app), which can instantly provide patients with the necessary information and correct response regarding their condition. Methods We designed a free ‘Ureteric Stent Interactive Program’ for patients receiving ureterorenoscopic lithotripsy and provided the program to interested patients. Patient data were collected from medical records and depending on whether patients used our program, they were divided into two groups: ‘program-user’ and ‘non-user’. The differences between the groups were analysed using Fisher’s exact tests. Results Of the 70 patients, 50 elected to use the program. The program-user group was significantly younger (<60 years: 74% vs 15%, P<0.001) and had higher education levels (40% vs 5%, P = 0.004). All 50 patients in the program-user group reported being satisfied (32%) or very satisfied (68%) with the program. Patients over 60 years were significantly more satisfied with program (35.5% vs 6.3%, P = 0.04). Conclusions Younger patients with high education levels were more likely to use the app and improve their health knowledge. Using the program resulted in high satisfaction, especially among older patients. This study demonstrates the benefits of interactive application for educating patients regarding their health.

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Section: Discussionmentioning

confidence: 99%

Free interactive counselling program in a mobile communication application for improving health education on indwelling ureteric stents after ureterorenoscopic lithotripsy: An observational study

et al. 2022

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Free Counseling Chatbot in a Communication Application For Improving Patient Satisfaction with Indwelling Ureteric Stents After Ureterorenoscopic Lithotripsy: A Retrospective Study (Preprint)

Cheng¹,

Chiu²,

Hua³

et al. 2021

Preprint

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BACKGROUND Health education is important for improving patients’ adherence to treatment, thereby reducing morbidity. Face-to-face communication is not sufficient nowadays, and online interaction can improve patient–physician communication and education. OBJECTIVE We designed a chatbot for patients who received indwelling double-J ureteric stents (DJs) after ureterorenoscopic lithotripsy (URSL) and evaluated the efficacy of this chatbot in improving patient satisfaction in clinical practice. METHODS We designed a chatbot, based on the free module provided by the communication application Line©, which described the associated symptoms with DJs and the self-care of DJs after discharge and emphasized the importance of timely DJ removal. Patients could interact with the chatbot for any concerns regarding their DJs after discharge. We prospectively included patients who received indwelling DJs after URSL at our hospital from August 1st, 2019 to November 30th, 2019. Patient education on DJ-related information was conducted either by medical staff before discharge or by using the chatbot, based on patients’ preference. Patients were asked to rate the severity of their DJ-related symptoms and their satisfaction with using the free chatbot on a five-point scale before DJ removal. Fisher’s exact test was used to evaluate the effect of the chatbot on the severity of DJ-related symptoms and the possible factors associated with the satisfaction with this chatbot. RESULTS A total of 70 patients were included. Twenty patients received routine education by medical staff while 50 patients elected to have additional interaction through the chatbot. The patients in the chatbot group were significantly younger (age <60 years: 74% versus 15%, P < .001), had a higher education level (40% versus 5%, P = .004), and reported more severe gross hematuria (66% versus 15%, P < .001) than those in the medical-staff group. No differences were observed for other DJ-associated symptoms. On multivariate analysis, severe gross hematuria was significantly associated with age younger than 60 years (odds ratio 6.704, P = .003, 95% CI 1.898–23.673) and the use of the chatbot (odds ratio 6.63, P = .02, 95% 1.374–31.989). All 50 patients in the chatbot group reported being satisfied (32%) or very satisfied (68%) with the chatbot tool. Patients older than 60 years were significantly more satisfied with the chatbot (35.5% versus 6.3%, P = .04). Education level, the severity of DJ-associated symptoms, and the recognition of the necessity of DJ removal were not significantly associated with the degree of satisfaction. CONCLUSIONS The use of a chatbot resulted in high satisfaction of the patients, especially elderly patients. Younger patients with higher education levels were more likely to adopt this new form of communication, which helped improve their knowledge of DJ-associated symptoms.

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E116 Impact of double J ureteral stents on general health, work performance and sexual matters

Cited by 2 publications

References 0 publications

Free interactive counselling program in a mobile communication application for improving health education on indwelling ureteric stents after ureterorenoscopic lithotripsy: An observational study

Free interactive counselling program in a mobile communication application for improving health education on indwelling ureteric stents after ureterorenoscopic lithotripsy: An observational study

Free Counseling Chatbot in a Communication Application For Improving Patient Satisfaction with Indwelling Ureteric Stents After Ureterorenoscopic Lithotripsy: A Retrospective Study (Preprint)

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