Effectiveness of pain care intervention combined with traditional Chinese medicine care in the perioperative care of patients with urinary stones

Abstract

Objective Urinary stones are a common disease whose prevalence is increasing worldwide. The study investigated the effectiveness of pain care intervention combined with traditional Chinese medicine (TCM) care in the perioperative care of patients with urinary stones. Methods A total of 79 patients with urinary stones were selected and divided into 2 groups. Both groups underwent minimally invasive urinary stone surgery. The control group was provided with conventional care during the perioperative period of urinary stone surgery, while the observation group was provided with pain care intervention combined with TCM care. Pain and urinary function recovery before and after postoperative care intervention, and Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) scores before and after care intervention in the two groups were compared. First anal discharge time, catheter retention time, first out of bed activity time, the total number of hospital days, and complications were observed in both groups after surgery, and the satisfaction scores of patients in both groups with the perioperative care were recorded. Results Compared with before the postoperative intervention, in patients of the control and observation groups, the VAS score and residual urine volume were reduced while the maximum urine flow was increased after the intervention. The VAS scores and residual urine volume of patients in the observation group were lower, and the maximum urine flow was higher than those in the control group. Compared with before the intervention, the PSQI, SAS, and SDS scores of patients in both groups were lower after the intervention, and the PSQI, SAS and SDS scores of the observation group were lower than those of the control group. Compared with the control group, the observation group showed lower first anal discharge time, catheter retention time, first out of bed activity time, the total number of hospital days, and the incidence of complications after surgery, and the patients were more satisfied with the care. Conclusion Pain care intervention combined with TCM care is beneficial in reducing postoperative pain in patients undergoing urinary stone surgery, speeding up the recovery of urinary function, improving sleep quality, anxiety, and depression, and reducing the incidence of complications.