Percutaneous Nephrolithotomy in Obese Patients, Is There Any Challenge?

Rashid, Aso Omer; Yahya, Mahmmod Mohammed

doi:10.4236/oju.2018.82006

Cited by 1 publication

(1 citation statement)

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“…Regarding studied patients' personal data; the results of the study reported that nearly three fifths of the studied patients aged from 41 to 50 years old with Mean±SD for the age was 45.38 ± 10.63 years, the reason for this may be related to the fact that prevalence of urinary stones formation increased with aging. This finding is in line with a study carried out by Rashid and Yahya (2018) (18) about "Percutaneous nephrolithotomy in obese patients is there any challenge?" mentioned that, stones affect people in the peak age at onset from 40-59 years old.…”

Section: Discussionsupporting

confidence: 91%

Effect of Developing and Implementing Nursing Care Standards on Patients' Outcomes Regarding Ureteral Stent

Sheta,

Mosbah,

Ali

2023

Egyptian Journal of Nursing and Health Sciences

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Background: Ureteral stents are one of the most essential techniques utilized in the therapy of various urological disorders for preserving ureteral patency. Although they are highly effective, most patients suffer stent-related side effects, and some have problems connected to them that may be prevented by nursing care and conventional procedure. Aim: To evaluate the effect of developing and implementing nursing care standards on patients' outcomes regarding ureteral stent. Research design: A quasi-experimental research design was employed to attain the purpose of the present study utilizing a pre-/post-test technique. Setting: The current research was conducted out in three settings; the urology surgery department, the urology department and the urology outpatient clinic of university Hospital in Benha, Qalyubia Governorate, Egypt. Subject A convenient sample of 40 nurses of both genders who assigned care for the ureteral stent patients and a purposive sample consisting of 72 patients from the previously mentioned settings within nine months were enrolled in this study. Tools: Data were gathered using three distinct tools: (I) a structured questionnaire for nurses that asked about personal information and knowledge of ureteral stent management; (II) an observational checklist for nurses' practice; and (III) interviewing questionnaire for patients' assessments. Results: Total nurses' knowledge and practice level scores showed significant increase after the nursing care standards implementation. There was a marked improvement in total patients' outcomes as shown by a decline in mean scores for pain both immediately and one month after the introduction of the nursing care standards, there was a significant improvement in all patient outcomes. Additionally, there was an immediate and post one month of implementation statistically significant negative correlation between nurses' knowledge, practice, and total (ureteral stent symptoms and ureteral stent discomfort) of the studied patients, while it was statistically significant positive correlation before implementation of the nursing care standards (P= <0.001). Conclusion:The implementation of nursing care standards had a significant positive impact on the knowledge and practice scores of nurses who were exposed to ureteral stents, as evidenced by a decrease in the mean scores for discomfort and total ureteral stent symptoms. Recommendations: To provide high quality nursing care for patients with ureteral stents, there is a need for an ongoing planned education and training program that is regularly offered to nurses. This program should help nurses advance their knowledge and practice in accordance with the recommendations of nursing care standards.

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Section: Discussionsupporting

confidence: 91%