Authors
Junyan Yu, Ping Hong, Lihua Pan, Jian Wang
Published in
Archivos espanoles de urologia. Volume 79. Issue 8. Pages 1429-1439.
Abstract
To investigate the association of perioperative full-course nursing management with renal function and the incidence of urinary tract infections in patients with complex urinary tract stones undergoing percutaneous nephrolithotomy (PCNL).
This retrospective cohort study included 200 patients with complex urinary tract stones who received PCNL treatment at The Second People's Hospital of Chun'an County between January 2023 and January 2026. Participants were divided into a control group (100 cases) and a full-course nursing group (100 cases) based on different nursing methods. After 1:1 propensity score matching, 85 patients were retained in each group. The control group received routine perioperative nursing, whereas the full-course nursing group received full-course nursing management based on routine care, including preoperative risk assessment and health education, infection prevention, intraoperative collaborative nursing, postoperative management (drainage tube management, pain management, and early rehabilitation training), and post-discharge follow-up. Preoperative and postoperative renal function indicators [serum creatinine (Scr), blood urea nitrogen (BUN), estimated glomerular filtration rate (eGFR)], inflammatory markers [C-reactive protein (CRP), procalcitonin (PCT)], incidence of urinary tract infections, postoperative complication rates, length of hospital stay, and nursing satisfaction were compared between the two groups.
On postoperative day 7, compared with the control group, the full-course nursing group showed significantly lower levels of Scr (87.35 ± 8.99 vs. 95.16 ± 9.89 μmol/L, p < 0.001), BUN (6.57 ± 0.79 vs. 7.25 ± 1.18 mmol/L, p < 0.001), CRP (10.13 ± 2.13 vs. 12.98 ± 2.72 mg/L, p < 0.001), and PCT (0.35 ± 0.08 vs. 0.39 ± 0.07, p < 0.001), significantly higher levels of eGFR (84.87 ± 6.17 vs. 81.01 ± 7.57 mL·min-1·1.73m-2, p < 0.001), and significantly shorter hospital stay (8.36 ± 1.18 vs. 10.08 ± 2.13 d, p < 0.001). The overall complication rate was significantly lower (3.5% vs. 20.0%, p < 0.001), as was the urinary tract infection rate (2.4% vs. 16.5%, p = 0.002). Nursing satisfaction was significantly higher (89.4% vs. 75.3%, p = 0.016).
Perioperative comprehensive nursing management was associated with better postoperative renal function, lower incidences of urinary tract infection and related complications, and shorter hospital stay in patients with complex urinary tract stones undergoing PCNL, suggesting potential clinical value.
PMID:
42876133
Bibliographic data and abstract were imported from PubMed on 15 Oct 2026.
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