摘要
目的:探讨排尿日记对泌尿系结石患者尿量及残石预后的影响。方法:2019年3月至6月,选取广西壮族自治区人民医院泌尿外科收治的98例泌尿系结石患者为研究对象。其中对照组50例,观察组48例。对照组采用口头加纸质处方的宣教方法指导患者每天摄入2000~2500 mL液体,观察组在常规的宣教基础上应用排尿日记指导患者调整液体摄入量;出院后继续采用排尿日记调整。比较两组出院前1天、出院后1个月及出院后1年的24 h尿量;比较两组出院前1天的排尿是否均衡及1年后残石预后。结果:观察组出院前1天、出院后1个月及出院后1年的24 h时尿量分别为(1.98±0.91)L、(1.95±0.69)L、(1.94±0.73)L,多于对照组的(1.56±0.78)L、(1.42±0.61)L、(1.45±0.53)L,排尿均衡例数高于对照组,残石增长的发生率低于对照组,残石排出的发生率高于对照组(P<0.05)。结论:应用排尿日记有利于增加泌尿系结石患者尿量,促进患者均衡摄入液体,改善残石患者的预后。
Objective:To explore the effect of micturition diary on the urine volume of patients with urinary calculi and the prognosis of residual stones.Methods:From March to June 2019,98 patients with urinary calculi admitted to the Urology Department of People’s Hospital of Guangxi Zhuang Autonomous Region were selected.There were 50 cases in the control group and 48 cases in the observation group.The control group was instructed to consume 2000~2500 mL of liquid daily by oral and paper prescriptions.The observation group was instructed to adjust fluid intake by micturition diary on the basis of routine instruction.After discharge,the patients in observation group continued to adjust fluid intake with a micturition diary.The 24 h urine volume of the two groups was compared one day before discharge,one month after discharge and one year after discharge.The patients in the two groups were compared for the balance of urination on the day before discharge and the prognosis of residual stone one year later.Results:The 24-hour urine volume of the observation group was(1.98±0.91)L,(1.95±0.69)L,(1.94±0.73)at 24 h before discharge,1 month after discharge and 1 year after discharge respectively,which was higher than that of the control group(1.56±0.78)L,(1.42±0.61)L,(1.45±0.53)L.For observation group,the number of cases with balanced urination was higher than that of the control group,the incidence of residual stone growth was lower than that of the control group,and the incidence of residual stone excretion was higher than that of the control group.Conclusion:The application of micturition diary can increase the urine volume of patients with urinary calculi,promote the balanced fluid intake of patients,and improve the prognosis of patients with residual stones.
作者
黄彦飞
骆媛媛
李金蓉
蒙有轩
廖君娟
杨纯
潘洁妙
HUANG Yanfei;LUO Yuanyuan;LI Jinrong;MENG Youxuan;LIAO Junjuan;YANG Chun;PAN Jiemiao(Department of Nursing,People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《临床与病理杂志》
CAS
2021年第9期2077-2081,共5页
Journal of Clinical and Pathological Research
基金
广西医药卫生自筹经费计划(Z2016650)。
关键词
排尿日记
泌尿系结石
尿量
micturition diary
urinary calculi
urine volume
