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NCT Number: NCT07047625

The Application of Health Education Path Nursing Program

Objective: To explore the effect of health education pathway on self-management ability and quality of life of patients after percutaneous nephrolithotomy. Method: Patients who underwent renal calculi in our hospital from January 1,2023 to August 31,2023 were collected by convenient sampling method. According to the order of enrollment, they were divided into control group and experimental group. Self-management indicators and quality of life indicators were collected for comparison.

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Key information

Conditions

Nephrolithiasis Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Male Urogenital Diseases Urogenital Diseases Urolithiasis Urologic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

the Fuyang Affiliated Hospital of Anhui Medical University

Fuyang, Anhui, 236000, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with preoperative urinary tract infection received anti-infective treatment and were well controlled;
  • The levels of blood pressure, blood glucose and electrolyte abnormalities found before operation returned to normal and remained stable after active treatment by doctors;
  • Patients undergoing percutaneous nephrolithotripsy.

Exclusion criteria

  • There were systemic hemorrhagic diseases, and the coagulation function has not been corrected;
  • Long-term use of anticoagulant drugs such as aspirin, warfarin, preoperative non withdrawal for more than 1 week;
  • Renal malignant tumor, pelvic ectopic kidney, polycystic kidney and severe renal prolapse were found before operation;
  • Pregnancy patients;
  • Uncontrolled urinary tract infection;
  • Infectious disease activity period, such as tuberculosis, hepatitis and other patients.

Treatment and study plan

control group (Routine nursing)

Behavioral

the implementation of routine treatment and nursing measures, including (1) Monitoring vital signs: according to the condition of vital signs change detection, found abnormal, timely notify the doctor, comply with medical treatment, observe the curative effect. (2) Relieve pain: tell patients the method of distraction, follow the doctor's advice, and observe the curative effect. (3) Improve disease awareness: Inform patients or family members of disease-related knowledge, examination, diagnosis and treatment, surgery and other purposes, significance and precautions. (4) Ensure patient safety: strengthen safety education, strict three check seven pairs, bed placed a variety of safety warning signs. (5) Avoid the occurrence of unexpected risks: guide patients and their families to prevent burns, trauma, etc. (6) Prevention of infection: strict implementation of disinfection and isolation system, the implementation of hand hygiene norms, reduce visits. (7) Raise the affected limb, early f

Experimental group （Health education path）

Behavioral

On the basis of the control group, the health education path nursing program was adopted. The specific intervention measures were as follows: ① A program implementation team was set up, including 2 urologists, 2 nurses and 1 psychological counselor. All members have received relevant professional training; ②Two nurses were the main liaisons for the intervention and were responsible for monitoring the treatment and nursing of patients throughout the course. The workflow was as follows: starting from the patient's discomfort experience, the patient was managed according to the nursing procedure steps. By assessing the patient's existing discomfort symptoms, interventional cognitive intervention and psychological intervention, and based on the intervention plan proposed in this study, a health education path nursing plan was developed for patients from the aspects of diet, liquid intake, position adjustment, and symptomatic intervention (see Table 1). In the process of intervention, feedb

Primary outcomes

  1. The self-management ability of the two groups of subjects

    Time frame: three months

    The self-management ability refers to the ' self-management ability survey scale for patients with urinary calculi ' in the study of Wang Hongdan et al. The Likert5 score method was used to evaluate the self-management ability of the two groups of patients before and three months after the intervention from the five dimensions of diet control, proper exercise, emotional management, medication compliance and regular follow-up. The total score was 5-25 points. The higher the score, the stronger the patient's self-management ability.

  2. The quality of life of the two groups of subjects

    Time frame: Three months

    SF-36 was used as a quality of life questionnaire. It comprehensively summarized the quality of life of respondents from eight aspects: physiological function, physiological function, physical pain, general health status, energy, social function, emotional function and mental health. The higher the score, the better the situation

Sponsors and collaborators

Lead sponsor

Fuyang Affiliated Hospital of Anhui Medical University

Other

Registry information

Official study title

The Application Effect of Health Education Path Nursing Program in Patients After Percutaneous Nephrolithotomy

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Jul 2, 2025
Registry last updated
Jul 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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