KẾT QUẢ CHĂM SÓC, ĐIỀU TRỊ NGƯỜI BỆNH SAU PHẪU THUẬT SỎI TIẾT NIỆU TẠI BỆNH VIỆN ĐA KHOA TỈNH HẬU GIANG

Abstract

Background: Caring for patients after urolithiasis is an important part of the entire treatment process, helping to increase treatment results and promote recovery. Objectives: 1). To describe some clinical and paraclinical characteristics of patients undergoing surgery for urolithiasis; 2). To analyse the patient care outcomes and to explore associated factors with the care outcomes of patients undergoing urolithiasis surgery. Materials and methods: A cross-sectional, prospective description was conducted on 220 patients indicated for surgery to treat urolithiasis at Renal - Urology, Hau Giang General Hospital from November 2020 to April 2021. Results: 88.6% of patients had hip/back pain/abdominal pain; 18 patients had dysuria/dysuria; there was 1 case of hematuria (0.5%); 4 cases of fever accounted for 1.8%. Most of the patients had a disease duration of < 3 months, accounting for 95.5%. White blood cells increased 42.3%; urea increase accounted for 5% and 3.6% increase in creatinine. 48.1% of ureteral stones alone; 6.4% kidney stones alone; 3.6% bladder stones alone, 40.5% kidney stones + ureteral stones. 61.4% stones on the right. The rate of patient care outcome assessment reached 75.5%. Related factors: malnourished patients had the lowest good care results, accounting for 55.6%; the highest is normal nutrition accounting for 82.2%; no medical history had better care outcomes, 82.0% and 68.8%; The difference was statistically significant with p<0.05. Conclusions: The results of care for patients with urinary stones after surgery were not high. Need to strengthen care for patients with malnutrition and medical history.