Effects of Different Nursing Modes on Immune Function and Renal Function in Patients with Renal Calculus Undergoing Percutaneous Nephrolithotomy

© 2023 The Author(s)..

BACKGROUND: This study aimed to explore the effects of different nursing modes on immune function and renal function in patients with renal calculus and on percutaneous nephrolithotomy (PCNL).

METHODS: A total of 160 patients with kidney stone who were admitted to our hospital from January 2017 to January 2023 were retrospectively selected and equally divided into routine and comprehensive nursing groups. Both groups were treated with percutaneous nephrolithotomy, but the patients in the routine nursing group were treated with usual care, whereas the patients in the comprehensive nursing group were treated with comprehensive nursing. The levels of serum T lymphocyte subsets were detected by flow cytometry, the levels of serum immune indicators and renal function indicators in the two groups were measured and the incidence of postoperative complications and nursing satisfaction were recorded.

RESULTS: The levels of serum blood urea nitrogen, creatinine, kidney injury molecule and CD8+ cell subsets in the comprehensive nursing group were lower than those in the routine nursing group (p < 0.05), whereas the CD4+ cell subsets, CD4+:CD8+ ratio, and immunoglobulins (Ig)A, IgG and IgM levels were significantly higher than those in the routine nursing group (p < 0.05). The incidence of postoperative complications in the comprehensive nursing group was 2.50% (2/80), which was significantly lower than that in the routine nursing group (13.75%, 11/80), and the difference was statistically significant (χ2 = 6.782, p = 0.009). Nursing satisfaction in the comprehensive nursing group was 96.25% (77/80), which was significantly higher than that in the routine nursing group (85.00%, 68/80; χ2 = 5.959, p = 0.015).

CONCLUSIONS: The comprehensive nursing mode can effectively reduce the influence of PCNL on T cell subsets, immunoglobulin levels in patients with renal calculus, damage to renal function and complications; Can improve patients' satisfaction with nursing; And promote postoperative recovery.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

Archivos espanoles de urologia - 76(2023), 9 vom: 05. Nov., Seite 703-710

Sprache:

Englisch

Beteiligte Personen:

Yu, Ruimei [VerfasserIn]
Ge, Jingwu [VerfasserIn]
Lei, Yu [VerfasserIn]

Links:

Volltext

Themen:

Immune function
Journal Article
Kidney stone disease
Nursing strategy
Percutaneous nephrolithotomy
Renal function

Anmerkungen:

Date Completed 07.12.2023

Date Revised 07.12.2023

published: Print

Citation Status MEDLINE

doi:

10.56434/j.arch.esp.urol.20237609.86

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365443468