The Effect of Education Given to Patients on Pre- and Post-operative Anxiety and Preparation for Discharge
Condition: Kidney Calculi
MeSH terms: Kidney Calculi; Nephrolithiasis; Calculi
Study type: Interventional

Summary: 
      The data of the randomized controlled experimental research were collected at Atatürk
      University Health Application and Research Hospital Urology Clinics between November 2021 and
      May 2022. The study sample consisted of 122 patients (61 in the training group, 61 in the
      control group) who were selected by the simple random sampling method and met the research
      inclusion criteria.
    

Detailed description: 
      Ureteroscopy (URS) is an up-to-date method that is widely used in the diagnosis and treatment
      of ureteral diseases. Apart from the diagnostic purposes of URS, the most common use is to
      intervene in ureteral stones. The vast majority of ureteral stones are treated
      endoscopically. A Double-J (DJ) stent is often placed after ureteroscopy. The purpose of the
      stent is to prevent obstruction, renal colic, and deterioration of renal function. The fact
      that the DJ stent will remain in the patient for a certain period of time (approximately 3-4
      weeks) causes anxiety in the patient. However, approximately 80% of patients with DJ stent
      implantation have urinary system symptoms that impair their quality of life. Frequent
      urination (50-60%), sudden urge to urinate (57-60%), pain on urination (40%), incomplete
      evacuation (76%), flank pain (19-32%), suprapubic pain (30%) , incontinence and hematuria
      (25%) are the symptoms seen. Patients with DJ stent implanted after ureteroscopy surgery need
      more information, support, explanation and help to cope with the effects of these symptoms in
      the clinic and at home. In this context, it is important to provide an individualized and
      comprehensive education that includes the home care process before and after the URS. It has
      been determined in the literature that training before surgery reduces anxiety, pain level,
      complication and depression rates, and increases patient satisfaction in the postoperative
      period. No study has been found in the literature examining the effects of education given to
      patients with URS on their post-operative anxiety and readiness for discharge. In this
      context, this study will provide evidence-based data to the literature by investigating the
      effects of training given to patients with URS and DJ stent implantation on pre- and
      postoperative anxiety and readiness for discharge.
    

Intervention name(s): Patient Education Booklet
Intervention type(s): Other
Intervention description(s): Excretory system organs, signs and symptoms to be seen in kidney and ureteral stones, treatment methods, ureteroscopy procedure, what to do before and on the morning of surgery, and surgery, using the training booklet prepared by the researchers in line with the recommendations of the European Association of Urology and the relevant literature. An average of 25-30 minutes of training was given in the patient's room in an encouraging language, allowing the patient to ask questions about the situations he would encounter in the clinic after the surgery. She started asking questions she didn't understand. Afterwards, the questions of the patients were answered and the patient was given a training booklet.
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: anxiety, double j stent, nurse, education, ureteroscopy