Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problem...Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources,making it difficult to meet individualized health management needs.Remote follow-up provides a novel solution to optimize long-term management,improve health literacy,and enhance clinical outcomes.This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi,and to assess its short-term impact on clinical outcomes.Methods:A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group(n=59)or an intervention group(n=59).The control group received routine departmental follow-up,while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month.Assessments were conducted before discharge(T0),15 days after discharge(T1),and one month after discharge(T2),using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile.At T2,the incidence of forgotten ureteral stents(FUS),ureteral stent-related complications,unplanned readmissions,and patient satisfaction were evaluated.Results:No significant differences were observed between groups at T0 in baseline characteristics or outcome measures(all P>0.05).At T1 and T2,the intervention group had significantly higher health-related quality of life scores than the control group(P<0.05).Generalized estimating equation(GEE)analysis showed significant between-group effects(Wald's χ^(2)=22.961,P<0.001),time effects(Wald's χ^(2)=23.065,P<0.001),and interaction effects(Wald's χ^(2)=6.930,P<0.05).Similarly,at T1 and T2,the intervention group scored significantly higher on health-promoting lifestyle than the control group(P<0.05),with significant between-group effects(Wald's χ^(2)=22.936,P<0.001),time effects(Wald's χ^(2)=10.694,P<0.001),and interaction effects(Wald's χ^(2)=18.921,P<0.05).No significant differences were found between groups in the incidence of FUS,ureteral stent-related complications,or unplanned readmissions(all P>0.05).Patient satisfaction was significantly higher in the intervention group(t=4.089,P<0.001).Conclusion:Remote follow-up under an intelligent medical collaborative model helps improve quality of life,promote health-oriented lifestyles,and enhance patient satisfaction among individuals with urinary calculi.展开更多
目的:探讨经尿道前列腺电切术(transurethral resection of prostate,TURP)对老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者生活质量(quality of life,QOL)的影响。方法:对358例老年BPH患者TURP术前及术后3月进行国际前...目的:探讨经尿道前列腺电切术(transurethral resection of prostate,TURP)对老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者生活质量(quality of life,QOL)的影响。方法:对358例老年BPH患者TURP术前及术后3月进行国际前列腺症状评分(International Prostate Symptom Score,IPSS)、勃起功能国际问卷(The 5-Item Version of the International Index of Erectile Function,IIEF-5)、生活质量评分(Quality of Life Scale,QOLS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评估,同时检测最大尿流率(maximum flow rate,Qmax)和剩余尿量(residual urine volume,RUV)。结果:术后3月与术前比较,患者的IPSS,QOLS,SAS和SDS评分以及RUV显著性减少,Qmax显著性增高,但反映性功能指标的IIEF-5评分治疗前、后无统计学差异。结论:TURP能显著缓解老年BPH患者症状,显著改善患者的QOL;TURP对性功能的改善没有帮助。展开更多
目的:探讨男性尿道狭窄的病因,分析近年来尿道狭窄治疗策略,并对复杂性病例进行总结。方法:回顾性分析183例尿道狭窄住院患者资料,包括病因、狭窄部位和长度、治疗策略和相关合并症等。结果:183例尿道狭窄患者平均年龄为49.7岁,以51~65...目的:探讨男性尿道狭窄的病因,分析近年来尿道狭窄治疗策略,并对复杂性病例进行总结。方法:回顾性分析183例尿道狭窄住院患者资料,包括病因、狭窄部位和长度、治疗策略和相关合并症等。结果:183例尿道狭窄患者平均年龄为49.7岁,以51~65岁人群居多(38.8%,71/183);平均病程为64.7个月。外伤性病因占52.4%(96/183),其中骨盆骨折者占35.5%(65/183)、骑跨伤者占16.9%(31/183);医源性损伤者占29.5%。后尿道狭窄占45.9%(84/183),前尿道狭窄占44.8%(82/183),多段狭窄有6.6%(12/183)。99例(54.1%)接受了尿道狭窄段切除端端吻合术;40例(21.9%)接受腔内手术治疗,包括内窥镜下钬激光、冷刀内切开、内窥镜下电刀瘢痕切除、球囊扩张和尿道扩张术等。>65岁尿道狭窄患者27例(14.7%),经尿道前列腺电切术(transurethral resection of the prostate,TURP)术后并发尿道狭窄的比例达70.4%,显著高于整体样本的发生率(P<0.01)。结论:近3年男性外伤性和医源性尿道狭窄发生率有所增加。治疗方式从以内窥镜手术为主转变成以尿道成形术为主。展开更多
目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼...目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼尿肌无力各7例,均经治疗后恢复。结论:腺体残留、尿道狭窄、膀胱颈挛缩、逼尿肌无力是TURP术后排尿困难的主要原因。正确的术前诊断及术中、术后处理是预防TURP术后发生排尿困难的关键。展开更多
基金supported by the Innovation Platform’s Open Foundation of Education Department of Hunan Province(18K004)the Natural Science Foundation of Hunan Province(2025JJ50508),China.
文摘Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources,making it difficult to meet individualized health management needs.Remote follow-up provides a novel solution to optimize long-term management,improve health literacy,and enhance clinical outcomes.This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi,and to assess its short-term impact on clinical outcomes.Methods:A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group(n=59)or an intervention group(n=59).The control group received routine departmental follow-up,while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month.Assessments were conducted before discharge(T0),15 days after discharge(T1),and one month after discharge(T2),using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile.At T2,the incidence of forgotten ureteral stents(FUS),ureteral stent-related complications,unplanned readmissions,and patient satisfaction were evaluated.Results:No significant differences were observed between groups at T0 in baseline characteristics or outcome measures(all P>0.05).At T1 and T2,the intervention group had significantly higher health-related quality of life scores than the control group(P<0.05).Generalized estimating equation(GEE)analysis showed significant between-group effects(Wald's χ^(2)=22.961,P<0.001),time effects(Wald's χ^(2)=23.065,P<0.001),and interaction effects(Wald's χ^(2)=6.930,P<0.05).Similarly,at T1 and T2,the intervention group scored significantly higher on health-promoting lifestyle than the control group(P<0.05),with significant between-group effects(Wald's χ^(2)=22.936,P<0.001),time effects(Wald's χ^(2)=10.694,P<0.001),and interaction effects(Wald's χ^(2)=18.921,P<0.05).No significant differences were found between groups in the incidence of FUS,ureteral stent-related complications,or unplanned readmissions(all P>0.05).Patient satisfaction was significantly higher in the intervention group(t=4.089,P<0.001).Conclusion:Remote follow-up under an intelligent medical collaborative model helps improve quality of life,promote health-oriented lifestyles,and enhance patient satisfaction among individuals with urinary calculi.
文摘目的:探讨经尿道前列腺电切术(transurethral resection of prostate,TURP)对老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者生活质量(quality of life,QOL)的影响。方法:对358例老年BPH患者TURP术前及术后3月进行国际前列腺症状评分(International Prostate Symptom Score,IPSS)、勃起功能国际问卷(The 5-Item Version of the International Index of Erectile Function,IIEF-5)、生活质量评分(Quality of Life Scale,QOLS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评估,同时检测最大尿流率(maximum flow rate,Qmax)和剩余尿量(residual urine volume,RUV)。结果:术后3月与术前比较,患者的IPSS,QOLS,SAS和SDS评分以及RUV显著性减少,Qmax显著性增高,但反映性功能指标的IIEF-5评分治疗前、后无统计学差异。结论:TURP能显著缓解老年BPH患者症状,显著改善患者的QOL;TURP对性功能的改善没有帮助。
文摘目的:探讨男性尿道狭窄的病因,分析近年来尿道狭窄治疗策略,并对复杂性病例进行总结。方法:回顾性分析183例尿道狭窄住院患者资料,包括病因、狭窄部位和长度、治疗策略和相关合并症等。结果:183例尿道狭窄患者平均年龄为49.7岁,以51~65岁人群居多(38.8%,71/183);平均病程为64.7个月。外伤性病因占52.4%(96/183),其中骨盆骨折者占35.5%(65/183)、骑跨伤者占16.9%(31/183);医源性损伤者占29.5%。后尿道狭窄占45.9%(84/183),前尿道狭窄占44.8%(82/183),多段狭窄有6.6%(12/183)。99例(54.1%)接受了尿道狭窄段切除端端吻合术;40例(21.9%)接受腔内手术治疗,包括内窥镜下钬激光、冷刀内切开、内窥镜下电刀瘢痕切除、球囊扩张和尿道扩张术等。>65岁尿道狭窄患者27例(14.7%),经尿道前列腺电切术(transurethral resection of the prostate,TURP)术后并发尿道狭窄的比例达70.4%,显著高于整体样本的发生率(P<0.01)。结论:近3年男性外伤性和医源性尿道狭窄发生率有所增加。治疗方式从以内窥镜手术为主转变成以尿道成形术为主。
文摘目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼尿肌无力各7例,均经治疗后恢复。结论:腺体残留、尿道狭窄、膀胱颈挛缩、逼尿肌无力是TURP术后排尿困难的主要原因。正确的术前诊断及术中、术后处理是预防TURP术后发生排尿困难的关键。
