| Summary: | 碩士 === 亞洲大學 === 健康產業管理學系健康管理組碩士在職專班 === 103 === Background:In recent years, the occurrence rate of urolithiasis has grown gradually. According to the statistical data from the Ministry of Health and Welfare, it shows that there were around 40,000 people in the hospital due to urolithiasis in Taiwan from 2009 to 2013. Ureteroscopic lithotripsy is the primary treatment when it comes to treating lower ureteral stones. Some patients will be placed the double-J ureteral stent inside their ureter after the operation to empty the stones. Even with a small size, the double-J Stent is still considered a foreign material inside the patient’s body and can result in a number of symptoms, such as a sore waist, frequent urination, pain, and hematuria (Chen-Hsun Ho et al., 2010). This paper aims at exploring the impact of placing the double-J Stent on the patient’s pain and voiding symptoms after the ureteroscopic lithotripsy.
Methods:This paper is a cross-sectional study and uses patients who did uretero scopic lithotripsy in one of the regional teaching hospitals in central Taiwan as its research objects. The research data is collected through checking patients’ medical records and structured questionnaires in order to comprehend whether these patients have done the ureteroscopic lithotripsy as well as the placement of double-J Stent. The questionnaires investigate chronic disease history, and ureteroscopic lithotripsy experiences. Moreover, the pain scale and overactive bladder symptom score questionnaire are also applied to comprehend patients’ pain and voiding symptoms after the operation. Descriptive statistics, independent-sample T test, one-way ANOVA, and linear multiple regression model are used in this study to discuss the impact of placing the double-J Stent on patient’s pain and voiding symptoms after the ureteroscopic lithotripsy.
Results: This paper collects the information from a total of 139 patients who did the ureteroscopic lithotripsy. There are more males than females (91 males versus 48 females) with an average age of 52.6. Among these patients, there are 83 patients who had the double-J Stent inside their ureter. Regarding patients’ voiding symptomss, there are 100 patients with hematuria (71.9%), 109 patients with frequent urination between 8 to 14 times (78.4%), and 46 patients with nocturia (33.1%). According to the results from the linear multiple regression model, patients with the double-J Stent have a 0.718 higher lumbago point than patients without the double-J Stent. Patients with moderate overactive bladder have a 0.318 higher lumbago point than patients with mild overactive bladder. Patients with severe overactive bladder receive a 0.609 higher lumbago point than patients with mild overactive bladder. As for the dysuria, patients with the double-J Stent have a 1.273 higher dysuria point than patients without the double-J Stent. Patients with severe overactive bladder also have a 0.62 higher dysuria point than patients with mild overactive bladder.
Conclusion and suggestions:The placement of the double-J Stent and symptom of the overactive bladder are the main causes for lumbago and dysuria after the operation. The research results demonstrate that the brand, length, and size of the double-J Stent have an insignificant impact on lumbago and dysuria. There are a few suggestions drawn from this paper as below. First of all, the attending physician should evaluate whether it is necessary to place the double-J Stent inside the patient’s ureter to ease the lumbago and dysuria after the ureteroscopic lithotripsy. Secondly, for patients with severe overactive bladder, doctors may consider treating the symptoms first.
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