Prevention of Recurrence in Elderly Patients with Kidney Stone by Using the Knowledge-Attitude-Practice Education Model: A Single-Centre, Retrospective Study.

IF 0.9 4区医学 Q4 UROLOGY & NEPHROLOGY

Archivos Espanoles De Urologia Pub Date : 2025-07-01 DOI:10.56434/j.arch.esp.urol.20257806.94

Jianying Li, Dan Wang, Jing Zhu, Yanru Wang, Lidan Qi, Jing Li

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引用次数: 0

Abstract

Background: Kidney stones are common in elderly patients, and their high recurrence rate after surgery is a significant clinical issue. This single-centre retrospective study aimed to assess the impact of the knowledge-attitude-practice (KAP) education model on preventing kidney stone recurrence in elderly patients.

Methods: Elderly patients who underwent kidney stone surgery from January 2022 to January 2023 were divided into an intervention group and a control group based on the KAP education model intervention. The recurrence of stones, renal function, calcium and phosphorus metabolism, and urine indices were compared before and 3 months after treatment in the two groups.

Results: The recurrence rates of kidney stones in the intervention group at 6 months, 1 year and 2 years after the surgery were all lower than the control group (p < 0.05). The levels of serum creatinine, blood urea nitrogen, uric acid and cystatin C in both groups 3 months after the intervention were lower than those before the treatment, and the reduction of each renal function index in the intervention group was more significant (p < 0.05). The total 24-hour urine volume in both groups was higher than before treatment, while urinary calcium, urinary oxalate and urinary uric acid (UA) were lower. The improvement of each urine index was more obvious in the intervention group (p < 0.05).

Conclusions: The KAP education model has a significant effect on preventing the recurrence of kidney stones in elderly patients.

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运用知识-态度-行为教育模式预防老年肾结石患者复发：一项单中心回顾性研究

背景：肾结石常见于老年患者，其术后高复发率是一个重要的临床问题。本单中心回顾性研究旨在评估知识-态度-实践（KAP）教育模式对预防老年患者肾结石复发的影响。方法：将2022年1月~ 2023年1月接受肾结石手术的老年患者分为干预组和对照组，采用KAP教育模式干预。比较两组患者治疗前和治疗后3个月结石复发率、肾功能、钙磷代谢及尿指标。结果：干预组患者术后6个月、1年、2年肾结石复发率均低于对照组（p < 0.05）。干预后3个月，两组患者血清肌酐、血尿素氮、尿酸、胱抑素C水平均低于治疗前，且干预组各肾功能指标下降更为显著（p < 0.05）。两组患者24小时总尿量均高于治疗前，尿钙、尿草酸、尿尿酸（UA）均低于治疗前。干预组各尿指标改善更明显（p < 0.05）。结论：KAP教育模式对预防老年肾结石患者复发有显著作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.