Efficacy and safety of tracking extended nursing on patients with urinary tract stones after holmium laser lithotripsy: a prospective study.

Objective: This study aimed to assess the efficacy and safety of tracking extended nursing (TEN) on patients with urinary tract stones after holmium laser lithotripsy (HLL).

Patients and methods: A total of 232 patients with urinary tract stones after HLL were prospectively randomized into 2 groups. One hundred and sixteen patients in the study group accepted TEN mode and 116 patients serving as control accepted only traditional nursing mode. The Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores, measured at different time points, were considered the primary outcomes for evaluating patients' psychological state. The secondary end points were Quality of life (QOL) scores and complications between the two groups.

Results: After the TEN mode was applied to the study group, the HAMD and HAMA scores were significantly lower than those in the control group at the second and fourth week (P<0.05). With regard to the secondary variables, the QOL scores in the study group was significantly higher than that in the control group at the second and fourth week (P<0.05). In addition, the overall incidence of complications was significantly lower in the study group than in the control group (P<0.05). No serious complications were reported in either group.

Conclusions: The TEN mode improves psychological well-being and Qol in urinary tract stone patients undergoing HLL, accelerates recovery, reduces complications, and enhances self-care.