Analysis of the Effect of Stepwise Refined Nursing on the Severity of Ureteral Stent-Related Symptom Clusters After Flexible Ureteroscopic Lithotripsy.

BACKGROUND

This study aimed to explore the clinical effect of stepwise refined nursing inpatients who underwent flexible ureteroscopic lithotripsy (FURL) with indwelling ureteral stent placement.

METHODS

A retrospective study was conducted.A total of 165 patients who underwent FURL with ureteral stent placement at Huzhou Hospital of Traditional Chinese Medicine from May 2023 to May 2025 were selected.All patients received postoperative treatment with tamsulosin and tolterodine. Amongst them, 83 patients received stepwise refined nursing management (study group), whereas 82 patients received conventional nursing care (control group). Clinical symptoms and pain levels were compared between the two groups.

RESULTS

Postoperative observation showed statistically significant between-group effects for daytime urinary frequency, nighttime urinary frequency,urinary urgency,urge urinary incontinence and total overactive bladder (OAB) symptom score (p < 0.05), indicating that stepwise refined nursing helped alleviate postoperative OAB symptoms. The between-group effects for bodily pain, urinary symptoms,work performance and daily living impact, other problems and total Ureteral Stent Symptom Questionnaire score were statistically significant (p < 0.05), suggesting that stepwise refined nursing contributed to reducing postoperative ureteral stent-related symptoms.

CONCLUSIONS

For patients undergoing FURL with indwelling ureteral stents, the application of stepwise refined nursing can effectively reduce the occurrence of postoperative complications, alleviate OAB symptoms and mitigate ureteral stent-related symptoms.