A study on the effects of continuing care on stone expulsion and compliance in home-based kidney stone patients
延续性护理对居家肾结石患者排石效果及依从性的影响研究

摘要

目的 探讨延续性护理对居家肾结石患者排石效果及依从性的影响。方法 研究对象为82例居家肾结石患者，选取时间为2024年9月至2025年9月，以双盲法分组（41例/组），予以对照组常规居家指导，予以观察组延续性护理。比较两组患者的排石效果及治疗依从性。结果 两组结石排出率为92.68% Vs 73.17%，观察组更高，P＜0.05；观察组患者结石排出时间为（7.23±1.56）d，显著短于对照组，P＜0.05。两组治疗依从性为97.56% Vs 82.93%，观察组更高，P＜0.05。结论 对居家肾结石患者实施延续性护理，可提高排石效果及治疗依从性，改善了患者的预后，值得临床采纳、推广。

Abstract

Objective To investigate the effects of continuing care on stone expulsion and compliance in home-based kidney stone patients.
Methods 82 home-based kidney stone patients were included in the study from September 2024 to September 2025. They were divided into two groups using a double-blind method (41 cases/group). The control group received routine home care guidance, while the observation group received continuing care. The stone expulsion effect and treatment compliance were compared between the two groups.
Results The stone expulsion rate was 92.68% vs. 73.17% in the observation group, which was significantly higher (P<0.05). The stone expulsion time in the observation group was (7.23±1.56) days, significantly shorter than that in the control group (P<0.05). The treatment compliance rate was 97.56% vs. 82.93% in the observation group, which was significantly higher (P<0.05).
Conclusion   Continuing care for patients with kidney stones at home can improve stone expulsion and treatment compliance, thus improving patient prognosis. This approach is worthy of clinical adoption and promotion.