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已发表论文
基于赋权的双 J 管置入术后上尿路结石患者延续护理：对自我护理和依从性的影响
Authors Li J, Guo S, Zhang W, Li H, Zhang Z, Qin X, Liu A
Received 13 October 2025
Accepted for publication 16 December 2025
Published 8 January 2026 Volume 2026:20 567700
DOI https://doi.org/10.2147/PPA.S567700
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Jiahui Li,1,* Shaowei Guo,1,* Wenxian Zhang,1 Huinan Li,1 Zhitao Zhang,1 Xiaohui Qin,2 Aying Liu1
1Department of Urology, Affiliated Hospital of Hebei University of Engineering, Handan, 056000, People’s Republic of China; 2Department of Rheumatology and Immunology, Affiliated Hospital of Hebei University of Engineering, Handan, 056000, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiaohui Qin, Email hWGbyRiYli@21cn.com
Objective: To evaluate the effectiveness of a continuity-of-care model based on empowerment theory in patients with upper urinary tract calculi undergoing postoperative double-J stent placement.
Methods: A retrospective study was conducted on 124 patients treated from February 2024 to April 2025. Patients were assigned to a control group (routine nursing, n = 62) or an Intervention group (empowerment-based continuity care, n = 62). Compliance behavior, self-care ability (ESCA), self-efficacy (GSES), quality of life (WHOQOL-BREF), postoperative complications, and nursing satisfaction (NSNS) were compared between groups.
Results: The Intervention group showed higher compliance (91.94% vs 79.03%, P < 0.05). Post-intervention ESCA, GSES, and WHOQOL-BREF scores improved in both groups, with greater gains in the Intervention group (P < 0.05). Complication incidence was lower in the Intervention group (4.84% vs 16.13%, P < 0.05), and nursing satisfaction was higher (95.16% vs 82.26%, P < 0.05).
Conclusion: Empowerment-based continuity care significantly enhances self-care ability, adherence behavior, self-efficacy, and quality of life in postoperative double-J stent patients, while reducing complications and improving nursing satisfaction. This model supports patient-centered care and promotes active patient participation.
Project: Construction of an Empowerment Theory Model for Risk Prediction of Elderly Patients with Double-J Stent (Project No. 20250979).
Keywords: empowerment theory, continuity care, upper urinary tract calculi, double-J stent, self-care ability, compliance behavior
1Department of Urology, Affiliated Hospital of Hebei University of Engineering, Handan, 056000, People’s Republic of China; 2Department of Rheumatology and Immunology, Affiliated Hospital of Hebei University of Engineering, Handan, 056000, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiaohui Qin, Email hWGbyRiYli@21cn.com
Objective: To evaluate the effectiveness of a continuity-of-care model based on empowerment theory in patients with upper urinary tract calculi undergoing postoperative double-J stent placement.
Methods: A retrospective study was conducted on 124 patients treated from February 2024 to April 2025. Patients were assigned to a control group (routine nursing, n = 62) or an Intervention group (empowerment-based continuity care, n = 62). Compliance behavior, self-care ability (ESCA), self-efficacy (GSES), quality of life (WHOQOL-BREF), postoperative complications, and nursing satisfaction (NSNS) were compared between groups.
Results: The Intervention group showed higher compliance (91.94% vs 79.03%, P < 0.05). Post-intervention ESCA, GSES, and WHOQOL-BREF scores improved in both groups, with greater gains in the Intervention group (P < 0.05). Complication incidence was lower in the Intervention group (4.84% vs 16.13%, P < 0.05), and nursing satisfaction was higher (95.16% vs 82.26%, P < 0.05).
Conclusion: Empowerment-based continuity care significantly enhances self-care ability, adherence behavior, self-efficacy, and quality of life in postoperative double-J stent patients, while reducing complications and improving nursing satisfaction. This model supports patient-centered care and promotes active patient participation.
Project: Construction of an Empowerment Theory Model for Risk Prediction of Elderly Patients with Double-J Stent (Project No. 20250979).
Keywords: empowerment theory, continuity care, upper urinary tract calculi, double-J stent, self-care ability, compliance behavior