Effect of early intensive rehabilitation on lower urinary tract symptoms and readiness for discharge after flexible ureteroscopic lithotripsy
CUI Liyan
YANG Yu
JIANG Yihang
JIN Qing
Abstract：Objective To investigate the effect of early intensive rehabilitation on lower urinary tract symptoms and discharge readiness after flexible ureteroscopic lithotripsy.Methods A total of 150 patients with renal calculi who underwent flexible ureteroscopic laser lithotripsy in our hospital from March 2024 to March 2025 were prospectively selected and divided into intensive rehabilitation group(75 cases)and routine group(75 cases)according to the random number table method.Both groups of patients were treated with enhanced recovery after surgery(ERAS)during the perioperative period,and the intensive rehabilitation group was treated with early intensive rehabilitation on this basis.The pain visual analogue scale(VAS),self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,lower urinary tract symptoms,readiness for hospital discharge scale(RHDS)each dimension(adaptability,personal status,expected support)score,discharge guidance quality scale(QDTS)each dimension(required content,guidance skills and effects,obtained content)score were compared between the two groups.Results After intervention,the VAS score,SAS score and SDS score of the intensive rehabilitation group were lower than those of the conventional group(t=12.830,8.873,6.779,P<0.05);the incidence of lower urinary tract symptoms in the intensive rehabilitation group was lower than that in the conventional group at 7 and 14 days after operation.(χ2=5.720,4.807,P<0.05).After intervention,the scores and total scores of RHDS and QDTS in the intensive rehabilitation group were higher than those in the conventional group(t=5.221,5.365,6.931,6.667,5.590,6.749,5.934,10.221,P<0.05).Conclusion Early intensive rehabilitation intervention for patients undergoing flexible ureteroscopic laser lithotripsy based on ERAS can significantly alleviate the degree of pain,negative emotions of anxiety and depression,and the incidence of postoperative infection,and improve the readiness for discharge and the quality of discharge guidance.
Keywords：early intensive rehabilitationflexible ureteroscopy laser lithotripsyaccelerated rehabilitation surgery modelower urinary tract symptomsdischarge readiness
Publication Date：2026-01-30
Online Publishing Date：2026-01-27(First online date of this platform, not the publication date of the document)
Pages：4( 78-81 )