Self-management intervention for patients with upper urinary tract calculi:a scoping review

JI Jing; HUANG Lifang; HE Changying; LU Suihua; CAO Jianing; DU Rui

doi:10.12102/j.issn.2095-8668.2025.21.009

Abstract：Objective:To conduct a scoping review of self-management intervention studies for patients with upper urinary tract calculi,clarify the intervention elements,and provide a reference for clinical practice and future related research.Methods:The Joanna Briggs Institute(JBI)Scoping Review Guidelines of Australia were used as the methodological framework to retrieve relevant studies in Chinese and English databases.The search period was from the establishment of the database to August 31,2024.The included literature was summarized and analyzed.Results:Thirteen articles were included,of which five studies used Orem's self-care theory,Plan-Do-Check-Act(PDCA)management,Greene's model,case management,and Information-Motivation-Behavioral Skills(IMB)Model as theoretical foundations to formulate intervention measures.The main intervention methods were video guidance,health education manuals,personalized care,and application of intelligent technology.The intervention duration was mostly 1 to 6 months,and the outcome indicators included stone recurrence rate,self-management ability,and 24-hour urine volume.Self-management intervention can improve patients'self-management ability,effectively prevent calculi recurrence,and promote recovery.Conclusions:The study of self-management intervention for patients with upper urinary tract calculi has preliminarily confirmed its positive role in improving patients'health behaviors and preventing stone recurrence.Future research should make full use of multidisciplinary intervention models,deeply explore patients'needs,and continuously optimize intervention strategies to promote patients'long-term health management and outcome improvement.