Journal of Peking University(Health Sciences) >
Effects of delayed ureteral stents removal during the COVID-19 pandemic on the quality of life and psychological status of postoperative patients with urinary calculi
Received date: 2023-03-20
Online published: 2023-10-09
Objective: To explore the impacts of delayed ureteral stent removal on the quality of life (QoL) and mental health of urinary calculi postoperative patients due to the corona virus disease 2019(COVID-19) pandemic. Methods: The demographic and clinical data of patients with ureteral stent placement after urinary endoscopic lithotripsy and returned to Peking University People's Hospital for stent removal from December 2019 to June 2020 were collected. Ureteral stent symptoms questionnaire (USSQ) score and the outcome 20-item self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were collected to estimate the QoL and mental status. The USSQ consisted of 44 questions in 6 domains (including urinary symptom, physical pain, general health, work performance, sexual function, and ureteral stent related infection). For most questions in each domain, its score was a five-point Likert-type scale from 1 to 5, and a small proportion of questions was quantified by 1 to 4 or 1 to 7 scale. SAS and SDS both contained 20 questions used to assess a patient's level of anxiety and depression. Its scoring for each item was on a four-point Likert-type scale from 1 to 4. A total score (ranging from 20 to 80) was the main statistical indicator. The level of clinical anxiety and depression was quantified by using standard scores (total score multiplied by 1.25 to produce integers). And the multi-group structural equation model was constructed by analysis of moment structure (AMOS) analysis. Results: Overall, 71 patients were enrolled for analysis. It was found that the median duration of ureteral stent time differed significantly between the control and delayed groups for 32 (30, 33) d and 94.5 (88, 103) d, respectively. The delayed group resulted in higher scores in the USSQ multidimensional, which included urinary symptoms, general health, work performance and ureteral stent related infections. Anxiety and depression were also significantly serious in the delayed group than in the control group. A longer indwelling time of a ureteral stent could exacerbate the effects of urinary symptoms and physical pain on work performance (P=0.029 < 0.05). Among them, the patients with severe urinary symptoms leading to poor work performance were most significantly affected by prolonged ureteral stent duration time (CR=2.619>1.96). Conclusion: Patients with delayed ureteral stent removal due to the COVID-19 had resulted in worse QoL and mental status. Stents related symptoms are more severe in patients with higher anxiety and depression degree during COVID-19. To improve the QoL and mental health of patients after urinary calculi surgery during COVID-19, it is still not recommended to prolong the stent duration time or corresponding intervention measures should be taken.
Jin-hui LAI , Qi WANG , Jia-xiang JI , Ming-rui WANG , Xin-wei TANG , Ke-xin XU , Tao XU , Hao HU . Effects of delayed ureteral stents removal during the COVID-19 pandemic on the quality of life and psychological status of postoperative patients with urinary calculi[J]. Journal of Peking University(Health Sciences), 2023 , 55(5) : 857 -864 . DOI: 10.19723/j.issn.1671-167X.2023.05.013
| 1 | Alnadhari I , Alwan MA , Salah MA , et al. Treatment of retained encrusted ureteral double-J stent[J]. Arch Ital Urol Androl, 2019, 90 (4): 265- 269. |
| 2 | Tae BS , Cho S , Jeon BJ , et al. Does mirabegron relieve ureteric stent-related discomfort? A prospective, randomized, multicentre study[J]. BJU Int, 2018, 122 (5): 866- 872. |
| 3 | Bosio A , Alessandria E , Dalmasso E , et al. How bothersome double-J ureteral stents are after semirigid and flexible ureteroscopy: A prospective single-institution observational study[J]. World J Urol, 2019, 37 (1): 201- 207. |
| 4 | Lin TF , Lin WR , Chen M , et al. The risk factors and complications of forgotten double-J stents: A single-center experience[J]. J Chin Med Assoc, 2019, 82 (10): 767- 771. |
| 5 | Rabani SM . Combined percutaneous and transurethral lithotripsy for forgotten ureteral stents with giant encrustation[J]. Nephrourol Mon, 2012, 4 (4): 633- 635. |
| 6 | Nerli RB , Magdum PV , Sharma V , et al. Forgotten/retained double J ureteric stents: A source of severe morbidity in children[J]. Afr J Paediatr Surg, 2016, 13 (1): 32- 35. |
| 7 | Westhofen T , Magistro G , Lennartz S , et al. Confronting hidden COVID-19 burden: A telemedical solution for elective urological outpatient clinics[J]. Infection, 2020, 48 (6): 935- 939. |
| 8 | Zhu C , Qu J , Yang L , et al. The chinese linguistic validation of the ureteral stent symptom questionnaire[J]. Urol Int, 2019, 102 (2): 194- 198. |
| 9 | Wang C , Zhao H . The Impact of COVID-19 on anxiety in Chinese university students[J]. Front Psychol, 2020, 11, 1168. |
| 10 | Lei L , Huang X , Zhang S , et al. Comparison of prevalence and associated factors of anxiety and depression among people affected by versus people unaffected by quarantine during the COVID-19 epidemic in southwestern China[J]. Med Sci Monit, 2020, 26, e924609-1- e924609-12. |
| 11 | Wu G , Sun F , Sun K , et al. Impact of differential ureteral stent diameters on clinical outcomes after ureteroscopy intracorporeal lithotripsy: A systematic review and meta-analysis[J]. Int J Urol, 2021, 28 (10): 992- 999. |
| 12 | Pecoraro A , Peretti D , Tian Z , et al. Treatment of ureteral stent-related symptoms[J]. Urol Int, 2023, 107 (3): 288- 303. |
| 13 | Bao X , Sun F , Yao H , et al. Distal end of double-J ureteral stent position on ureteral stent-related symptoms: A systematic review and meta-analysis[J]. Front Surg, 2022, 9, 990049. |
| 14 | Kuehhas FE , Miernik A , Sharma V , et al. A prospective evaluation of pain associated with stone passage, stents, and stent removal using a visual analog scale[J]. Urology, 2013, 82 (3): 521- 525. |
| 15 | Polat H , Yucel MO , Utangac MM , et al. Management of forgotten ureteral stents: Relationship between indwelling time and required treatment approaches[J]. Balkan Med J, 2017, 34 (4): 301- 307. |
| 16 | Bidnur S , Huynh M , Hoag N , et al. An indwelling ureteral stent forgotten for over 12 years[J]. J Endourol Case Rep, 2016, 2 (1): 135- 137. |
| 17 | Nevo A , Mano R , Baniel J , et al. Ureteric stent dwelling time: A risk factor for post-ureteroscopy sepsis[J]. BJU Int, 2017, 120 (1): 117- 122. |
| 18 | Ramachandra M , Mosayyebi A , Carugo D , et al. Strategies to improve patient outcomes and QoL: Current complications of the design and placements of ureteric stents[J]. Res Rep Urol, 2020, 12, 303- 314. |
| 19 | Kartal IG , Baylan B , Gok A , et al. The association of encrustation and ureteral stent indwelling time in urolithiasis and KUB grading system[J]. Urol J, 2018, 15 (6): 323- 328. |
| 20 | Frank A , Hormann S , Krombach J , et al. COVID-19 concerns and worries in patients with mental illness[J]. Psychiatr Prax, 2020, 47 (5): 267- 272. |
| 21 | Wang Y , Yang Y , Yan C , et al. COVID-induced 3 weeks' treatment delay may exacerbate breast cancer patient's psychological symptoms[J]. Front Psychol, 2022, 13, 1003016. |
/
| 〈 |
|
〉 |