Assessment of Health Outcomes for Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Urolithiasis

Alashmawy Eldemerdash Ashmawy, Fatma; Hussein Nasr, Manal; Mohamed Farag, Eman

doi:10.21608/ejhc.2025.445702

Assessment of Health Outcomes for Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Urolithiasis

Document Type : Original Article

Authors

¹ (1) Demonstrator in Medical Surgical Nursing Department, Faculty of Nursing Ain Shams University

² (2) Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University

³ (3) Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University.

10.21608/ejhc.2025.445702

Abstract

Background: Urolithiasis is one of the major health problems among urological patients, mainly the third most common urological disorder. Lifestyle modification and Extracorporeal Shock-Wave Lithotripsy (ESWL) is the first line of intervention for of upper urinary tract. Aim: This study aimed to assess health outcomes for patients undergoing extracorporeal shock wave lithotripsy for urolithiasis. Research design: Descriptive exploratory design was utilized to conduct this study. Setting: this study was conducted at extracorporeal shock waves lithotripsy unit for urolithiasis in El Demerdash hospital affiliated to Ain Shams University Hospitals. Study subjects: A purposive sample of 85 patients with urolithiasis undergoing extracorporeal shock wave lithotripsy participated in the study. Tools: 1) Patients’ structured interviewing questionnaire. 2) Extracorporeal shock wave lithotripsy physical health outcomes assessment Tool. 3) Hospital anxiety and depression Scale (HADS). 4) Social dysfunction scale Results: the present study revealed that 40% of the studied patients had mild pain and 82.4% of them had minor complications. Also, 85.9% of them have the ability to perform activities of daily living. While, 68.3% had mild anxiety and 65.9% had no social dysfunction. Conclusion: Two fifths of the studied patients had mild pain. Also, majority of them had minor complications and had the ability to perform activities of daily living. Moreover, more than two thirds of the studied patients had mild anxiety. While, less than two thirds of the studied patients didn’t have social dysfunction. Recommendations: Further research should be conducted to determine the long term effect of ESWL management on quality of life of patients with urolithiasis.

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