ObjectiveTo explore the effect of Xiao's double-C nursing model based on combined evaluation strategy in percutaneous nephrolithotomy (PCNL) perioperative patients.

MethodsFifty-four patients with kidney stones treated with PCNL were randomly divided into observation group and control group, with 27 patients in each group.The control group used traditional nursing methods, and the observation group used Xiao's double-C nursing model based on combined evaluation strategy.The postoperative exhaust time, postoperative hospital stay, postoperative pain degree at 24 hours, bleeding, urine leakage, patient comfort and nursing satisfaction were compared between the two groups.

ResultsAfter intervention, the observation group showed significantly lower postoperative exhaust time, total hospital stay, postoperative pain level at 24 hours, intravenous fluid infusion duration, and total fluid infusion volume compared with the control group (P < 0.05 to P < 0.01), while comfort and nursing satisfaction were significantly higher than those of the control group (P < 0.01).However, there was no statistically significant difference in postoperative blood and urine leakage between the two groups (P > 0.05).

ConclusionsXiao's double-C nursing based on combined evaluation strategy can promote the recovery of gastrointestinal function, shorten the length of hospital stay, and improve patient comfort and nursing satisfaction without increasing postoperative complications of hematuria and urine leakage.