Oliveira MC, Flores FDS, Barbosa FM, Fujii CDC, Rabelo-Silva ER, Lucena ADF. Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification.
Rev Lat Am Enfermagem 2021;
29:e3415. [PMID:
34231785 PMCID:
PMC8253370 DOI:
10.1590/1518-8345.3759.3415]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Accepted: 08/19/2020] [Indexed: 11/22/2022] Open
Abstract
Objective:
to evaluate the complications of percutaneous renal biopsy based on outcomes
and clinical indicators of the Nursing Outcomes Classification.
Method:
a prospective longitudinal study. The sample consisted of 13 patients
submitted to percutaneous renal biopsy, with 65 evaluations. The patients
were evaluated in five moments in the 24 hours after the procedure, using an
instrument developed by the researchers based on five outcomes (Blood
coagulation, Circulation status, Blood loss severity, Pain level, Comfort
status: Physical) and 11 indicators. The Generalized Estimation Equation
Test was used to compare the scores of the indicators. The project was
approved by the institutional ethics committee.
Results:
in the 65 evaluations, a statistically significant difference was identified
in the reduction of the scores of the following nursing outcomes: Blood
coagulation, “hematuria” indicator; Circulation status, in the “systolic
blood pressure and diastolic blood pressure” indicators and Comfort status:
physical, in the “physical well-being” indicator.
Conclusion:
the evaluated patients did not show major complications. The clinical
indicators signaled changes in circulation status, with reduced blood
pressure, as well as in blood clotting observed by hematuria, but without
hemodynamic instability. The comfort status was affected by the rest time
after the procedure.
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