Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification
DOI:
https://doi.org/10.1590/1518-8345.3759.3415%20Keywords:
Outcome Assessment, Health Care; Nursing Process; Classification; Biopsy; Complications; Nephrology Nursing.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 wellbeing”
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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