Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification

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.

Primary glomerulonephritis as a cause of non-systemic immunological diseases

“…En todos los estudios analizados, tanto a nivel regional como continental, la forma clínica de presentación más frecuente fue el SN [7][8][9][10][11] . En nuestro estudio la frecuencia de complicaciones por PBR fue similar a las observadas en la mayor parte de los centros regionales, ya que en su mayoría, no presentaron complicación alguna tras la PBR, siendo descritas complicaciones menores (2-7%) y hematuria con resolución espontánea 12,13 .…”

Reduction of patients’ bed rest time after percutaneous renal biopsy evaluated by the Nursing Outcomes Classification: Randomized clinical trial

“…170,430). The instrument was validated in a pilot study developed in phases before this study (Oliveira et al., 2021, 2022).…”

“…170,430). The instrument was validated in a pilot study developed in phases before this study (Oliveira et al, 2021(Oliveira et al, , 2022. "bleeding, bruising, hematuria, systolic blood pressure, diastolic blood pressure, reported pain, facial expressions of pain, physical well-being, and comfortable position."…”

“…The Nursing Outcomes Classification (NOC), a nursing classification system, provides a series of nursing outcomes (NOs) comprising clinical indicators that enable nurses to evaluate the condition of patients’ undergoing intervention (Moorhead & Johnson, 2020). Recent studies with NOC terminology have demonstrated its applicability in clinical practice in different scenarios (Barreto et al., 2019; Bavaresco et al., 2018; Luzia et al., 2020; Osmarin et al., 2020), including patients after PRB (Oliveira et al., 2021).…”

The effect of refined nursing education on improving the urination of patients after renal biopsy

“…Outpatient renal biopsy has been reported in foreign countries, where patients do not need too much activity restriction and professional nursing after surgery, and the impact on lifestyle and comfort is small [18]. However, domestically, inpatient examination, postoperative 24 h bed rest and nursing to meet the patient's dietary, excretion and other physiological needs is carried out [5].…”