التفاصيل البيبلوغرافية
العنوان: |
Reduction of patients' bed rest time after percutaneous renal biopsy evaluated by the Nursing Outcomes Classification: Randomized clinical trial. |
المؤلفون: |
de Fátima Lucena, Amália, Oliveira, Magáli Costa, Manfro, Roberto Ceratti |
المصدر: |
International Journal of Nursing Knowledge; Jul2024, Vol. 35 Issue 3, p308-316, 9p |
مصطلحات موضوعية: |
PREVENTION of surgical complications, BIOPSY, NURSES, SCALE analysis (Psychology), PEARSON correlation (Statistics), OCCUPATIONAL roles, HEALTH status indicators, BRUISES, T-test (Statistics), DATA analysis, RESEARCH funding, STATISTICAL sampling, BED rest, NURSING, EVALUATION of medical care, RANDOMIZED controlled trials, FUNCTIONAL status, HEMATURIA, DESCRIPTIVE statistics, CHI-squared test, DIASTOLIC blood pressure, PAIN management, STATISTICS, BLOOD circulation, KIDNEY diseases, HUMAN comfort, SYSTOLIC blood pressure, DATA analysis software, BLOOD coagulation, NOSOLOGY, HEMORRHAGE, FACIAL expression, WELL-being, COMORBIDITY |
مصطلحات جغرافية: |
BRAZIL |
Abstract (English): |
Purpose: To evaluate the reduction of patients' bed rest time after percutaneous renal biopsy (PRB) from 24 to 8 h using the Nursing Outcomes Classification (NOC). Methods: This was a randomized clinical trial registered with Clinical Trials number NCT04629235. The sample comprised 16 patients in the intervention group and 18 in the control group. In the intervention group, the rest time was modified to 8 h, and afterward, the patients were released to ambulate, whereas the control patients remained at absolute rest for 24 h after PRB according to institutional protocol. All patients were observed for 24 h and evaluated at five time points with the outcomes and indicators of the NOC: before the biopsy, immediately after, at the 8th hour, at the 12th hour, and at the 24th hour after the procedure. Results: In the 170 evaluations performed, statistically significant differences were identified in the outcome Comfort status: physical and the indicators "physical well‐being and comfortable position." None of the complications were related to reduced bed rest time. Conclusions: Reducing patients' bed rest time from 24 to 8 h did not increase complications from PRB, and using the NOC provided a standardized and reliable assessment. Implications for nursing practice: Important evidence was identified for patient care after PRB, demonstrating the positive impact on patient comfort and the possibility of reducing costs to the institution and the workload of the multidisciplinary team. In addition, these findings may contribute to strengthening the use of NOC in clinical practice, teaching, and research. [ABSTRACT FROM AUTHOR] |
Abstract (Portuguese): |
Resumo: Objetivo: Avaliar a redução do tempo de repouso no leito de pacientes após biópsia renal percutânea de 24 para 8 horas, por meio de resultados e indicadores clínicos da Nursing Outcomes Classification/NOC. Métodos: Ensaio clínico randomizado registrado no Clinical Trials (NCT04629235). A amostra contou com 16 pacientes no Grupo Intervenção e 18 no Grupo Controle. No Grupo Intervenção o tempo de repouso foi modificado para 8 horas, e após os pacientes foram liberados para deambular; enquanto no Grupo Controle os pacientes se mantiveram em repouso absoluto por 24 horas após biópsia renal percutânea, conforme protocolo institucional. Todos os pacientes foram observados por 24 horas e avaliados em cinco momentos distintos, com resultados e indicadores da Nursing Outcomes Classification/NOC: antes da biópsia, imediatamente após, na 8ª hora, na 12ª hora e na 24ª hora após o procedimento. Resultados: Nas 170 avaliações realizadas foi identificada diferença estatisticamente significativa nos escores do resultado Estado de conforto: físico, e nos indicadores "bem‐estar físico e posição confortável". Nenhuma das complicações foi relacionada com a redução do tempo de repouso no leito. Conclusões: A redução do tempo de repouso no leito dos pacientes de 24 para 8 horas não aumentou as complicações decorrentes da biópsia renal percutânea. O uso da Nursing Outcomes Classification/NOC favoreceu uma avaliação padronizada e fidedigna. Implicações para a prática: Identificou‐se evidências importantes para o cuidado ao paciente após biópsia renal percutânea, demonstrando o impacto positivo no conforto dos pacientes, além da possibilidade de diminuição de custos à instituição e da sobrecarga no trabalho da equipe multidisciplinar. Somado a isso, estes resultados poderão contribuir para o fortalecimento do uso da Nursing Outcomes Classification/NOC na prática clínica, ensino e pesquisa. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
Complementary Index |