Abstract
The aim of the study was to identify the effect of nursing guidelines on minimizing the incidence of complications for patients undergoing percutaneous nephrostomy. Research design: A quasi-experimental study design has been used. Setting: The study was carried out, in urologic surgery department and outpatient clinic of urology and . Subjects and methods: Sample: sixty adult patients undergoing PCN were included, having the following criteria; the age between 18 – 65 years, both male and female, and were divided randomly in to study and control groups. The study group (thirty patients) received the nursing guidelines, while the control group (thirty patients) received routine hospital care. Tools: three tools were utilized: Structure interviewing questionnaire, nursing guidelines, and patient evaluation sheet. Results: more than two-thirds of patients in the study group (66.7 %) were male, 86.7% were married, 33.3 % were from (fifty to sixty-five). All patients in both control and study groups don’t complain about urinary tract obstruction. Conclusion: application of the nursing guidelines had its positive impact on the outcomes of patients who underwent percutaneous nephrostomy tube placement. Recommendation: A printed copy of the nursing guidelines is to be distributed among patients with percutaneous nephrostomy tube. A workshop for nurses working in urology operating room is to be organized for enriching nurses with recent guidelines related to percutaneous nephrostomy tube.
Highlights
IntroductionA nephrostomy is a surgical opening created between the kidney and the skin which allows for direct drainage of urine from the higher part of the urinary system when the normal flow is impeded [1]
A nephrostomy is a surgical opening created between the kidney and the skin which allows for direct drainage of urine from the higher part of the urinary system when the normal flow is impeded [1].Percutaneous nephrostomy is an image-guided placement of a catheter into the renal accumulating system
Nephrostomy tubes are inserted within the operating room or radiology department to provide permanent or transient urinary drainage following a procedure or to alleviate ureteric obstruction
Summary
A nephrostomy is a surgical opening created between the kidney and the skin which allows for direct drainage of urine from the higher part of the urinary system when the normal flow is impeded [1]. Percutaneous nephrostomy is an image-guided placement of a catheter into the renal accumulating system. Nephrostomy tubes are inserted within the operating room or radiology department to provide permanent or transient urinary drainage following a procedure or to alleviate ureteric obstruction. Irrigation of a nephrostomy tube is indicated if there is absence of urine in the drainage system, blood in the urine or if flank pain occurs [2]. There are two forms of nephrostomy drainage tubes; Pigtail: The retaining mechanism is a coil that's retained within the renal pelvis (placed in Radiology). The second type is the Wide Bore e.g. Malecot or Foley catheter (placed in the operating room) [3]
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