American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2018, 6(5), 327-334
DOI: 10.12691/ajnr-6-5-15
Open AccessArticle

The Effect of Nursing Guidelines on Minimizing Incidence of Complications for Patients with Percutaneous Nephrostomy Tube

Sahra Zaki Azer1, , Sahar Ali Abd-El Mohsen1 and Samia Youssef Sayed1

1Medical - Surgical Nursing Department, Faculty of Nursing, Assiut University, Egypt

Pub. Date: August 04, 2018

Cite this paper:
Sahra Zaki Azer, Sahar Ali Abd-El Mohsen and Samia Youssef Sayed. The Effect of Nursing Guidelines on Minimizing Incidence of Complications for Patients with Percutaneous Nephrostomy Tube. American Journal of Nursing Research. 2018; 6(5):327-334. doi: 10.12691/ajnr-6-5-15

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.

Keywords:
guidelines complications percutaneous nephrostomy

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Wah, T. M. & Weston M. J., (2004). Percutaneous nephrostomy insertion: outcome data from a prospective multi-operator study at a UK training center. Clin Radiol 59 (3): 255-261.
 
[2]  Tuttle, D. N. & Yeh B. M, (2005). Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT. J Vasc Interv Radiol 16 (11): 1489-1492.
 
[3]  Ozden, E. & Yaman, O, (2002). Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis. Journal of Ankara Medical School 24 (2): 69-72.
 
[4]  Mostafa, S. A & Abbaszadeh S, (2008). Percutaneous nephrostomy for treatment of posttransplant ureteral obstructions. Urol J 5 (2): 79-83.
 
[5]  Mariappan, P. & Smith G., (2006). One week of ciprofloxacin before percutaneous nephrolithotomy significantly reduces upper tract infection and urosepsis: a prospective controlled study. BJU Int 98 (5): 1075-1079.
 
[6]  Lewis, S. and U. Patel (2004). Major complications after percutaneous nephrostomy-lessons from a department audit. Clin Radiol 59 (2): 171-179.
 
[7]  Dyer, R. B., & Regan J. D, (2002): Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics 22 (3): 503-525.
 
[8]  Kaskarelis, I. S. & Papadaki M. G., (2001). Complications of percutaneous nephrostomy, percutaneous insertion of the ureteral endoprosthesis, and replacement procedures. Cardiovasc Intervent Radiol 24 (4): 224-228.
 
[9]  Cormio, L. & P. Annese, (2007). Percutaneous nephrostomy in supine position. Urology 69 (2): 377-380.
 
[10]  Ramchandani, P. & Cardella J. F, (2003). Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol 14 (9 Pt 2): S 277-281.
 
[11]  NSW Health (2009). Managing Pigtail Drains Safely. Safety Notice - 019/09 Dated 08 October 2009.
 
[12]  Cowan, N. (2008). The Genitourinary Tract; Technique and Anatomy. Grainger & Allison's
 
[13]  Carey, R. I. & Siddiq F. M., (2006). Conservative management of a splenic injury related to percutaneous nephrostolithotomy. JSLS 10 (4): 504-506.
 
[14]  Tan, B. H, Wong, M. Y. C., Tan, B. S., and Hiao, A. (2002). Outcome of Percutaneous Nephrostomy for the Management of Pyonephrosis. Asian Journal of Surgery; 3(25): 215-219.
 
[15]  Hautmann S. H. and Leveillee (2002). R. Nephrostomy. Emedicine: Instant access to the minds of medicine; Available from URL http://www.emedicine.com/med/topic3040.htm.
 
[16]  Lewis S.M., Heitkemper M.M., & Dirksen (2000). Medical-Surgical Nursing. Mosby: St. Louis, Missouri.
 
[17]  M Tan, P. u., PS Jaywantraj, D Wong (2010). Colonic Perforation during Percutaneous Nephrolithotomy Treated Conservatively. J HK Coll Radiol. 12 (3): 117-121.
 
[18]  El-Nahas, A. R. & Shokeir A. A., (2006). Colonic perforation during percutaneous nephrolithotomy: a study of risk factors. Urology 67 (5): 937-941.
 
[19]  Aaron D. Benson, Trisha M. Juliano and Nicole L. Miller. (2014). Infectious Outcomes of Nephrostomy Drainage before Percutaneous Nephrolithotomy Compared to Concurrent Access. American urological association education and research, Vol. 192, 770-774.
 
[20]  Andreas S., Gerasimos A., Athanasios P., Kostas C., Anastasios Z., and Charalambos D. (2006). Ultrasound-guided percutaneous nephrostomy Performed by urologists: a 10-year experience, UROLOGY 68 (3).
 
[21]  Dagli, M., & Ramchandani, P. (2011). Percutaneous nephrostomy: Technical aspects and indications. Seminar Interventional Radiology, 28 (4), 424-437.
 
[22]  Echenique, A.; DeJesus, L.; and Abisch, A. (2016). Under the Beam: Nursing Considerations on Patient Undergoing a Nephrostomy Tube Placement. JOURNAL OF RADIOLOGY NURSING. VOLUME 35 ISSUE 3. 248-251.
 
[23]  Ramchandani, P., Cardella, J. F., Grassi, C J., Roberts, A. C., Sacks, D., Schwartzberg, M. S., and Lewis, C. A. (2001). Quality improvement guidelines for percutaneous nephrostomy. Journal of Vascular Interventional Radiology; 12: 1247-1251.