Nursing care for renal calculi patients with Percutaneous Nephrolithotomy: 2 Case study

Abstract

Purpose : The objectives of this study were to compare sign, complication and nursing care for renal calculi patients, and development of this nursing practice guideline renal calculi patients with Percutaneous Nephrolithotomy.

          Study design : Compare 2 Case study

          Materials and Methods : Choose purposive sampling of renal calculi patients with Percutaneous Nephrolithotomy in Urology Surgery Department at Roi Et Hospital. Between September and October 2023. The instruments used in the study consisted of record form by collecting data from the patient's medical records interview and observation. Data were analyzed, compared, and made a nursing plan by using the nursing process.

          Main findings :

Case Study 1, a Thai man, 59 years old, Significant symptoms scheduled for kidney stone surgery, main symptoms of back pain, right waist pain and frequent dark-colored urine were 5 months before coming to the hospital. Preliminary diagnosis Bilateral renal calculi, treated with surgery Right PCNL with DJ stent. Patients who had complications from surgery, namely Anemia from pseudoaneurysm, Septic shock, Rt hydronephrosis, Hypokalemia, were treated with blood transfusions, antibiotics and treated for various complications. Patients were discharged at home for a total of 13 days. Total treatment cost 83,484 baht.

Case Study 2, a Thai woman, 58 years old. Significant symptoms scheduled for kidney stone surgery, main symptoms pain in the left side of the waist, burning urine with sediment

were 1 month before hospitalization. Preliminary diagnosis Left renal calculi treated with Left PCNL. After the treatment, the patient had no complications. Sell to take home Total treatment 9 days. Total treatment cost 45,662 baht.

          Conclusion and recommendations : The earlier evaluation and efficiency of nursing care of patients with reduce bed days, expenses, and mortality. The professional nurse and the nursing guidelines need to be clear for patient with postoperative.

Keywords: Nursing care for renal calculi patients, Percutaneous Nephrolithotomy