Predictors of Outcome for Extracorporeal Shock Wave Lithotripsy Among Patients with Renal Calculi: A Suggested Nursing Guidelines
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- Category: Vol. 85, December 2017
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Predictors of Outcome for Extracorporeal Shock Wave Lithotripsy Among Patients with Renal Calculi: A Suggested Nursing Guidelines, DOAA A. IBRAHIM, BASSAMAT O. AHMED, HANY M. EL-FAYOUMY and AMEL S. MAHMOUD
Abstract
Background: Renal calculus is the third most common disease of the urinary tract worldwide. Extracorporeal Shock Wave Lithotripsy (ESWL) has become the accepted first line treatment modality for renal and upper ureteric calculus. However, the selection of suitable candidates can optimize the outcomes of ESWL.
Aim of the Study: Is to investigate predictors of outcome for ESWL among patients with renal calculi as well to suggest nursing guidelines to prevent potential complications.
Material and Methods: A convenient sample of 100 male and female adult patients diagnosed with radio-opaque renal calculi £2cm constituted the study sample. The study was conducted in one of the Urology and Nephrology Hospital, Cairo-Egypt. Structured questionnaires and telephone inter-views were developed by the researcher to collect data pertinent to the study using the following tools (1) Personal and medical background information form, (2) Modified numeric pain rating scale, and (3) ESWL predictors of outcomes assessment tool.
Results: Sample age ranged from 20 to 60 years with mean of 41.9±10.32. The majority of studied subjects were males and married with a percentages of (86%) and (85%), respectively. Half of the subjects had right renal calculi (50%), however, the majority had single calculi (76%), calculi size ranged between 7 to 20mm, with a mean of 12.28±3.5. Concerning final treatment outcomes, more than one third of the studied subjects had treatment success (36%). Major complications in the form of steinstrass and UTI were devel-oped in (4%) and (3%), respectively.
Conclusion: The study concluded that calculi size was the only predictor of outcome for ESWL after one session.
Implications: Application of the suggested nursing guide-lines to enhance patient's outcomes.
Recommendation: Replication of the study using a larger probability sample as well as a longer follow-up period for this group of patients.