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Komplikationer som drabbar patienter med perkutan nefrostomi : en litteraturöversikt
Luleå University of Technology, Department of Health Sciences.
Luleå University of Technology, Department of Health Sciences.
2020 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Complications that affect patients with percutaneous nephrostomy : a literature review (English)
Abstract [sv]

Perkutan nefrostomi är en väl använd och utarbetat intervention som används som behandling av flera urologiska tillstånd. 10% av alla patienter med perkutan nefrostomi kommer att få en komplikation. Röntgensjuksköterskan ska ha kunskap om de komplikationer som uppkommer för att kunna arbeta förebyggande. Syfte: Syftet med denna litteraturöversikt var att undersöka vilka komplikationer som drabbar patienter med perkutan nefrostomi, hur allvarliga komplikationerna var och orsaken till att de uppkommer. Metod: En allmän litteraturöversikt baserad på 10 kvantitativa vetenskapliga artiklar funna genom artikelsökning i databaserna PubMed och Cinahl. Artiklarna kvalitetsgranskades och analyserades för att sedan presenteras i resultatet under tre huvudkategorier. Resultat: Patienterna drabbades av komplikationer som sepsis, urinvägsinfektion, retroperitonealt hematom, hematuri och komplikationer med nefrostomikatetern. Komplikationerna kunde leda till vidare sjukhusvistelse, utökad behandlingstid med perkutan nefrostomi och vidare ingrepp för korrigering av komplikationen. Sepsis var en bidragande faktor i de dödsfall som var noterade. Slutsats: Kunskapen om komplikationer är betydelsefull i det arbete som röntgensjuksköterskan utför för att kunna agera när de uppstår och arbeta förbyggande.

Abstract [en]

Percutaneous nephrostomy is a well used and completed intervention used as treatment for many urological conditions. 10% of all patients with percutaneous nephrostomy will get a complication. The radiographer must have knowledge of the complications that occur in order to work preventively. Aim: The aim of this literature review was to examine what kind of complications affect patients with percutaneous nephrostomy, how serious the complications were and causes to the complications. Method: A literature review based on 10 quantitative scientific articles that was found in databases Pubmed and Cinahl. The articles had been quality reviewed and analyzed and was presented under three main categories. Results: The patients suffered from complications as sepsis, urinary tract infection, retroperietal hematoma, hematuria and complications with the nephrostomy catheter. The complications could lead to hospitalization, extended time of treatment with the nephrostomy catheter and more invasive correction for the complication. Sepsis was a contributing factor to the cases with a deadly outcome.  Conclusion: The knowledge of the complications is an important part in the work as a radiographer in order to act when they occur and work preventively.

Place, publisher, year, edition, pages
2020. , p. 23
Keywords [en]
Percutaneous nephrostomy, complications, radiographer
Keywords [sv]
Perkutan nefrostomi, komplikationer, röntgensjuksköterska
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:ltu:diva-77240OAI: oai:DiVA.org:ltu-77240DiVA, id: diva2:1381396
Subject / course
Student thesis, at least 15 credits
Educational program
Diagnostic Radiology Nursing, bachelor's level
Supervisors
Examiners
Available from: 2020-01-10 Created: 2019-12-20 Last updated: 2020-01-10Bibliographically approved

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