Effect of Implementing Nursing Intervention Program about Early Detection and Prevention of Acute Kidney Injury on Critically Ill Patients’ Clinical Outcome | ||
| Tanta Scientific Nursing Journal | ||
| Article 7, Volume 19, Issue 1, November 2020, Pages 34-59 PDF (770.91 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2020.131956 | ||
| Authors | ||
| Soheir M. Weheida1; Gehan A. Younis2; Safaa E. Sayed2; Sheren M. Diab3 | ||
| 1Professor of Medical Surgical Nursing, Alexandria University, Egypt | ||
| 2Assist Professor of Critical Care Nursing, Tanta University, Egypt | ||
| 3lecturer of Critical Care Nursing, Tanta University, Egypt | ||
| Abstract | ||
| Acute Kidney Injury is considered as a life threatening condition that affects critically ill patients. It is associated with high morbidity and mortality rate.. Aim: evaluate the effect of implementing nursing intervention program about early detection and prevention of acute kidney injury on critically ill patient's clinical outcome. Design: A quasi experimental research design was utilized. Subjects: convenience sample of 60 adult patients at the anesthesia Intensive Care Unit of Tanta University Hospital, divided into two groups (control and study group) 30 patients in each. Results: The majority (96.7%) of patients in both control and study group had high level of National early warning sign score (NEWS) on admission. There was a significant difference between control and study patients in relation to renal recovery, referred to nephrologists, Patients who received RRT and hospital mortality with P= 0.004. More than half (53.3%) of the study group had normal urine output ≥0.5 mL/kg per hour for >6 hours after one week compared to low percentage of patients (6.7%) in control group. There was a significant difference between control and study sample to length of hospital stay and status on discharge after one week with p= (0.000 and 0.015) respectively. Conclusion: improved patient' clinical outcome in study sample compared with control group. Recommendations: Integrating nursing intervention program into plan of care to replace the traditional nursing care plan. | ||
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