PROPHYLACTIC ORAL HYDRATION NON-PHARMACOLOGICAL NURSING TECHNIQUE FOR PATIENTS WITH RENAL DYSFUNCTION UNDERGOING ANGIOGRAPHY
Hanan Sobaih Sobaih, Hoda Diab Mohamed and Neamatallah Gomaa Ahmed
Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
Aim: This study aims to evaluate the effect of prophylactic oral hydration as a non-pharmacological nursing technique for patients with renal dysfunction undergoing angiography.
Subjects and methods: An experimental study design was used. This study was carried out at the cardiac units of El-Demerdash Hospital and Ain Shams Specialized Hospital affiliated to Ain Shams University. Subjects: All available patients fulfilling the study criteria were recruited during the first four months of this study. They accounted for eighty patients, divided into two equal groups, control group (n = 40) and study group(n=40) and from both sexes having mild to moderate renal dysfunction documented by serum creatinine more than 1.5 mg/dl and creatinine clearance below 60 ml/min. Tool: Patients assessment/follow-up sheet was utilized in the current study. It included the following: a- Patient's demographic data, b- Follow-up sheet including baseline diagnostic measures and lab-investigation about renal function post procedure and c- Assessment of abnormal physical findings pre/post procedure.
Results: There was a statistically significant difference between studied groups at the end of follow-up period as regards renal function (p < 0.05) and there were no statistically significant differences in both groups as regards abnormal physical findings at the end of follow-up period (p > 0.05).
Conclusion: A positive feedback occurred for the study group as regards stability of renal function at the end of follow-up period, while slight deterioration of renal function was reported in the control group.
Recommendation: It is important to monitor signs and symptoms of fluid overload during hydration technique .It is required to apply hydration technique on a broad number of patients to generalized the results.