Summary of best evidence for postoperative observation time and bed rest time in patients undergoing percutaneous renal biopsy
10.3760/cma.j.cn115682-20230608-02309
- VernacularTitle:经皮肾活检患者术后观察时间及卧床时间的最佳证据总结
- Author:
Di JIANG
1
;
Yuxia GUAN
;
Zixia HE
;
Tongxin LI
;
Zhenhong YANG
Author Information
1. 中国医学科学院北京协和医院肾内科，北京 100730
- Keywords:
Percutaneous renal biopsy;
Observation time;
Bed rest time;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2024;30(5):610-615
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and summarize the evidence for postoperative observation time and bed rest time in patients undergoing percutaneous renal biopsy, so as to provide evidence-based basis for postoperative nursing of patients undergoing percutaneous renal biopsy.Methods:Using search terms such as "renal biopsy" and "renal puncture", based on the "6S" evidence resource pyramid model, evidence on postoperative observation time and bed rest time of percutaneous renal biopsy patients, including guidelines, best practice information books, evidence summaries, systematic reviews, expert consensus, and original research, was systematically searched on various guideline websites, evidence-based databases, original research databases, and professional association websites both domestically and internationally. The search period was from database establishment to July 1, 2023. After independent evaluation of the included literature by two researchers, evidence was extracted and summarized from the literature that met the quality standards.Results:A total of nine articles were included, including one guideline, five cohort studies, and three cross-sectional studies. This study summarized six best pieces of evidence from two aspects, namely postoperative observation time and postoperative bed rest time. For patients with low risk of complications after percutaneous renal biopsy, it was recommended to observe for 6 to 8 hours after surgery, but further shortening the observation time to 4 to 5 hours may also be safe and sufficient. For patients with high risk of complications after percutaneous renal biopsy, those living far from the hospital, those living alone, or those who may experience significant psychological stress after biopsy, it was recommended to extend the observation time to up to 24 hours.Conclusions:Based on existing evidence, it seems feasible to shorten the bed rest time after percutaneous renal biopsy. A large amount of high-quality research is still needed to explore the optimal postoperative bed rest time.
