| Abstract | Uvod: Biopsija bubrega dijagnostički je postupak kojim se nakon lokalne anestezije, uz
kontrolu ultrazvuka, posebnom iglom uzorkuje komadić bubrežnog tkiva. Uzorak se
mikroskopski analizira. Medicinske sestre primjenjuju holistički i individualizirani pristup
bolesniku u svim fazama zahvata biopsije. Cilj je rada opisati biopsiju bubrega i prikazati
osobitosti cjelovite zdravstvene skrbi bolesnika prije, tijekom i nakon biopsije bubrega.
Postupci: Sustavno je pretraživanje relevantne literature provedeno korištenjem domaćih i
inozemnih mrežnih baza podataka za istraživačku i akademsku zajednicu (Web of Science
Core Collection, PubMed, Scopus, Hrčak, Google Scholar), relevantnih internetskih stranica
te stručnih/znanstvenih knjiga.
Prikaz teme: Medicinske sestre započinju primjenjivati holistički pristup bolesniku u
trenutcima kada mu je propisana biopsija bubrega, a provode ga kroz faze pripreme,
provođenja zahvata i neposredno nakon zahvata. Psihološka priprema omogućuje bolesniku
optimalnu psihološku pripremljenost za zahvat što doprinosi bolesnikovu povjerenju u
zdravstveno osoblje, boljoj suradnji bolesnika te učinkovitijem obavljanju dijagnostičke
pretrage. Fizička priprema bolesnika osigurava optimalne uvjete koji će omogućiti uspješno
provođenje zahvata, maksimalnu kvalitetu skrbi i sigurnost bolesnika. Edukacijska priprema
bolesnika za biopsiju također je u području kompetencija i zadaća medicinskih sestara.
Tijekom biopsije medicinska sestra uz liječnika aktivno sudjeluje u svim postupcima i stalno
procjenjuje bolesnikov izgled, vitalne funkcije i sigurnost. Nakon biopsije medicinske sestre
prate stanje bolesnika i moguće komplikacije te provode intervencije usmjerene
individualiziranoj zdravstvenoj skrbi.
Zaključak: Biopsija bubrega predstavlja važnu dijagnostičku metodu u suvremenoj
nefrološkoj praksi. Kompetentnost medicinskih sestara značajno pridonosi tehničkoj izvedbi i
uspješnosti zahvata, kvaliteti uzorkovanja, pohranjivanja i transporta uzorka kao i
cjelokupnom procesu zdravstvene skrbi bolesnika. |
| Abstract (english) | Introduction: Kidney biopsy is a diagnostic procedure in which, after administration of local
anesthesia and with ultrasound control, a piece of kidney tissue is sampled with a special
needle. The sample is analyzed microscopically. Nurses apply a holistic and individualized
approach to patients at all stages of the biopsy procedure. The aim of this paper is to describe
a kidney biopsy and to show the features of comprehensive health care of patients before,
during and after a kidney biopsy.
Procedures: A systematic search of relevant literature was conducted using national and
international online databases for the research and academic community (Web of Science
Core Collection, PubMed, Scopus, Hrčak, Google Scholar), relevant websites, and
professional/scientific books.
Overview: Nurses begin to apply a holistic approach to patients in the moments when they
are prescribed a kidney biopsy, and conduct it through the stages of preparation,
implementation of the procedure, immediately after the procedure. Psychological preparation
enables patients to be optimally psychologically prepared for the procedure, which contributes
to the patients' trust in the medical staff, better cooperation of patients, and more efficient
performance of the diagnostic examination. The physical preparation of patients ensures
optimal conditions that will enable the successful implementation of the procedure, the
maximum quality of care and patient safety. Educational preparation of patients for biopsy is
also in the area of competencies and tasks of nurses. During the biopsy, the nurse, along with
the doctor, actively participates in all procedures and constantly assesses the patients'
appearance, vital functions and safety. After the biopsy, the nurses monitor the patients'
condition and possible complications and perform interventions aimed at individualized
health care.
Conclusion: Kidney biopsy is an important diagnostic method in modern nephrological
practice. The competence of nurses significantly contributes to the technical performance and
success of the procedure, the quality of sampling, storage, and transport of the sample as well
as the overall process of patient care. |
