1Clinical Demonstrator of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
2Professor of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
3Assistant Professor of Urology, Faculty of Medicine, Assiut University, Egypt.
4Assistant Professor of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
Abstract
Background: Percutaneous nephrolithotomy (PNL) is the initial therapy of choice for stones in the kidneys that are over 2 cm in size, although the majority of patients undergoing PNL recover rapidly and discharge early, some patients still required prolonged length of hospital stay (LoS). Aim: To identify factors affecting LoS in patients undergoing PNL. Research design: Prospective (cohort) research design was utilized. Setting: At Assiut Urology University Hospital. Sample: A convenience sample of 138 adult patients who had undergone PNL surgery. Tools: Patients assessment sheet. Results: Out of 138 patients, 41 (29,7%) had prolonged LoS, The mean duration of hospital stay was (3.2±1.13) days, ( rang 1-7), multivariate logistic regression analysis reflect that the presence of diabetes mellitus (P= 0.013, OR= 2.33, 95% CI, [1.62-65.08]), high serum creatinine level (P=0.004, OR= 1.12, 95% CI [1.43-6.51]) postoperative pain (P=0.049, OR= 2.81, 95% CI [1.02-271.89]), postoperative urinary tract infection (P=0.010, OR= 1.56, 95% CI [1.46-15.37]) were identified as independent factors affecting LoS in patients undergoing PNL. Conclusion: Diabetes mellitus, high serum creatinine level, postoperative pain and postoperative urinary tract infections were identified as independent factors that prolong LoS. Recommendation: Factors that affect LoS should early be identified to reduce health care expenditures and work burden on medical staff.
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