Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Retrospective Analysis of Pre-and Post-Operative Laboratory Findings of Patients Undergoing Kidney Transplantation
Böbrek Nakli Yapılan Hastaların Ameliyat Öncesi ve Sonrası Laboratuvar Bulgularının Retrospektif Analizi
Maral KARGINa, Sevim GÜLERb, Berna BAYIRc, Ayşe ŞAHİN TUTAKd, Mehmet Şükrü ARSLANe, Garip BEKFİLAVİOĞLUd
aDepartment of Psychiatry, Girne İlim University Faculty of Nursing, Kyrenia, Turkish Republic of Northern Cyprus
bDepartment Nursing, Division of Internal Medicine, Adıyaman University School of Health, Adıyaman, Türkiye
cDepartment Nursing, Division of Public Health Nursing, KTO Karatay University School of Health Sciences, Konya, Türkiye
dDepartment of Internal Medicine, Adıyaman University Training and Research Hospital, Adıyaman, Türkiye
eMersin Tarsus University Faculty of Medicine Health Research and Application Center, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):947-53
doi: 10.5336/nurses.2022-89710
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to review the sociodemographic characteristics of kidney transplant patients and the changes in preoperative and postoperative laboratory findings. Material and Methods: This is a retrospective study including 130 patients who underwent kidney transplantation between January 2015 and June 2019. This research was conducted at the Turgut Özal Medical Center Organ Transplant Hospital between August and December 2019 in the form of a four-month file archive review. File archive was used to access the data. The demographic characteristics of these patients, clinical and laboratory findings, donor characteristics, pre-transplant chronic diseases, pre-transplant dialysis duration and dialysis types were retrospectively analyzed to evaluate post-transplant infection and survival. Results: In the study, it was determined that patient survival rates were higher in transplants from a cadaver donor compared to transplants from a living donor. When the values before and after the transplantation were compared, it was found that the difference between the mean values of albumin, calcium, leukocytes, hemoglobin, hematocrit, platelets and international normalized ratio before and after transplantation was statistically significant. Conclusion: In this patient group, it may be suggested to carry out studies on nursing that provide sustainable, professional, holistic, evidence-based care and raise awareness, and to add the study findings to nursing practices in order to achieve the expected goals in improving the quality of life and survival.

Keywords: Kidney transplant; autoimmune disease; retrospective studies; clinical laboratory techniques
ÖZET
 Amaç: Bu araştırma, böbrek nakli yapılan hastaların ameliyat öncesi ve sonrası laboratuvar bulgularındaki değişiklikleri gözden geçirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Ocak 2015 ile Haziran 2019 tarihleri arasında böbrek nakli yapılan 130 hastayı içeren retrospektif bir çalışmadır. Bu araştırma, Turgut Özal Tıp Merkezi Organ Nakli Hastanesinde Ağustos-Aralık 2019 tarihleri arasında 4 aylık bir dosya arşivi incelemesi şeklinde yürütüldü. Verilere erişmek için dosya arşivi kullanıldı. Bu hastaların demografik özellikleri, klinik ve laboratuvar bulguları, donör özellikleri, nakil öncesi kronik hastalıkları, nakil öncesi diyaliz süreleri ve diyaliz türleri, nakil sonrası enfeksiyon ve sağkalımı değerlendirmek için geriye dönük olarak analiz edildi. Bulgular: Çalışmada, kadavra vericisinden yapılan nakillerde, canlı vericiden yapılan nakillere kıyasla hasta sağkalım oranlarının daha yüksek olduğu belirlendi. Transplant öncesi ve sonrası değerler karşılaştırıldığında, albumin, kalsiyum, lökosit, hemoglobin, hematokrit, trombosit ve uluslararası normalleştirilmiş oran ortalama değerlerinin transplantasyon öncesi ve sonrası arasındaki farkın istatistiksel olarak anlamlı olduğu bulundu. Sonuç: Bu hasta grubunda beklenen hedeflere ulaşmak için sürdürülebilir, profesyonel, bütüncül, kanıta dayalı bakım sağlayan ve farkındalık yaratan hemşirelik çalışmalarının yapılması ve araştırma bulgularının hemşirelik uygulamalarına eklenmesi önerilebilir.

Anahtar Kelimeler: Böbrek nakli; otoimmün hastalık; retrospektif çalışmalar; klinik laboratuvar teknikleri
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